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GH20-2048 Scaling up and Improving Quality of Civil Registration and Vital Statistics in Malawi Through the National Registration Bureau under the President's Emergency Plan for AIDS Relief (PEPFAR)

Award Number: NU2GGH002264
ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/30/2020
PERIOD OF PERFORMANCE END DATE: 09/29/2025

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GH20-2048 Scaling up and Improving Quality of Civil Registration and Vital Statistics in Malawi Through the National Registration Bureau under the President's Emergency Plan for AIDS Relief (PEPFAR) - PROJECT ABSTRACT SUMMARY A fully functional national CRVS system enables a country produce vital statistics for meeting requirements at national and international level. CRVS system is the only system that gives population-based information at lower administrative levels and beyond HIV programmatic data on a continuous and systematic basis. Although facility-based national HIV M&E systems exist in Malawi, its aggregate-level estimates for births and deaths are incomplete. It lacks information about community-based events, represents incomplete facility-level case ascertainment, and disallows disaggregation of rates by geographical area, sex, age, and cause-of-death. With support from CDC, the National Registration Bureau (NRB), responsible for managing the National Registration and Identification System, established and rolled out universal and compulsory birth registration in all the 583 health facilities of the 28 districts by 2017 while, by 2019, death registration has been scaled up to all health facilities of 12 districts. Registration of births and deaths that occur in the communities has also been introduced in 7 districts. This proposal aims to accelerate the implementation of CRVS in all health facilities and communities. During the period, death registration with medical certification of cause of death will be established in all the health of 16 remaining districts along with community registration for both birth and death in 21 districts. This will result in production of HIV death certification and cause of death reporting for facility deaths. The focus is on cause of death standardized coding, a crucial component of the death registration system to enable generation of cause-specific mortality profile by age and sex. The expected outcomes of this proposal are improved sustainability of CRVS operations; increased coverage of birth and death registrations with causes of death; and ensured timely availability, reporting, and use of vital statistics, thereby meeting the citizen service charter. Additionally, it aims at building upon a civil registration and vital statistics (CRVS) reporting system based on international standards and its implementation in all the districts in Malawi. To measure performance and track progress, monitoring indicators have been proposed along with the targets, data source, reporting frequency and their utilization. Data will flow from the grass-root level i.e. village head and health facilities, for community and hospital deaths and births respectively. This will enable the district registrars to monitor the quality and coverage in registration of vital events. Similar mechanism will be put in place at the NRB office to monitor the district registration offices. Findings of the monitoring and evaluation will be presented to NRB management and other meetings of development partners and stakeholders for taking appropriate measures to quality of data and coverage of the CRVS program. To meet its mandate, NRB is headed by the Chief Director to take policy decisions, supported by the Director and Deputy Director at the Senior Management level apart from the CRVS Technical Advisor. NRB has well established infrastructure both at the central and district level with a total of 274 technical and administrative officers. With CDC funding, NRB has been provided with 32 project staff to support in implementation of key activities in the birth and death registration. For smooth and efficient coordination of CRVS, Technical Working Group (TWG) has been constituted with members from line ministries and departments, development partners and other stakeholders. The TWG is supported by subject specialized Task Forces for technical inputs.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $300,000 )
2025	2025	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	MALAWI			MWI	Global AIDS	04	5	3/14/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$300,000
2025	2024	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	MALAWI			MWI	Global AIDS	03	5	2/11/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	MALAWI			MWI	Global AIDS	02	5	1/29/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	MALAWI			MWI	Global AIDS	01	5	11/18/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2023	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	MALAWI			MWI	Global AIDS	01	5	11/18/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2023	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	MALAWI			MWI	Global AIDS	03	5	2/11/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2023	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	MALAWI			MWI	Global AIDS	02	5	1/29/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2022	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	MALAWI			MWI	Global AIDS	01	5	11/18/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2022	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	MALAWI			MWI	Global AIDS	02	5	1/29/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2022	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	MALAWI			MWI	Global AIDS	03	5	2/11/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2020	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	MALAWI			MWI	Global AIDS	01	5	11/18/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2020	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	MALAWI			MWI	Global AIDS	03	5	2/11/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2020	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	MALAWI			MWI	Global AIDS	02	5	1/29/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $300,000

Issue Date FY: 2024 ( Subtotal = $700,000 )
2024	2024	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	MALAWI			MWI	Global AIDS	00	5	8/21/2024	NON-COMPETING CONTINUATION	$700,000
2024	2023	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	province			MWI	Global AIDS	01	4	12/12/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	MALAWI			MWI	Global AIDS	02	4	8/28/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	MALAWI			MWI	Global AIDS	00	5	8/21/2024	NON-COMPETING CONTINUATION	$0
2024	2022	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	province			MWI	Global AIDS	01	4	12/12/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	MALAWI			MWI	Global AIDS	00	5	8/21/2024	NON-COMPETING CONTINUATION	$0
2024	2020	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	province			MWI	Global AIDS	01	4	12/12/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	MALAWI			MWI	Global AIDS	00	5	8/21/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $700,000

Issue Date FY: 2023 ( Subtotal = $1,120,639 )
2023	2023	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	province			MWI	Global AIDS	00	4	9/8/2023	NON-COMPETING CONTINUATION	$1,120,639
2023	2022	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	province			MWI	Global AIDS	01	3	4/6/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	province			MWI	Global AIDS	02	3	9/18/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	province			MWI	Global AIDS	00	4	9/8/2023	NON-COMPETING CONTINUATION	$0
2023	2020	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	province			MWI	Global AIDS	02	3	9/18/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	province			MWI	Global AIDS	00	4	9/8/2023	NON-COMPETING CONTINUATION	$0
2023	2020	NATIONAL REGISTRATION BUREAU	OFF INDEPENDENCE DRIVE	LILONGWE	province			MWI	Global AIDS	01	3	4/6/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,120,639

Issue Date FY: 2022 ( Subtotal = $1,027,487 )
2022	2022	NATIONAL REGISTRATION BUREAU	Off Independence Drive	Lilongwe	province			MWI	Global AIDS	02	2	12/1/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$227,487
2022	2022	NATIONAL REGISTRATION BUREAU	Off Independence Drive	Lilongwe	province			MWI	Global AIDS	00	3	8/5/2022	NON-COMPETING CONTINUATION	$800,000
2022	2020	NATIONAL REGISTRATION BUREAU	Off Independence Drive	Lilongwe				MWI	Global AIDS	03	2	12/9/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	NATIONAL REGISTRATION BUREAU	Off Independence Drive	Lilongwe	province			MWI	Global AIDS	00	3	8/5/2022	NON-COMPETING CONTINUATION	$0
2022	2020	NATIONAL REGISTRATION BUREAU	Off Independence Drive	Lilongwe				MWI	Global AIDS	01	2	11/30/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	NATIONAL REGISTRATION BUREAU	Off Independence Drive	Lilongwe	province			MWI	Global AIDS	02	2	12/1/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,027,487

Issue Date FY: 2021 ( Subtotal = $1,824,215 )
2021	2021	NATIONAL REGISTRATION BUREAU	Off Independence Drive	Lilongwe				MWI	Global AIDS	03	1	3/11/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$815,215
2021	2021	NATIONAL REGISTRATION BUREAU	Off Independence Drive	Lilongwe	province			MWI	Global AIDS	00	2	9/2/2021	NON-COMPETING CONTINUATION	$1,009,000
2021	2020	NATIONAL REGISTRATION BUREAU	Off Independence Drive	Lilongwe				MWI	Global AIDS	04	1	4/30/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	NATIONAL REGISTRATION BUREAU	Off Independence Drive	Lilongwe	province			MWI	Global AIDS	00	2	9/2/2021	NON-COMPETING CONTINUATION	$0
2021	2020	NATIONAL REGISTRATION BUREAU	Off Independence Drive	Lilongwe				MWI	Global AIDS	03	1	3/11/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	NATIONAL REGISTRATION BUREAU	Off Independence Drive	Lilongwe				MWI	Global AIDS	01	1	12/30/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	NATIONAL REGISTRATION BUREAU	Off Independence Drive	Lilongwe				MWI	Global AIDS	02	1	2/8/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,824,215

Issue Date FY: 2020 ( Subtotal = $184,785 )
2020	2020	NATIONAL REGISTRATION BUREAU	Off Independence Drive	Lilongwe	province	postal_code		MWI	Global AIDS	00	1	8/21/2020	NEW	$184,785
														Subtotal = $184,785

Grand Total All Awards = $5,157,126

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GH20-2048 Scaling up and Improving Quality of Civil Registration and Vital Statistics in Malawi Through the National Registration Bureau under the President's Emergency Plan for AIDS Relief (PEPFAR)

Award Number: NU2GGH002264

ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/30/2020

PERIOD OF PERFORMANCE END DATE: 09/29/2025

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