Civil registration started to be carried out in Nepal in 1950, and the legislation was adapted in 1976. Since 2014, the Department of Civil Registration (DOCR) is the main national entity in charge, and its tasks include offline and online Vital Registration, reporting of VR from local bodies on regular basis (monthly and annually), VR report publication and dissemination (annually), and preparing demographic data required for social protection allowance distribution program. The Ministries of Federal Affairs and General Administration and of Health and Population have been collaborating for inter-agency co-operation at local level, by establishing a steering committee and a technical committee in 2014, also including the Central Bureau of Statistics, responsible for vital statistics reports, and local stakeholders.
The legal time limit for birth, death and marriage registration is 35 days, and all operations are free of charge. Birth registration is necessary for many different administrative processes, including school attendance or access to a cash grant for poor families. For birth registration, different surveys indicate between 56 and 76 percent registration completeness in the years 2014-2016. Death registration is estimated to be around 75% complete.
The challenges faced by the country on the road to complete civil registration and efficient vital statistics system include scattered demographics along the hills and mountains, weak infrastructure and connectivity, legal complexity and limited human resources.
CRVS Focal Point:
Mr. Jitendra Basntet, Director General, Department of National ID and Civil Registration, Ministry of Home Affairs
Nepal
Goal 1. Universal civil registration of births, deaths and other vital events
Goal 1 Targets:
1.A
By 2024, at least 99 per cent of births in the territory and jurisdiction in the given year are registered.
1.B
By 2024, at least 90 per cent of children under 5 years old in the territory and jurisdiction have had their birth registered.
1.C
By 2024, at least 80 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 … 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 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 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.
3.D
By 2024, the proportion of deaths coded to ill-defined codes will have been reduced by 50 per cent compared with the baseline year.
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 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 99 per cent of births in the territory and jurisdiction in the given year are registered.
BASELINE
2015
76%
TARGET
2024
99%
1.B
By 2024, at least 90 per cent of children under 5 years old in the territory and jurisdiction have had their birth registered.
MIDTERM
2016
56.2%
TARGET
2024
90%
1.C
By 2024, at least 80 per cent of all individuals in the territory and jurisdiction have had their birth registered.
TARGET
2024
80%
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.
baseline
2015
75%
TARGET
2024
80%
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.
baseline
2014
45.4%
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.
baseline
2015
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.
baseline
2015
100%
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 defined 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 ...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.
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
2013/14
45.4%
3.D
By 2024, the proportion of deaths coded to ill-defined codes will have been reduced by 50 per cent compared with the baseline year.
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 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.