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Published in: BMC Medicine 1/2020

Open Access 01-12-2020 | Climate Change | Debate

Addressing critical knowledge and capacity gaps to sustain CRVS system development

Authors: Tim Adair, Nicola Richards, Avita Streatfield, Megha Rajasekhar, Deirdre McLaughlin, Alan D. Lopez

Published in: BMC Medicine | Issue 1/2020

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Abstract

Background

Improving civil registration and vital statistics (CRVS) systems requires strengthening the capacity of the CRVS workforce. The improvement of data collection and diagnostic practices must be accompanied by efforts to ensure that the workforce has the skills and knowledge to assess the quality of, and analyse, CRVS data using demographic and epidemiological techniques. While longer-term measures to improve data collection practices must continue to be implemented, it is important to build capacity in the cautious use of imperfect data. However, a lack of training programmes, guidelines and tools make capacity shortages a common issue in CRVS systems. As such, any strategy to build capacity should be underpinned by (1) a repository of knowledge and body of evidence on CRVS, and (2) targeted strategies to train the CRVS workforce.

Main text

During the 4 years of the Bloomberg Philanthropies Data for Health (D4H) Initiative at the University of Melbourne, an extensive repository of knowledge and practical tools to support CRVS system improvements was developed for use by various audiences and stakeholders (the ‘CRVS Knowledge Gateway’). Complementing this has been a targeted strategy to build CRVS capacity in countries that comprised two approaches – in-country or regional training and a visiting Fellowship Program. These approaches address the need to build competence in countries to collect, analyse and effectively use good quality birth and death data, and a longer-term need to ensure that local staff in countries possess the comprehensive knowledge of CRVS strategies and practices necessary to ensure sustainable CRVS development.

Conclusion

The Knowledge Gateway is a dynamic, useful and long-lasting repository of CRVS knowledge for countries and development partners to use to formulate and evaluate CRVS development strategies. Capacity-building through in-country or regional training and the University of Melbourne D4H Fellowship Program will ensure that CRVS capacity and knowledge is developed and maintained, facilitating improvements in CRVS data systems that can be used by policymakers to support better decision-making in health.
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Footnotes
1
Between March 2015 and March 2019, these countries were Bangladesh, Brazil, China (Shanghai), Colombia, Ecuador, Ghana, India (Mumbai), Malawi, Morocco, Myanmar, Papua New Guinea, Peru, Philippines, Rwanda, Solomon Islands, Sri Lanka, Tanzania and Zambia.
 
2
ANACONDA (Analysis of Causes of National Death for Action) is an electronic tool that assesses the accuracy and completeness of mortality and cause of death data by checking for potential errors and inconsistencies. ANACONDA is based on the guidelines for assessing the quality of mortality statistics that was developed at the Health Information Systems Knowledge Hub.
 
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Metadata
Title
Addressing critical knowledge and capacity gaps to sustain CRVS system development
Authors
Tim Adair
Nicola Richards
Avita Streatfield
Megha Rajasekhar
Deirdre McLaughlin
Alan D. Lopez
Publication date
01-12-2020
Publisher
BioMed Central
Keyword
Climate Change
Published in
BMC Medicine / Issue 1/2020
Electronic ISSN: 1741-7015
DOI
https://doi.org/10.1186/s12916-020-01523-y

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