Civil Registration System
The Civil Registration System (CRS) may be defined as a unified process of continuing, permanent and compulsory recording of the vital events and characteristics thereof, as provided through the legal requirements of the country. In India, the Civil Registration System covers events of births and deaths only. The registration of births and deaths is carried out under provisions of the Registration of Births and Deaths (RBD) act, 1969.
It was enforced in Haryana with effect from 1st April 1970. Subsequently, the Haryana Registration of Births and Deaths rules 1972 were framed under this Act. These rules came into effect from 1st Jan. 2002.
Apart from this Medical Certification of Causes of Deaths scheme is also formulated under the Act. The scheme has been operational in all the hospitals of the State and is being extended to all medical institutions including private and public.
In Haryana there are 608 Registration units functioning and covering almost all vital events. Out of which 481 Registration units are in rural area and 127 in urban areas. Since Jan 2005 PHC/CHC are declared as registration units under various registration functionaries. In urban areas MC, MCl, M.Corp, Cantt. Board, Urban Estate Panchkula, Command Hospital Chandimandir and PGI Rohtak are also notified as registration units.
Computerization of Civil Registration System in Haryana
Computerized birth and death certificates are distributed from all the registration centres in the state. Haryana is the first State to start the Aadhaar linked birth registration.
a) Under the provision of RBD Act, two reports viz. Annual Report on working of the Registration of Births and Deaths (RBD) act, 1969 and Statistical Report to the respective State Governments are published at National level. These reports contain data related to Registered Births, Deaths, Infant Deaths, Still Births, Maternal Deaths etc.
b) Report on Medical Certification of Causes of Deaths: This Report gives reliable cause –specific mortality statistics which is required on regular basis by Administrators, Policy Planners, Researchers and in the area of Public Health etc. Under the scheme, the Office of the Registrar General, India (ORGI) obtains data on medically certified deaths as collected, compiled and tabulated by the Offices of the Chief Registrars of Births and Deaths of the State.
The officials designated for ensuring Civil Registration System are as under:
- At State level Director General Health Services is designated as Chief Registrar (Births & Deaths), Deputy Director and Assistant Director Health Department as Additional Chief Registrar (Births & Deaths)
- At District level Civil Surgeon is designated as District Registrar (Births & Deaths) and District Health Officer as Additional District Registrar (Births & Deaths).
- At Periphery level in urban areas Secretary, MCl, MC and MOH in M. Corp. and in rural areas Incharge Medical Officer (PHC) is designated as Registrar Births & Deaths.
Medical Certification of Causes of Death SchemeMethodology:
Medical Certification of Causes of Death Scheme is an important tool of obtaining authentic and scientific information regarding causes of mortality. The scheme formulated by ORGI under the Registration of Births and Deaths Act, 1969. The scheme has been operational in all the hospitals of the State. The scheme was extended to all medical institutions including private and public functioning in urban areas, in 2006, notification was issued and the scheme was extended to cover medical institutions of rural area.
The necessary data is collected in the prescribed forms (Form 4 for Hospital deaths and Form 4A for Non-institutional deaths). Both these forms have been designed by World Health Organization (WHO). The forms are filled-up by the medical professionals attending to the deceased at the time of terminal illness. Thereafter, these forms are to be sent to the concerned Registrars of Births and Deaths for onward transmission to the Chief Registrar Office for tabulation as per the National List of Causes of Death based on Tenth Revision of International Classification of Disease (ICD-10). The States/UTs subsequently send it to the Office of RGI in the form of Statistical Table-9 for consolidation at the national level.
In order to take the scheme of MCCD forward in a systematic manner in the country, the Registrar General, India has been impressing upon all the States/UTs to bring all hospitals (whether public or private) and private medical practitioners under its coverage, both in rural as well as urban area.
For giving code to Causes of deaths CRS Software is being used in Haryana.
Training of Civil Registration FunctionariesTraining to Medical Officers:
- Directorate of Census Operations, Haryana facilitates Chief Registrar Births and Deaths to train Medical Officers of all districts as Master Trainers. These Master Trainers are imparting training to Doctors of PHC/CHC and Private Hospitals.
- Sixteen districts have conducted the training viz. Mewat, Fatehabad, jhajjar, Hisar, Faridabad, Kaithal, Panchkula, Rohtak , Sirsa, Ambala, Yamunanagar, Gurugram, Rewari, Sonipat, Panipat and Mahendragarh.
- Training to newly recruited Medical Officer is being facilitated by Directorate of Census Operations, Haryana in their induction training programme schedule. DGHS has requested to facilitate the same training to Staff Nurses in their induction training schedule.
- Intensive field inspection is being done by the officers/officials of the Directorate to improve the quality and coverage of the Civil Registration System in the state.