Session 20. Country Work Time -Lebanon- Workshop on the Operation of Civil Registration, Vital Statistics and Identity Management Systems and the Production of Vital Statistics Reports for the Eastern Mediterranean Region Countries (Group2) Hilda Harb – MPH - 5/5/2019

Strengths SWOT analysis Availability of a legal framework for compulsory registration Registration cannot happen without certification Data availability Periodic regular data dissemination Strong collaboration between MOPH and hospitals for hospital-based VR Linking the provision of the health file to the reporting of births Hilda Harb – MPH - 5/5/2019

Weaknesses SWOT analysis Fragmentation of data channels Different sources produce different VS Lack of enough and qualified staff at all concerned bodies (CAS, MOPH, MOIM) Lack of coordination both at central level and local level Data is not automated, not digitized at point of source Hilda Harb – MPH - 5/5/2019

Opportunities SWOT analysis Political will to cooperate at the three stakeholder levels SDG high level commitment New law under e-government initiative linking all citizens’ public data by the ID number Presence of WHO/UNSD technical support CRVS regional strategy Large part of data are automated and are transferred online which minimizes human error Motivated available staff Hilda Harb – MPH - 5/5/2019

Threats SWOT analysis Lack of comprehensive quality checks Lack of staffing policy in the public sector since more than a decade Political instability due to eruption of conflicts at anytime Different interests might emerge with the new government Sustainability is at risk due to lack of funding Hilda Harb – MPH - 5/5/2019

Comparison of core topics with national practices Annex 1-available topics-Lebanon.docx Hilda Harb – MPH - 5/5/2019

Hilda Harb – MPH - 5/5/2019

Births and Deaths completeness, including obstacles for achieving 100% No censuses available, surveys are scarce, the other matching source will be the hospital records Cannot do direct matching between the three sources because each one lacks some information and no ID linkage CAS aggregate information Hospitals anonymous CR manual data Possibility of direct matching between CR and hospital records through algorithms that we are preparing Annex 2-Completeness check Hilda Harb – MPH - 5/5/2019

Measures to be taken to improve quality and interoperability of CRVS Automation of Civil Registration Local offices Creating a data repository at the MOPH where data can be accessed by MOIM for data validation and quality checks, and by CAS for data tabulation Training medical doctors on proper death certification Hilda Harb – MPH - 5/5/2019

Thank You Hilda Harb – MPH - 5/5/2019