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CIVIL REGISTRATION AND VITAL STATISTICS

IN ASIA AND THE PACIFIC

Pakistan
Pakistan

Civil Registration takes place in Local Union Councils throughout the country. The National Database and Registration Authority (NADRA) is responsible for a centralized database, which is used for issuing national IDs. Vital statistics are produced and published by the Pakistan Bureau of Statistics (PBS). The main CRVS stakeholders have been gathering since 2014 in a CRVS committee, which members include: Planning Commission (chair), Ministry of Planning, Development and Reform (Lead Steering and Coordination Agency), NADRA under the Ministry of Interior, Pakistan Bureau of Statistics, Ministry of National Health Services, Regulations and Coordination, Ministry of Law, Justice and Human Rights, Provincial & Area Governments‘ Departments of Health/ Local Government/ Planning & Development and international partners.

The legally defined period for birth registration is 1 month, and 60 days for death registration. Both registrations are free of charge in most cases. At the beginning of the CRVS decade only 30% births were being recorded, with almost no death registration mechanisms. Cause of death information is lacking and ICD- 10 for coding cases of deaths in hospitals was not used. Resultantly, very little vital statistics were generated from the civil registration systems and country was therefore forced to resort to expensive community-based surveys. In 2018, an estimated 20 million children under 5 had not been registered in the country. Those numbers are partly explained by a difficult political and social situation in some parts of Pakistan. But the government is improving the situation, establishing 4,476 new registration sites in 2016–2017, and creating the Technical Support Unit for CRVS in October 2017 to oversee and facilitate the CRVS development process. It has also started to implement a Digital Birth Registration program in some provinces, with support from UNICEF, to use technology to access hard-to-reach communities. Some remaining challenges include the update of an outdated legislative framework, and the protection of children and women by giving them proper identity.

A National Strategy for CRVS is being developed and is expected to be finalised in 2020.

CRVS Focal Point:

Dr. Muhammand Asif, , Chief of Health, Ministry of Planning, Development & Reform

RSG Member:

Mr. Zafar Hasan, Secretary, Ministry of Planning, Development and Reform

Pakistan

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

Goal 1 Targets:

1.A
By 2024, at least 100 per cent of births in the territory and jurisdiction in the given year are registered.
1.B
By 2024, at least 100 per cent of children under 5 years old in the territory and jurisdiction have had their birth registered.
1.C
By 2024, at least 100 per cent of all individuals in the territory and jurisdiction have had their birth registered.
1.D
By 2024, at least 80 per cent of all deaths that take place in the territory and jurisdiction in the given year are registered.
1.E
By 2024, at least 80 per cent of all deaths recorded by the health sector in the territory and jurisdiction in the given year have a medically certi ed 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 100 per cent of all births registered in the territory and jurisdiction are accompanied with the issuance of an of cial birth certi cate 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 100 per cent of all deaths registered in the territory and jurisdiction in the given year are accompanied with the issuance of an of cial death certi cate 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 2024, annual nationally representative statistics on births – disaggregated by age of mother, sex of child, geographic area and administrative subdivision – are produced from registration records or other valid administrative data sources.
3.B
By 2024, annual nationally representative statistics on deaths – disaggregated by age, sex, cause of death de ned by ICD (latest version as appropriate), geographic area and administrative subdivision – are produced from registration records or other valid administrative data sources.
3.C
By 2024, at least 80 per cent of deaths occurring in health facilities or with the attention of a medical practitioner have an underlying cause of death code derived from the medical certi cate according to the standards de ned by ICD (latest version as appropriate).
3.D
By 2024, the proportion of deaths coded to ill-defined codes will have been reduced by 80 per cent compared with the baseline year.
3.E
By 2024, at least 80 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 2024, 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 one calendar year.
3.G
By 2024, key summary tabulations of vital statistics on causes of death using registration records as the primary source, are made available in the public domain in electronic format annually, and within two calendar years.
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 100 per cent of births in the territory and jurisdiction in the given year are registered.

TARGET

2024

100%

1.B
By 2024, at least 100 per cent of children under 5 years old in the territory and jurisdiction have had their birth registered.

TARGET

2024

100%

1.C
By 2024, at least 100 per cent of all individuals in the territory and jurisdiction have had their birth registered.

TARGET

2024

100%

1.D
By 2024, at least 80 per cent of all deaths that take place in the territory and jurisdiction in the given year are registered.

TARGET

2024

80%

1.E
By 2024, at least 80 per cent of all deaths recorded by the health sector in the territory and jurisdiction in the given year have a medically certi ed cause of death recorded using the international form of the death certificate.

baseline

2014

0%

TARGET

2024

80%

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 100 per cent of all births registered in the territory and jurisdiction are accompanied with the issuance of an of cial birth certi cate that includes, as a minimum, the individual’s name, sex, date and place of birth, and name of parent(s) where known.

TARGET

2024

100%

2.B
By 2024, at least 100 per cent of all deaths registered in the territory and jurisdiction in the given year are accompanied with the issuance of an of cial death certi cate which includes, as a minimum, the deceased’s name, date of death, sex, and age.

TARGET

2024

100%

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 2024, annual nationally representative statistics on births – disaggregated by age of mother, sex of child, geographic area and administrative subdivision – are produced from registration records or other valid administrative data sources.

TARGET

2024

3.B
By 2024, annual nationally representative statistics on deaths – disaggregated by age, sex, cause of death de ned by ICD (latest version as appropriate), geographic area and administrative subdivision – are produced from registration records or other valid administrative data sources.

TARGET

2024

3.C
By 2024, at least 80 per cent of deaths occurring in health facilities or with the attention of a medical practitioner have an underlying cause of death code derived from the medical certi cate according to the standards de ned by 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.

TARGET

2024

80%

3.D
By 2024, the proportion of deaths coded to ill-defined codes will have been reduced by 80 per cent compared with the baseline year.
3.E
By 2024, at least 80 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.

TARGET

2024

Yes

3.F
By 2024, 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 one calendar year.

TARGET

2024

3.G
By 2024, key summary tabulations of vital statistics on causes of death using registration records as the primary source, are made available in the public domain in electronic format annually, and within two calendar years.

TARGET

2024

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

Pakistan

National Coordination Mechanism

Status in Pakistan: Complete

Comprehensive Assessment

Status in Pakistan: Complete

National Targets for 2024

Status in Pakistan: Complete

Monitoring & Reporting Plan

Status in Pakistan: Not started

Inequality Assessment

Status in Pakistan: Not started

National Strategy

Status in Pakistan: Plans

National Focal Point

Status in Pakistan: Complete

Reporting to ESCAP

Status in Pakistan: Complete

Pakistan Events
The second CR8 meeting was jointly organized by the United Nations Economic and Social Commission for Asia and the Pacific (ESCAP) and the…
13 November 2018 - 15 November 2018
The Regional Steering Group is responsible for providing regional oversight and guidance for the implementation of the Regional Action Framework on…
24 July 2018 - 25 July 2018
The UNICEF Regional Office for South Asia (UNICEF-ROSA) and the United Nations Economic and Social Commission for Asia and the Pacific (ESCAP) are…
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…
Pakistan News
10 June 2020
Unfortunately, the CRVS system of Pakistan does not currently cover the entire population. The Pakistan Demographic and Health Survey (DHS) (2017-18…
17 March 2020
On 18 March 2020, Pakistan's Technical Support Unit in the Ministry of Planning Development & Special Initiatives will host a Seminar on "…
22 January 2020
Strengthening CRVS in Pakistan is a top priority for the new Government. The Technical Support Unit (TSU) was established under the Ministry of…
30 April 2019
The Technical Support Unit-CRVS, Ministry of Planning, Development and Reform (M/o PDR) has been pursuing the agenda of CRVS strengthening in…
27 March 2019
The United Nations Economic and Social Commission for Asia and the Pacific (ESCAP), with support from the Bloomberg Data for Health Initiative (D4H…
07 January 2019
The United Nations Economic and Social Commission for Asia and the Pacific (ESCAP), with support from the Bloomberg Data for Health Initiative (D4H…
31 December 2018
Pakistan International Summit on Civil Registration and Vital Statistics (CRVS) was organized on November 28 - 29, 2018 in Islamabad. The summit was…
30 August 2018
The first meeting of the Civil Registration Professionals of South Asia (CR8) took place between 24 - 25 July in Kathmandu, Nepal. Co-organized by…
02 February 2018
The Government of Pakistan has assigned the task of overall coordination of strengthening the CRVS system to the Ministry of Planning, Development…
06 September 2017
Plan International Pakistan has launched an innovative, new project to improve birth registration rate using mobile technology. The “Digital Birth…
19 April 2016
UNICEF has been working with the Departments of Local Government and Health, the National Data Base Registration Authority (NADRA) and the mobile…
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…
29 April 2016
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Pakistan Resources
Advocacy Materials, Meeting Documents, Report, 2020
This publication builds on the success of the first meeting of the Civil Registration Professionals of South Asia in July 2018 and expands on the…
Training and Tools, 2019
This resource provides a full list of members for the Regional Steering Group for CRVS in Asia and the Pacific. The list includes members for both…
Newsletters, 2019
Articles 23 Member Countries have already reported on their CRVS progress since 2015 South Asia makes huge progress in birth registration, shows…
Report, 2018
Civil registration is a priority on the policy agenda of countries across South Asia. The governments in the region are committed to achieving the…
Country Assessments and Strategies, Report, 2019
The "Status of Civil Registration and Vital Statistics in South Asia" report documents the policies, systems and procedures in place for the…
Newsletters, 2019
Articles CRVS Programme's Implementation is a top priority in Pakistan Looking at the numbers in the Philippines Call for Proposal from the…
Meeting Documents, 2018
The meeting of the 4th National Steering and Coordination Committee Meeting on Civil Registration and Vital Statistics (CRVS) was held on January 17…
Presentations, 2017
Pakistan's country presentation made at the 3rd Government Forum on Electronic Identity in Africa on 26-28 April, 2017 in Windhoek, Namibia.
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 Smart phone app to revolutionize the birth registration system in Pakistan Afghanistan making strides towards universal registration…
Report, 2015
The purpose of this report is to review the available data, both quantitative and qualitative, on the type and magnitude of gender-related under-…
Advocacy Materials, 2014
An effective Civil Registration and Vital Statistics (CRVS) system helps secure a person’s legal identity, tracks the major events of an individual’s…
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…
Country Assessments and Strategies, Presentations, 2015
Pakistan's country presentation made at the 1st Regional Steering Group for Civil Registration and Vital Statistics (CRVS) Meeting, Bangkok, 28-30…
Country Assessments and Strategies, Report, 2015
The purpose of this report is to compare the legal frameworks governing birth registration in eleven jurisdictions. Birth registration is the process…
Meeting Documents, 2015
Report of the 2nd national steering and coordination committee meeting for civil registration and vital statistics, held april 03, 2015; at p block…
Meeting Documents, 2014
This is a report on the two days ‘National CRVS Strategic Planning Workshop’ on March 20-21, 2014. This meeting was based upon the recommendations of…
Country Statements, Meeting Documents, 2014
This official notification 14(23-1)/HPC/2014 for the constitution of the National Steering Committee for Civil Registration and Vital Statistics
Country Assessments and Strategies, Meeting Documents, 2014
This is the report of the first meeting of National CRVS Steering and Coordination Committee held in Hotel Marriot- Islamabad and supported through…
Country Assessments and Strategies, Meeting Documents, 2013
Report on the four day Pakistani National Workshop on Comprehensive Assessment and Plan Development for Civil Registration and Vital Statistics (CRVS…
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…
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…
Journals, Articles and Working Papers, 2014
Pakistan is a leader in the application of identification systems and technology to a range of development issues. The National Database and…
Country Assessments and Strategies, 2016
As part of the reporting structure of the Regional Action Framework on Civil Registration and Vital Statistics (CRVS) in Asia and the Pacific, by the…
Advocacy Materials, Report, 2015
In recent years, the Government of Pakistan has demonstrated increased commitment to social sector development, consequently leading to some notable…
Country Statements, 2014
Pakistan issued this statement in the Ministerial Conference agenda item 6 regarding the State of civil registration and vital statistics in Asia and…
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…
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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…
Pakistan

Civil Registration takes place in Local Union Councils throughout the country. The National Database and Registration Authority (NADRA) is responsible for a centralized database, which is used for issuing national IDs. Vital statistics are produced and published by the Pakistan Bureau of Statistics (PBS). The main CRVS stakeholders have been gathering since 2014 in a CRVS committee, which members include: Planning Commission (chair), Ministry of Planning, Development and Reform (Lead Steering and Coordination Agency), NADRA under the Ministry of Interior, Pakistan Bureau of Statistics, Ministry of National Health Services, Regulations and Coordination, Ministry of Law, Justice and Human Rights, Provincial & Area Governments‘ Departments of Health/ Local Government/ Planning & Development and international partners.

The legally defined period for birth registration is 1 month, and 60 days for death registration. Both registrations are free of charge in most cases. At the beginning of the CRVS decade only 30% births were being recorded, with almost no death registration mechanisms. Cause of death information is lacking and ICD- 10 for coding cases of deaths in hospitals was not used. Resultantly, very little vital statistics were generated from the civil registration systems and country was therefore forced to resort to expensive community-based surveys. In 2018, an estimated 20 million children under 5 had not been registered in the country. Those numbers are partly explained by a difficult political and social situation in some parts of Pakistan. But the government is improving the situation, establishing 4,476 new registration sites in 2016–2017, and creating the Technical Support Unit for CRVS in October 2017 to oversee and facilitate the CRVS development process. It has also started to implement a Digital Birth Registration program in some provinces, with support from UNICEF, to use technology to access hard-to-reach communities. Some remaining challenges include the update of an outdated legislative framework, and the protection of children and women by giving them proper identity.

A National Strategy for CRVS is being developed and is expected to be finalised in 2020.

CRVS Focal Point:

Dr. Muhammand Asif, , Chief of Health, Ministry of Planning, Development & Reform

RSG Member:

Mr. Zafar Hasan, Secretary, Ministry of Planning, Development and Reform

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