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CIVIL REGISTRATION AND VITAL STATISTICS

IN ASIA AND THE PACIFIC

Palau
Palau

Nearly all births and deaths in Palau occur at the Belau National Hospital (BNH), which therefore is de facto responsible for civil registration, under the authority of the Minister of Health. When a birth occurs outside the hospital, the mother and child are transported to BNH for a check-up and the Certificate of Live Birth is issued. When a death occurs outside the hospital, there are two procedures depending on the location. If a person dies in Koror, the main city, or on Babeldaob, the main island, the body is transported to the morgue at BNH where the medical certificate is completed. If a death occurs in one of the more remote states, the death must be certified by two legally authorized persons and reported to BNH.

 

Every Palauan citizen and resident born in Palau is issued a hospital number when a Certificate of Live Birth is recorded at the Belau National Hospital. This hospital number is unique to each individual. The unique identifier allows matching of birth and death records from the Ministry of Health with the Clerk of Courts who serves as the Civil Registrar. This linking of data also ensures that other important records can be updated when a death occurs, including social security payments and pensions, and the electoral roll. Vital statistics are the responsibility of the Bureau of Budget and Planning, under the authority from the Ministry of Finance.

 

The challenges faced by this small island nation include the creation of a distinct civil registration office, the update of the legislative framework, and the improvement of the cause of death coding.

CRVS Focal Point:

Ms. Cheryl‐Ann Tmong Udui, Epidemiologist, Bureau of Public Health, Ministry of Health

Palau

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

Goal 1 Targets:

1.A
By 2024, at least … per cent of births in the territory and jurisdiction in the given year are registered.
1.B
By 2024, at least … per cent of children under 5 years old in the territory and jurisdiction have had their birth registered.
1.C
By 2024, at least … per cent of all individuals in the territory and jurisdiction have had their birth registered.
1.D
By 2024, at least … 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 … per cent of all deaths recorded by the health sector 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 … (year), 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 … (year), annual nationally representative statistics on deaths – disaggregated by age, sex, cause of death defined 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 … 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 certificate according to the standards defined by 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 … (year), 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 … (year), 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 … (year), 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 … per cent of births in the territory and jurisdiction in the given year are registered.
1.B
By 2024, at least … per cent of children under 5 years old in the territory and jurisdiction have had their birth registered.
1.C
By 2024, at least … per cent of all individuals in the territory and jurisdiction have had their birth registered.
1.D
By 2024, at least … 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 … per cent of all deaths recorded by the health sector 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 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.
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 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 … (year), 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 … (year), annual nationally representative statistics on deaths – disaggregated by age, sex, cause of death defined 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 … 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 certificate according to the standards defined 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.

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 … (year), 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 … (year), 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 … (year), 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.
Palau

National Coordination Mechanism

Status in Palau: Plans

Comprehensive Assessment

Status in Palau: Plans

National Targets for 2024

Status in Palau: Not started

Monitoring & Reporting Plan

Status in Palau: No data

Inequality Assessment

Status in Palau: No data

National Strategy

Status in Palau: No data

National Focal Point

Status in Palau: Complete

Reporting to ESCAP

Status in Palau: Not started

Palau 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…
Palau News
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…
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…
Palau 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
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…
Journals, Articles and Working Papers, 2010
The handbook is one of the outputs of the Asian Development Bank regional technical assistance (TA) on Improving Administrative Data Sources for the…
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…
Palau

Nearly all births and deaths in Palau occur at the Belau National Hospital (BNH), which therefore is de facto responsible for civil registration, under the authority of the Minister of Health. When a birth occurs outside the hospital, the mother and child are transported to BNH for a check-up and the Certificate of Live Birth is issued. When a death occurs outside the hospital, there are two procedures depending on the location. If a person dies in Koror, the main city, or on Babeldaob, the main island, the body is transported to the morgue at BNH where the medical certificate is completed. If a death occurs in one of the more remote states, the death must be certified by two legally authorized persons and reported to BNH.

 

Every Palauan citizen and resident born in Palau is issued a hospital number when a Certificate of Live Birth is recorded at the Belau National Hospital. This hospital number is unique to each individual. The unique identifier allows matching of birth and death records from the Ministry of Health with the Clerk of Courts who serves as the Civil Registrar. This linking of data also ensures that other important records can be updated when a death occurs, including social security payments and pensions, and the electoral roll. Vital statistics are the responsibility of the Bureau of Budget and Planning, under the authority from the Ministry of Finance.

 

The challenges faced by this small island nation include the creation of a distinct civil registration office, the update of the legislative framework, and the improvement of the cause of death coding.

CRVS Focal Point:

Ms. Cheryl‐Ann Tmong Udui, Epidemiologist, Bureau of Public Health, Ministry of Health

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Events

News

Resources

Advocacy Materials, Country Assessments and Strategies, Report, 2019
Country Assessments and Strategies, 2014