Civil Registration and Vital Statistics: A Unique Source of Data for Policy

Author(s):  
Carla AbouZahr ◽  
Gloria Mathenge ◽  
Tanja Brøndsted Sejersen ◽  
Sarah B. Macfarlane
2017 ◽  
Vol 10 (1) ◽  
pp. 1272882 ◽  
Author(s):  
Don de Savigny ◽  
Ian Riley ◽  
Daniel Chandramohan ◽  
Frank Odhiambo ◽  
Erin Nichols ◽  
...  

Author(s):  
Keith Breckenridge

Vital statistics have been politically fraught in South Africa for decades, not least because the state made very little effort to record information about the well-being of African women and children. This chapter shows that in the last years of the nineteenth century a working system of vital registration was developed in the colony of Natal and in the native reserves of the Transkei. From the beginning this delegated bureaucracy faced opposition from African patriarchs, from parsimonious white elected leaders and from the advocates of coercive systems of biometric identification. In the early 1920s, under the weight of mostly unfounded accusations of corruption, the system of registration by means of ‘native agency’ was deliberately terminated, despite the general enthusiasm of the magistrates charged with maintaining it.


2018 ◽  
Vol 96 (12) ◽  
pp. 861-863 ◽  
Author(s):  
Debra Jackson ◽  
Kristen Wenz ◽  
Maria Muniz ◽  
Carla Abouzahr ◽  
Anneke Schmider ◽  
...  

2018 ◽  
Vol 3 (4) ◽  
pp. e000833 ◽  
Author(s):  
Aaron S Karat ◽  
Noriah Maraba ◽  
Mpho Tlali ◽  
Salome Charalambous ◽  
Violet N Chihota ◽  
...  

IntroductionVerbal autopsy (VA) can be integrated into civil registration and vital statistics systems, but its accuracy in determining HIV-associated causes of death (CoD) is uncertain. We assessed the sensitivity and specificity of VA questions in determining HIV status and antiretroviral therapy (ART) initiation and compared HIV-associated mortality fractions assigned by different VA interpretation methods.MethodsUsing the WHO 2012 instrument with added ART questions, VA was conducted for deaths among adults with known HIV status (356 HIV positive and 103 HIV negative) in South Africa. CoD were assigned using physician-certified VA (PCVA) and computer-coded VA (CCVA) methods and compared with documented HIV status.ResultsThe sensitivity of VA questions in detecting HIV status and ART initiation was 84.3% (95% CI 80 to 88) and 91.0% (95% CI 86 to 95); 283/356 (79.5%) HIV-positive individuals were assigned HIV-associated CoD by PCVA, 166 (46.6%) by InterVA-4.03, 201 (56.5%) by InterVA-5, and 80 (22.5%) and 289 (81.2%) by SmartVA-Analyze V.1.1.1 and V.1.2.1. Agreement between PCVA and older CCVA methods was poor (chance-corrected concordance [CCC] <0; cause-specific mortality fraction [CSMF] accuracy ≤56%) but better between PCVA and updated methods (CCC 0.21–0.75; CSMF accuracy 65%–98%). All methods were specific (specificity 87% to 96%) in assigning HIV-associated CoD.ConclusionAll CCVA interpretation methods underestimated the HIV-associated mortality fraction compared with PCVA; InterVA-5 and SmartVA-Analyze V.1.2.1 performed better than earlier versions. Changes to VA methods and classification systems are needed to track progress towards targets for reducing HIV-associated mortality,


2019 ◽  
Vol 38 (S1) ◽  
Author(s):  
Brett McDowall ◽  
Samuel Mills

Abstract This paper examines the hosting options for electronic civil registration and vital statistics (CRVS) systems, particularly the use of data centers versus cloud-based solutions. A data center is a facility that houses computer systems and associated hardware and software components, such as network and storage systems, power supplies, environment controls, and security devices. An alternative to using a data center is cloud-based hosting, which is a virtual data center hosted by a public cloud provider. The cloud is used on a pay-as-you-go basis and does not require purchasing and maintaining of hardware for data centers. It also provides more flexibility for continuous innovation in line with evolving information and communications technology.


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