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AbouZahr C, Bratschi MW, Cercone E, Mangharam A, Savigny DD, Dincu I, Forsingdal AB, Joos O, Kamal M, Fat DM, Mathenge G, Marinho F, Mitra RG, Montgomery J, Muhwava W, Mwamba R, Mwanza J, Onaka A, Sejersen TB, Tuoane-Nkhasi M, Sferrazza L, Setel P. The COVID-19 Pandemic: Effects on Civil Registration of Births and Deaths and on Availability and Utility of Vital Events Data. Am J Public Health 2021; 111:1123-1131. [PMID: 33856881 PMCID: PMC8101592 DOI: 10.2105/ajph.2021.306203] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/19/2021] [Indexed: 11/04/2022]
Abstract
The complex and evolving picture of COVID-19-related mortality highlights the need for data to guide the response. Yet many countries are struggling to maintain their data systems, including the civil registration system, which is the foundation for detailed and continuously available mortality statistics. We conducted a search of country and development agency Web sites and partner and media reports describing disruptions to the civil registration of births and deaths associated with COVID-19 related restrictions.We found considerable intercountry variation and grouped countries according to the level of disruption to birth and particularly death registration. Only a minority of the 66 countries were able to maintain service continuity during the COVID-19 restrictions. In the majority, a combination of legal and operational challenges resulted in declines in birth and death registration. Few countries established business continuity plans or developed strategies to deal with the backlog when restrictions are lifted.Civil registration systems and the vital statistics they generate must be strengthened as essential services during health emergencies and as core components of the response to COVID-19.
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Affiliation(s)
- Carla AbouZahr
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - Martin W Bratschi
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - Emily Cercone
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - Anushka Mangharam
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - Don de Savigny
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - Irina Dincu
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - Anette Bayer Forsingdal
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - Olga Joos
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - Montasser Kamal
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - Doris Ma Fat
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - Gloria Mathenge
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - Fatima Marinho
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - Raj Gautam Mitra
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - Jeff Montgomery
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - William Muhwava
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - Remy Mwamba
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - James Mwanza
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - Alvin Onaka
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - Tanja Brøndsted Sejersen
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - Maletela Tuoane-Nkhasi
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - Lynn Sferrazza
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
| | - Philip Setel
- Carla AbouZahr is with Vital Strategies/Bloomberg Philanthropies Data for Health Initiative, Geneva, Switzerland. Martin W. Bratschi, Anushka Mangharam, Fatima Marinho, Raj Gautam Mitra, James Mwanza, and Philip Setel are with Vital Strategies, New York, NY. Emily Cercone and Olga Joos are with the National Foundation for the Centers for Disease Control and Prevention, Inc, Atlanta, GA. Don de Savigny is with Swiss Tropical and Public Health Institute, Basel, Switzerland. Irina Dincu and Anette Bayer Forsingdal are with Centre of Excellence for Civil Registration and Vital Statistics Systems, International Development Research Centre, Ottawa, Ontario. Montasser Kamal is with the International Development Research Centre, Ottawa. Doris Ma Fat is with the World Health Organization, Geneva. Gloria Mathenge is with The Pacific Community, Noumea, New Caledonia. Jeff Montgomery is with New Zealand Department of Internal Affairs, Pacific Civil Registrars Network, Wellington, New Zealand. William Muhwava is with the African Centre for Statistics, Economic Commission for Africa, Addis Ababa, Ethiopia. Remy Mwamba is with UNICEF, New York, NY. Alvin Onaka is with State Registrar of Vital Statistics and Chief of the Office of Health Status Monitoring, Hawaii Department of Health, Honolulu, Hawaii. Tanja Brøndsted Sejersen is with United Nations Economic and Social Commission for Asia and the Pacific, Bangkok, Thailand. Maletela Tuoane-Nkhasi is with Global Financing Facility, The World Bank, Washington, DC. Lynn Sferrazza is with Global Health Advocacy Incubator, New York
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