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The only way we can be prepared to understand how rapidly and what parts of the population are being affected by diseases and their risk factors, in a sustainable way, is through fully functioning civil registration and vital statistics systems with correct medical certification of every cause of death.
Dr Ala Alwan, WHO Regional Director for the Eastern Mediterranean

In most countries, a civil registration system is used to record statistics on “vital events”, such as births, deaths, marriages, divorces and fetal deaths. This government administrative system creates a permanent record of each event.

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A baby being held next to a computer. The baby's image is reflected on the screen of the computer.

Eastern Mediterranean Region CRVS assessment

Civil registration systems are used to record vital events, including births, deaths, and marriages. They have the potential to serve as the main source of national vital statistics. However, in many developing countries, civil registration and vital statistics systems are weak or nonexistent; as a result, key demographic, fertility and mortality statistics are not available on a continuous basis and do not cover large segments of the population.

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Rapid assessments

Before undertaking a detailed CRVS review, it is useful to first carry out a rapid assessment to quickly evaluate the strengths and weaknesses of the current CRVS system. The results of this rapid assessment could then be used to make the case for a more detailed comprehensive assessment.

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Countries' rapid assessments

Comprehensive assessments

The detailed assessment tool reviews the main aspects of the civil registration and vital statistics systems. These include the legal and regulatory framework; registration, certification and coding practices; and the compilation, tabulation and use of the resulting data. The tool comprises both a roadmap, which outlines the main steps in conducting the review, starting with the formation of a review committee of key stakeholders, and an assessment framework, which serves as a template for the detailed review.

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Countries' comprehensive assessments


Joint WHO –EMRO/Arab league CRVS meeting 20-22 May 2014

Regional stakeholder meeting on strengthening civil registration and vital statistics
Cairo, Egypt, 7–8 May 2013

Workshop on civil registration and vital statistics workshop
Dubai, United Arab Emirates, 30 January–1 February 2013