Our staff is undertaking analysis for this metric. Please check back later.
Disclaimer / Limitations
This country’s legal measures were reviewed by our legal staff in consultation with in-country lawyers and/or CRVS legal experts. All efforts were made to ensure the accuracy of the legal analysis, however, if you consider there to be any discrepancies or if there have been changes in the law of the country since our staff last updated the legal analysis, we welcome any additional information or insights. Please contact us via this form.
Role of the Health Sector
Indonesia
Responsive Image
Civil Registration System
National Level Civil Registration Agency
National level Agency
Does the law designate a national level agency responsible for civil registration?
Yes. Directorate General of Population and Civil Registration (Dukcapil).
Recommended Practice based on International Guidelines
The law should clearly establish an agency with responsibility for establishing and/or managing the civil registration system. The stucture of that system varies. A centralized system has a lead agency or agencies at the central government level, with local offices. The lead central political executive exerts direct legal authority and control over major political subdivisions, such as states or provinces, which house local offices.
A decentralized system will have a lead agency or agencies at the level of each major political subdivision, and sometimes even smaller political subdivisions. The smaller political subdivision offices report to the local government, as opposed to the central government in centralized systems. This topic is designed to reflect a centralized national structure, or the structure of an individual state within a decentralized system.
Directorate General of Population and Civil Registration ("Dukcapil"), under the Ministry of Home Affairs (MoHA), is the Indonesian government body responsible for managing civil registration, including birth and death.
Law Source
Birth Registration
Declaration and Notification
Informants
Who is designated the primary informant for births occurring in health facilities?
Any parent
Recommended Practice based on International Guidelines
The law should establish clearly and unequivocally one person primarily responsible for providing the information needed for the registration. Moreover, the law may designate alternative informants and establish the order in which each of them must assume his or her responsibilities. The head of the health facility should be the primary informant for live births occuring in a health facility. The law should also explicitly state what type of facility is considered a “health facility” for purposes of birth registration.
The law does not distinguish between birth in and out of health facilities with regard to informant. Law 23/2006 (as amended through Law 24/2013), Art. 27 requires a birth to be reported by "residents". This provision seems to allow any resident to report a birth. However, Permendagri 109/2019 (Formulir Dan Buku Yang Digunakan Dalam Administrasi Kependudukan) requires the informant to complete Form F-1.01 at the time of reporting the birth. Form F-1.01 contains a signature line for the "head of the family". If the reporting is done by someone other than the head of the family, the person reporting must obtain an authorization with the form provided in Permendagri 109/2019.
Birth Registration
Declaration and Notification
Role of the health sector
What is the role of the health sector in birth registration for births occurring in health facilities?
Issuing of evidence of birth, birth record or equivalent
Recommended Practice based on International Guidelines
For births occurring in health facilities, the most effective approach is to designate the head of the institution (or designee) as informant. Some countries follow a two-step process where the health sector notifies the registrar of the birth, but the registration must be completed by the parents. This approach is considered less effective in ensuring high registration rates.
The law does not explicitly distinguish between birth in and out of health facilities. However, the law requires the informant to have a "birth confirmation letter." In practice, when a birth occurs in a health facility, the health facility issues this birth confirmation letter to the parent(s).
Law Source
What is the role of the health sector in birth registration for births occurring outside health facilities?
No role
Recommended Practice based on International Guidelines
For births occurring outside a health facility, local leaders or local authorities may have a role in providing parents with proof of the event (such as a birth notification record), notifying the birth to the local registrar, or acting as the informant. It can be good practice to Integrate civil registration functions with the duties and responsibilities of established local authorities who have close direct links to communities
The law does not explicitly distinguish between birth in and out of health facilities. However, the law requires the informant to have a "birth confirmation letter." It's possible that a birth attendent could issue this letter for a birth outside of a health facility; however, it's unclear if this happens in practice, as this can be the role of a village leader.
Law Source
Death Registration
Declaration and Notification
Informants
Who is designated as the primary informant for natural deaths that occur in a health facility?
Unclear
Recommended Practice based on International Guidelines
The law should establish clearly and unequivocally one person primarily responsible for providing the information needed for the registration. Moreover, the law may designate alternative informants and establish the order in which each of them must assume his or her responsibilities. . For natural deaths occuring in health facilities and in order of preference, the head of the health facility should be primary informant or the nearest relative/next of kin or any adult with knowledge of the facts. Additionally, the legislation should explicitly state what type of facility is considered a “health facility” for purposes of being an informant.
The law does not distinguish between deaths in and out of health facilities with regard to informant. Law 23/2006 (as amended through Law 24/2013), Art. 44 requires a death to be reported by the head of the neighborhood association where the deceased lived. This requirement conflicts with Article 2 paragraph (1) of the Joint Regulation of the Minister of Home Affairs and the Minister of Health Number 15 of 2010 and 162/MENKES/PB/I/2010 of 2010 stipulating "every death must be reported by the family or representative" to the civil registrar. Article 7 of the Joint Regulation also stipulates that every health service facility organizer must report data on death events, and natural and unnatural causes of death to the local District Health Office once a month, with a copy submitted to Disdukcapil (district level civil registration office). However, this report is not intended as a report for death registration purposes.
Death Registration
Declaration and Notification
Role of the health sector
What is the role of the health sector in death registration for deaths occurring in health facilities?
Issuing of evidence of death, death record or equivalent document
Recommended Practice based on International Guidelines
When a death occurs in a healthcare facility designating the head of the health facility as the informant, and establishing systems for the collection and recording of vital events, is the most effective way of ensuring that all deaths in health facilities are registered in a timely and accurate manner. In some countries the health facility performs a notification function, collecting relevant information about the death and passing it to the civil registrar. In that situation, the informant (usually the nearest relative) still needs to attend the registry office to undertake a declaration for the death to be registered. Where the nearest relative is the informant, the health facility will usually be required to provide them with some form of evidence or record of the death that should be used by the informant for registration. For information on the role of health facilities in determining cause of death and completing medical certificates of cause of death, see the "Cause of Death" topic.
Presidential Regulation 96/2018, Article 45, requires the informant to submit a "death confirmation letter" when reporting a death to the civil registration office. If a death occurs in a health facility, the health facility must issue the death confirmation letter.
What is the role of the health sector in death registration for deaths occurring outside health facilities?
No role
Recommended Practice based on International Guidelines
The health sector can play an important role in notifying vital events, such as deaths, that occur outside health facilities where health workers attend patients and their families in the community. Countries may designate medical officers or community health workers as informants for deaths that occur in the community. Or the health care worker may notify the civil registrar of the facts of death, but the nearest relative still needs to register the death. In some countries health workers may provide a document, such as a notice of death, to the nearest relative as official evidence of the death.
The health sector does not play a role in registration of deaths that occur outside of health facilities.
Law Source
Stillbirth Reporting
Reporting through the Civil Registration System
Role of the health sector
What is the role of the health sector in stillbirth registration?
Recommended Practice based on International Guidelines
UN guidelines provide that the head of the health facility is the preferred informant for stillbirths. Where the stillbirths are registered via the civil registration system this should be specified in the law. As with live births, some countries require the health sector to notify information about stillbirths even where the designated informant is the mother and/or father. Where the mother and/or father is the primary informant, the health sector would usually be required under the law to provide a notice of some sort as evidence of the stillbirth for the purposes of registration.
