EVERY CHILD’S BIRTH RIGHT - UNICEF DATA

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EVERY CHILD’S BIRTH RIGHTInequities and trends in birth registrationContact:UNICEFData and Analytics SectionDivision of Policy and Strategy3 United Nations PlazaNew York, NY 10017, USATel: 1 (212) 326-7000Email: childinfo@unicef.org

Cover photo: Meluca Guimaraoes holds Natan (her second child), his newly issued birth certificateand his health card, at Puzuzu Primary School in Maganja da Costa District in Zambézia Province,Mozambique. Community birth registration activities are being held at the school. UNICEF supportsroutine and accelerated birth registration activities, including mobile outreach services and communitymobilization to raise awareness on the importance of registering children. UNICEF/NYHQ2007-2287/Roger LeMoyneEVERY CHILD’S BIRTH RIGHTInequities and trends in birth registration United Nations Children’s Fund (UNICEF), Data and Analytics Section, Division of Policy and Strategy,December 2013.Permission is required to reproduce any part of this publication. Permission will be freely granted toeducational or non-profit organizations.To request permission and for any other information on the publication, please contact:UNICEFData and Analytics SectionDivision of Policy and Strategy3 United Nations PlazaNew York, NY 10017, USATel: 1 (212) 326-7000Email: childinfo@unicef.orgAll reasonable precautions have been taken by UNICEF to verify the information contained in thispublication. For any data updates subsequent to printing, please visit www.childinfo.org .Suggested citation: United Nations Children’s Fund, Every Child’s Birth Right: Inequities and trends in birthregistration, UNICEF, New York, 2013.

Cover photo: Meluca Guimaraoes holds Natan (her second child), his newly issued birth certificateand his health card, at Puzuzu Primary School in Maganja da Costa District in Zambézia Province,Mozambique. Community birth registration activities are being held at the school. UNICEF supportsroutine and accelerated birth registration activities, including mobile outreach services and communitymobilization to raise awareness on the importance of registering children. UNICEF/NYHQ2007-2287/Roger LeMoyneEVERY CHILD’S BIRTH RIGHTInequities and trends in birth registration United Nations Children’s Fund (UNICEF), Data and Analytics Section, Division of Policy and Strategy,December 2013.Permission is required to reproduce any part of this publication. Permission will be freely granted toeducational or non-profit organizations.To request permission and for any other information on the publication, please contact:UNICEFData and Analytics SectionDivision of Policy and Strategy3 United Nations PlazaNew York, NY 10017, USATel: 1 (212) 326-7000Email: childinfo@unicef.orgAll reasonable precautions have been taken by UNICEF to verify the information contained in thispublication. For any data updates subsequent to printing, please visit www.childinfo.org .Suggested citation: United Nations Children’s Fund, Every Child’s Birth Right: Inequities and trends in birthregistration, UNICEF, New York, 2013.

AcknowledgementsThis report was produced at UNICEF headquarters by the Data(UNICEF Lao PDR), Abir Abi Khalil (UNICEF Lebanon), Milenand Analytics Section (formerly the Statistics and MonitoringKidane (UNICEF Regional Office for Eastern and SouthernSection), Division of Policy and Strategy. The report wasAfrica), Rinko Kinoshita (UNICEF Nicaragua), Guillaume Kobehi-prepared by Claudia Cappa, under the direction of TessaToutou (UNICEF Côte d’Ivoire), George Laryea-Adjei (UNICEFWardlaw. Ivana Bjelic and Yadigar Coskun provided supportSouth Africa), Jean Lieby (UNICEF Senegal), Daniela Lucianiwith data processing and tabulations. Colleen Murray and(UNICEF Senegal), Birgithe Lund-Henriksen (UNICEF Tanzania),Nicole Petrowski facilitated the preparation of the statisticalAnthony MacDonald (UNICEF Lebanon), Amanda Martintable and figures, participated in the review and helped fact-(UNICEF Peru), Ana Cristina Matos (UNICEF Brazil), Mariiacheck the document. Nicole Petrowski also assisted in theMatsepa (UNICEF Ukraine), Cecilie Modvar (UNICEF Regionalreport’s production.Office for Latin America and the Caribbean), InnocentKasongo Mofya (UNICEF Zambia), Soraya Abu MonassarValuable ideas and inputs were provided by Settasak(UNICEF Yemen), Mwajuma Kitoi Msangi (UNICEF Tanzania),Akanimart (UNICEF Bangladesh), Gbemisola Akinboyo (UNICEFSudha Murali (UNICEF Uganda), Kerry Neal (Child ProtectionEritrea), Serge Akpaka (UNICEF Benin), Hanadi Alrajab (UNICEFSection, UNICEF headquarters), Christopher Ngwerume (UNICEFOman), Izdihar AlSuleimany (UNICEF Oman), Sayo Aoki (UNICEFLiberia), Blandine Moundzengou Ondzaghe (UNICEF Gabon,Dominican Republic), Elena Atanassova (UNICEF Bulgaria),Sao Tome and Principe, Equatorial Guinea), Andrés OsorioLaetitia Bazzi-Veil (UNICEF Côte d’Ivoire), Hawi Bedasa (UNICEF(UNICEF Paraguay), Rose Anne Papavero (UNICEF Bangladesh),Tanzania), Patrizia Benvenuti (UNICEF South Africa), ChrisMicaela Pasini (UNICEF Yemen), Silvia Pasti (UNICEF Uganda),Braeuel (VSO Tanzania), Andrew Brooks (UNICEF RegionalVirginia Perez (UNICEF Nepal), Nadine Perrault (UNICEFOffice for West and Central Africa), Laurent Chapuis (UNICEFRegional Office for Latin America and the Caribbean), SilviaRegional Office for Middle East and North Africa), TatjanaPlacid (UNICEF Oman), Vijaya Ratnam Raman (UNICEF VietColin (UNICEF Liberia), Paula Monina G. Collado (NationalNam), Paula Ramirez-Espana (UNICEF Mexico), Ana MariaStatistics Office of the Philippines), Edina Culolo-KozmaRestrepo (UNICEF Argentina), Jucilene Rocha (UNICEF Brazil),(UNICEF Angola), Matthew Dalling (UNICEF Sierra Leone),Marijana Salinovic (UNICEF Croatia), Ana Lucia Silva (UNICEFAsefa Tolessa Dano (UNICEF Papua New Guinea), Christina deNicaragua), Diane Swales (UNICEF Regional Office for East AsiaBruin (UNICEF Côte d’Ivoire), Meryem Demirci (United Nationsand the Pacific), Nguyen Thi Thanh Huong (UNICEF Viet Nam),Statistics Division), Thakur Dhakal (UNICEF Nepal), Kirsten DiCecilia Torres (UNICEF Venezuela), Fatma Uluc (UNICEF Turkey),Martino (UNICEF Lao PDR), Astrid Gonzaga Dionisio (UNICEFLucia Vernazza (UNICEF Uruguay), Sebastian Waisgrais (UNICEFIndonesia), Zodwa Dlamini-Mthethwa (UNICEF South Africa),Argentina), Brian Wall (UNICEF Yemen), Dorji Wangdi (UNICEFValentina Dogonova (UNICEF Belarus), Jose Ramon EspinozaBhutan), Augustine Wassago (UNICEF Uganda), Cornelius(UNICEF Nicaragua), Pilar Gonzalez (UNICEF Uzbekistan),Williams (UNICEF Regional Office for Eastern and SouthernAaron Greenberg (UNICEF Myanmar), Kendra Gregson (ChildAfrica), Fang Yan (UNICEF China) and Danzhen You (Data andProtection Section, UNICEF headquarters), Attila HancıoğluAnalytics Section, UNICEF headquarters).(Data and Analytics Section, UNICEF headquarters), RachelHarvey (UNICEF Tanzania), Petra Hoelscher (UNICEF Namibia),The report was edited by Lois Jensen, copy-edited byGordana Horvat (UNICEF Croatia), Lara Hussein (UNICEF GulfPamela Knight, and designed by Big Yellow Taxi, Inc.Area), Salifu Jarsey (UNICEF Gambia), Charles-Martin Jjuuko(UNICEF Uganda), Catherine Jones (UNICEF Lebanon), YvesOlivier Kassoka (UNICEF Senegal), Khamhoung KeovilayContents010203040506A passport to protection06Counting every child09Where we stand today14The children left behind22Progress and prospects30Key findings and implications for programming36References39Statistical table40

AcknowledgementsThis report was produced at UNICEF headquarters by the Data(UNICEF Lao PDR), Abir Abi Khalil (UNICEF Lebanon), Milenand Analytics Section (formerly the Statistics and MonitoringKidane (UNICEF Regional Office for Eastern and SouthernSection), Division of Policy and Strategy. The report wasAfrica), Rinko Kinoshita (UNICEF Nicaragua), Guillaume Kobehi-prepared by Claudia Cappa, under the direction of TessaToutou (UNICEF Côte d’Ivoire), George Laryea-Adjei (UNICEFWardlaw. Ivana Bjelic and Yadigar Coskun provided supportSouth Africa), Jean Lieby (UNICEF Senegal), Daniela Lucianiwith data processing and tabulations. Colleen Murray and(UNICEF Senegal), Birgithe Lund-Henriksen (UNICEF Tanzania),Nicole Petrowski facilitated the preparation of the statisticalAnthony MacDonald (UNICEF Lebanon), Amanda Martintable and figures, participated in the review and helped fact-(UNICEF Peru), Ana Cristina Matos (UNICEF Brazil), Mariiacheck the document. Nicole Petrowski also assisted in theMatsepa (UNICEF Ukraine), Cecilie Modvar (UNICEF Regionalreport’s production.Office for Latin America and the Caribbean), InnocentKasongo Mofya (UNICEF Zambia), Soraya Abu MonassarValuable ideas and inputs were provided by Settasak(UNICEF Yemen), Mwajuma Kitoi Msangi (UNICEF Tanzania),Akanimart (UNICEF Bangladesh), Gbemisola Akinboyo (UNICEFSudha Murali (UNICEF Uganda), Kerry Neal (Child ProtectionEritrea), Serge Akpaka (UNICEF Benin), Hanadi Alrajab (UNICEFSection, UNICEF headquarters), Christopher Ngwerume (UNICEFOman), Izdihar AlSuleimany (UNICEF Oman), Sayo Aoki (UNICEFLiberia), Blandine Moundzengou Ondzaghe (UNICEF Gabon,Dominican Republic), Elena Atanassova (UNICEF Bulgaria),Sao Tome and Principe, Equatorial Guinea), Andrés OsorioLaetitia Bazzi-Veil (UNICEF Côte d’Ivoire), Hawi Bedasa (UNICEF(UNICEF Paraguay), Rose Anne Papavero (UNICEF Bangladesh),Tanzania), Patrizia Benvenuti (UNICEF South Africa), ChrisMicaela Pasini (UNICEF Yemen), Silvia Pasti (UNICEF Uganda),Braeuel (VSO Tanzania), Andrew Brooks (UNICEF RegionalVirginia Perez (UNICEF Nepal), Nadine Perrault (UNICEFOffice for West and Central Africa), Laurent Chapuis (UNICEFRegional Office for Latin America and the Caribbean), SilviaRegional Office for Middle East and North Africa), TatjanaPlacid (UNICEF Oman), Vijaya Ratnam Raman (UNICEF VietColin (UNICEF Liberia), Paula Monina G. Collado (NationalNam), Paula Ramirez-Espana (UNICEF Mexico), Ana MariaStatistics Office of the Philippines), Edina Culolo-KozmaRestrepo (UNICEF Argentina), Jucilene Rocha (UNICEF Brazil),(UNICEF Angola), Matthew Dalling (UNICEF Sierra Leone),Marijana Salinovic (UNICEF Croatia), Ana Lucia Silva (UNICEFAsefa Tolessa Dano (UNICEF Papua New Guinea), Christina deNicaragua), Diane Swales (UNICEF Regional Office for East AsiaBruin (UNICEF Côte d’Ivoire), Meryem Demirci (United Nationsand the Pacific), Nguyen Thi Thanh Huong (UNICEF Viet Nam),Statistics Division), Thakur Dhakal (UNICEF Nepal), Kirsten DiCecilia Torres (UNICEF Venezuela), Fatma Uluc (UNICEF Turkey),Martino (UNICEF Lao PDR), Astrid Gonzaga Dionisio (UNICEFLucia Vernazza (UNICEF Uruguay), Sebastian Waisgrais (UNICEFIndonesia), Zodwa Dlamini-Mthethwa (UNICEF South Africa),Argentina), Brian Wall (UNICEF Yemen), Dorji Wangdi (UNICEFValentina Dogonova (UNICEF Belarus), Jose Ramon EspinozaBhutan), Augustine Wassago (UNICEF Uganda), Cornelius(UNICEF Nicaragua), Pilar Gonzalez (UNICEF Uzbekistan),Williams (UNICEF Regional Office for Eastern and SouthernAaron Greenberg (UNICEF Myanmar), Kendra Gregson (ChildAfrica), Fang Yan (UNICEF China) and Danzhen You (Data andProtection Section, UNICEF headquarters), Attila HancıoğluAnalytics Section, UNICEF headquarters).(Data and Analytics Section, UNICEF headquarters), RachelHarvey (UNICEF Tanzania), Petra Hoelscher (UNICEF Namibia),The report was edited by Lois Jensen, copy-edited byGordana Horvat (UNICEF Croatia), Lara Hussein (UNICEF GulfPamela Knight, and designed by Big Yellow Taxi, Inc.Area), Salifu Jarsey (UNICEF Gambia), Charles-Martin Jjuuko(UNICEF Uganda), Catherine Jones (UNICEF Lebanon), YvesOlivier Kassoka (UNICEF Senegal), Khamhoung KeovilayContents010203040506A passport to protection06Counting every child09Where we stand today14The children left behind22Progress and prospects30Key findings and implications for programming36References39Statistical table40

Birth registration is theCONTINUOUS, PERMANENTand UNIVERSAL recording,within the civil registry,of the occurrence andcharacteristics of birthsin accordance with thelegal requirements ofa country.A birth certificate is a vital recordthat documents the birth of a child.In some cases, the issuance of abirth certificate automaticallyfollows birth registration, althoughin others a separate applicationmust be made.DECLARATIONOF BIRTH BYINFORMANTREGISTRATIONOF BIRTHBY CIVILREGISTRARISSUANCEOF BIRTHCERTIFICATEBY CIVILREGISTRAR UNICEF/NYHQ2011-2487/AsselinNOTIFICATIONOF BIRTH(BY HOSPITAL,MIDWIFE,VILLAGE CHIEF)The notification of a birth is made by an individual or institution to theregistrar of vital events in a country. The notification role is usually playedby health institutions and birth attendants, and in a limited number of casesby a local government official, such as a village chief. The notification reporthas no value other than as a control, and it cannot be turned into a legalregistration record.Sources: United Nations Department of Economic and Social Affairs, Principles andRecommendations for a Vital Statistics System Revision 2, Series M/19/Rev.2, StatisticsDivision, United Nations, New York, 2001; United Nations Children’s Fund, A Passport toProtection: A guide to birth registration programming, UNICEF, New York, 2013.

Birth registration is theCONTINUOUS, PERMANENTand UNIVERSAL recording,within the civil registry,of the occurrence andcharacteristics of birthsin accordance with thelegal requirements ofa country.A birth certificate is a vital recordthat documents the birth of a child.In some cases, the issuance of abirth certificate automaticallyfollows birth registration, althoughin others a separate applicationmust be made.DECLARATIONOF BIRTH BYINFORMANTREGISTRATIONOF BIRTHBY CIVILREGISTRARISSUANCEOF BIRTHCERTIFICATEBY CIVILREGISTRAR UNICEF/NYHQ2011-2487/AsselinNOTIFICATIONOF BIRTH(BY HOSPITAL,MIDWIFE,VILLAGE CHIEF)The notification of a birth is made by an individual or institution to theregistrar of vital events in a country. The notification role is usually playedby health institutions and birth attendants, and in a limited number of casesby a local government official, such as a village chief. The notification reporthas no value other than as a control, and it cannot be turned into a legalregistration record.Sources: United Nations Department of Economic and Social Affairs, Principles andRecommendations for a Vital Statistics System Revision 2, Series M/19/Rev.2, StatisticsDivision, United Nations, New York, 2001; United Nations Children’s Fund, A Passport toProtection: A guide to birth registration programming, UNICEF, New York, 2013.

fundamental right in itself but also a key to ensuringthe fulfilment of other rights.Most countries have mechanisms in place for registering births. However, coverage, type of informationobtained and the use of resulting data can differ,based on a country’s infrastructure, administrativecapacity, availability of funds, access to the population and technology for data management. Rates ofregistration vary substantially among countries, dueto these and other factors. At the same time, international concern about identity and security issuesis mounting, bringing new opportunities to addressthe situation.Efforts by UNICEF and governmental and non-governmental partners to improve rates of birth registrationseek to reinforce government resolve – within a particular legal framework – to register the birth of children ina timely fashion. However, sound national policies andthe commitment of government agencies are oftennot enough. Whether parents register the birth of theirchild(ren) depends on their awareness of the processand its importance, their ability to access civil registrarservices, and their willingness to interface with Stateauthorities. In some countries, if the registry is not secure and confidential, registration may expose a childto unnecessary risks since personal information maybe misused, including for discriminatory purposes.01. A passport to protection UNICEF/ZAMA2011-0045/NesbittAname and nationality is every child’s right,enshrined in the Convention on the Rightsof the Child and other international treaties.Nevertheless, the births of nearly 230 million children under the age of five have never beenregistered. This lack of formal recognition by theState usually means that a child is unable to obtaina birth certificate. As a result, he or she may be denied health care or education. Later in life, the lackof official identification documents can mean thata child may enter into marriage or the labour market, or be conscripted into the armed forces, beforethe legal age. If accused of a crime, unregisteredchildren may be prosecuted as adults, due to theirinability to prove their age. In adulthood, birth certificates may be required to obtain social assistanceor a job in the formal sector, to buy or prove the rightto inherit property, to vote and to obtain a passport.Registering children at birth is the first step in securing6their recognition before the law, safeguarding theirrights, and ensuring that any violation of these rightsdoes not go unnoticed.1Birth registration also serves a statistical purpose.2Universal birth registration is an essential part of asystem of vital statistics, which tracks the major milestones in a person’s life – from birth to marriage anddeath. Such data are essential for planning and implementing development policies and programmes,particularly in health, education, housing, water andsanitation, employment, agriculture and industrialproduction. In 2002, the General Assembly resolution ‘A World Fit for Children’ reaffirmed governments’commitment to ensure the registration of all childrenat birth and to invest in, care for, educate and protectthem from harm and exploitation. To achieve thesegoals, governments must have accurate data fromwhich they can plan. Birth registration is not only aestimates (at both the global and regional levels) onbirth registration. The report draws information frommore than 300 data sources over a 20-year period. Itexamines inequities in prevalence according to social, economic, demographic and other characteristics and also highlights trends over time, within andacross countries. The findings are intended to informthe development of policies and programmes thatadvance birth registration worldwide, ensuring thatthe birth of every child is on record.“The child shall be registered immediately after birthand shall have the right from birth to a name, the right toacquire a nationality and, as far as possible, the right toknow and be cared for by his or her parents.”— Article 7 (1) of theConvention on the Rights of the ChildSome countries impose late fees, fines or judicial procedures for late registration. While this may encourage some parents to register their children on time,it can also impose an unfair burden on families thatfind it difficult to register, such as those living in isolated areas poorly served by government servicesor who cannot afford the cost of registration. Thesepenalties result in double discrimination against thefamily. Some families may not register their childrenuntil it is convenient to access a registration office ormay wait until it is necessary for their children to haveformal identification, for example, prior to attendingschool or receiving social services. In other cases,cultural factors may be at play, including amongfamilies whose custom dictates that children shouldnot be named for a period of time after birth.This publication presents the latest available dataon the extent of unregistered children and assessesprogress to date in increasing birth registration ratesworldwide. It updates and expands on a 2005 UNICEFreport called The ‘Rights’ Start to Life: A statisticalanalysis of birth registration, which used data from64 countries to provide a global assessment of theissue.3 The current publication spans 161 countriesand presents the latest available country data and UNICEF/UGDA2009-00230/Lydia Sekandi7

fundamental right in itself but also a key to ensuringthe fulfilment of other rights.Most countr

Kidane (UNICEF Regional Office for Eastern and Southern Africa), Rinko Kinoshita (UNICEF Nicaragua), Guillaume Kobehi-Toutou (UNICEF Côte d’Ivoire), George Laryea-Adjei (UNICEF South Africa), Jean Lieby (UNICEF Senegal), Daniela Luciani (UNICEF Senegal), Birgithe Lund-Henriksen (UNICEF Tanzania),

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Independent Personal Pronouns Personal Pronouns in Hebrew Person, Gender, Number Singular Person, Gender, Number Plural 3ms (he, it) א ִוה 3mp (they) Sֵה ,הַָּ֫ ֵה 3fs (she, it) א O ה 3fp (they) Uֵה , הַָּ֫ ֵה 2ms (you) הָּ תַא2mp (you all) Sֶּ תַא 2fs (you) ְ תַא 2fp (you