Logo

Name of Institution

CIVIL REGISTRATION AND

INFORMATION
MANAGEMENT
Level V
Prepared by:

1. Abraham Tamir (BA)

2. Mulugeta Taye (BA)
3. Israel Endale (BA)
4. Dereje Fenta (BED)
5. Jemal Abdou (BA)

November/2013
Addis Ababa
 LEARNING GUIDE # 2

Unit of Competence: Develop Principles of Civil

Registration and Vital Statistics /CRVS/
Module Title: Developing Principles of Civil
Registration and Vital Statistics /CRVS

Unit Code: MUS CRS5 M01 1013

LG Code: MUS CRS5 M01 LO2
TTLM Code: MUS CRS5 M01 11/13

LO2.Follow regulations of CRVS service organizations

and programs

Instruction sheet Learning Guide #2

 This guide will also assist you to attain the learning outcome stated in the cover
page. Specifically, upon completion of this Learning Guide, you will be able to:
 Form CRVS organization structure and operational principles according to
the national regulation.
 Follow regulations applicable to design for CRVS service at organization
level.
 Design CRVS service development programs based on the respective
strategy document

Learning Instructions:
1. Read the specific This learning guide is developed to provide you the
necessary information regarding the following content coverage and topics:
2.1. Knowledge of national regulations and structure of CRVS system
2.2. Method of formulating organizational structures and delivery
system principles
2.3. Techniques of designing service development programs
2.4. Concept of millennium development goals
2.5. Concept of equity issues in civil registration

objectives of this Learning Guide.

2. Follow the instructions described in number 3 to 7.
3. Read the information written in the “Information Sheet”. Try to understand
what are being discussed. Ask you teacher for assistance if you have hard time
understanding them. Do not read the self- check before accomplishing the
information written in the information sheet.
4. Accomplish the “Self-check”
5. Ask from your teacher the key to correction (key answers) or you can request
your teacher to correct your work. (You are to get the key answer only after you
finished answering the Self-check).
6. Submit your accomplished Self-check. This will form part of your training
portfolio.
7. If you earned a satisfactory evaluation proceed to “Learning module 6”
However, if your rating is unsatisfactory, see your teacher for further
instructions.

INFORMATION Follow regulations of CRVS service

SHEET organizations and programs

INTRODUCTION
The organization of the civil registration administration may be centralized or
decentralized. A centralized system is one where the network of local registration
offices is directly controlled and administered by a central authority or an agency
in the national government. A decentralized registration system is one in which the
local registration offices are supervised or administered by some authority at a sub
national level such as a district, region, state or province. In these instances, there
is no national office to oversee the local registration operations. However, there
may be a national agency for the coordination of the registration system and/or for
establishing national standards such as uniform registration laws, definitions of
vital events, registration practices, etc. In this region, there is at least one country,
Malawi, with a national registration office which coordinates but does not
supervise or direct the District Commissioners responsible for civil registration.
This office also maintains a file of individual birth and death records. In addition to
Malawi, there are 3 countries, Central African Republic, Somalia, and Swaziland
with no civil registration authority in the central government. The Central African
Republic was anticipating, at the time of the survey, the creation of a national
center for civil registration. In some countries, there appears to be a dual system of
registration. For example, in Ethiopia the Ministry of Interior is responsible for the
registration of births and deaths in the rural areas, whereas the Ministry of Housing
and Urban Development registers the vital events occurring in the urban areas in
the past regime.
Hence the above highlight lies a backdrop for this learning guide to give detail on.
Knowledge of national regulations and structure of CRVS system, Method of
formulating organizational structures and delivery system principles, Techniques
of designing service development programs, of millennium development goals,
Concept of equity issues in civil registration.
2.1 Knowledge of national regulations and structure of
CRVS system

Contemporary Status of Civil Registration and Vital Statistics System in Ethiopia

The first conference of African Ministers responsible for Civil Registration was
held in Addis Ababa in August 2010. During the meeting, one of the
recommendations that the ministers reached into consensus was that countries
should develop comprehensive legal frameworks for civil registration system, with
associated strategies to derive vital statistics from the registers.
Ethiopian civil code of 1960 contains more than 100 Articles that have not been
enforced over the past 52 years. The government of the Federal Democratic
Republic of Ethiopia by giving due consideration to the concern has incorporated a
plan to set up a framework for Civil Registration and National ID implementation
across the country under the five years Growth and Transformation Plan (2010/11-
2014/15). Accordingly, the initiative has been started to setup a Civil Registration
legal framework. However, the enactment of the Civil Registration law delayed
with a view to consolidate it with the National ID legislation, which was presented
to the government separately. To maximize the implementation and interfacing of
the two systems, the new concept of National ID could be cited as the main
challenge for the delay of the legislation due to lack of experience how to merge
the two systems. Finally, after a thorough discussion with stakeholders at various
levels, the House of People’s Representatives enacted the Proclamation on the
Registration of Vital Events and National Identity Card on the 7th of July 2012.
This proclamation enables the country to establish two separate institutions
(Federal Civil Registration organ which is responsible for the ministry of
Justice and the National Identity Card Issuing Organ which responsible for
the ministry of Interior) for the purpose of implementing the vital events
registration and the national identity card. These two institutions that sought to be
established are obliged under the law to work closely in particular with exchange
of data which are relevant to them.
Civil Registration is to be established with the objectives of among others serving,
ensuring and safeguarding the basic human rights of the people, improving the
efficiency and fairness of the justice system, facilitating the health, education and
other social services to the public. Provision7 of Vital Statistics could be
implemented based on the UN recommendations and guidelines. Vital
Statistics, using Vital Registration as a source, is a prerequisite to socioeconomic
planning. It is essential to estimate the yearly changes in population size and
structure, to understand the dynamics of population, to get population projection
inputs, to monitor and assess the health status of a population, and to conduct in
depth epidemiological studies.
Based on these objectives, the new “Civil Registration and National Identity” law
contains the following important contents:
 It has given clear definitions of “Vital Events”
 Identified organs (at the national and regional level) and periods for the
registration of vital events (including late registration)
 Identified the particulars of the registration of Births (including abandoned
births),
Marriage, Divorce, Death (including cause of death)
 Identified the mechanisms which the transfer of copies of the records of vital
events to the Statistical Agency of the country and the length of time required to
transfer
 Certification of the registration of vital events to concerned individuals
 Registration for National Identity Card and the information needed for the
registration
 The validity times and renewal of the national ID
 Obligations of the holder of the national ID
Henceforth, Regulations are being drafted for the full implementation of the law
and establishment of the two institutions.

Legal basis for civil registration and vital statistics

To be part of the modern world, with its advantages and obligations an identity
is required. This module looks at some of the common problems found with
current CRVS legislation, and provides guidance on what constitutes a solid legal
basis for CRVS systems. The module outlines the key actions that can be taken to
improve the legal framework of registration systems, and describes some selected
key tools and resources for assisting in the creation or updating of such
frameworks.
The key questions addressed include:
Why is a legal framework or civil act needed for CRVS systems?
Can a legal framework really help to improve system functioning?
What should be included in civil registration laws?
Do good legal models exist that can be used as examples?
How can it be determined whether current legislation is appropriate or needs to be
updated?

Structure of the Civil Registration System

The organization of the civil registration administration may be centralized or
decentralized. A centralized system is one where the network of local registration
offices is directly controlled and administered by a central authority or an agency
in the national government. A decentralized registration system is one in which the
local registration offices are supervised or administered by some authority at a sub
national level such as a district, region, state or province. In these instances, there
is no national office to oversee the local registration operations

Centralized System
In a centralized system, there are two options which may relate to the
administration of a civil registration program and vital statistics system. One is
where the responsibilities for both activities rests within a single organization such
as the National Statistics Office, or in the Ministry of Health, Interior, or Home
Affairs. The other is where the two functions are separate, with civil registration
under the responsibility of one agency and the vital statistics system under another
agency. Given these different administrative structures, the registration
system will have varying responsibilities and functions

CENTRALIZED CIVIL REGISTRATION AND

VITAL STATISTICS SYSTEMS -- NATIONAL LEVEL
SINGLE AGENCY SYSTEMS

MINSTRY A

CR OFFICE CV OFFICE
 Municipality

District

Region
Figure 1. Single Agency for Civil Registration and Vital Statistics

Figure 1 represents a civil registration system where the registration and vital
statistics responsibilities are placed in a single administrative organization. This
system integrates the two functions, CR and VS, which are closely linked together
since vital statistics are developed from the item content of the civil registration
forms - birth, death, fetal death and, where applicable, marriage and divorce events
Data collection and processing mechanisms performed for registration activities
and subsequently for the preparation of vital statistics can be effectively
maintained within a single organization. The capability here is that required
modifications throughout the registration system which can affect vital statistics
can be conducted within the organizational unit. This eliminates the
need to resolve potential inter-agency differences regarding the program, and
allows close intra-agency collaboration with appropriate registration unit activities.
This can also improve timing for incorporating effective changes in both systems,
and effectively maintains an interactive role for both aspects of the systems.
Record flow from the local registration offices may be directed through district and
regional sites prior to receipt at the national office. Copies of the documents
completed for each vital event for legal registration purposes may be retained at
each level in order to provide appropriate services to the population.
The vital statistics derived from these forms are prepared at the national office and
generally distributed to the various levels of government and other sources. As
district and regional offices develop capacity to prepare vital statistics data locally,
these units can then abstract data from the registration forms as the forms pass
through their offices on to the national office. The transmission of the registration
forms through the local units allows them to access the data for local use.
In the centralized system all administrative and technical direction comes from the
central office It is essential that strong lines of communication are in place in both
directions - to and from the central office and local units This assures that
knowledge from both sources are utilized in effectively managing and operating
the system. Committees may be established with representation from both local
and national programs and organizations. These may include maternal and
child health programs, family planning, and social services. In this way, the
various needs and issues in these areas can be considered as part of the
administration and operation of the registration program.. Although a centralized
system has many merits, one demerit of centralization is the inherent delays in
field operations as authorization is awaited from the head office. Such delays may
not only result in delayed action but occasionally may mean no action at all with
various negatively impacting consequences.
 CENTRALIZED CIVIL REGISTRATION AND
VITAL STATISTICS SYSTEMS -- NATIONAL LEVEL,
MULTIPLE AGENCY SYSTEMS
MINISTRY Y
MINISTRY X VS OFFICEs

CR OFFICE
VS OFFICE

Local CR office
Figure 2.Separate Agencies for Civil Registration and Vital Statistics

Where the registrationMunicipality

and vital statistics functions are located
in separate administrative agencies, interaction and cooperation
District
between these agencies is necessary to have effective registration and vital
Region
statistics programs. Agencies such as the Ministry of Interior, Home Affairs or
Health often have responsibility for the civil registration program.. The National
Statistics Office, the Ministry for Planning, or the Ministry of Finance may have
responsibility for the vital statistics system. Under this situation, a somewhat
different organizational and operational arrangement may be required than that for
the single agency responsible for both functions. The first issue is to create an
interactive and collaborative relationship between the two agencies.. Since the vital
statistics function derives its data from the registration system's records,
the statistical agency should establish a working relationship with the registration
program, One option would be to prepare a Memorandum of Agreement (MOA) in
which a committee is designated with representatives from each agency, and the
relevant factors affecting registration and vital statistics are identified. These
factors would include item content, the forms for legal registration, rules and
regulations to be followed to provide complete and accurate data for both programs
and, processing methods to assure effective registration and statistical
services.
One advantage of separate agency responsibilities for registration and vital
statistics functions is the fact that the problems identified in each component are in
effect reduced by fifty percent Registration problems are the concern of the
responsible registration agency, and vital statistics problems are the concern of the
statistical agency. Additionally, an interactive role between the two agencies
related to their respective programs can result in managing each system in an
effective and efficient manner.
Potential problems associated with separate agency structures include reaching
agreement on specific issues. These may relate to differences in the data collection
process, forms design and item content. In addition, definitions and procedures for
assessing completeness, validity and accuracy of the information may have
different priorities. In this context, the major distinction within a centralized
system between a single administrative agency and a multiple agency structure
with related responsibilities is the need for some type of formal agreement. This is
needed to define responsibilities and to interrelate, interact and integrate the related
registration and statistical components.

Decentralized System
Several organizational options exist for civil registration and vital statistics
programs within a decentralized administrative structure This may include a
structure where the national government has oversight as to the legal requirements
for registration activities and for the preparation and distribution of national vital
statistics information. Sub-national administrative units such as State or Provincial
governments have the primary responsibilities for data collection, operation and
maintenance of the systems, Another configuration is where the state or provincial
government has total responsibility for civil registration and vital statistics,
independent of the national government In this type of organizational structure,
arrangements are made by the individual states or provinces with the national
government to provide appropriate data and information. DECENTRALIZED
CIVIL
REGISTRATION AND
VITAL STATISTICS SYSTEMS -- SINGLE AGENCY
AT THE STATE OR PROVINCE LEVEL
PROFESSIONAL
CR -- vs +O-------...jORGANIZATION4

PROFESSIONAL
NATIONAL VS OFFICE
CV—VS

ORGANIZATION

STATE/PROVINCE
STATE/PROVICE STATE/PROVINCE
MINSTRY A
MINSTRY A MINSTRY A
Municipality Municipality Municipality

District District District

Region Region Region

Municipality

District

Region
Figure 3
Sub national Single-Level Administration
In the decentralized structure where the national government has general oversight
and specified legal requirements, and the conduct of operations and maintenance
activities for civil registration and vital statistics rests with the state or provincial
government, the registration of vital events is directed and administered by the
state/province office Subsidiary units me established at various locations and
within various agencies across the geographic area of the state/province. Generally,
however, all of the legal registration functions and record processing activities are
conducted at the state/province level. A head civil registration office within each
directs and administers the system.
Within this type of decentralized structure, the national office should initiate a
program such as a national/state committee or, affiliation with a national
professional association related to registration and vital statistics activities to
coordinate the various state or province government programs. This would serve to
assure standards are met and consistency in data and information designed for
national vital statistics and civil registration use is maintained, The committee
should meet periodically, perhaps annually, to address any issues which arise
at the local levels, to obtain updated information as to changes or developments at
the national level, and to maintain an interactive relationship with the other
state/province programs.
A decentralized program within a country has certain advantages and
disadvantages as was noted under the centralized systems described above From an
individual state or province perspective, one advantage is that decentralization 1)
permits the inclusion of data into their registration data collection system
that is relevant to their area; 2) addresses legal issues which may be unique to their
particular population; and, 3) allows management and operational control
appropriate to their own governmental structure The legal aspects of the
system, if consistent with national requirements. may provide certain benefits in
meeting national government needs, Such support can serve both the local and
national programs, while the local government still maintains the system necessary
to meet their own needs. There can be disadvantages to this structure as well As
noted above, the lack of coordination and cooperation of the various decentralized
single sub national programs within a country can lead to inconsistent patterns of
1) data collection, 2) registration processes including recording of nonresident
events and, 3) the distribution of such records to other states' programs. The
inclusion of events in the national vital statistics program also requires that each
state/province must maintain acceptable levels of completeness, accuracy and
reliability of their data, implying that some degree of standards must be
implemented. This may be difficult to assess given a large number of independent
programs within a decentralized system.
 DECENTRALIZED CIVIL REGISTRATION AND VITAL STATISTICS
SYSTEMS WITH MULTIPLE LEVEL ADMINISTRATION
(STATE OR PROVINCE = S/P)

PROFESSIONAL

CR—VS
NATIONAL VS
ORGANIZATION
OFFICE

S/P CR S/P S/P CR

S/P
MINSTRY A MINSTRYB MINSTRY A
MINSTRY B
 Local CR OFFICE
Local CR OFFICE

Municipali
ty
Municipality

District
District

Region Region

Figure 4 Sub National Multiple Level Administration

In contrast to the single administrative structure, some countries employ the use of
existing local (village, district, region) government units to operate the civil
registration program. In this structure, the state/province may establish rules,
regulations and statutes to require specific activities to be conducted for purposes
of registration Under this structure, local government bodies may register and
record events, issue copies to the population and to some degree make changes and
corrections to the records maintained at the local level.
In this context, as noted in Figure 4 above, it would be useful for the state/province
government to establish a working relationship with the local government offices
either through committees to address specific registration issues, or by holding
periodic meetings In this way information, technology, standards and legal changes
or requirements are presented, and
problems and issues of concern at the local levels can be addressed The needs of
this type of structure differ significantly from those outlined above in that the
government units responsible for registration are not under the direct control of
the state/province registration office Because of this, the interaction and
communication requirements with local units must be implemented, The basic
difference between the single administrative program and the multiple-agency
program is that the former implements all of the components for conducting
registration activities and providing services, whereas the latter may require an
interactive operational relationship to established operational and administrative
functions with other agencies"

3. Translation to Centralized or Decentralized System

The degree to which these areas can be developed into a more structured program,
either centralized or decentralized as outlined in the above sections, will reflect the
level to which such programs can be improved. The transition phase must
incorporate the essential elements of the system as previously described In the
initial steps, the designation of a local registration official, directly responsible for
reporting to an existing official registration office, should be made In addition
sub registrars can be authorized, particularly those individuals dealing with vital
events such as midwives, funeral/crematory operators, health clinic directors and
other related health service providers, with responsibilities to record
events and report to the designated registrar. Once this process has been
implemented, the administrative structure that is implemented must be consistent
with the governmental organizational structure in place at the specific area
or location. That structure, centralized or decentralized, can provide significant
improvements to the system"

2.2 Method of formulating organizational structures

and delivery system principles
CRVS is anchored on the following major guiding principles:
- Promoting country ownership and leadership;
- Promoting coordination and integration between Civil Registration
Authorities (CRAs) and National Statistics Offices (NSOs);
- Promoting systematic and coordinated approaches;
- Promoting phased-based, holistic and integrated approaches;
- Constituting strong regional policy and advocacy forums;
- Building capacities of national CRVS focal institutions;
- Promoting partnership at country and regional levels and
Civil Registration and Vital Statistics look into these guiding principles, work
processes and monitoring mechanisms of the regional initiative and country-level
implementations. This programmed document leaves the routine operational
issues and activity breakdowns to the medium-term and follow-up plans and
focuses on policy directives and programmed guidelines that enable
policymakers and programmed managers to take up visionary leadership roles at
regional and country levels. The programmed focuses on addressing major
conceptual and programmatic issues and tries to harmonize different interests
and programmed interventions coming from different actors.

2.3.Technique of designing service development

programs
Designing Successful Programs and Services Using program logic models
Logic models have emerged as very helpful tools in planning effective programs.
A logic model is a plausible and sensible organizing device for your planning and
implementation. A logic model helps you identify all of the essential parts of
program, how they fit together and how participants in your program will benefit,
i.e., what they had and needed when they first joined the program and the
outcomes yielded by the program in relation to participant “inputs.”
A logic model is a simple graphic representation of the content, structure and flow
of your program strategy designed to address a community condition.
Included are assumptions, intentions, inputs, activities, outputs and desired
immediate, intermediate and long-term outcomes. They require some intensive
thought and work. However, the benefits they yield justify the front-end
investments they require. Most logic models include the following components:

Conditions and resources assessment

Your conditions and resources assessment should help you answer the following
questions:
•Who do we need to serve?
•Why does this population need programs and services?
•Do you need to accommodate different sub-sets of the population in need?
•Are there special groups in your population that may need different services?
•How will the participants be different as a result of the programs and services?
Program assumptions
Then you’ll identify the theoretical assumptions you are making to support your
program activities. In this component, you need to be explicit about why you think
your program activities will lead to desired out comes by answering the following
questions:
•What does the research say about what type of program meets the needs of this
population or problem?
•Does the program logically meet the needs of the clients?
•Is the program designed around the best practices that are known to be effective?

Program resources
Here you’ll identify the resources you will need to run your program. Resources
here are broadly defined and may include things like finances, staff, settings,
volunteers, equipment, supplies and contracted services. You also may need to
consider any constraints that may limit or circumscribe your program such as
ethical issues, laws, regulations and funding requirements.
Program activities
You’ll then want to describe program activities. These are the things you do, the
services you offer or the links you make to services for students and their families.
For example, you may conduct tutoring sessions, provide recreation opportunities,
conduct home visits, provide in-service training about educational enrichment to
teachers, etc. It is important to understand the above four steps and components are
the ingredients of your program – they form the basis of your daily actions and
activities. The next four components help you define your program account
abilities. They will help you know if you did what you intended to do and if you
reached your intended results:
Program outputs
Outputs are the direct products of service activities and are usually measured as
volumes. These measures are sometimes referred to as process measures and might
include things like the number of tutoring sessions you provided, the number of
recreation opportunities provided, the number of home
visits conducted, the number of in-service training sessions to teachers provided,
etc.
Program outcomes
Immediate outcomes are those produced closest to the service. They may include
student or parent gains in knowledge, changes in attitude, acquisition of skills,
revised values or modified intentions that are directly linked to the your program
strategy. Intermediate outcomes are the sustained behavioral impacts of your
program effort. Sustained behavioral change is crucial to producing good long-
term outcomes. Once again, developing a program logic model has many benefits.
It helps to structure your critical thinking about program assumptions, intent,
structure and accountabilities. It helps to communicate about your program with
staff and stakeholders, and helps to keep you focused.

Activity oriented programs vs results oriented

programs
Programs may be categorized into a two-part classification: (1) Activity-oriented
programs and (2) Results-oriented programs. Most of your time and effort must be
directed toward results-oriented programs. Activity-oriented programs typically
involve free and directed play at all levels. The focus is on the activity rather than
on the results that you expect from the activity. Activity-oriented programs include
basketball, family events, school assemblies, community festivals and arts and
drama.
These activity-oriented programs are fun and enjoyable for the participants.
Results-oriented programs target improvements or changes in the participants’
knowledge, attitudes, awareness and/or behavior. Programs are designed to help
participants learn, improve and change in positive ways. Results-oriented programs
are intentional interventions with anticipated outcomes. Research provides the
program’s rhyme and reason. The main idea behind results-oriented programs is to
make sure the program and the strategies and activities you are providing
correspond to the problem you are trying to solve. Moving from an activity-
oriented perspective to a results-oriented one will require intentional planning and
thoughtful implementation by program leaders. The key is to strike a good balance
between results-oriented programs and activity programs.

Attracting and retaining participants

It is important that you also pay critical attention to designing strategies within
your programs that focus on the successful recruitment and retention of
participants. Participants are unlikely to benefit from quality program designs if
they are not present enough to reap program benefits.
Successful recruitment. Every program designer faces this question: How will we
attract and recruit the participants who will benefit from our programs and
services? They get “people in the door," a fundamental first step in developing
every successful program.
Common program magnets include:
•Activities offered are of interest;
•Program fits personal goals (i.e., want to discipline my child more appropriately,
need to belong. have a desire to help others);
•Friends attend;
•Have some already established relationship with the program staff;
•Program participation is a requirement (i.e., parent requires youth attendance,
child welfare system requires parent attendance);
•Support for program involvement (i.e., teachers encourage student involvement,
employer provides time-off for community service); and
•They receive a referral to the program

2.4. Concept of millennium development goals

The MDGs originated from the United Nations Millennium Declaration. The
Declaration asserted that every individual has the right to dignity, freedom,
equality, a basic standard of living that includes freedom from hunger and violence
and encourages tolerance and solidarity. The MDGs set concrete targets and
indicators for poverty reduction in order to achieve the rights set forth in the
Declaration.

The MDG emphasized three areas: human capital, infrastructure and human rights
(social, economic and political), with the intent of increasing living standards.
Human capital objectives include nutrition, healthcare (including child mortality,
HIV/AIDS, tuberculosis and malaria, and reproductive health) and education.
Infrastructure objectives include access to safe drinking water, energy and modern
information/communication technology; increased farm outputs using sustainable
practices; transportation; and environment. Human rights objectives include
empowering women, reducing violence, increasing political voice, ensuring equal
access to public services and increasing security of property rights. The goals were
intended to increase an individual’s human capabilities and "advance the means to
a productive life.
Goals

The MDGs were developed out of several commitments set forth in the
Millennium Declaration, signed in September 2000. There are eight goals with 21
targets, and a series of measurable health indicators and economic indicators for
each target.

Goal 1: Eradicate extreme poverty and hunger

 Target 1A: Halve, between 1990 and 2015, the proportion of people living
on less than $1.25 a day
 Target 1B: Achieve Decent Employment for Women, Men, and Young
People

 Target 1C: Halve, between 1990 and 2015, the proportion of people who
suffer from hunger

Goal 2: Achieve universal primary education

 Target 2A: By 2015, all children can complete a full course of primary
schooling, girls and boys

Goal 3: Promote gender equality and empower women

 Target 3A: Eliminate gender disparity in primary and secondary education
preferably by 2005, and at all levels by 2015

Goal 4: Reduce child mortality rates

 Target 4A: Reduce by two-thirds, between 1990 and 2015, the under-five
mortality rate
Goal 5: Improve maternal health
 Target 5A: Reduce by three quarters, between 1990 and 2015, the maternal
mortality ratio
 Target 5B: Achieve, by 2015, universal access to reproductive health

Goal 6: Combat HIV/AIDS, malaria, and other diseases

 Target 6A: Have halted by 2015 and begun to reverse the spread of
HIV/AIDS
 Target 6B: Achieve, by 2010, universal access to treatment for HIV/AIDS
for all those who need it

 Target 6C: Have halted by 2015 and begun to reverse the incidence of
malaria and other major diseases

Goal 7: Ensure environmental sustainability

 Target 7A: Integrate the principles of sustainable development into country
policies and programs; reverse loss of environmental resources
 Target 7B: Reduce biodiversity loss, achieving, by 2010, a significant
reduction in the rate of loss

 Target 7C: Halve, by 2015, the proportion of the population without

sustainable access to safe drinking water and basic sanitation (for more
information see the entry on water supply)

 Target 7D: By 2020, to have achieved a significant improvement in the

lives of at least 100 million slum-dwellers

 Goal 8: Develop a global partnership for development

 Target 8A: Develop further an open, rule-based, predictable, non-
discriminatory trading and financial system

 Target 8B: Address the Special Needs of the Least Developed Countries
(LDCs)

 Target 8C: Address the special needs of landlocked developing countries

and small island developing States

 Target 8D: Deal comprehensively with the debt problems of developing

countries through national and international measures in order to make debt
sustainable in the long term

 Target 8E: In co-operation with pharmaceutical companies, provide access

to affordable, essential drugs in developing countries

 Target 8F: In co-operation with the private sector, make available the
benefits of new technologies, especially information and communications.

o Telephone lines and cellular subscribers per 100 population

o Personal computers in use per 100 population

o Internet users per 100 Population

With just four years to the target date of 2015, progress on the health-
related Millennium Development Goals (MDGs) has been slow.
Measuring progress has been hampered by the lack of
quality and timely data; this is especially true when
measuring progress toward goals that rely on civil
registration for their information, such as Goal 4 on reducing
child mortality. Civil registration is the conventional data source for
 measuring and monitoring the majority of the MDG indicators. With
complete vital statistics, data required as inputs for measuring the
indicators for achieving universal primary education, reduction in child
mortality, improvements in maternal health and reductions in prevalence
of HIV/AIDS, malaria and other diseases would be made more accessible
for a continuous and over varying period of time. Unfortunately, most
African countries are far from compiling such comprehensive data,
therefore putting them at a disadvantage limiting their ability to track
progress or lack of in the achievement of the MDG targets at national as
well as sub-national levels. Having comprehensive civil registration data
help to provide measures for the below millennium development goals:

 G4 Reduce Mortality
Under-five mortality rate (UMR)
Infant mortality rate (IMR)
 G5 Improve Maternal Health
Maternal mortality ratio (MMR)
Proportion of births attended by skilled health personnel (%SHP)
 Goal 6. Combat malaria and other diseases
Death rates associated with malaria (CSDRM)
Death rates associated with tuberculosis (CSDRT)
Self-check Written test

Directions: Answer all the questions listed below. Use the

Answer sheet provided in the next page:
Part-I: Short answer questions
1. What are the tow two separate institutions established for the purpose of
implementing the vital events registration and the national identity card?(2point)
2. Discuss the two Structures of the Civil Registration Systems and their
difference.(3 point)
3. Discuss the Concept of millennium development goals.(2point)
4. List and discuss MDGs.(3 point)
5. Justify the relationship of civil registration and vital statistics with Millennium
development goals.(4 point)

Part-II Multiple chooses (one point)

1. Which is contents Civil Registration and National Identity

A. definitions of “Vital Events”

B. organs (at the national and regional level) and periods for the registration of
vital events (including late registration)
 C. identified particulars of the registration of Births (including abandoned
births), Marriage, Divorce, Death (including cause of death)
D. Certification of the registration of vital events to concerned individuals,
Registration for National Identity Card and the information needed for the
registration, the validity times and renewal of the national ID, Obligations of
the holder of the national ID .
E. . all

Note: Satisfactory rating – 10 points Unsatisfactory -

below 10 points
You can ask you teacher for the copy of the correct
answer

Answer Sheet.
Name__________________________________________ Date___/___/___.

Part-I: Short answer questions

1. ___________________________________________________
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2. ___________________________________________________
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3. ___________________________________________________
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4. ___________________________________________________
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5. ___________________________________________________
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Part-II: Multiple chooses.

1. --------