Abstract
BackgroundThe global coverage rate of birth registration is only around 65% for the population of children under five although birth registration secures protection and access to health services that are fundamental rights for all babies. This study aimed to perform a basic analysis of the accessibility to birth registration to better understand how to improve the birth registration system in the Lao PDR.MethodsFor the analysis of birth registration and related socioeconomic factors, 9576 mother-child pairs were chosen from the data set of The Lao Social Indicator Survey 2011–12. After bivariate analysis with statistical tests including the chi-square test were conducted, logistic regression was performed to determine the variables that statistically influence accessibility to birth registration.ResultsEthno-geographic factors and place of delivery were observed to be the factors associated with birth registration in this analysis.ConclusionMany mothers in the Lao PDR deliver in their local communities. Therefore, capacity development of various human resources, such as Skilled Birth Attendant, to support the local administrative procedure of birth registration in their communities could be one option to overcoming the bottlenecks in the birth registration process in the Lao PDR.
Highlights
For the analysis of birth registration and related socioeconomic factors, 9576 mother-child pairs were chosen from the data set of The Lao Social Indicator Survey 2011–12
Ethno-geographic factors and place of delivery were observed to be the factors associated with birth registration in this analysis
We illustrated the geographical distribution of birth registration, and we examined variables related to the outcomes of birth registration
Summary
230 million children have never been officially registered according to a 2013 UNICEF report [2]. Political stance, law, human rights and economic, cultural, gender, geographical and domestic security issues are cited as possible bottlenecks in birth registration [3, 4]. The registration of births is fundamental to ensure civil and political rights including those of enrollment of children in school at the appropriate age and their right of access to appropriate healthcare [7]. The legal acknowledgement of a child’s existence protects the child from various deprivations such as child trafficking, under-age participation in the military and forced marriage [5, 8]
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