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Evaluating the Completeness of the Civil Registration System

This article discusses different methods for evaluating the completeness of the civil registration system, including direct methods such as matching civil registration records, administrative and social records, population census and survey records, and the dual record system. The advantages and limitations of these methods are also explored.

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Evaluating the Completeness of the Civil Registration System

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  1. Evaluating the Completeness of the Civil Registration System

  2. Civil registration – Quality control • Level of registration completeness - All local registration areas carried the procedures - Every vital event has a record on the system - All local offices transmit the records up the ladder

  3. Direct methods • Direct methods • Matching – Using civil registration records as independent source • Matching – Using administrative and social records • Matching – Using population censuses and surveys lists • Dual records system

  4. M1. Civil registration records as independent source • Evaluating birth register using death register • Consists of matching the death record with the birth record • Up to 30 years of age • Not really a good measure – mobility of population • Useful for infant deaths • Accuracy increases if births occur in medical facilities

  5. M1. Civil registration records as independent source • Hand matching • If the number of infant deaths is small • If both events (birth and death) occur in the same health facility • In the local registrar office, given the small numbers, a feasible option

  6. M1. Civil registration records as independent source • Electronic matching • Fast, effective approach • Having a PIN - advantage • Requirements • Computerized records • Developing applications • Hardware

  7. M1. Civil registration records as independent source • Edit method • Identify, for example, record with low birth-weights • Match with death record • If not found, check with the facility to confirm child is alive

  8. M2. Administrative and social records • Involves other organizations • Matching birth and death records with: • School enrolment • Hospital records • Baptism • Burial records • Newborn screening programs • Reporting of HIV

  9. M3. Population census and survey records • Lists of births and deaths • Census enumeration areas • Census questions • Matching with civil registration records

  10. M4. Dual record system • Matching civil registration system (CVS) and periodical retrospective survey (PRS) • When information from two sources are matched, four mutually exclusive sets of records emerge: • Events recorded by both exercises • Recorded by CVS but not PRS • Recorded by PRS but not CVS • Not recorded by either source:

  11. M4. Dual record system • Not recorded by either source: • N=C+N1+N2+((N1xN2)/C) • Where • C = the number of vital events recorded by both methods • N1= the number of events recorded by the first method but not the second • N2= the number of events recorded by the second method but not the first • Thus, the events omitted by both: • Y=((N1xN2)/C)

  12. Advantages and limitations of direct methods • Advantages • Two sources for matching • If both are quality sources and independent – accurate • Pointing to the cause • Feasible at all levels • Limitations • Really independent? • Population movements undermine accuracy • Costs

  13. Indirect methods • These methods were developed to assess the completeness and quality of vital statistics • Statistics is coming from civil registration • Statistics of low quality  most likely consequence of errors in registering events • Comparison of trends

  14. Indirect methods • These methods were developed to assess the completeness and quality of vital statistics • Statistics is coming from civil registration • Statistics of low quality  most likely consequence of errors in registering events • Comparison of trends • Delayed registration • Patterns in the sex ratio of births • Comparison with census data • Comparison of rates observed in similar population or previous periods • Incomplete data methods: indirect techniques

  15. Comparison of trends • At small area level • Expected values established by previous trends • Unexpected current values • Large proportion of “unknown” answers

  16. Delayed registration • Monitoring difference between date of occurrence and date of registration • % of events not registered in prescribed period of time – indicator of possible deficiency • Excessive proportion of delayed registration in health facilities indicates overburden – inadequate infrastructure

  17. Comparison with census data • Quality of the census itself • Census content • If all basic components of population are accurately captured by census – birth, deaths, immigrants, emigrants, then • Intercensal population growth of population equals the sum of intercensal births and immigrants minus intercensal deaths and emigrants • Major obstacle – reliable migration statistics

  18. Comparison of rates • Useful, but requires caution • Many factors, not necessarily linked to registration errors • Differences in age structures • Population estimates • Skewed population

  19. Indirect techniques • Technical approach • Long history of use • Complex • Require specific training

  20. Summary • Checks and balances - crucial • A list of techniques • Best approach – a combination of direct and indirect assessment • Computerization increases checking opportunities

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