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First Meeting of National Directors of Statistics and Health statistics for the Countries of the Americas, Buenos Aires 21-22 November 2005
The ‘Rights’ Start to Life: a Statistical Analysis of Birth Registration
Claudia Cappa, UNICEF NY
BIRTH REGISTRATION: A FUNDAMENTAL HUMAN RIGHT
- Definition
The permanent and official recording of a child’s existence by the state
- International legal framework
“The child shall be registered immediately after birth and shall have the right from birth to a name, the right to acquire a nationality and as far as possible, the right to know and be cared for by his or her parents” (1989, UN Convention on the Rights of the Child – CRC, art 7).
- Goal
“To develop systems to ensure the registration of every child at or shortly after birth, and fulfill his or her right to acquire a name and a nationality, in accordance with national laws and relevant international instruments” (World Fit for Children, WFFC).
GLOBAL ESTIMATES
Source: UNICEF estimates based on household surveys and vital registration systems.
OBJECTIVES
Present available empirical evidence obtained through household surveys in order to:
estimate national levels of birth registration analyze differentials in birth registration rates according to socio-
economic and demographic variables, as well as proximate variables identify the factors associated with birth registration
Discuss the results on the relationship between levels of birth registration and other health, education and poverty indicators.
DATA AND METHODOLOGY
• Data sources: MICS2 and DHS (1999-2003)
• Geographical coverage: 64 countries (10 in LA)
• Population: children 0-59 months of age
Indicator Numerator Denominator
Birth registration Number of children aged 0-59 whose birth was declared registered
Total number of children aged 0-59 months surveyed
MULTIPLE INDICATOR CLUSTER SURVEY
• Household surveys designed to collect data on children and women (nutrition, health, education, family environment, child work, etc.)
• Methodology developed by UNICEF to produce data needed to report on agreed indicators (WSC, MDGs, WFFC, etc.)
• Capable of producing internationally comparable estimates of indicators
• Flexible — to suit country requirements: core questionnaires + additional situation-specific modules, and optional modules
• Collaboration with DHS survey programme
• Two rounds completed. Third round (MICS3) is ongoing (2005-2006)
MICS MODULE ON BIRTH REGITRATION
DHS MODULE ON BIRTH REGISTRATION
Variable length (under the section on reproduction)Peru
Nicaragua
NATIONAL LEVELS OF BIRTH REGISTRATION FROM HOUSEHOLD SURVEYS
0
10
20
30
40
50
60
70
80
90
100
OP
T
Kor
ea D
PR
Bos
nia
& H
erze
govi
na
Mol
dova
Aze
rbai
jan
Guy
ana
Trin
idad
& T
obag
o
Per
u
Col
ombi
a
Com
oros
Tog
o
Nic
arag
ua
Bur
undi
Dom
inic
an R
epub
lic
Mal
dive
s
Vie
tnam
Nam
ibia
Sao
Tom
e &
Prin
cipe
Sud
an
Ben
in
Lao
PD
R
Mau
ritan
ia
Sw
azila
nd
Sie
rra
Leon
e
Gui
nea-
Bis
sau
Mya
nmar
Con
go D
R
Equ
ator
ial G
uine
a
Ang
ola
Cha
d
Afg
hani
stan
Tan
zani
a
MICS/DHS DATA ON BIRTH REGISTRATION IN THE AMERICAS
69.7 - 81.4
69.7% – 81.4%
81.5% - 91.8%
91.9% - 94.9%
95.0% - 96.5%
No DHS/MICS data
Guyana 96.5
Suriname 94.9
Trinidad & Tobago 94.9
Peru 92.5
Venezuela 91.8
Colombia 91.4
Bolivia 81.6
Nicaragua 81.4
Dominican Republic 74.6
Haiti 69.7
REASONS FOR NON-REGISTRATION
0 5 10 15 20 25
Cost too much
Must travel too far
Did not know childshould be registered
Late fee
Did not know whereto register Venezuela
Bolivia, Colombia, Dominican Republic, Nicaragua
Guyana, Suriname
DIFFERENTIALS OF BIRTH REGISTRATION: SOCIO-ECONOMIC VARIABLES
• GENDER
Similar rates of birth registration between girls and boys.
0102030405060708090
100
female
male
total
DIFFERENTIALS OF BIRTH REGISTRATION: SOCIO-ECONOMIC VARIABLES
• PLACE OF RESIDENCE
Urban areas have higher birth registration rates
0102030405060708090
100
rural
urban
total
DIFFERENTIALS OF BIRTH REGISTRATION: SOCIO-ECONOMIC VARIABLES
• HOUSEHOLD WEALTH
Poverty is associated with low levels of birth registration
0
10
20
30
40
50
60
70
80
90
100
poor quintile
rich quintile
DIFFERENTIALS OF BIRTH REGISTRATION:SOCIO-ECONOMIC VARIABLES
• MOTHER’S LEVEL OF EDUCATION
Positive correlation between the mother’s educational level and her child’s likelihood to be registered
0102030405060708090
100 no education
primary
secondary
tertiary
DIFFERENTIALS OF BIRTH REGISTRATION:PROXIMATE VARIABLES
Sample birth registration levels, according to received vaccinations
SUMMARY AND CONCLUSIONS
Limited access to health care
Born without support of health professionals
Do not attend childhood education Higher level of
malnutrition and mortality rates
Lower level of vaccination and
vitamin A provision
Mothers with lowlevel of education
Live in rural areas
Poor
UNREGISTERED CHILD
→ Need for an integrated approach:
education, maternal and child health, early childhood development