“Vital Statistics System Launched to Strengthen Health and Civil Registration”

 By Daily News Reporter

Zambia has unveiled a groundbreaking initiative to strengthen its health and civil registration systems with the official launch of the Sample-Based Registration System with Vital Statistics (SRS-VS) Strategic Plan and Community Engagement materials at the Mulungushi International Conference Centre in Lusaka. 

The new system is designed to address a critical gap: nearly 48 percent of deaths occur outside health facilities and often go unrecorded. By linking community-level surveillance directly to the national civil registry, the SRS-VS aims to provide accurate, real-time cause-of-death data that can inform public health interventions and resource allocation. 

Zambia National Public Health Institute (ZNPHI) Director General Professor Roma Chilengi described the SRS-VS as a “strategic catalyst” for strengthening the country’s Civil Registration and Vital Statistics (CRVS) system, not a parallel initiative.

(ZNPHI DIRECTOR GENERAL PROF ROMA CHILENGI)

“The mandate of the Zambia National Public Health Institute is to safeguard public health security. To effectively protect the living, we must first understand why we are losing our loved ones,” Prof. Chilengi said. 

Under the system, Community Surveillance Assistants will identify deaths in communities, triggering Mortality Surveillance Officers to conduct Verbal Autopsies — structured, respectful interviews with families to determine probable biological and social causes of death. Verified data will then be integrated into the civil registry managed by the Ministry of Home Affairs and Internal Security. 

Prof. Chilengi stressed that the process hinges on community trust, noting that families must feel confident that the system is voluntary, confidential, and respectful. 

Speaking at the same Launch Ministry of Health Permanent Secretary Technical Services Dr Kennedy Lishimpi also added that the SRS-VS marks a shift from “snapshots to continuous precision in public health.” 

While Zambia’s 2022 Census and 2024 Demographic and Health Survey provided valuable insights — including reductions in maternal and under-five mortality — Dr Lishimpi noted they rely on retrospective data and cannot explain “precisely why those lives are being lost today.” 

“Through this system, Community Surveillance Assistants play a vital role in identifying pregnancies and deaths within communities, thereby linking households, particularly in remote areas, to the formal health system,” Dr. Lishimpi said.

He added that continuous data flow will improve resource allocation, promote early interventions such as antenatal care, and enhance early detection of public health threats.

Both Prof. Chilengi and Dr Lishimpi emphasized cross-ministry collaboration. The SRS-VS will provide the Ministry of Home Affairs and Internal Security with inclusive civil registry data, while equipping the Ministry of Health with evidence to design life-saving interventions.

Dr Lishimpi further added that “in the true spirit of the One Government approach,” underscoring the initiative is not a parallel system but an integrated effort to strengthen Zambia’s public health and civil registration frameworks. 

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