FOR OFFICE USE ONLY

HEALTH & FAMILY WELFARE DEPARTMENT

HIMACHAL PRADESH

ANNUAL REPORT

ON THE WORKING OF THE REGISTRATION

OF BIRTH & DEATH ACT, 1969 FOR THE YEAR 2016

OFFICE OF THE CHIEF REGISTRAR (BIRTH & DEATH)

&

DIRECTOR OF HEALTH SERVICES, HIMACHAL PRADESH

SWASTHYA BHAWAN, KASUMPTI, SHIMLA – 171009

PREFACE Vital records are the records of events recorded as part of a Civil Registration System, such as

live births, deaths, foetal deaths, marriages, divorces and other related occurrences, like

adoptions and legitimations. The records generated as per the requirements of the civil

registration process have two main uses. Firstly, it has importance as legal records,

documenting the facts surrounding each registered vital event. Each vital record has an

intrinsic importance of its own. Secondly, the records may be aggregated to form a body of

vital statistics which collectively convey important information about the persons described

in the statistics in summary form.

For individuals, civil registration records of birth - provide legal proof of identity and civil

status, including name, age, parentage, place of birth and nationality. These records in turn

affect a wide variety of rights to which an individual may be entitled especially rights

dependent on age, citizenship, or ancestry for inheritance purpose. Death records provide

legal evidence relevant to claims to inheritance of property, insurance claims, obtaining a

probate or succession, releasing gratuity, provident fund claims and deleting name from

ration card, voters list, family registers etc.

Records documenting individual vital event serve many administrative purposes. Births

records facilitate public health activities, such as post-natal care of mothers and infants,

infant & child immunization and infant feeding programmes. Death records are also used to

identify specific infectious diseases requiring public health follow-up. Such data helps in

assessing the effectiveness of public health programme and provide feedback to planners for

making future policy. Further, cause specific mortality rates are key indicators of health

trends in the population and are provided on scientific basis by the systems of certification of

cause of death.

(i)

There are a number of scientific uses for individual vital records. These may be used to

provide documented data, such as birth weight or gestational age, for longitudinal studies of

cohorts of infants, or may provide cases of persons dying of specific diseases for retrospective

investigations into health habits prior to death.

The aggregation of information taken from individual civil registration documents produce a

body of summary data or vital statistics. The statistics are used in- many ways to depict

selected characteristics of the population from which they were derived. The data are

essential for measuring levels and trends of population size, structure and geographic

distribution. In combination with periodic census data, population projections based on

these statistics are an essential component of the planning process for economic and social

development.

Trends in mortality by age, sex and cause of death are key indicators of health and disease in

a population. Information about the relative impact of specific disease on mortality can serve

to direct priorities for the prevention, treatment or research for those conditions. Data about

live births, foetal deaths and infant deaths are essential for programme for prenatal and post-

natal care of women, and for infant survival and growth.

Vital statistics are also used for administrative planning in other areas, such as housing,

education, social security and insurance. Planning for production of consumer goods and

services often takes vital statistics data into consideration.

Vital statistics are important at the international level for providing tools for evaluation of

differences between countries and regions of the world, and for monitoring changes in many

demographic characteristics that reflect changes in social, economic and political conditions.

(ii)

With strenuous efforts of the Health & Family Welfare Department and cooperation of sister

departments viz. Rural Integrated & Panchayati Raj, Urban development & Women and Child

Development Department it has been made possible to achieve considerable online

registration level of vital events for the year 2016 in the State which is mentioned below:-

REGISTRATION OF BIRTHS DURING 2016

1. Est. mid-year Population of State of 2016 7342676 2. Birth Rate (SRS 2016) 16.0 3. Expected Births as per (SRS 2016 Birth Rate) 117482 4. Births Registered with registrars 101595 5. Registration level 87% 6. Birth Rate as per registered births under CRS 13.8

REGISTRATION OF DEATHS DURING 2016

1. Death Rate (SRS 2016) 6.8 2. Expected Deaths as per (SRS 2016 Death Rate) 49930 3. Deaths Registered with registrars 35819 4. Registration level 72% 5. Death Rate as per registered deaths under CRS 4.9

SEX RATIO AT BIRTH

1. Total Males Live-births Registered for the year 2016 53167 2. Total Females Live births Registered for the year 2016 48405 3. Sex Ratio (at birth) 2016 910

Vital records which are legal documents are indispensable for individuals are preserved

permanently. It can be presented to others for a wide variety of use as proof of age, for school

entry purpose, proof of place of birth for passport and other benefits etc.

(Dr. Baldev Thakur)

Chief Registrar (Births & Deaths) & Director of Health Services

Himachal Pradesh

(iii)

ANNUAL REPORT

ON THE WORKING OF THE REGISTRATION OF

BIRTH AND DEATH ACT, 1969, FOR THE YEAR 2016

A civil registration and vital statistics system serves many needs. The registration of vital

events, namely the recording of the facts associated with live Birth, Death, fetal death,

marriages, divorces and related occurrences, is important enough to justify governmental

requirement for a mandatory system.

Collectively, the vital statistics derived from the aggregation of individual records provides

the tools for the demographic analysis needed for economic and social planning and

development, including rates, trends of population growth and distribution.

There has been in recent years an increasing interest in adding more items to the civil

registration documents are no longer seen as simple addition, health-related items are

commonly added to birth records or to additional statistical reports completed in conjunction

with the birth record. Such health-related items typically include measures of birth weight,

gestational age, age of parents congenital malformations noted at birth etc. Similarly, in

collecting death for an individual; administration, countries wish to know not only the

diseases or injury causing the death but also health hazards or lifestyle, such as smoking or

obesity, which may have caused or contributed to the cause of death.

To develop alternative, collection system to provide needed information in such topics as

fertility, infant mortality, overall mortality, life expectancy and the impact of specific acute or

chronic diseases, certain data of a personal nature is the basic requirements of civil

registration have been included in registration format.

Civil Registration provides high quality information on Birth & Death. This information is

used extensively for monitoring the size and composition of the population and in making

projections of the health and circumstances of people’s lives. It enables a picture of the

changing patterns and trends at local and national level.

All the Vital events are registered with the Local Registrars (Birth and Death) free of cost and

a certificate is also issued free of cost under section 12 of the RBD Act, 1969. It is the primary

duty of the head of the house-hold/Incharge of the hospital/institution to get the vital event

registered. Keeping in view the difficult terrain, topography, geographical conditions of the

state all the SMOs I/C of Govt. Hospitals, Panchayat Secretaries/Sahayak of the Gram

Panchayats have been notified as the Local Registrar in the rural areas so that people can

easily get the vital events registered.

AREA & ADMINISTRATION DIVISIONS

The area of the State is 55673 Sq Km with estimated population (Mid -2016) to be 7342676.

The State is divided into 3 Divisions, 12 districts, 53 Sub-Divisions, 78 blocks, 59 Urban

Registration Centers and 3226 Gram Panchayats having 17882 inhabited Villages.

The registration of Birth was first introduced in the Central Province followed by Punjab,

Bihar, and Orissa. The Birth, Death and Marriages registration act (1886) was enacted during

the British period but it was not mandatory to get vital events registered. Registration of Birth

is the State’s first acknowledgement of a child’s existence and his identity, also significant for

individual as well as for the nation. In the absence of a sound registration system, it is difficult

to assess the number of persons living in a country and so the concerned authorities may have

no idea about the basic requirements of the new-born. An effective system of Birth

registration is fundamental not only to the meet the child’s rights but also for the functioning

of Government and implementation of the National Health Programmes and other social

welfare activities. The Registration of Birth and Death Act, 1969 was introduced to:

a) Bring uniformity in the existing system of registration, the act was enforced

in the state in April, 1978.

b) All the vital events are to be registered within 21 days of its occurrence.

c) The vital events are to be registered only at the place of occurrence.

d) All the Govt. Hospital is responsible to register all the vital events on Online

CRS portal, occurred within their premises.

e) Head of house hold/private institutions where the vital event has taken place

will be responsible for the registration of vital event with the concerned local

registrar.

REGISTRATION AREA

Presently, there are 3226 rural registration units, 59 urban registration units and newly

established Govt. Health Institutions as Registration Units within their premises (District

Hospitals 12, Teaching Hospitals 3, and Civil Hospitals 59, Community Health Center 79,

Primary Health Center 518). The entire State has been covered under Registration of Birth &

Death Act, 1969 – as well as Revised HP Registration of Birth & Death Rules, 2003.

POPULATION PROFILE

The State has a population of 68,64,602 (2011 census), density of population is 123 persons

per Sq. Km. The highest density 407 is in Hamirpur district and the lowest 2 in district Lahaul

& Spiti district.

The Decennial Growth Rate between 2001-2011 was +12.94% as compared to National

figures of 17.69% for the same period. District Una has recorded highest growth rate

followed by Solan, Sirmaur & Kullu. The growth has been lower than the State average in the

remaining districts. The population of the state constitutes 0.57% of the India’s population.

DEMOGRAPHIC TRENDS IN HIMACHAL PRADESH

(1901-2011 Census)

Census year Population Growth rate Sex-ratio Density

1901 1,920,294 (0.81) - 885 35

1911 1,896,944 (0.75) -1.22 904 34

1921 1,928,206 (0.77) 1.65 901 35

1931 2,029,113 (0.73) 5.25 905 37

1941 2,263,245 (0.71) 11.54 897 41

1951 2,385,981 (0.66) 5.42 915 43

1961 2,812,463 (0.64) 17.87 923 51

1971 3,460,434 (0.63) 23.04 958 62

1981 4,280,818 (0.62) 23.71 973 77

1991 5,170,877 (0.61) 20.79 976 93

2001 6,077,900 (0.59) 17.54 968 109

2011 6,8,64,602 (0.57) 12.94 972 123

The information in the brackets is the percentage population of Himachal Pradesh vis-à-vis

India.

RURAL URBAN DISTRIBUTION

The majority of population is rural (90%).

TRIBAL POPULATION Himachal Pradesh has a large area under tribal belt, which covers two districts of Lahaul &

Spiti and Kinnaur also Bharmaur and Pangi Development Blocks of Chamba district.

Geographically, about half of the area of the State is covered under tribal belt. The Tribal of

the State is 3.92 Lakhs which is 5.71 percent of the total population of the State as per 2011

census.

SEX RATIO

The sex ratio is 972 females per 1000 males, as per 2011(Census). The Sex ratio at Birth is

closely monitored which is given below:

Items Rural Sex

Ratio Urban Sex

Ratio State Total

Sex Ratio

Male Female Total Rural Male Female Total Urban Male Female Total @ 2016

Birth 23678 21357 45035 902 29489 27048 56537 917 53167 48405 101572 910

REGISTRATION HIERRARCHY

The Registration of Birth and Death Act, 1969 was implemented in Himachal Pradesh 1st

April, 1978 to get all the events registered with the local registrars. The Director of Health

Services, Himachal Pradesh is the Chief Registrar of Birth and Death in the State. The Chief

Registrar (Birth and Death) works under the guidance of Registrar General India – the Central

authority for the Registration of Birth and Death at the National Level.

The Chief Medical Officer of the District functions as the “District Registrar of Birth and Death”

of the District. The District Health Officer (Medical Officer of Health) assists the District

Registrar (B&D) in discharging the duties of registration of vital events, as Additional District

Registrar (B&D).

At the peripheral level, registrations of Birth and Death in respect of Rural and Urban Areas

have been bifurcated. In Urban Areas the Executive Officer of Nagar Parishad, Nagar

Panchayat, Cantonment Boards, Secretaries of Nagar Panchayats, Corporation Health Officer

of Municipal Corporation Shimla act as local registrar. In Hospital Institutions Medical

Superintendent/Senior Medical Incharge officer of TH/RH/ZH/CH/CHC /PHC act as Registrar

within their premises. In Rural areas, the Block Development Officer is the “Specified Officer”

of the Development block. He is responsible for the implementation of the Act in his block.

Panchayat Secretary of the Gram Panchayat and Panchayat Sahayak are the local Registrar for

the respective Gram Panchayat. The Panchayat Sahayak has been assigned the duties of

registration of vital events where the Panchayat Secretary is not available. These local

registrars are further assisted by the Health Workers (M&F) of the Health Department and

Traditional Birth Attendants (TBAs). These categories of staff have been notified as “Notifier”

under RBD Act, 1969.

ADMINISTRATIVE SET-UP & REGISTRATION HIERRARCHY

Director Health Services As

Chief Registrar (Birth & Death)

Assistant Director (Statistics) As

Dy. Chief Registrar (B & D)

Chief Medical Officer As

District Registrar (B &D)

Medical Officer of Health As

Nodal Officer –cum- Dy. District registrar (B & D)

Health Institution MS/SMO/Incharge of

TH/RH/ZH/CH/CHC/PHC act as Registrar within their

premises

Rural Areas Block Development Officer

As Specified Officer of the block

Urban Areas Executive Officer,

Cantonment Board & Nagar Parishad Secretary, Nagar

Panchayat & Health Officer, Municipal Corporation

Panchayat Level Panchayat

Secretary/Panchayat Sahayak of Gram Panchayat

As Registrar (B & D) “Local Registrars

NOTIFIER SYSTEM Recognizing the general apathy of the public towards registration of Birth and Death and also

the organizational deficiencies in administrating the registration system, section 10(I) of the

act has specified certain categories of persons as "Notifiers" to assist the local registrar.

Himachal Pradesh Govt. have issued necessary notification under this sub-section specifying

all Trained Birth Attendants, (TBAs) Health Workers (Male/Female), Health Guides,

Chowkidars as “Notifier” under the Act.

REGISTRATION AT PANCHAYAT LEVEL Registration of Vital Events in form No.1 (Birth), Form No. 2 (Death) is carried out in the Panchayat. 83% of information of vital events is being collected and online posted in CRS Web Portal (crsorgi.gov.in) whereas 4% has been collected/compiled manually.

PRINTING OF FORMS & REGISTERS Registration process requires a number of forms/registers. Timely printing/ supply of these forms is ensured to all local registrars. The printed forms/registers are supplied to all the Registrars through District Registrars. Sufficient stationery is made available to Rural/ Urban units well in advance before 1st January.

MAN POWER For smooth and effective implementation of the Civil Registration and preparation of Data Base of Medical Institutions in the State the Registrar General India has provided Financial Assistance to the tune of Rs. 33, 60,000/- towards remuneration of 13 Data Processing Assistants & 1 State Coordinator recruited under CRS on contractual basis to the State of Himachal Pradesh for the financial year 2016-17.

MEDICAL CERTIFICATION OF CAUSE OF DEATH & TRAINING To implement MCCD scheme under CRS in the State one day training of trainers program has been organized at State Health & Family Welfare Training Institute, Parimahal to the all the Medical Officers of Health & Coders in the State during March 2016. Financial assistance to the tune of Rs 7, 77,650/- has been provided for the training by the Registrar General India through Directorate Census Operations, GOI, H.P. Shimla-01. After having trained under MCCD scheme these trainers have further trained Medical Officers & Coders in there concerned Districts for effective implementation of MCCD Scheme in the State. In order to stream line the execution of MCCD Scheme regular monitoring and inspection of registration units is being done.

ONLINE & OFFLINE BIRTH DEATH REGISTRATION From 1- Jan-2016 to 31-Dec-2016 “101595” birth, “35819” death & “766” Infant Death have been registered through Online & Offline method. After implementation of Online CRS application 83% Birth & 65% Death registration has been done through Online Web portal (crsorgi.gov.in) during the year 2016.

DELAYED REGISTRATION (RURAL & URBAN) The provisions for registration of events, which are not registered within prescribed time limit is made under section 13 of RBD Act, 1969. In Himachal Pradesh every event is to be registered within 21 days of its occurrence. The procedure to be followed for delayed registration of events is as under:

Period Procedure for Registration (a) Any event to be registered after

21 days but within 30 days of its occurrence.

(b) Any birth or death event, which is to be registered after 30 days but

within one year of its occurrence.

(c) Any birth after one year till 31.3.1970.

On payment of Rs. 2/- as late fee the event can be registered with local registrar.

Registrar can register the events with late fee of Rs.5/- (Rs. Five only) with the

approval of District Registrar (B&D after completing all codal formalities.

Registration can be done with the

permission of District Registrar (B&D) after completing codal formalities.

Affidavit by applicant. Two affidavits from credible person of the

area. Non availability Certificate from concerned

Panchayat Secretary/ District Registrar. Educational Certificate (if any).

Matriculation Certificate, School Leaving Certificate or any other document

supporting age proof for the satisfaction of District Registrar. Late Fee Rs. 10/-.

(d) Any Birth & Death event prior to 1.4.70.

All above mentioned documents in Column (c) with the permission of Chief Registrar

(B&D). Affidavit by applicant and affidavits from

two other known persons of the area. Late fee of Rs. 10/-.

The monthly report received from the registration units have compiled in this

directorate and detail registered evens is as follows:-

Year-wise

Registration B I R T H S D E A T H S Sex Ratio

at birth Males Females Males Females

1993 39155 35175 9996 7667 898

1994 43740 38411 11769 8178 878

1995 51671 45664 13742 9354 884

1996 58933 51808 16088 11395 879

1997 62206 53417 17097 11574 859

1998 62220 52848 17771 11944 849

1999 64646 56010 18746 12638 866

2000 67379 57771 19408 12805 857

2001 71993 61607 20932 14048 856

2002 70285 60872 21500 14269 866

2003 70885 62177 22512 14941 877

2004 73418 64055 21984 14402 872

2005 72167 62497 22453 15206 866

2006 74438 65891 24066 16271 885

2007 69971 63186 23710 16205 903

2008 71208 64367 24986 17400 904

2009 71467 65861 25230 17163 922

2010 70497 64222 24719 17079 911

2011 67409 61854 25079 17445 918

2012 66606 61005 26219 18052 916

2013 66419 59987 25163 17735 903

2014 58668 52563 24029 16721 896

2015 60640 54778 24493 16969 903

2016 53167 48405 21329 14490 910

General Response of the Public towards Act

The registration of Birth & Death is not new for the State of Himachal Pradesh. The people are

very conscious to get the events registered occurred even before the implementation of Act.

However, some new provisions have also been made.

It has been made mandatory to issue free certificate (u/s 12).

DIFFICULTIES ENCOUNTERED IN THE IMPLEMENTATION OF THIS ACT

Since the Act is being implemented at grass-root level by the Panchayat and thereafter by Block

Development Officer, It is noticed that some of the Local Registrars-cum-Panchayat Secretaries

in concerned Panchayats are not posting vital events (birth & death) online regularly. With

active co-operation of Rural Development and Panchayati Raj Department, the numbers of

non-reporting units have been minimized. Due to network issue online registration of vitals

events could not be implemented in remote areas of the State. Moreover, due to shortage of

manpower in some of the registration units across the State it is difficult to achieve desired

targets of registration of vital events. However, it is expected that BDO should monitor the

registration and reporting/posting of vital events of each Panchayat every month in monthly

meetings in order to ensure online cent-percent registration of events.

There have been no financial assistances from Center & State Govt. to meet out the

expenditure towards Information, Education & Communication (IEC) and other CRS related

activities. It is therefore, required to have sufficient funds/budget for smooth and effective

implementation of Civil Registration System in the State.

Chief Registrar (Birth & Death) -cum- Director Health Services

Himachal Pradesh Shimla-9

BIRTH TABLES

LIVE BIRTH BY DURATION OF PREGNANCY AND BIRTH WEIGHT (RURAL & URBAN) (B-20)

State Name:- Himachal Pradesh

From Date:- 01-01-2016

To Date:- 31-12-2016

Duration of Pregnancy (in weeks)Birth Weight (in Kgs)

Less than 1.500 1.500 - 2.000 2.000 - 3.000 3.000 - 4.000 4.000+ Not Stated Total

Rural Urban Total Rural Urban Total Rural Urban Total Rural Urban Total Rural Urban Total Rural Urban Total Rural Urban Total

less32 238 441 679 128 241 369 2,850 1,902 4,752 3,165 1,595 4,760 113 55 168 0 0 0 6,494 4,234 10,728

32-36 96 0 96 354 485 839 4,882 3,446 8,328 4,743 1,806 6,549 113 67 180 1 0 1 10,189 5,804 15,993

37-39 45 71 116 283 413 696 11,714 18,830 30,544 10,370 14,825 25,195 235 378 613 1 0 1 22,648 34,517 57,165

equal40 8 11 19 48 45 93 2,275 3,449 5,724 2,434 7,383 9,817 92 160 252 0 0 0 4,857 11,048 15,905

41Above 2 1 3 11 6 17 346 378 724 486 532 1,018 19 23 42 0 0 0 864 940 1,804

notStat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

stateTotal 388 524 912 824 1,190 2,014 22,067 28,005 50,072 21,188 26,141 47,329 572 683 1,255 2 0 2 45,052 56,543 1,01,595

Created On:- 08-02-2018 10:17:39 am

Death Tables

STILL BIRTH TABLES

GRAPHS

898

878884

879

859

849

866

857 856

866

877872

866

885

903 904

922

911

918 916

903

896

905

910

800

820

840

860

880

900

920

940

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Fem

ale

s p

er 1

00

0 M

ale

s

YEARS

HIMACHAL PRADESH SEX- RATIO AT BIRTH