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Strategies for improving civil registration and vital statistics systems. Discussant: Dr AJ Lanyon Australian Bureau of Statistics 29 June 2011. Papers/Presentations. 2 papers/presentations were very complementary ECA Very good overview of key components of an improvement strategy
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Strategies for improving civil registration and vital statistics systems Discussant: Dr AJ Lanyon Australian Bureau of Statistics 29 June 2011
Papers/Presentations • 2 papers/presentations were very complementary • ECA • Very good overview of key components of an improvement strategy • VSC, Canada: • Lived example of a commitment to ongoing improvement in a way that links the CRS and the VSS
Reflections on Chapter IV • Support (in general) endorsement of content of existing Chapter IV • Chap IV is clear • not meant to be comprehensive • draws attention to importance of improvement strategies • framed to cover both CRS and VSS • One size will not fit all (ECA paper)
Reflections on Chapter IV • Emphasis in next P+R? • A monitoring and improvement plan should be INTEGRAL to system design – governance, regular operation, commitment to training • Risks when seen as an add-on • Periodic independent evaluation has a role – but should not be the sole focus of investment in improvement
Reflections on Chapter IV • WHO / UQ HIS-Hub Assessment Framework and tool provides: • comprehensive resource for reviewing CRS and VS produced • results in of improvement/action plans to achieve sustainable CRS • Covers: • number of components raised by ECA • majority of components of Chapter IV
Reflections on Chapter IV • Ensuring strong links between CRS and VSS is important – inter-agency co-ordinating mechanisms are key (Canadian experience) • Feedback loops at operational level also important • Not sure current Chapter emphasises importance of CRS/VSS links sufficiently
Reflections on Chapter IV • Some further comments: • Need to be careful about how to frame membership of co-ordination committees • Stakeholder analysis should inform • Could be a way of making links with Health Agencies and the research community (key part of CRS and VSS)
Reflections on Chapter IV • Some further comments: • ECA paper (para 27) re-affirms value of targeted outreach program to address problem areas (applicable to developing and developed countries) • Mobilization of funds is important – balance between national and donor funding required to be sustainable • With UQ HIS-Hub, ABS developed a tool to assist in development of ‘business cases’ to obtain $
Reflections on Chapter IV • Some final (!) comments: • Keeping abreast of ICT developments is key but challenging (Canadian experience is heartening – demonstrates value in collaboration!) • Access to technical expertise/resources required to support improvement • Role to play by regional programmes to monitor and support strong CRS + VSS.