A dissertation Submitted in Partial Fulfillment of the Requirements for the
Degree of Master of Science in Health Monitoring and Evaluation of Mzumbe
University
The Births and Deaths registration Act Cap 108 (revised in 2002) require every
individual in the hamlet to register, whereby all births and deaths events occurring
are recorded in the hamlet registers. The plan was to implement interventions on
following up and ensuring that registers are adequately filled and updated at
community level (URT, 2015). However, in actual practice this is not happening as a
result these registers are not well updated or not update at all by hamlet chairpersons,
paralleled by extremely low returns to higher levels of the system due to many
factors that have been identified by the government to contribute inhibiting the
process. Therefore, this study aimed to evaluate the implementation of civil
registration system, to determine the factor(s) that have been mostly inhibiting the
implementation of the civil registration system in communities of Kilombero district.
Study methodology; This is a cross-sectional study conducted in Kilombero district,
collecting quantitative data using administered questionnaires to 269 participants.
Data were summarized in excel sheet and analysed using before STATA (version 13)
statistical Software.
Findings; The results reveals the main four factors that have been inhibiting civil
registration system in the communities of Kilombero district which are; lack of
supportive supervision, training and unavailability of registration materials to hamlet
chairpersons with p-values <0.001 and low community awareness and understanding
on civil registration system to both the head of households and the hamlet
chairpersons with p-values <0.05 and <0.001 respectively. Also, the results shows
slight variation between rural and urban setting on how factors it affects the system
in communities of Kilombero district.
Conclusion; This study yielded evidence of ineffective implementation of civil
registration system in communities of Kilombero district and recommends the need
for the government to establish home based approach reporting systems for effective
recording vital events in the communities of Tanzania