The birth and death registration are virtually universal, but differences between different institution’s data make room for some uncertainty in the vital statistics reports. All deaths are required to be reported by a medical professional. Causes of Death (CoD) are determined, according to ICD-10 codes, by a medical doctor for deaths in health facilities. The same is the case for the approx. 73% of deaths that occur outside health facilities. The use of the international coding system for the outside hospital deaths is lower, since in some remote areas personnel responsible for the coding is often less familiar with the ICD-10 standards.

One recently introduced piece of legislation is directly aimed at facilitating civil registration for citizens. With the new law, Mongolians are now able to register vital events in the nearest Registration Centre to them, independent from their administrative assignment. In a country where a large proportion of population lives a nomadic lifestyle (estimated 30-40% of population) this change is a key step in addressing inequalities related to CRVS experience by subgroups of the population. One of the major challenges of the Mongolian CRVS system today is the systematic discrepancies between the vital statistics records of MoHS and GAIPSR. The gap in values is especially large for population birth and death statistics. This discrepancy is caused by the registration coverage, time of report, and differences between the registration rules. Currently a lot of effort is being made to integrate the two database and eliminate the reporting discrepancies. A Memorandum of Understanding has been signed by the three main authorities of the CRVS system, but the integration of databases and processes is still an ongoing challenge. Management of emigration and immigration in the databases is also an area that needs development.

The birth and death registration are virtually universal, but differences between different institution’s data make room for some uncertainty in the vital statistics reports. All deaths are required to be reported by a medical professional. Causes of Death (CoD) are determined, according to ICD-10 codes, by a medical doctor for deaths in health facilities. The same is the case for the approx. 73% of deaths that occur outside health facilities. The use of the international coding system for the outside hospital deaths is lower, since in some remote areas personnel responsible for the coding is often less familiar with the ICD-10 standards.

One recently introduced piece of legislation is directly aimed at facilitating civil registration for citizens. With the new law, Mongolians are now able to register vital events in the nearest Registration Centre to them, independent from their administrative assignment. In a country where a large proportion of population lives a nomadic lifestyle (estimated 30-40% of population) this change is a key step in addressing inequalities related to CRVS experience by subgroups of the population. One of the major challenges of the Mongolian CRVS system today is the systematic discrepancies between the vital statistics records of MoHS and GAIPSR. The gap in values is especially large for population birth and death statistics. This discrepancy is caused by the registration coverage, time of report, and differences between the registration rules. Currently a lot of effort is being made to integrate the two database and eliminate the reporting discrepancies. A Memorandum of Understanding has been signed by the three main authorities of the CRVS system, but the integration of databases and processes is still an ongoing challenge. Management of emigration and immigration in the databases is also an area that needs development.