The authority responsible for civil registration in Nauru is the Registrar of Births, Deaths and Marriages. Through a national CRVS committee formed in 2011 with stakeholders from the Department of Health, the Government Registration Office, the Bureau of Statistics, producer of the vital statistics, the Planning Aid Division Office and the Information Technology and Communication (ICT), a strong collaboration and data sharing has been implemented. This collaboration was formalized via a new legislative frame for CRVS in 2018, defining the roles of CRVS stakeholders, and giving the director of Medical Services the responsibility to notify the registrar’s office any death at the Nauruan hospital immediately, and any birth within 7 days. Families are still required to formally register the events through the registrar’s office, and they have 21 days to do so for births.
Birth Registration is estimated to be 90 to 95% complete within 1 year of birth, and 70 % of the total population is estimated to have had their birth registered. Death Registration is estimated to be 95% complete within 1 year of death. However, those estimates are quite hard to produce and prone to large variation considering the small size of the population of 11,000. Nauru has essentially complete registration of births and deaths, , in part due to the funeral assistance payments and a child payment at birth which are linked to formal registration.
The challenges faced by this small island country include the registration system backup, as shown in 2013 with the destruction of some of the records in the fire of the only hospital. The quality of coding in general, and of cause of death coding in particular also needs improvement to produce more easily vital statistics report featuring more accurate information.
CRVS Focal Point:
Mr. Francis Deireragea, Registrar of Births, Deaths and Marriages, Chief Secretary
Nauru
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 … per cent of all individuals in the territory and jurisdiction have had their birth registered.
1.D
By 2024, at least 100 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 100 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 100 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 100 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 100 per cent of births in the territory and jurisdiction in the given year are registered.
Note: This country has not submitted estimates for the number of births for all years. The level of completeness of birth registration was therefore assessed with international estimates for every year, to allow comparison. These measurements are therefore to be interpreted with caution.
BASELINE
2014
100%
MIDTERM
2017
98%
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.
MIDTERM
2013
95.9%
TARGET
2024
100%
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 100 per cent of all deaths that take place in the territory and jurisdiction in the given year are registered.
Note: This country has not submitted estimates for the number of deaths for all years. The level of completeness of death registration was therefore assessed with international estimates for every year, to allow comparison. These measurements are therefore to be interpreted with caution.
baseline
2014
100%
MIDTERM
2018
100%
TARGET
2024
100%
1.E
By 2024, at least 100 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.
baseline
2015
100%
MIDTERM
2017
100%
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 100 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.
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 official death certificate 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 … (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.
TARGET
Target achieved
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.
TARGET
Target achieved
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.
baseline
2015
40.8%
MIDTERM
2017
21.3%
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.
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.
MIDTERM
No
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.
TARGET
Target achieved
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.
TARGET
Target achieved
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.