Table of contents
Glossary of terms
Background: the role of the GPF and IATT in civil registration 3.
The research study
Need for research on birth registration in the context of HIV 3.2
Limitations of the study
Birth registration in Africa
National Plans of Action on Orphans and Vulnerable Children
Regional conferences on birth registration
The status of birth registration and HIV and AIDS in sub-Saharan Africa 6.
The impacts of HIV and AIDS on birth registration systems
Analysis of literature and internal documents
Impacts of lack of birth registration on children affected by AIDS. 7.1
Movement of children across borders
Annex 1: Birth registration in the context of HIV and AIDS questionnaire Annex 2: Relevant international and regional legal provisions, policies and plans of action on birth registration in Africa
Box 1 Countries covered in the study, by region
Fig. 1 HIV prevalence rates and birth registration rates in sub-Saharan Africa Fig. 2 Birth registration rates, according to HIV in sub – Saharan Africa. Fig. 3 Birth registration rates, according to high HIV prevalence rates in sub – Saharan Africa
Fig 4. Orphan school attendance ratio, HIV prevalence rate, and birth registration rates.
This report would not have been made possible without the support and important contributions from the IATT working group on civil registration. In particular, we would like to thank Dr. Simon Heap and Nankali Maksud for their guidance and invaluable inputs in coordinating and sharing resources and internal documents. A special thank you is extended to the respondents of the questionnaire, whose comments, inputs, and personal experiences assisted in unveiling the complex issues surrounding birth registration in the context of HIV and AIDS. Thank you to Dr. Getrude Chanda, Kirk Felsman, Patricia Fernandes, Dr. Simon Heap, Lucy Hillier, Chikwe Mbweeda, Mariana Muzzi, Stanley Ngalazu-Phiri, Chibeta K. Nkwemu, Penina Ochola, Ian Plaskett, Boipelo Seitlhamo Celiwe Seyama, Ann Skelton, Hellen Tombo, Florenica Damião Tomo, Jackson Thoya, and Kimaru Wakaruru.
Thanks are also due to Hye-Young Lim for her analyses on the National Plans of Action on Orphans and Vulnerable Children, and to Mary Crewe for taking time out of their hectic schedules to discuss and reflect on our research findings, and to edit the report. Finally, we would like to express our gratitude to PEPFAR, Plan International, UNICEF, and World Vision who gave us the opportunity to conduct the research through their financial support.
Isabel de Bruin – Cardoso and Ruth Mampane
Centre for the Study of AIDS
University of Pretoria
ii. Executive summary
Civil registration is of utmost importance for both states and individuals affected by HIV and AIDS. In the context of HIV and AIDS, civil registration systems allow states to monitor their population, enabling effective policies to be formulated and implemented, protecting and fulfilling the rights of people living with HIV and communities affected by the pandemic. Simultaneously, civil registration acts as a source of protection for individuals, as such systems provide legal documentation establishing an individual’s identity, nationality, and kinship, which are necessary proof for securing property rights, and accessing basic services such as health care and education. While civil registration establishes and provides documentation of births, foetal deaths, marriages, divorce and deaths, in the context of HIV...
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