Sam Notzon & Erin Nichols 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

Homa Bay Communication Program Estimated Registration Coverage Before After Births 35% 60% Deaths 24% 34%

Incentives

Identifying opportunities to improve registration coverage

Identifying opportunities to improve registration coverage In 2010, Kenya began requiring a birth certificate to sit for school exit examinations

Questions / Discussion