1. 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

2. 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

3. 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

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

5. Incentives

6. Identifying opportunities to improve registration coverage

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

8. Questions / Discussion