IMPROVEMENT OF THE CIVIL REGISTRATION AND VITAL STATISTICS:

INDONESIAN EXPERIENCE

Soewarta Kosen et alCenter for Community Empowerment, Health Policy and Humanities

National Institute of Health Research & DevelopmentMinistry of Health - Republic of Indonesia

LEGAL & REGULATORY FRAMEWORK• Law No. 23/2006 on Population Admin., Gov’t Regulation No.

37/2006. Presidential Decree No. 25/2008 & Ministry of Home Affairs regulations; set requirements , procedures & sanctions for Civil Registration and management of population administration system, including personnel need

• Joined Decree between MoH and MoHA (2010) improves coordination, communication & cooperation on CRVS activities at operational level and support for obtaining Multiple Causes of Death

• Expansion of the limited Sentinel Registration in 8 provinces to 30 provinces (128 subdistricts in 114 districts & cities, representative for Indonesia) in 2012 – 2013 is being implemented to fulfil the need of real-time outcome indicators for MDGs

CURRENT ACHIEVEMENT OF INDONESIAN CRVSN

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Uses of e-ID & unique population number in all over Indonesia: accelerate better civil registration (births, deaths) and causes of death Several cities & districts have allocated special budget for CRVS activitiesJoined efforts (MoH & MoHA) to improve Civil Registration and certification of causes of death based on existing law and regulations, use the information for national and local planning and policy formulationCollection of real-time of vital statistics data through Sample Registration Systemfor MDGs achievement

RECOMMENDATIONS Need to include the Medical Certification of Cause of Death (MCCD) as

a confidential part of the formal death certificate Need to refresh medical communities (physicians) in all health facilities

(hospitals and community health centers) on the writing of multiple causes of death based on ICD – 10

Need to enforce compulsory vital registration based on current national law & regulations and support the formulation of local regulations

Since the majority of deaths occur outside the hospital, verbal autopsy method has to be disseminated and carried out for deaths occurring in the community

Un-natural deaths currently managed by the Police Hospital and Forensic Dept of Public Hospitals, need to be incorporated in the current system of crvs (being negotiated)

Accelerate development of ICT to assure more reliable, timely and complete CRVS system