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Nationally, there are two main entities involved in the CRVS process in the Federal States of Micronesia. The Department of Health and Social Affairs (DHSA) is in charge of coordination and gathering of different data sources. The National Statistical Office is responsible for the publication of vital statistics. But considering the federal nature of the country, each of the four states (Yap, Pohnpei, Chuuk, Kosrae) have local equivalents to those two institutions, which are in charge of carrying the actual data gathering and statistics production. In addition, each state’s Supreme Court is responsible for civil registration activities, providing birth and death registrations and certificates.
In addition to agency collaboration, the geography of the country is also a major challenge, considering some regions are constituted of very sparsely populated islands, with very little infrastructure or personnel for health services. Birth registration completeness is highly dependent on location. The national overall birth registration after one-year completeness rate estimates of approximately 80%, but a same rate at approximately only 65 % in Yap, when it is 85-90% in Pohnpei, and virtually complete in Kosrae, a single island state. The same phenomenon can be observed for death registration, also almost complete in Kosrae, but of only 80% in Pohnpei and 70% in Yap. All those issues make the collaboration even more critical, which has been the objective of some recent reforms.
Ms. Brihmer S. Johnson, Assistant Secretary for Statistics, Division of Statistics, Dept. of Resources and Development
Goal 1. Universal civil registration of births, deaths and other vital events |
Goal 1 Targets:
Goal 2. All individuals are provided with legal documentation of civil registration of births, deaths and other vital events, as necessary, to claim identity, civil status and ensuing rights |
Goal 2 Targets:
Goal 3. Accurate, complete and timely vital statistics (including on causes of death) are produced based on registration records and are disseminated |
Goal 3 Targets:
Goal 1. Universal civil registration of births, deaths and other vital events |
Goal 1 is an expression of the internationally accepted principle of the universal coverage of civil registration. The CRVS system should register all vital events occurring in the territory and jurisdiction of the country or area, including among hard-to-reach and marginalized populations.
Note: Information comes from the baseline report (E/ESCAP/72/22: www.unescap.org/sites/default/files/E72_22E.pdf) since no midterm questionnaire has been submitted yet.
National Targets:
TARGET
202495%
baseline
2011-201580%
TARGET
202495%
TARGET
202490%
TARGET
202490%
TARGET
2024100%
Goal 2. All individuals are provided with legal documentation of civil registration of births, deaths and other vital events, as necessary, to claim identity, civil status and ensuing rights |
Goal 2 reflects that CRVS systems provide legal documentation of civil registration to individuals and families for legal and administrative purposes. Legal documentation is strongly linked with a broad range of rights and activities, in particular legal identity. This goal addresses the distinction between the civil registration of a vital event and the possession of formal proof that it took place, in the form of legal documentation.
Note: Information comes from the baseline report (E/ESCAP/72/22: www.unescap.org/sites/default/files/E72_22E.pdf) since no midterm questionnaire has been submitted yet.
National Targets:
Goal 3. Accurate, complete and timely vital statistics (including on causes of death) are produced based on registration records and are disseminated |
Goal 3 highlights the critical importance of civil registration being linked to the production and quality assurance of vital statistics on the occurrence and characteristics of vital events.
Note: Information comes from the baseline report (E/ESCAP/72/22: www.unescap.org/sites/default/files/E72_22E.pdf) since no midterm questionnaire has been submitted yet.
National Targets:
TARGET
2016
TARGET
2016
Note: This target was not monitored as part of the Midterm Questionnaire on the Implementation of the Regional Action Framework for CRVS in Asia and the Pacific.
baseline
2014100%
TARGET
2024100%
baseline
20149.7%
Note: In light of recent countries’ experiences, Verbal autopsy is not encouraged to be applied to a large population scale, but rather on a representative sample. To reflect this, Target 3E is not anymore monitored by the coverage percentage of Verbal autopsy, but by the use or not of Verbal autopsy and its different applications.
TARGET
2017
TARGET
2017
TARGET
2024

National Coordination Mechanism
Status in Micronesia (F.S.): Complete

Comprehensive Assessment
Status in Micronesia (F.S.): Complete

National Targets for 2024
Status in Micronesia (F.S.): Complete

Monitoring & Reporting Plan
Status in Micronesia (F.S.): Not started

Inequality Assessment
Status in Micronesia (F.S.): Not started

National Strategy
Status in Micronesia (F.S.): Plans

National Focal Point
Status in Micronesia (F.S.): Complete

Reporting to ESCAP - Baseline
Status in Micronesia (F.S.): Complete

Reporting to ESCAP - Midterm
Status in Micronesia (F.S.): In progress
Nationally, there are two main entities involved in the CRVS process in the Federal States of Micronesia. The Department of Health and Social Affairs (DHSA) is in charge of coordination and gathering of different data sources. The National Statistical Office is responsible for the publication of vital statistics. But considering the federal nature of the country, each of the four states (Yap, Pohnpei, Chuuk, Kosrae) have local equivalents to those two institutions, which are in charge of carrying the actual data gathering and statistics production. In addition, each state’s Supreme Court is responsible for civil registration activities, providing birth and death registrations and certificates.
In addition to agency collaboration, the geography of the country is also a major challenge, considering some regions are constituted of very sparsely populated islands, with very little infrastructure or personnel for health services. Birth registration completeness is highly dependent on location. The national overall birth registration after one-year completeness rate estimates of approximately 80%, but a same rate at approximately only 65 % in Yap, when it is 85-90% in Pohnpei, and virtually complete in Kosrae, a single island state. The same phenomenon can be observed for death registration, also almost complete in Kosrae, but of only 80% in Pohnpei and 70% in Yap. All those issues make the collaboration even more critical, which has been the objective of some recent reforms.
Ms. Brihmer S. Johnson, Assistant Secretary for Statistics, Division of Statistics, Dept. of Resources and Development