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This study explores the use of a communication program and incentives to enhance civil registration in Homa Bay County, Kenya. The program involves various stakeholders, including community health workers and local leaders, and aims to increase birth and death registration coverage. Opportunities for improvement and the impact of incentives are discussed.
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Using a Communication Program or Incentives to Improve Civil Registration Sam Notzon & Erin Nichols International Statistics Program National Center for Health Statistics, CDC National Center for Health Statistics International Statistics Program
Homa Bay County • 6 districts, central & sub-county registration offices • ~2,500 Community Health Workers (volunteers) • ~175 Community Health Extension Workers (CHEW, paid) • Population: • ~ 1.07 million • Estimated registration coverage: • Births: 35% • Deaths: 24% Homa Bay County
Homa Bay Communication Program • Participation of national office, local government leaders • Sensitisation sessions: • Religious leaders, educators • Health providers, CHWs, birth attendants • Women’s groups • Community leaders, opinion makers: • Commercial radio: call-in program • M&E: Birth, death registration coverage
Identifying opportunities to improve registration coverage In 2010, Kenya began requiring a birth certificate to sit for school exit examinations