Nationally, there are two main entities involved in the CRVS process in the Federal States of Micronesia. The Department of Health and Social Affairs (DHSA) is in charge of coordination and gathering of different data sources. The National Statistical Office is responsible for the publication of vital statistics. But considering the federal nature of the country, each of the four states (Yap, Pohnpei, Chuuk, Kosrae) have local equivalents to those two institutions, which are in charge of carrying the actual data gathering and statistics production. In addition, each state’s Supreme Court is responsible for civil registration activities, providing birth and death registrations and certificates.
In addition to agency collaboration, the geography of the country is also a major challenge, considering some regions are constituted of very sparsely populated islands, with very little infrastructure or personnel for health services. Birth registration completeness is highly dependent on location. The national overall birth registration after one-year completeness rate estimates of approximately 80%, but a same rate at approximately only 65 % in Yap, when it is 85-90% in Pohnpei, and virtually complete in Kosrae, a single island state. The same phenomenon can be observed for death registration, also almost complete in Kosrae, but of only 80% in Pohnpei and 70% in Yap. All those issues make the collaboration even more critical, which has been the objective of some recent reforms.
CRVS Focal Point:
Mr. Wincener J. David, Health Planner, Division of Health, Dept. of Health and Social Affairs;
Ms. Brihmer S. Johnson, Assistant Secretary for Statistics, Division of Statistics, Dept. of Resources and Development
Micronesia (F.S.)
Goal 1. Universal civil registration of births, deaths and other vital events
Goal 1 Targets:
1.A
By 2024, at least 95% of births in teh territory and jurisdiction in the given year are registered.
1.B
By 2024, at least 95% of children under five years old in the territory and jurisdiction have had their birth registered
1.C
By 2024, at least 90% of all individuals in the territory and jurisdiction have ahd their birth registered
1.D
By 2024 at least 90% of all deaths that take place in the territory and jurisdiction in the given year are registered
1.E
By 2014, at least 100% of all deaths recorded by the health sector (where a doctor is available) 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 2016, annual nationally representative statistics on births – diaggregated by age of mother, sex child, geographic area and administrative subdivision are produced from registration records or, alternatively, other valid administrative data sources.
3.B
By 2016, annual nationally representative statistics on deaths - disaggregated by age, sex, cause of death defined by the ICD, latest version as appropriate, geographic areas and administrative subdivision - are produced from registration records,or, alternatively, other valid administrative data sources.
3.C
By 2024, at least 100% of deaths occurring in health facilities or with the attention of a medical practioner has a cause of death code derived from the medical certificate according to the standards defined by the 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 2017, 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 2017, 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.
Note: Information comes from the baseline report (E/ESCAP/72/22: www.unescap.org/sites/default/files/E72_22E.pdf) since no midterm questionnaire has been submitted yet.
National Targets:
1.A
By 2024, at least 95% of births in teh territory and jurisdiction in the given year are registered.
TARGET
2024
95%
1.B
By 2024, at least 95% of children under five years old in the territory and jurisdiction have had their birth registered
baseline
2011-2015
80%
TARGET
2024
95%
1.C
By 2024, at least 90% of all individuals in the territory and jurisdiction have ahd their birth registered
TARGET
2024
90%
1.D
By 2024 at least 90% of all deaths that take place in the territory and jurisdiction in the given year are registered
TARGET
2024
90%
1.E
By 2014, at least 100% of all deaths recorded by the health sector (where a doctor is available) 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
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.
Note: Information comes from the baseline report (E/ESCAP/72/22: www.unescap.org/sites/default/files/E72_22E.pdf) since no midterm questionnaire has been submitted yet.
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.
Note: Information comes from the baseline report (E/ESCAP/72/22: www.unescap.org/sites/default/files/E72_22E.pdf) since no midterm questionnaire has been submitted yet.
National Targets:
3.A
By 2016, annual nationally representative statistics on births – diaggregated by age of mother, sex child, geographic area and administrative subdivision are produced from registration records or, alternatively, other valid administrative data sources.
TARGET
2016
3.B
By 2016, annual nationally representative statistics on deaths - disaggregated by age, sex, cause of death defined by the ICD, latest version as appropriate, geographic areas and administrative subdivision - are produced from registration records,or, alternatively, other valid administrative data sources.
TARGET
2016
3.C
By 2024, at least 100% of deaths occurring in health facilities or with the attention of a medical practioner has a cause of death code derived from the medical certificate according to the standards defined by the 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.
baseline
2014
100%
TARGET
2024
100%
3.D
By 2024, the proportion of deaths coded to ill-defined codes will have been reduced to … per cent.
baseline
2014
9.7%
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.
3.F
By 2017, 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
2017
3.G
By 2017, 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
2017
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.