Beyond Civil Registration and Vital Statistics (CRVS+)

‘Getting Everyone in the Picture’ and ensuring digital service delivery to every citizen

Prevent any citizen from falling through the cracks of identification and service delivery, and ensure that timely and comprehensive statistics critical to national decision-making are available to policy-makers.Show more

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RVS is about equity, human rights and human dignity

Bangladesh is known to be a country that places special emphasis on equitable human development. Including the many, or even the most, is not enough. Including each and every person is the absolute goal. With the global logo statement ‘Get everyone in the picture’, the global phenomenon of Civil Registry and Vital Statistics or CRVS has the same goal. Each birth, death, cause of death, marriage, divorce and adoption is important. As was stated by the UN ESCAP Executive Secretary, “No one should be without a legal identity. No life should be allowed to remain invisible to policymakers. No person should fall between the cracks of incomplete official data.” The emphatic and unambiguous sentiment expressed in this statement is precisely the reason the concept of CRVS resonates well with the national priorities of Bangladesh. From the standpoint of realizing the Sustainable Development Goals (SDG), CRVS is also very crucial: target 9 of the Goal 16 is “By2030, provide legal identity for all including birth registration”.

CRVS in Bangladesh is consolidating multiple IDs for the same citizen

Despite the short history of digitization in the country, the progress has been rapid due to the government-wide agenda of establishing a ‘Digital Bangladesh’ by 2021. In the age of information and communication technologies, one would imagine that data sharing will be much easier since it exists in electronic form and can be sent from one place to another at the click of a button. However, that has unfortunately not been the case. Different Ministries have gone ahead and developed large electronic databases of citizens in different formats. Many of these databases contain information of the same citizens but in different ways. This lack of inter-operability makes data sharing across systems very difficult, if not impossible. This situation not only points to a huge national wastage but reveals the fact that despite all these large citizens’ databases,

there is no way to tell which citizens are being included multiple times and which ones are completely left out because they do not exist in any of the systems. So, some citizens are in the picture multiple times and some are not at all.

CRVS+: An opportunity to break silos, get everyone in the picture, and deliver services to everyone

CRVS is truly an unprecedented opportunity to ‘get everyone in the picture’: to streamline the nearly one hundred different social safety net programs on which 12% of the budget is spent; to develop shared health records for citizens to help build medical histories of patients, something which is impossible today with patients losing their health documents because of lack of awareness, displacement caused by natural disasters and migration, or movement from one provider to another through referral; to bring large swathes of unbanked population into the folds of financial inclusion; to detect and prevent underage marriages that devastate the lives of young girls (recent studies show that as many as two thirds of the country’s marriages are underage); and perhaps most importantly, to recognize citizens properly and uniquely from birth to death through the myriad life events where the government is already with them.

CRVS thus represents a way to make public service delivery much more effective, planning much more efficient and the rights and dignity of every citizen guaranteed. To make this happen, an integrated service delivery platform (ISDP) is being designed to connect to all relevant public agencies hosting departmental digital service registers. As such, the design of CRVS in Bangladesh goes beyond the globally committed CRVS of tracking a few vital events of a citizen’s life.

A powerful National Steering Committee for CRVS with Cabinet Secretary as the Chair and with eighteen permanent secretaries as members, with technical support from a2i, guides this massive whole-of-government effort across many of the major service delivery ministries.

Cases and Stories


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Simplifying Govt. Hospital Outdoor Service

After implementing this project poor people of this locality who can’t afford the service due to lack of money, are no more deprived from their desired health service. Time, cost and…

Simplifying Govt. Hospital Outdoor Service

Problem: 

Hospital medical service was a matter of time consuming and expensive for the poor people of Dhamshor village. Poor people of this locality were reluctant to come to hospital due to lack of money. Thus they deprived from their one of their basic needs. In addition, patient had to spend huge time in front of the outdoor ticket counter to get tickets for the appointment of the doctors.

Solution:

To provide service to the poor people, at first a survey has been conducted through house to house visit with the help of Union Parishad for identifying them. Then according to the survey list, health cards have been provided to the listed people so that with the help of these cards they can get their desired doctor’s appointment easily without taking ticket from the counter. A hot line service also has been launched to make available primary medical service to the people by their cell phone and to provide information regarding availability of desired doctors at the hospital.

Result:

After implementing this project poor people of this locality who can’t afford the service due to lack of money, are no more deprived from their desired health service. Time, cost and visit for the service, on an average, reduced by 75%, 100% and 75% respectively. In fact, now they can get their medical service more easily by spending less time, money and facing less harassment. Thus the poor people are no more reluctant to heath service and apathetic about their health condition.  As a result, their health status has been improved and they can able to enjoy a healthy life.

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