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CIVIL REGISTRATION AND VITAL STATISTICS

IN ASIA AND THE PACIFIC

Micronesia (F.S.)
Micronesia (F.S.)

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.

CRVS Focal Point:
Mr. Wincener J. David, Health Planner, Division of Health, Dept. of Health and Social Affairs;
Ms. Brihmer S. Johnson, Assistant Secretary for Statistics, Division of Statistics, Dept. of Resources and Development
Micronesia (F.S.)

Goal 1. Universal civil registration of births, deaths and other vital events

Goal 1 Targets:

1.A
By 2024, at least 95% of births in teh territory and jurisdiction in the given year are registered.
1.B
By 2024, at least 95% of children under five years old in the territory and jurisdiction have had their birth registered
1.C
By 2024, at least 90% of all individuals in the territory and jurisdiction have ahd their birth registered
1.D
By 2024 at least 90% of all deaths that take place in the territory and jurisdiction in the given year are registered
1.E
By 2014, at least 100% of all deaths recorded by the health sector (where a doctor is available) in the territory and jurisdiction in the given year have a medically certified cause of death recorded using the international form of the death certificate

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:

2.A
By 2024, at least ... per cent of all births registered in the territory and jurisdiction are accompanied with the issuance of an official birth certificate that includes, as a minimum, the individual’s name, sex, date and place of birth, and name of parent(s) where known.
2.B
By 2024, at least … per cent of all deaths registered in the territory and jurisdiction in the given year are accompanied with the issuance of an official death certificate which includes, as a minimum, the deceased’s name, date of death, sex, and age.

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:

3.A
By 2016, annual nationally representative statistics on births –diaggregated by age of mother, sex child, geographic area and administrative subdivision are produced from registration records or, alternatively, other valid administrative data sources.
3.B
By 2016, annual nationally representative statistics on deaths- disaggregated by age, sex, cause of death defined by the ICD, latest version as appropriate, geographic areas and administrative subdivision- are produced from registration records,or, alternatively, other valid administrative data sources.
3.C
By 2024, at least 100% of deaths occurring in health facilities or with the attention of a medical practioner has a cause of death code derived from the medical certificate according to the standards defined by the ICD, latest version as appropriate.
3.D
By 2024, the proportion of deaths coded to ill-defined codes will have been reduced to … per cent.
3.E
By 2024, at least … per cent of deaths taking place outside of a health facility and without the attention of a medical practitioner have their underlying cause of death code determined through verbal autopsy in line with international standards.
3.F
By 2017, key summary tabulations of vital statistics on births and deaths using registration records as the primary source, are made available in the public domain in electronic format annually, and within two calendar years.
3.G
By 2017, an accurate, complete and time vital statistics report for the previous biennium, using registration records as the primary source, is made available in the public domain.
3.H
By 2024, an accurate, complete and timely vital statistics report for the previous two years using registration records as the primary source, is made available in the public domain.

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.

National Targets:

1.A
By 2024, at least 95% of births in teh territory and jurisdiction in the given year are registered.

BASELINE

2014

80%

TARGET

2024

95%

1.B
By 2024, at least 95% of children under five years old in the territory and jurisdiction have had their birth registered

baseline

2010

80%

TARGET

2024

95%

1.C
By 2024, at least 90% of all individuals in the territory and jurisdiction have ahd their birth registered

baseline

2010

80%

TARGET

2024

90%

1.D
By 2024 at least 90% of all deaths that take place in the territory and jurisdiction in the given year are registered

baseline

2014

98%

TARGET

2024

90%

1.E
By 2014, at least 100% of all deaths recorded by the health sector (where a doctor is available) in the territory and jurisdiction in the given year have a medically certified cause of death recorded using the international form of the death certificate

baseline

2014

98%

TARGET

2024

100%

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.

National Targets:

2.A
By 2024, at least ... per cent of all births registered in the territory and jurisdiction are accompanied with the issuance of an official birth certificate that includes, as a minimum, the individual’s name, sex, date and place of birth, and name of parent(s) where known.

baseline

2014

90%

2.B
By 2024, at least … per cent of all deaths registered in the territory and jurisdiction in the given year are accompanied with the issuance of an official death certificate which includes, as a minimum, the deceased’s name, date of death, sex, and age.

baseline

2014

98%

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.

National Targets:

3.A
By 2016, annual nationally representative statistics on births –diaggregated by age of mother, sex child, geographic area and administrative subdivision are produced from registration records or, alternatively, other valid administrative data sources.

TARGET

2016

3.B
By 2016, annual nationally representative statistics on deaths- disaggregated by age, sex, cause of death defined by the ICD, latest version as appropriate, geographic areas and administrative subdivision- are produced from registration records,or, alternatively, other valid administrative data sources.

TARGET

2016

3.C
By 2024, at least 100% of deaths occurring in health facilities or with the attention of a medical practioner has a cause of death code derived from the medical certificate according to the standards defined by the ICD, latest version as appropriate.

 

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

2014

100%

TARGET

2024

100%

3.D
By 2024, the proportion of deaths coded to ill-defined codes will have been reduced to … per cent.

baseline

2014

9.7%

3.E
By 2024, at least … per cent of deaths taking place outside of a health facility and without the attention of a medical practitioner have their underlying cause of death code determined through verbal autopsy in line with international standards.
3.F
By 2017, key summary tabulations of vital statistics on births and deaths using registration records as the primary source, are made available in the public domain in electronic format annually, and within two calendar years.

TARGET

2017

3.G
By 2017, an accurate, complete and time vital statistics report for the previous biennium, using registration records as the primary source, is made available in the public domain.

TARGET

2017

3.H
By 2024, an accurate, complete and timely vital statistics report for the previous two years using registration records as the primary source, is made available in the public domain.

TARGET

2024

Micronesia (F.S.)

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.): In progress

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.): Not started

Reporting to ESCAP

Status in Micronesia (F.S.): Complete

Micronesia (F.S.) Events
09 December 2015 - 10 December 2015
The workshop for National CRVS Focal Points is aimed at strengthening capacities for setting national targets and collecting, compiling and…
Micronesia (F.S.) News
30 October 2017
The Pacific Civil Registrars – Disaster Preparation and Response Workshop was conducted in Suva, Fiji from 2-5 October. The workshop aimed to…
08 September 2017
The Pacific Ministers of Health Meeting was held in the Cook Islands from 28-30 August. Ministers emphasized the importance of CRVS to the health…
06 September 2017
The Cook Islands hosted the Pacific Ministers of Health Meeting 28-30 August 2017. Ministers again emphasized the importance of civil registration…
11 May 2017
Road traffic accidents and injuries are an important cause of premature deaths in the Pacific Islands, but are often poorly recorded in our cause of…
03 April 2017
Do you want to know how many countries in Asia and the Pacific have a CRVS coordination mechanism? Are you interested in how ambitious the national…
19 April 2016
On 18-19 April, ESCAP convened a regional workshop for countries who received small grants to support national CRVS improvement activities. The…
29 April 2016
Here you can find recent news, events and blogs relevant for CRVS in Asia and the Pacific.   Subscribe for more ! To receive regular updates on the…
Micronesia (F.S.) Resources
Advocacy Materials, Country Assessments and Strategies, Report, 2019
Within the last five years, almost all Pacific Island countries and territories (PICTs) have undertaken an assessment of the civil registration and…
Country Assessments and Strategies, 2014
Meeting Documents, 2017
An Information Paper on Civil Registration and Vital Statistics prepared for the 5th Regional Conference of Heads of Planning and Statistics (HOPS),…
Presentations, 2017
Yap's presentation at the 2017 PCRN Meeting on CRVS for Disasters held from 2-4 October in Suva, Fiji. The workshop was supported by the New Zealand…
Presentations, 2017
Pohnpei's presentation at the 2017 PCRN Meeting on CRVS for Disasters held from 2-4 October in Suva, Fiji. The workshop was supported by the New…
Newsletters, 2017
Articles Pacific civil registrars from 16 countries discuss common challenges and solutions to disaster response  Global Leaders Join ID4D High-…
Advocacy Materials, 2017
Civil Registration and Vital Statistics play a key role in facilitating progress towards the Sustainable Development Goals. A well-functioning CRVS…
Newsletters, 2017
Articles Enroll in the facilitated CRVS eLearning course today Cambodia completes survey to establish national baselines on CRVS The Regional…
Advocacy Materials, Country Assessments and Strategies, 2017
Do you want to know how many countries in Asia and the Pacific have a CRVS coordination mechanism? Are you interested in how ambitious the national…
Meeting Documents, UN Official Documents, 2016
The seventy-first session of the Economic and Social Commission for Asia and the Pacific adopted resolution 71/14 on the Asian and Pacific Civil…
Newsletters, 2016
Articles Strong commitment for improving CRVS in the Pacific Toolkit for assessing civil registration of asylum seekers, refugees, stateless…
Meeting Documents, 2014
Civil registration and vital statistics update briefing for the meeting of ministers of health of the Pacific island countries in Honiara July 2014
International Standards and Recommendations, UN Official Documents, 2014
Through Commission resolution 69/15, countries in Asia and the Pacific requested that further regional action be taken to support the improvement of…
Meeting Documents, 2016
WHAT WE DO: We provide an opportunity to share information, lessons learned and good practice. This fosters coordination and integration of Civil…
Advocacy Materials, Meeting Documents, 2014
The Ministerial Declaration to "Get every one in the picture' in Asia and the Pacific was made at the Ministerial Conference on Civil Registration…
Meeting Documents, Report, UN Official Documents, 2014
The Report of the Ministerial Conference on Civil Registration and Vital Statistics in Asia and the Pacific gives an overview of the main outcomes of…
Advocacy Materials, 2014
In preparation for the Ministerial Conference on Civil Registration and Vital Statistics in Asia and the Pacific a fact sheet on civil registration…
Micronesia (F.S.)

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.

CRVS Focal Point:
Mr. Wincener J. David, Health Planner, Division of Health, Dept. of Health and Social Affairs;
Ms. Brihmer S. Johnson, Assistant Secretary for Statistics, Division of Statistics, Dept. of Resources and Development
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