Evaluate Current System
The Who, What, Where and When for birth registration will vary considerably within and between countries. It is essential to evaluate the current birth registration system to identify gaps and build upon existing capacities, to avoid creating parallel BRiE systems. The goal of this step is to ensure a common understanding of the current system and to identify key actions required to strengthen its resilience.
This step should ideally be conducted before an emergency, as a resilience exercise. If an emergency has already occurred and/or is ongoing, complete this step in order to understand the ‘before’ situation.
Complete the Desk Reviewto understand the current birth registration system and CRVS landscape.
Based on the “Registration Process” section of the Desk Review Template, and consulting relevant stakeholders if possible, map the standard birth registration processes to develop a visual model of the activities and actors associated with the birth registration process. You can do this by using:
A business process modelling tool (free business process modelling tools are available e.g. Bizagi).
PowerPoint to create a simple flowchart.
A table to describe each step in the process and who is responsible.
Use the How to map and analyse a business process guide for guidance.
Refer to the Country Business Process Examples to see how these have been done.
Now that the birth registration process is mapped, meet stakeholders (i.e. community registration agent, health facility staff, district and national level CRVS staff) involved in the process and analyse its effectiveness.
- For each step of the process, does the step acts as a bottleneck, i.e. slows down the process or makes it less efficient? How?
- What barriers to registration exist, i.e. reasons why people do not actively register births using the process?
- Is the process equally accessible, i.e. are certain populations excluded from the process?
- What is the capacity of actors to conduct the current process steps?
- What informal practices exist, i.e. bribery and non-official costs?
Once the desk review and business process analysis is complete, present and review findings to key local and national CRVS stakeholders.
- Introduce BRiE as a concept and why it is important.
- Present and review findings from the desk review.
- Present and review the business process analysis to highlight current challenges.
- Highlight the importance of BRiE preparedness, as existing challenges will only magnify in times of emergency.
- Identify areas for future BRiE collaboration.
Something that slows down the birth registration process
- Stock-outs of forms
- Low-availability of staff
- Manual, paper-based processes
- Multiple trips required to complete process
- Low staff capacity
- Poor data quality
Something that prevents people from engaging in, or completing, the process
- Unawareness of birth registration and its importance
- Lack of motivation/incentive to register births
- Direct & indirect costs associated with registration
- Process complexity
- Distance to registration stations
- Cultural beliefs that have negative associations with birth registration.
- Registration legislations not taking into account naming customs.
Work with BRiE partners to implement BRiE resilience measures.
- Ensure birth registration is included in local, provincial, and national level disaster management plans.
- Review and update SoPs for times of emergency.
- Address issues in the legal and policy framework. See BRiE Advocacy Guide for guidance.
- Advocate for government agreement to waive registering time periods, fees, fines, and court proceedings that complicate the birth registration process and act as a deterrent.
- Support government to identify, legalise, and train alternative community-based registers (i.e. midwives) who can verify, register, and certify births during an emergency.
- Outline clear roles and responsibilities for promoting and responding to birth registration in emergencies.
Include a birth registration question in household surveys and needs assessments conducted pre and post emergency. See sample questions below.
Have all the children in your household had their births registered?
- Yes and I can show the birth certificates
- Yes but I can't show the birth certificates because they were destroyed/damaged/lost as a result of the emergency
- No, because I don’t know what birth registration is
- No, because I didn’t see the need for birth registration
- No, I tried but could not complete the process
- No, I was denied access to the service
- No, there was no birth registration service avalible
- Other (text box)
Which best describes your household’s situation?
- You have had trouble accessing assistance for your children because you don't have a copy of their birth certificate?
- You have had trouble accessing assistance for your children because you don’t have another type of identity document (i.e. family ID card/household ID card)*
- You have NOT had any trouble accessing assistance for your child/ren due to lack of identity documents (birth certificate and/or family card)
*If another type of identity document is being used to access assistance in your context please insert the name of the card here.