BIRTHS AND DEATHS REGISTRATION IN THE GAMBIA
BIRTHS AND DEATHS REGISTRATION
IN THE GAMBIA
I
INTRODUCTION
•
Registration is legal and mandatory
•
Decentralised and integrated into the RCH
services
•
There are 48 basic health facilities and 232
out-reach stations
•
RCH attracts 90% of pregnant women and
children for immunisation services
Purpose for Decentralisation and
Integration
•
To register 90% of children receiving
immunisation
•
To get registration closer to the communities
•
To cut on other costs
INSTITUTIONAL BIRTHS
•
Births take place at the maternity wards
•
Mother and child are discharged if conditions
of both are satisfactory
•
After one week, the baby is given a name in a
traditional ceremony
•
Mother and child attend RCH clinics for
immunisation on monthly basis
•
On the first visit for immunisation, the child is
issued an Infant Welfare Card (IWC0)
INSTITUTIONAL BIRTHS (CONTD.)
•
The IWC contains the topics for registration
•
The child is registered at the clinic
•
Data on birth registration is sent to the Regional
Health Directorate on monthly basis
•
Regional Health Directorates compiles all the data
from all health facilities in the region and send to
Health Management Information System (HMIS)
office at central level on monthly basis and Birth
Registry Office on quarterly basis
BOTTLENECKS ON THE CURRENT
BUSINESS PROCESS
•
Lack of adequate human resources at clinic
level
•
Waiting time both by mothers and service
providers
•
Untimely delivery/collection of birth
certificates
DESIRED BUSINESS PROCESS
•
To register all births within the first month of
birth
•
Issue certificates on the spot
FIVE STRATEGIES
1.
To increase human resources at the clinic
level
2.
To device a mechanism to distribute
certificates on time
3.
To develop a single register to accommodate
both immunisation and birth registration
topics
4.
Create circuit birth registers to feed into the
basic health facility register on monthly basis
FIVE STRATEGIES (CONTD.)
5. HMIS to send birth registration data to the
Bureau of Statistics on quarterly basis
The births and deaths registration process in The Gambia is legal, decentralized, and integrated into the RCH services, aiming to register 90% of children receiving immunization services. Institutional births, registry bottlenecks, and desired process improvements are highlighted.
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Presentation Transcript
BIRTHS AND DEATHS REGISTRATION IN THE GAMBIA I
INTRODUCTION Registration is legal and mandatory Decentralised and integrated into the RCH services There are 48 basic health facilities and 232 out-reach stations RCH attracts 90% of pregnant women and children for immunisation services
Purpose for Decentralisation and Integration To register 90% of children receiving immunisation To get registration closer to the communities To cut on other costs
INSTITUTIONAL BIRTHS Births take place at the maternity wards Mother and child are discharged if conditions of both are satisfactory After one week, the baby is given a name in a traditional ceremony Mother and child attend RCH clinics for immunisation on monthly basis On the first visit for immunisation, the child is issued an Infant Welfare Card (IWC0)
INSTITUTIONAL BIRTHS (CONTD.) The IWC contains the topics for registration The child is registered at the clinic Data on birth registration is sent to the Regional Health Directorate on monthly basis Regional Health Directorates compiles all the data from all health facilities in the region and send to Health Management Information System (HMIS) office at central level on monthly basis and Birth Registry Office on quarterly basis
BOTTLENECKS ON THE CURRENT BUSINESS PROCESS Lack of adequate human resources at clinic level Waiting time both by mothers and service providers Untimely delivery/collection of birth certificates
DESIRED BUSINESS PROCESS To register all births within the first month of birth Issue certificates on the spot
FIVE STRATEGIES 1. To increase human resources at the clinic level 2. To device a mechanism to distribute certificates on time 3. To develop a single register to accommodate both immunisation and birth registration topics 4. Create circuit birth registers to feed into the basic health facility register on monthly basis
FIVE STRATEGIES (CONTD.) 5. HMIS to send birth registration data to the Bureau of Statistics on quarterly basis
