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Strengthening CRVS System in Kenya

Presented by:

Janet MucheruDirector, Civil Registration Services

Kenya experiences on the impact of COVID-19 on CRVS system and planning for the future

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Outline

• Introduction

• Impact of COVID -19 on CRVS system

• Registration of marriages

• Data on date of occurrence and date of registration

• Status of CRVS System

• Covid -19 pressing issues and the way forward

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Introduction

• CRS is the Government Agency in the Ministry of Interior and Coordination ofNational Government mandated to Register Births and Deaths as stipulatedunder Cap149 (Laws of Kenya).

• Civil Registration Services (CRS) are classified as essential services.

• Registration of birth and Deaths is carried out on agency basis:o Assistant Chiefs (Births and Deaths occuring at home)o Medical Personnel (Births and Deaths occuring in Health facilities)

• Registration of Births and Deaths is largely manual.

• During this time of Covid-19 pandemic, some of the Vital events may gounregistered because of the fear of the infection.

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• Low delivery in health facilities which has an impact on birth registration.• Home deliveries may go unregistered.• Backlog of birth registration due to limited mobility by the registration

agents.• Ministry of Health “stay at home” protocol and curfews affect mothers

seeking delivery in health facilities.• High teen pregnancy will have long-term effect on Civil Registration

administrative process.• Suspicion of contracting COVID-19 from contact records from

registration agents especially those from Health facilities.

Impact of Covid 19 On birth registration

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Trend on the number of registered Births: 2019-2020

103,478

91,340

95,596 100,896

110,792

99,501 94,522

87,040 82,583 71,501

-

20,000

40,000

60,000

80,000

100,000

120,000

JAN FEB MAR APR MAY

Num

ber

Month

Trend on the number of registered Birth:2019-2020

2019 2020

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Changes in Birth registration: 2020

-3.8%

3.5%

-9.0%

-18.2%

-35.5%-40.0%

-35.0%

-30.0%

-25.0%

-20.0%

-15.0%

-10.0%

-5.0%

0.0%

5.0%

10.0%

JAN FEB MAR APR MAY

Num

ber

Month

Monthly Changes in Birth registration

Overall Change 13.3%

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% Change in Skilled Deliveries in the Counties (Mar 2019-Apr 2020)7

-25.0

-15.0

-5.0

5.0

15.0

25.0

35.0

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Percentage of Change in Skilled Deliveries

Half of the counties experiencing drop in skilled deliveries result to change in birth plan with fear of contact to COVID-19.

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• The dispatch of death records is very slow due to fear of exposure which affects

completeness and generation of vital statistics.

• Burial protocol – the burial of Covid-19 victims is done within 24 hours and the

completeness of notification of the event may be missed.

• Postmortem not conducted while others not conducted for fear of exposure to

COVID-19 which may lead to poor capture of cause of death.

• Backlog of death registration due to limited mobility by registration agents.

• High demand for Vital Statistics data.

Impact of Covid 19 on Deaths Registration

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Trend on the number of registered deaths: Year 2019 and 2020

16,400 14,278

19,763

13,431

16,312 16,971 14,938

13,479

11,096 10,776

-

5,000

10,000

15,000

20,000

25,000

JAN FEB MAR APR MAY

Num

ber

Month

Trend on the number of registered death:2019-2020

2019 2020

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Changes in death registration in Year 2020

3.5% 4.6%

-31.8%

-17.4%

-33.9%

-40.0%

-35.0%

-30.0%

-25.0%

-20.0%

-15.0%

-10.0%

-5.0%

0.0%

5.0%

10.0%

JAN FEB MAR APR MAY

Num

ber

Month

Monthly Changes in death registration

Overall Change 15.7%

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• The Department of Civil Registration in Kenya deals with two vital

events, Births and Deaths.

• Registration of marriages is in the Attorney General office.

• However, due to the effects of Covid-19 pandemic registration of

marriages has gone down.

Registration of Marriages

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• It is possible to generate statistics on the date of occurrence and

the date of registration of both births and deaths. This is

represented by the graphs on the next slide

• Civil Registration in Kenya classifies a current case when an event

is registered within six (6) months from the time of occurrence.

Data on Date of Occurrence and Date of Registration

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• From the graph the registered deaths between the month of January to May 2019 took a dip

and rise pattern while in 2020 the registered deaths dipped every month.

Registered Deaths by Month of Occurrence 2019

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

JAN FEB MAR APR MAYR

EGIS

TER

ED E

VEN

TS

MONTHS

DEATHS 2019/2020

2019 2020

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Registered Births by Month of Occurrence 2019

010,00020,00030,00040,00050,00060,00070,00080,00090,000

100,000

JAN FEB MAR APR MAYR

EGIS

TER

ED E

VEN

TSMONTHS

BIRTHS 2019/2020

2019 2020

• From the graph the registered births between the month of January and May 2019 tooka dip and rise pattern while in 2020 the registered births dipped in the month ofFebruary, went up in the month of March and started dropping to the month of May.

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• The system is partially digitized.

• The digitized and uploaded records are 16m while digitized and

awaiting uploading are 32m.

• Digitisation is ongoing in readiness for full automation.

• The digitized data was uploaded and is being utilized in some

registries in and around Nairobi with plans underway to roll out in

all the 122 registries in the country.

Status of CRVS System

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• The digitized system has not incorporated the registration agents

and civil registration officers to be able to submit returns online.

• There is need to fully automate the system to be able to have an

end to end registration.

Cont’ on Status

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Pressing issues related to mitigating the impact of Covid-19 pandemic and the way forward

Pressing Issues related to mitigating the impact of Covid - 19 Way Forward

1. Fumigation of the records and registries. CRS to mobilize resources to carry out fumigation ofrecords and registries in the country.

2. Need to sensitize our staff on safety measures whenhandling clients and records from registration assistants. CRS to mobilize resources to sensitize the staff.

3. Need of personal protective equipment (PPEs). CRS to mobilize resources to acquire personal protectiveequipment.

4. Rolling out our CRVSS in all the registries in order to haveend to end system.

CRS to liaise with government and other stakeholders tofacilitate the roll out of the CRVSS in all the registries.

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Thanks

THANKS