1. Re-establish Access to Basic Services
Partnership for Recovery and Resilience Accountability and Learning Event,
13-15 November 2018
Resilient development: Resilient development means providing children and families with what they need to
better prepare for and manage crises, and recover from them more rapidly. (UNICEF)
Hazard: A dangerous phenomenon, substance, human activity or condition that may cause loss of life, injury or other health
impacts, property damage, loss of livelihoods and services, social and economic disruption and/or environmental damage.
Stress: Similar to a shock, a stress is a longer-term trend that undermines the potential of a given system and
increases the vulnerability of actors within it.
Shock: A sudden and potentially damaging hazard or other phenomenon. A shock can also refer to the moment at
which a slow-onset process (a stress) passes its ‘tipping point’ and becomes an extreme event.
Resilience: The ability of a system, community or society exposed to hazards to resist, absorb, adapt to and recover
from the effects of a hazard in a timely and efficient manner, including through the preservation and restoration of
its essential structures and functions.
Recovery: The restoration, and improvement where appropriate, of the facilities, livelihoods and living conditions
of disaster-affected communities, including efforts to reduce disaster risk factors.
Vulnerability: This is defined as the characteristics and circumstances of individual children, households or communities
that make them particularly susceptible to the damaging effects of a shock or stress. (Adapted by UNICEF)
©UNICEFCOUNTRY/name/YEAR

2. Integration of Birth Notification
into Community Health Programmes
Malaria Consortium and UNICEF

3. An estimated 1 billion people
Around the world have no official ID*
They are effectively invisible, and face major challenges exercising their rights and accessing services.
They are also excluded from the opportunities created by the digital economy
Through SDG target 16.9, countries have committed to: “ provide legal identity to all, including birth registration by 2030”
* World Bank Group Global ID4D Dataset, 2018

4. Why? Rights: Providing a legal identity from birth
Sustainability: No need for periodic registration drives to keep the ID system updated (e.g. for programming, elections)
Efficiency: Removes duplication of many registration functions
Statistics: Timely population data for monitoring and evidence based planning
Accuracy: Consistency of identity data across systems, including deaths, is key for integrity of databases
Incentives: Timely birth and death registration because they are linked to a digital ID

5. Background
Transitional Constitution of the Republic of South Sudan (2011) Section 17 (b) states that “every child is entitled to a name and nationality ‘a
Section 11 (1) of The Child Act (2008) states that “every child has a right to free birth registration with the appropriate Government Agency”, yet for most children in South Sudan there is no legal recognition of their existence, identity and nationality.
Only 12% of all births in South Sudan are institutional deliveries and consequently only 35% of children under the age five have their births registered (SSHS 2010)
After independence, South Sudan was left without legislation on Civil Registry.
Currently, MoH is issuing birth notification, is being issued-NBeG

6. Description of implementation
Improving birth registration requires strong community engagement interventions and structures
Platforms/opportunities to engage caregivers for birth notification do exists-integration with other community intervention- need exploring
Malaria Consortium implemented Integrated Community Case Management of Childhood illness and Nutrition (iCCM+) in NBeG since 2013,
UNICEF supported  Malaria Consortium iCCM program in Aweil North and Aweil Centre to integrate community birth registration activities,
Activities included raising awareness, door to door HH registration, referral of children whose birth had not been notified to health facilities for notification

7. Results Achieved:
Household Registration and children identified for birth notification

8. What worked well
Key stakeholder engagement from the start to ensure community engagement and ownership by local health authorities
CHDs, health facility staff, community leaders and other community members from Payams CBDs were trained to be trainers.
Training done at Payam level
Ratio of CBD to HH to be registered ensured high coverage and ID of most children whose birth had not been registered
Response rate to referral was 61.3 % (4914/8016)
Integration with iCCM activities provided for both passive and active screening of children for birth notification

9. What could be done differently:
Consider involvement of other community actors such as Community Nutrition Volunteers, Traditional Birth Attendants (TBAs) in birth mobilization activities since they interact with many care givers of children under five during malnutrition screening days or at the time of birth (TBAs)
Undertake a mapping of all health facilities that provide birth notification services in NBeG and cross it with the mapping of existing iCCMBHI programmes in relation to communities they serve in order to identify outreach sites
Integrate household registration with EPI defaulter tracking and Vitamin A supplementation since this is a great opportunity for integrating services.
Integration of other outreach activities with birth notification mobilization
Mobilize funds to expand birth notification mobilization activities through community based health workers to other counties in Aweil

10. Thank You
© UNICEF/SUDA2014-XX228/Noorani