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Main Challenges and Strategies to Improve CRVS in China. Mr. Liu Qinghai National Health and Family Planning Commission, China. Hanoi, Nov. 17th 2017. Outlines. Main obstacles for completeness and accuracy of Registration Main obstacles for compiling vital statistics
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Main Challenges and Strategies to Improve CRVS in China Mr. Liu Qinghai National Health and Family Planning Commission, China Hanoi, Nov. 17th 2017
Outlines • Main obstacles for completeness and accuracy of Registration • Main obstacles for compiling vital statistics • Efforts for assessing the quality of CRVS systems • Measures to be taken and tasks for the next step
Main obstacles for completeness and accuracy of Registrations • Huge floating population • Low registration rate in remote areas • Weak mandatory in registration • Insufficient of the registration system
Huge floating population • Rapid development of industrialization and urbanization • An unprecedentedly large and continuously growing scale of migrants • More difficult to collect data, and missing and repetitive collection more likely 245 million or 18% (2016)
Weak mandatory in registration • Registration always not timely • Some people reluctant to registrate # Birth Certificate # Death Certificate # Household Registration (until 6) • Insufficient registrars in community level
Insufficient of the registration system • Nationally unified system: need to further standardize and implement properly • Almost every item is included or can be deduced from the registration sheets, but some items are not easy to complete or the quality is lower (e.g. Place of usual residence, Educational attainment, Foetal deaths to mother during her entire lifetime, some items related to the characteristics of the father)
Main obstacles for compiling vital statistics • Lack of high-level authoritative coordination mechanism on Civil Statistics • Limited sharing of inter-departmental data • Some information not well-aggregated at the national level(e.g. birth certificate 90% at local level but 40% in national level)
Lack of high-level coordination mechanism • Bureau of Statistics ——Census and Survey (deputy ministerial level) • Ministry of Public Security——Household Registration (Hukou), Personal Registration and ID management • National Health and Family Planning Commission——Birth certificate, Death certificate • Ministry of Civil Affairs——Marriages(divorces), adoptions
Main obstacles for compiling vital statistics • Lack of high-level authoritative coordination mechanism on Civil Statistics • Limited sharing of inter-departmental data • Some information not well-aggregated at the national level(e.g. birth certificate 90% at local level but 40% in national level)
Efforts for assessing the quality of CRVS systems • Population Census and Survey, Birth Certificate and Death Certificate, Household Registration Information……… • Internal regular quality control respectively • Matching of personal records at local level (coverage at less than 50%) • Partial matching of personal records and comparison of macroscopic information at national level
Household Registration information cleaning since 2013 • Clean up the death toll by using funeral information from Ministry of Civil Affairs.(2.12Millions) • Remove duplicate redundant numbers due to manual-assigned ID number before 2000.(3.07Millions) • Clean up multiple household registrations of the same person, using face recognition technology • Supplementary registration for people without a Hukou.(13.97 million) • Citizens applying for ID should register fingerprint information since 2013 • Quality of ID information is greatly improved, and the total reaches 1.39 billion
Measures to be taken and tasks for the next step • Improve legislation on CRVS, further clarify the responsibilities of the government, and clarify the rights and obligations of citizens • Establishment of high-level statistical coordination mechanism to promote inter-departmental business collaboration and information sharing
Measures to be taken and tasks for the next step-2 • Improve the civil registration system # strengthen policy advocacy # promote universal use of information technology # registrar team training # support the less-developed western region # strengthen the evaluation and supervision of the implementation of the system # improve the dissemination
Measures to be taken and tasks for the next step-3 • Establishment of the National Database for Basic Population Data # ID number as the unique identifier # Classify and improve the basic population information in terms of employment, education, income, social security, real estate, credit, health planning, taxation, marriage, ethnicity and other information system
Measures to be taken and tasks for the next step-4 • Learn from Global Principles and Recommendations for Vital StatisticsSystem and other countries’ experiences Everyone counts—so count everyone!