United Nations Workshop on Principles and Recommendations for a Vital Statistics System, Revision 3, for African English-speaking countries Addis Ababa,

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United Nations Workshop on Principles and Recommendations for a Vital Statistics System, Revision 3, for African English-speaking countries Addis Ababa, Ethiopia, 2- 5 December 2014 Session 6. Quality assessment and assurance in the civil registration vital statistics system

United Nations Workshop on Principles and Recommendations for a Vital Statistics System, Revision 3, for African English-speaking countries Addis Ababa, Ethiopia, 2- 5 December 2014 Basic framework 2 Adequately funded evaluation activities are essential – For improving systems that have deficiencies – For maintaining systems that function satisfactorily Quality assurance Quality assessment

United Nations Workshop on Principles and Recommendations for a Vital Statistics System, Revision 3, for African English-speaking countries Addis Ababa, Ethiopia, 2- 5 December 2014 Basic framework 3 Encompasses each stage of CRVS operations All vital events are registered without duplication All related information is recorded Information is compiled, validated and processed Vital statistics are released in timely manner Quality assurance Quality assessment Specific studies for specific questions Coverage of registration of vital events Accuracy of variables Overall functioning of sub-systems Can be ad hoc or regular exercises

United Nations Workshop on Principles and Recommendations for a Vital Statistics System, Revision 3, for African English-speaking countries Addis Ababa, Ethiopia, 2- 5 December 2014 Standards 4 Completeness Correctness or Accuracy AvailabilityTimeliness

United Nations Workshop on Principles and Recommendations for a Vital Statistics System, Revision 3, for African English-speaking countries Addis Ababa, Ethiopia, 2- 5 December Completeness * Every vital event is registered * Statistical report is filed for every registered event * Coverage error Correctness * Every data item is filled * Data items are accurately filled * Content error Availability * Data and statistics are available to users in a friendly format Timeliness * CR: every event is registered within time limit * VS: prompt dissemination

United Nations Workshop on Principles and Recommendations for a Vital Statistics System, Revision 3, for African English-speaking countries Addis Ababa, Ethiopia, 2- 5 December 2014 Quality assessment methods 6 Direct methods Matching of records Indirect methods Demographic analysis

United Nations Workshop on Principles and Recommendations for a Vital Statistics System, Revision 3, for African English-speaking countries Addis Ababa, Ethiopia, 2- 5 December 2014 Quality assessment. Direct methods 7 Birth registration with death registration Administrative records Lists from population censuses and surveys Dual records system Set up survey specifically to collect information on vital events Match registration records with records from an independent source Matching of records

United Nations Workshop on Principles and Recommendations for a Vital Statistics System, Revision 3, for African English-speaking countries Addis Ababa, Ethiopia, 2- 5 December 2014 Quality assessment. Indirect methods 8 Demographic analysis Comparison of trends Delayed registration Comparison with census data If two censuses: balancing equation, Lexis diagram If only one census: compare aggregated numbers Methods for incomplete data Manual X and its update (Tools for Demographic Estimation) Questions on birth registration in surveys

United Nations Workshop on Principles and Recommendations for a Vital Statistics System, Revision 3, for African English-speaking countries Addis Ababa, Ethiopia, 2- 5 December 2014 Direct or indirect ? 9 AdvantagesLimitations Direct methods More accurate assessment of registration completeness May indicate sources of under or overregistration Can be applied at any geographical level Accuracy is affected by the choice of the second source of records True independency of the second source is unlikely Matching criteria difficult to find if there is no ID number If manual: time consuming If automated: computer algorithms can get too complex Cost Indirect methods Prompt assessment of vital statistics completeness Several can be applied at various geographical levels Some have assumptions that may not hold Some require reliable data from two censuses Accuracy is affected by the degree of census completeness

United Nations Workshop on Principles and Recommendations for a Vital Statistics System, Revision 3, for African English-speaking countries Addis Ababa, Ethiopia, 2- 5 December 2014 Direct or indirect ? 10 If vital statistics are compiled fully from civil registration, both direct and indirect measure the quality of civil registration and vital statistics. When the two systems do not correspond completely, measures of quality of one system cannot be used to represent another

United Nations Workshop on Principles and Recommendations for a Vital Statistics System, Revision 3, for African English-speaking countries Addis Ababa, Ethiopia, 2- 5 December 2014 Direct or indirect ? 11 Choosing the appropriate method depends on: Objectives Degree of precision Timeliness Type of event Resources

United Nations Workshop on Principles and Recommendations for a Vital Statistics System, Revision 3, for African English-speaking countries Addis Ababa, Ethiopia, 2- 5 December 2014 Gracias Merci ﺷﻜﺮﺍ ﹰ Thank You Спасибо 谢谢