Profile: Thabo Mofutsanyane

The Need for Political

Mobilization

Cradle to Grave Systems

Profile: Thabo Mofutsanyane

Why Political Mobilisation Politicians are public representatives Marshal enormous influence Have to account to the public on progress or failureAbraham Lincoln”Euclid’s first common notion is this”Things which are equal to the same thing are equal to each other. That’s a rule of Mathematical reasoning and it’s true because it works”

So make every life count

How Political Mobilisation: Let De

Gaulle say no Transition towards technocratic systems of governance Technocratic states are evidence driven systems Evidence should be seen to be delivered Profile evidence at local level De Gaulle”I respect only those who stand up to me, but I find such people intolerable”

Progress in Africa

Profile: Thabo MofutsanyaneProfile information at levels that count:

Thabo Mofutsanyane

Facts about the dead for the living

Profile: Thabo Mofutsanyane

Profile: Thabo Mofutsanyane Thabo Mofutsanyane

What do people from

Thabo Mofutsanyane

die of?

Profile: Thabo MofutsanyaneRegistered deaths

deaths occurred in the

Free State8%Total deaths 2010

543 856

Profile: Thabo MofutsanyaneRegistered deaths

deaths occurred in the

Free State8%

Deaths in Free Stateoccurred in the

Thabo Mofutsanyane

29%

Total deaths 2010

543 856

13 000 deaths

Profile: Thabo MofutsanyaneRegistered deaths Thabo Mofutsanyane

Thabo Mofutsanyane

13 006

100,0

Maluti-a-Phofung 6 273 48,2 Dihlabeng 2 572 19,8

Setsoto 2 078 16,0 Nketoana 769 5,9 Mantsopa 739 5,7

Phumelela 572 4,4

Profile: Thabo MofutsanyaneWhere deaths occur

Home (48%)

Hospital (37%)

Profile: Thabo MofutsanyaneWhere deaths occur

Home (48%)

Other(8%)

Hospital (37%)ER or Outpatient

(2%)

Dead on arrival(4%)

Nursing home (1%)

Profile: Thabo Mofutsanyane Thabo Mofutsanyane

The leading cause of death in the Free State in 2010 was

influenza and pneumonia

Profile: Thabo Mofutsanyane

0-14

Intestinal infectious diseases

24%

Influenza & Pneumonia

15%

Malnutrition 6%

Profile: Thabo Mofutsanyane

15-49Tuberculosis 16%

Influenza & Pneumonia

10%

4%Other viral diseases

9%Disorders of immune

mechanism 6%HIV disease

Profile: Thabo Mofutsanyane

50-64Influenza &

Pneumonia10%

11%

9%Heart disease6%Cerebrovascular6%Diabetes

Tuberculosis

Profile: Thabo Mofutsanyane

65+

Other forms of Heart disease

15%

12%

8%

8%Diabetes

Cerebrovascular

Influenza &

Pneumonia

Profile: Thabo Mofutsanyane10 leading causes of death

36% Other

6%

Non-natural causes

5%Disorders involving the immune mechanism

3%Diabetes

Hypertensive diseases 2% Total deaths 2010

13 000 12% Influenza and pneumonia

2%HIV disease

Other forms of heart disease

6%

5%Cerebrovascular diseases

10% Tuberculosis

9% Intestinal infectious diseases

Profile: Thabo MofutsanyaneNatural vs unnatural causes

92 Assault

6%

Non-natural causes803 deaths

196 transport accidents

94%Natural causes

Profile: Thabo MofutsanyaneAge pattern of mortality

High mortality – Thabo Mofutsanyane, FS

Low mortality – West Coast, WC

Profile: Thabo MofutsanyaneLeading causes of death

High mortality – Thabo Mofutsanyane, FS

Low mortality – West Coast, WC

Thabo Mofutsanyane No. %

1 Influenza and pneumonia (J09-J18) 1 560 12,0

2 Tuberculosis (A15-A19) 1 320 10,1

3 Intestinal infectious diseases (A00-A09) 1 131 8,7

4 Other forms of heart disease (I30-I52) 865 6,7

5 Certain disorders involving the immune mechanism (D80-D89) 666 5,1

6 Cerebrovascular diseases (I60-I69) 619 4,8

7 Diabetes mellitus (E10-E14) 425 3,3

8 Hypertensive diseases (I10-I15) 359 2,8

9 HIV disease (B20-B24) 305 2,3

10 Other acute lower respiratory infections (J20-J22) 305 2,3

  Other natural causes 4 648 35,7

  Non-natural causes 803 6,2

  All causes 13 006 100,0

West Coast No. %

1 Tuberculosis (A15-A19) 334 10,5

2 Ischaemic heart diseases (I20-I25) 226 7,1

3 Cerebrovascular diseases (I60-I69) 210 6,6

4 Diabetes mellitus (E10-E14) 192 6,0

5 Chronic lower respiratory diseases (J40-J47) 157 4,9

6 Malignant neoplasm of respiratory and intrathoracic organs (C30-39) 133 4,2

7 HIV disease (B20-B24) 128 4,0

8 Influenza and pneumonia (J09-J18) 122 3,8

9 Malignant neoplasm of digestive organs (C15-C26) 117 3,7

10 Other forms of heart disease (I30-I52) 106 3,3

  Other natural causes 1 110 35,0

  Non-natural causes 339 10,7

  All causes 3 174 100,0

Profile: Thabo Mofutsanyane

Africa Programme on Accelerated Improvement of Civil Registration and Vital Statistics System

Profile: Thabo MofutsanyaneStatus

• In the strict sense only two African countries can be considered as having complete CRVS systems – Mauritius and Seychelles

• In most countries, level of completeness is below 40 per cent

Profile: Thabo MofutsanyaneThe need for change: Key milestones!

• Regional policy and political leadership on CRVS established in 2010 – (First ministerial conference on CRVS)

• Regional policy framework on CRVS endorsed in 2012 – (APAI-CRVS)

• Regional focal point for CRVS established at the ECA • Pan-African Organizations took the lead in coordinating

the regional initiative (AUC, UNECA, AfDB)

Profile: Thabo MofutsanyaneThe need for change: Key milestones!

• Regional coordinating organ established:– CRVS Core Group: AUC, ECA, AfDB, UNICEF, UNFPA, UNHCR, WHO,

HMN– Secretariat established at ECA

• ASSD shifted its focus from census to CRVS since 2011

• Regional knowledge hub on CRVS to be established at the ECA – (2nd Ministerial conference endorsed a resolution)

• Embedding lifelong learning through Young African Statistician (YAS) programme

Profile: Thabo MofutsanyaneCRVS Architecture in Africa: Beneficiaries at the center

Improving CRVS FUNCTIONS

BENEFICIARIES

INDIVIDUALS AND COMMUNITIES- CHILDREN AND WOMEN- POPULATION GROUPS- MINORITIES - REFUGIES - DISPLACED PERSONS - ADULTS …

GOVERNMENT INSTITUTIONS - PARLIAMENTS, JUDICIAL

BODIES, …- SECTOR MINISTRIES AND

AGENCIES- LOCAL GOVERNMENTS AND

LOCALITIES

NON-GOVERNMENTS - NATIONAL, SUB-REGIONAL, REGIONAL AND INTERNATIONAL

Improving Organization, Management and Operations of CRVS

Improving Institutional and Human Infrastructure

Improving operations of public administration services

Improving operations of justice system administrations

Improving operations of national, regional and international human rights instruments

Improving operations of health, education, social security, …services

Improving CRVS SERVICES

Improving Legal Framework•Civil registration legislation•Vital statistics legislation

IMPROVING CRVS SYSTEMS IN AFRICA

Improving Service Delivery of CRVS

Improving operations of national statistics system

Profile: Thabo MofutsanyaneAPAI-CRVS, SHaSA and African Integration Agenda

AFRICAN INTEGRATION AGENDA AFRICAN INTEGRATION AGENDA

(Individual legal and

administrative records)

(Statistics including vital statistics from

CRVS Systems)

APAI-CRVSAPAI-CRVS SHaSASHaSA(Vital statistics

from CR Systems)

Profile: Thabo Mofutsanyane

African Union (African Integration

Agenda)

Africa Union Commission[Conference of

Ministers responsible for CR]

Africa Union Commission[Conference of

Ministers responsible for CR]

UNECA(Secretariat of APAI-CRVS)APAI-CRVS

(including Medium Term

Plan)

AfDB(Member of

CRVS Strategic &

Core Groups)

UNHQs

UN Agencies at HQs

DESA(UNSD, Regional Commissions, ..)

ESCAP

International Technical and

Financial Organizations

Regional CRVS Core Group (AUC, AfDB, UNFPA, UNICEF, UNHCR,, WHO, HMN, StatSA..)

African Member States (UN Country Offices, Local Donors NGOs, …)

Regional Coordination Mechanism in

Africa

Proposed CRVS Strategic Group

Regional EconomicCommunities

Governance Structure of CRVS in Africa

Profile: Thabo MofutsanyaneCRVS Monitoring and Accountability Framework

Ministerial LevelMonitoring and Accountability

Measures

Political and Policy Decisions

Regional LevelMonitoring and

Accountability Measures

Regional Programme Implementation

National LevelMonitoring and Accountability

Measures

National Plans and Programmes

Implementation

Profile: Thabo MofutsanyaneAPAI-CRVS Guiding Principles

• Promoting country ownership and leadership• Improving coordination between Civil

Registration and National Statistics Offices • Promoting systematic and coordinated approach • Promoting phased-based, holistic and integrated

approach • Establishing strong regional policy and advocacy

fora • Building capacities of national CR &VS focal

institutions • Promoting partnership at country and regional

levels

Profile: Thabo MofutsanyaneAPAI-CRVS Goal

To promote and support the

realization of the African

integration agenda

Profile: Thabo MofutsanyaneMoving into action!

• Three key Ministers declaration:

– Countries to urgently conduct comprehensive assessments and develop costed action plan with the support of the Secretariat and partner organizations

– Countries to establish high-level coordination mechanisms involving all relevant stakeholders

– African Ministers of Health to join the regional initiative view of the important role of the health sector in the delivery of civil registration services

Profile: Thabo MofutsanyaneNatural vs unnatural causes

6%

Non-natural causes803 deaths

Cause of death (based on ICD-10) No. %

Transport accidents (V01-V99) 196 24,4

Other external causes of accidental injury (W00-X59)

422 52,6

Intentional self-harm (X60-X84) 3 0,4

Assault (X85-Y09) 92 11,5

Event of undetermined intent (Y10-Y34) 79 9,8

Complications of medical and surgical care (Y40-Y84)

11 1,4

196 transport accidents

92 Assault

94%