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Bangladesh

In 2018, the Government of Bangladesh invited the OpenCRVS team to explore the viability of OpenCRVS in Bangladesh. Through close consultation with the CRVS Secretariat, Cabinet Division, Office of the Registrar General, and Directorate General of Health Services, a proof of concept was developed to demonstrate how OpenCRVS can work across the country.

 

The Proof of Concept was informed by in-depth design research conducted in rural and peri-urban locations.. Birth and death registration services were designed with those who will use OpenCRVS and access the services it provides. OpenCRVS was configured to demonstrate these services  in action.

 

Following a very positive response to the proof of concept a pilot implementation will begin in 2 sub-districts of the country in early 2020. A production ready version of the system will be ready by the end of 2019. The purpose of the pilot is to test how OpenCRVS can enable a new model of CRVS, one that helps Bangladesh:

  • achieve universal registration of birth death

  • reduce the time, cost and number of visits associated with accessing registration services

  • improve the quality of civil registration data

  • maximize the use of civil registration data for policy making and the provision of essential services such as health

OpenCRVS in Bangladesh

During the pilot, birth and death registration services will be available:

  1. At official registration offices, using the OpenCRVS application

  2. At the community level through Community Health Actors, using the OpenCRVS application

  3. At health facilities, through integration with DHIS2

By digitising data capture of vital events at source, we are able to accelerate the civil registration process, increase data quality and minimize the administrative load on all actors involved in the process.

Technology alone cannot sustainably improve civil registration services. Because of this, OpenCRVS will be implemented as part of an integrated programme that provides a holistic approach to CRVS system strengthening. The other elements of the programme include:

Legal & Regulatory Framework

Legal and regulatory environment to support the proposed (digital) registration process, within a legal sandbox during the pilot.

 

Behavioural Change

Creating demand for birth registration through an integrated marketing and communications campaign

Change Management

Building the capacity and engagement of individuals across all levels of administration to provide effective & efficient civil registration services

What does a pilot mean to us?

A true pilot is about testing and learning. It is a small-scale, short-term experiment that will help us understand how a large-scale implementation of OpenCRVS will work and what the expected outcomes will be. Because of this, the pilot will last only 12 months.

 

In this time, we will spend 8 months testing and iterating the service and product through a rigorous continuous improvement process, and the last 4 months will be used to test and monitor the effectiveness of the “fine-tuned” service.

 

At the end of the year an evaluation of the programme will be done with a view to support the Government of Bangladesh to scale the OpenCRVS model across the country.  

Who are we designing OpenCRVS for?

By conducting field research into the actors providing and accessing civil registration services, we built a detailed  understanding of who we are designing for.

 

Meet the people whose lives will be made easier through OpenCRVS.

Samira and Anir

Registering their daughter’s birth is now affordable because they no longer have to skip days of work to make multiple visits to the registration office. The Health Worker comes to them to start the registration process and they can track progress through their mobile phone so they know when and where to collect the birth certificate. The streamlined complaints process means they can also easily report any delays or disruptions.

Sophia, Community Health Worker

Can now visit all pregnant and lactating mothers in her catchment and provide quality and continuous care to the mother and baby. This is now possible because she isn’t spending the majority of the consultation filling out the paperwork required to fulfil her duties of issuing a birth notification and administering vaccinations.

Raman, Union Councillor

Performance management reports can now be auto-generated presenting real-time disaggregated registration rates to the district head for planning. This increases efficiencies across budgeting and policy processes, leading to improved decision making, particularly for women and girls.