Endline Assessment : Improving Birth Registration Using the Existing Community Structures and Immunization Processes
This report summarizes key findings from the endline assessment of the pilot project, Improving Birth Registration Using Existing Community Structures and Immunization Processes. The project was undertaken in Yilmana Densa and Goji Qolela woredas (...
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| Format: | Working Paper |
| Language: | English |
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World Bank, Washington, DC
2019
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| Online Access: | http://documents.worldbank.org/curated/en/861451570820092179/Endline-Assessment-Improving-Birth-Registration-Using-the-Existing-Community-Structures-and-Immunization-Processes http://hdl.handle.net/10986/32541 |
| Summary: | This report summarizes key findings from
the endline assessment of the pilot project, Improving Birth
Registration Using Existing Community Structures and
Immunization Processes. The project was undertaken in
Yilmana Densa and Goji Qolela woredas (districts); Hintalo
Wajirat and Enderta woredas; and Amibara and Awash Fentale
woredas, which are the intervention and control woredas in
Amhara, Tigray, and Afar regions, respectively. The overall
objective was to enhance a well-functioning civil
registration and vital statistics (CRVS) system by
integrating community health structures with civil status
offices. This assessment was quasi-experimental by design
and used longitudinal data, supplemented by a methodology
like the one used in the baseline survey to compare
improvements in key variables. The assessment compared
intervention and control groups, with measuring use of civil
registration services, and compared the outcome of the CRVS
service provision in terms of improvement. The assessment
used qualitative and quantitative methods of data collection
and analysis. Some of the key findings of the assessment
include: After introduction of the project, the rate of
births registered within 90 days increased from the previous
year and was greater than in the control woredas; CSOs in
the intervention areas regularly visited communities for
awareness creation and motivation and for registration when
the WDA invited them; qualitative data from KIIs and FGDs
generally indicate that the large increase in birth
registration in Afar was the result of the presence of CSOs
at the kebele level, community mobilization, and no civil
status office staff turnover during the project; the
community consistently reviewed the registration progress
monthly, identifying challenges faced and ways forward at
the kebele level, and noted this in the minutes. |
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