1. The Civil Registration and Vital Statistics System in Jordan
Dr Majed Asad / Ministry of Health
Jordan
CRVS–2018 –Casablanca

2. Background of CRVS
Ministry of Health established in 14-Dec-1950 and it was responsible for vital statistics registration until during this period mortality data (Causes of death) were available.
After that the responsibility of vital registration were transferred to the Civil Registration Department established in 1977

3. Infrastructure and resources
We have adequate number of civil registration points in Jordan
All points connected together with one data base
Every citizen has one unique ID number
Refugees and foreign worker birth and deaths tabulated separately from the national population

4. Importance of vital statistics:
The Vital Statistics has an important role in determining
estimates of Population growth rate
Age structure of population and their geographical distribution.
Provide a dynamic picture of demographic changes.
Detect trends in birth and death rates, marriage and divorce
Contribute to the planning of social and economic development.
Contribute in the setting of health strategies and the implementation of specific health programs
continue…………

5. Importance of vital statistics
Contribute to the planning educational strategies according to gender.
Contribute to the completion of various official files such as population records ,personal cards, social security lists and election tables.

6. Civil registration and passport Bureau functions and duties
Issue a unique national number for every Jordanian citizen and family book for each Jordanian family.
Registration and storage of vital events (births, deaths, marriage, divorce) to citizens wherever they occur and vital events for foreigners residing in the Kingdom
Issuance and renewal of passports.
Issuance of identity cards for citizens.
Registration and preparation of the electoral tables

7. Death notification form

11. Previous death notification form

12. Persons required and allowed to report death notification by law
Assets ,branches or deceased husband. Attended the death of relatives of the deceased adults. The doctor in charge of proving death. The store owner or manager or the person who administered if death occurs in a hospital or place intended for nursing or a shelter or a hotel or a school or a prison or any other entity. Mukhtar.

13. Mortality System

14. Review of mortality system for the period (1995 – 2000) shows
Inaccuracy in writing the cause of death:
Died suddenly
Heart stopped
Old age
Other heart disease
Diarrhea
Heart & lungs stopped
The selection of the cause of death was based on direct cause of death and not on the UCOD
Incomplete information on death notification form
Underreporting of deaths

15. Interventions to improve the system (2001 – 2003)
A national meeting was held to raise awareness about the importance of mortality system
A national committee was formed from all related bodies, reviewed the system and recommended the following :
Death notification form should be modified according to international standard
A copy of the death notification form should be sent to the ministry of health
Ministry of health should take a leading role in the coding and selecting the UCOD .
Physicians should be trained on how to fill death notification form
Exchange of data between ministry of health and civil registration department

16. Achievements in 2003
Death certificate has been modified according to international standard
Guidelines on how to fill the death notification form have been developed and distributed to all physicians
A group of physicians were sent to Australia to get training on ICD-10 mortality and morbidity coding.
A software has been developed to facilitate storage, retrieval and analysis of mortality data
Focal points has been trained on how to fill the death notification form and appointed in all hospitals and health directorates to help in improving the quality of data and to enforce the reporting system.
The system began working on June 2003.

17. Other important steps 2004-2006
Third National meeting (2005)
Mortality and Morbidity systems were embedded in the national health agenda and in the strategic plan of the ministry of health
Three national training workshops were conducted on mortality and morbidity coding using ICD_10 , another workshop is planned to be conducted on May 2007
Two national workshops were conducted on how to fill the death notification form for the focal points and they will be provided with a training curriculum to train other physicians in their regions

18. Other important steps/cont… 2004-2006
Participation in “Strengthening Dissemination &Utilizations of Vital Statistics” workshop organized by UNFPA and Civil Registration Department Dec
Participation in the meeting of “World Health Organization Family of International Classifications Network” Oct
Participation in the Round table discussion on “Strengthening Dissemination &Utilizations of Vital Statistics” Organized by UNFPA and Civil Registration Department Dec. 2006

19. Death Notification Flow
Physician
determines cause of death
Issue Death Notification Form
Focal
Points
Give to Family
Civil
Registration
Department
Information
Directorate
MOH

21. ICD practices We use ICD-10 for mortality coding
We distribute guidelines how to fill death notification form
We do many workshops for physicians how to fill death notification form
Mortality coding centrally coded
Coders received training by NCHS in Australia
The proportion of births taking place in hospitals is 99%(DHS2012)

22. Completeness
Estimated completeness of births above 95% and deaths around 75%
Last decade births was above 90% and deaths around 70%
Civil registration offices cover all country.
Social benefits for birth registration; obligatory for school registration, medical insurance for under 5 years how have National Number (ID)
Benefits for death registration; inheritance wrights and allocation

23. Coverage All areas are covered (urban and rural)
2/9/2012
Coverage
All areas are covered (urban and rural)
all population are covered
Births 99 %
Deaths 75 %
Special registration point (refugee camp)

24. Challenges in CRVS Under Reporting of Deaths
lack of high-level awareness of the importance of civil registration and vital statistics and the consequent lack of political support, and lack of awareness of the benefits of registration among the general public;
incompleteness of death certificates;
challenges due to war, conflict and resulting humanitarian crises which adversely affect the functioning of registration systems and impede the progressive realization of the basic human rights of all individuals.

25. Road Map
Establishing Electronic reporting system from hospitals to civil registration offices
Rise of public awareness regarding of civil registration importance
Improve cause of death certification and coding and the compilation of mortality data

26. Thank you