registration and vital statistics improvement initiatives: resistance to change; financial
downturn; threat from system hacking for those who are developing digital systems; and
unexpected environmental hazards.
C.
Strategic shift required
In Africa, as in many other developing countries, millions of people have come into this
world and left without leaving a trace on official records. According to the World Bank and the
World Health Organization (2014) estimates, the number of children in Africa under the age of
five and not registered at birth is 85 million. Estimates show less than 53 per cent of deaths
occurring in sub-Saharan Africa are reported in official records at the national scale, with only
few exceptions, such as South Africa (International Union for the Scientific Study of
Population, 2015). The recording of causes of death and the derivation of statistics thereof is in
a much more unacceptable state, with only two to three countries reporting such statistics to the
World Health Organization on a yearly basis.
The comprehensive assessments of the civil registration and vital statistics systems in
several African countries, conducted from the middle of 2013 to the end of 2016, have also
highlighted the state of registration of vital events as follows:
(a) The legislative framework in many countries is not comprehensive, compulsory
and enforced for registering vital events. The colonial law still exists in several countries, and
there have been no serious attempts to change them to suit the national context and
environment;
(b)
The laws do not clearly state the key stakeholders and their areas of responsibility;
(c)
Marriage and divorce registrations are much too low in almost all countries;
(d) In many countries, people are not aware that they have to register all vital events.
On the other hand, civil registration services are not reaching all people in the villages and
communities, in particular minority and vulnerable groups;
(e) Direct and indirect costs associated with vital events registration and obtaining
certificates are not affordable by low-income groups;
(f) The situation of recording cause of death for both health facility and community
deaths are virtually non-existent in most countries;
(g) Plans and policies not informed by the realities on the ground owing to a lack of
evidence on vital events. Countries are therefore missing opportunities to improve good
governance and deliver basic services because civil registration processes are not linking nor
interfacing with other relevant government systems and processes;
(h) Countries cannot gauge performance of the civil registration and vital statistics
systems because of non-existent or weak monitoring frameworks.
In the absence of a fully functioning civil registration and vital statistics system,
Africans have remained unrecorded and therefore unrecognized by the State. Civil registration
records are the desirable source of vital statistics. Most African countries, however, have not
12