In order to determine whether there is a need for a BRiE intervention, it is important to fully assess the impact the emergency has had on the birth registration system. By clearly identifying and prioritising the issues with relevant stakeholders, the need and purpose of a BRiE intervention will be clearly defined and agreed upon.


Step 1

Complete the Desk Review Template again, reflecting the situation post emergency.

NB. Not all sections will need to be updated, this will depend on the impact that the emergency has had on the birth registration system.


Based on the 'Registration Process' section of the Desk Review Template, if a birth registration process is in place after the emergency, and it has changed, repeat steps 2 and 3 of Analyse 1: Evaluate the current system, in order to map and analyse the updated business process. Use the Common bottlenecks and barriers post-emergency example as a guide when conducting the analyses.


Compare findings from the two desk reviews to assess the impact the emergency has had on the birth registration system. Consider possible changes in:

  • Roles and responsibilities
  • Birth and birth registration rates
  • The birth registration process

Step 4

Analyse the findings from any birth registration questions included in household needs assessments to understand what impact the emergency has had on the affected population:

  • Have birth certificates been lost, damaged or destroyed?
  • Are girls and boys registered and do they have a birth certificate?
  • Are girls, boys, women, and men having trouble accessing assistance due to lack of a birth certificate?
  • What level of understanding is there on the importance and purpose of birth registration?
  • Could having a birth certificate in the country context potentially cause harm to a child?

Step 5

Meet with relevant working groups including Child Protection, Protection and Health, in order to:

  • Document previous and current birth registration initiatives (if any).
  • Document previous and current initiatives that might inform a BRiE intervention i.e. mobile data collection.
  • Understand whether birth registration has been identified as an issue.
  • Encourage them to consider birth registration within their roles and responsibilities and prioritise where required.
  • Get buy-in on the importance of BRiE and recognise it as a shared responsibility.

Step 6

Hold a meeting with key  CRVS stakeholders, as identified in the desk review, in order to:

  • Present and verify findings from the desk review, household assessment and process mapping exercise.
  • Agree whether a BRiE response is required.
  • Clearly identify the issues in the post emergency birth registration system.
  • Filter these issues by determining which identified problem(s) can and most urgently need to be addressed.
  • Identify who needs to be engaged in the designing and testing of the BRiE intervention, e.g. local registration staff, midwifes, pregnant and lactating women.
  • Identify any potential risks associated with a BRiE intervention and develop mitigation strategies, i.e. child protection risks.

The importance of clearly defining the problem

Spend time to clearly define the problem(s) that exist and explain why they need to be addressed. By taking the time to fully understand and prioritise the issues, you will better be able to provide a targeted and realistic response.