| Abstract: | The purpose of the study was to assess the practice and challenges of Vital
Registration and get feedback for the problem. The study employed both qualitative
and quantitative approach. The participants of the research consisted of Addis Ababa
City Administration Vital Registration employee and residents. In addition,
stakeholders which are working with the Vital Registration Agency such as Ministry of
Foreign Affairs, Justice bodies, Hospitals(Government and Private) were included in the
study. Hence, 224 employees of Vital Registration Agency and 487 residents were
participated. Both primary and secondary data were collected using structured
questionnaires, interviews, Focus Group Discussion and observation. Quantitative data
were analyzed by descriptive statistical tools such as frequency distribution and
percentage. Qualitative data were obtained through semi-structured interview, FGD,
and document reviews. The finding of this study also reveal that, existence of forged
certificate and manual recording system almost half percent indicate higher level. Fore
instance in Yekatit 12 Hospital they use manual recording system rather than the digital
one. This led to influence the activities. Other major finding was lack of coordination
work with institution not in efficient way. The major bottleneck were identified, forgery,
cultural taboos, manual system, coordination, affordability and budgeting are affect the
result getting from Vital Registration System. Therefore on these findings and
conclusions the study recommended that, the Agency should give the pertinent focus
to the supervision work on forgery, changing manual recording system into digital once,
affordability of fees by poor householders need a discussion with residents or reducing
fees, or make free the registration, coordination work with stakeholders, and the
government also allocate regular budget |
