The CR and ID card management in Mongolia is handled by one institution only, the Civil Registration Department of the General Authority for Intellectual Property and State Registration (GAIPSR) in the Ministry of Justice and Home Affairs (MoJHA). They collaborate with the Ministry of Health and Sport (MoHS) and the National Statistics Office. There is online reporting of births and deaths in CR centers in all of the 21 provinces (aimags) and many of the 330 districts (soums). To deal with the regional centers in remote rural areas, where internet connection is not available, such CR centers are equipped with computers that record a QR code containing all the necessary data. This code is then forwarded to the higher-level CR centers where the data is entered into the national data base. This system allows easy integration in the next years when internet connection will become more widely available. Mongolian government is engaged in extensive welfare programs for children under 18, including free health care and money transfers, unavailable to those without registration. Similar programs are also in place for ethnic minorities. Such welfare mechanisms serve as additional encouragement for registering. Upon registration, each child receives a unique personal identity number (PIN). Biometric ID card, containing prints of all ten fingers is issued at the age of 16 and must be renewed at ages 25 and 45.
The birth and death registration are virtually universal, but differences between different institution’s data make room for some uncertainty in the vital statistics reports. All deaths are required to be reported by a medical professional. Causes of Death (CoD) are determined, according to ICD-10 codes, by a medical doctor for deaths in health facilities. The same is the case for the approx. 73% of deaths that occur outside health facilities. The use of the international coding system for the outside hospital deaths is lower, since in some remote areas personnel responsible for the coding is often less familiar with the ICD-10 standards.
One recently introduced piece of legislation is directly aimed at facilitating civil registration for citizens. With the new law, Mongolians are now able to register vital events in the nearest Registration Centre to them, independent from their administrative assignment. In a country where a large proportion of population lives a nomadic lifestyle (estimated 30-40% of population) this change is a key step in addressing inequalities related to CRVS experience by subgroups of the population. One of the major challenges of the Mongolian CRVS system today is the systematic discrepancies between the vital statistics records of MoHS and GAIPSR. The gap in values is especially large for population birth and death statistics. This discrepancy is caused by the registration coverage, time of report, and differences between the registration rules. Currently a lot of effort is being made to integrate the two database and eliminate the reporting discrepancies. A Memorandum of Understanding has been signed by the three main authorities of the CRVS system, but the integration of databases and processes is still an ongoing challenge. Management of emigration and immigration in the databases is also an area that needs development.
CRVS Focal Point:
Mr. Mandakhzorig Odbaatar, Director of Population and Household Census Division, Census and Data Analysis Department, National Statistics Office of Mongolia
RSG Member:
Mr. Ariunbold Shagdar, Director of the Census and Data Analysis Department, National Statistics Office of Mongolia
Mongolia
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 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 99.9 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 99.9 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, geographic area and administrative subdivision – are produced from registration records or other valid administrative data sources.
3.C
By 2024, at least 100 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 70 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.
BASELINE
2014
99%
MIDTERM
2018
100%
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
99.3%
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.
baseline
2013
99%
MIDTERM
2018
100%
TARGET
2024
100%
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.
baseline
2014
100%
MIDTERM
2018
96%
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
2014
100%
MIDTERM
2018
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 99.9 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
2013
100%
MIDTERM
2018
100%
TARGET
2024
99.9%
2.B
By 2024, at least 99.9 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
2013
100%
MIDTERM
2018
100%
TARGET
2024
99.9%
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, 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 100 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.
baseline
2015
100%
TARGET
2024
100%
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 70 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
Yes
TARGET
2024
Yes
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.