Labouring 
            over birth certificates 
            By Ruwanthi Herat Gunaratne 
              Your birth certificate is an essential document. 
            This piece of paper records the vital information that you were born, 
            that you now form part of a said country's population. There is nothing 
            that one can do without one's birth certificate. No identity card 
            or passport can be got, one cannot even apply for university entrance 
            without it.  Obtaining 
            it should be a routine matter.  
             
             But is it? 
              Take this 
              case:An expectant woman walks into hospital. Twenty-four hours later 
              she gives birth to a bouncing baby girl. Her family around her, 
              the baby's name is decided on. The proud father happily walks up 
              to the nurse and asks for the birth certificate form. Smiling, the 
              nurse hands it over.  
               
             End of fairy 
              tale. Welcome to the real world where the nurse would present the 
              father with another sheaf of papers and instruct him to meet Dr. 
              X to obtain the birth certificate. Then follows an uphill struggle 
              to first locate the good doctor, squeeze past the others crowding 
              the entrance and get the baby's birth registered. Come back in two 
              weeks, the father is told. He takes a day's leave and returns. No 
              certificate. Four months later, the child is still minus one. 
               
             Why is it so 
              difficult to obtain a simple birth certificate? Cannot it be issued 
              as the mother and baby leave hospital? There remains a lot of red 
              tape. A lengthy yet supposedly effective method needs to be followed. 
              And the procedure is different for children born in government hospitals 
              and those born in private hospitals.  
               
             A child born 
              at the Castle Street Hospital for example has to be registered before 
              leaving the hospital. An office has been set up at the far end of 
              the hospital for this purpose. A Registrar of Births appointed by 
              the Registrar General's Department is supposed to be in office from 
              10:00 a.m. to 2:00 p.m. daily, excluding weekends when he is free 
              to choose his own times.  
            
              
                 
                   
                    Clearing 
                    the backlog at the Registar General's office. Pix by Athula 
                    Devapriya, Ranjith Perera and M. A. Pushpakumara 
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             The 
              Registrar General's office down Duplication Road is responsible 
              for the appointment of Divisional Registrars such as the Registrar 
              of Births at Castle Street Hospital. There are over 1300 divisions 
              spread across the country with 13 in the Colombo Metropolitan Area. 
              Each division has only one Registrar of Births and Deaths. The Registrar 
              of Births at the Castle Street Hospital for instance is the Registrar 
              for the Thimbirigasyaya Division; therefore all children born at 
              Castle Street and private hospitals in the area are required to 
              be registered at the Castle Street Hospital.  
               
             Unfortunately, 
              though it is not as easy as it seems. The Registrar of Births at 
              the Castle Street Hospital who is required to be in office from 
              10:00 a.m. to 2:00 p.m. is not present even at 11:30 a.m. Keeping 
              to these office hours can surely not be a Herculean task? Parents 
              and relatives of newborns are forced to waste precious time over 
              something as basic as the birth certificate.  
               
             "I applied 
              for a day's leave to get this done," grumbled one father, who 
              wished to remain anonymous. "I've been here since 9.00 a.m. 
              First they said that the Registrar would be available at 10.00, 
              and then at 12.00, now they say that it may even be 3.00 p.m.! This 
              is ridiculous!" 
               
             Amongst the 
              others pacing the corridor were two mothers. One of them was carrying 
              her four-month-old child and holding on to two other slightly older 
              children with her free arm. "This child has still not received 
              her birth certificate and it has been four months since I registered 
              her. I cannot come on another day since it is impossible to leave 
              the other two alone at home," she lamented. 
               
             Hospital Director 
              Dr. K.K.W. Karandagoda is unable to help, for though the Registrar's 
              office is within the hospital building, it does not come under his 
              purview. "It is only situated here since a large number of 
              births take place here and it is convenient for parents. I receive 
              five to six complaints a month about that office, but there's little 
              I can do except notify the Registrar General's Department." 
               
             When The Sunday 
              Times contacted the Registrar General's Department they acknowledged 
              the problem. "We have received complaints about the Castle 
              Street Registrar many times and therefore appointed a committee 
              to look into the matter. They found that there was a backlog of 
              three months. This is the division where the most number of births 
              take place - a minimum of 50 are registered here on a daily basis." 
               
               
             The Registrar 
              General's Department has now taken over the task of issuing these 
              birth certificates. The Department has employed clerks for this 
              very purpose and the backlog is slowly but surely being cleared 
              up. The Registrar of Births at the Castle Street Hospital reports 
              to the department on a daily basis to sign the relevant forms.  
               
             But when parents 
              at the Castle Street Hospital complained to the employees of the 
              Divisional Registrar they were firmly informed that "three- 
              month- old birth certificates will not be given today and to please 
              come back the following Monday", instead of being informed 
              that a new procedure is now in practice. The procedure which is 
              followed in Sri Lanka according to Registrar General L.K. Ratnasiri 
              is evidently the most effective in the South Asian region. Our Registers 
              have recorded 98.2% of the country's population.  
               
             Impressive, 
              certainly, but considering cases such as the ones at the Castle 
              Street Hospital, how well is it working? 
               
             It is surely 
              unacceptable that parents should undergo unnecessary hassle over 
              this basic document. In some instances, it is not the fault of the 
              Registrars either, since their part in the procedure is not, according 
              to them properly looked into. They say that there isn't proper provision 
              made for them in case of an emergency. The Registrar General's Department 
              officials complain that they do not have adequate resources to fulfil 
              their duty to the best of their ability. Where then has it all gone 
              wrong?   
            
            
              
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                   What 
                    the law says 
                      As nothing can be achieved 
                    minus a birth certificate, it is considered the duty of the 
                    Registrar of a division, the parents of the child and of the 
                    general public to make sure that every birth is registered. 
                     
                     
                   
                    The law itself stipulates that every newborn should be registered 
                    under the Birth and Death Registration Act, within three months 
                    of his/her birth. 
                     
                   
                    If the birth for some reason is unregistered at the end of 
                    three months, the child can still be registered as a 'Past 
                    Birth'. (The registration of a death works likewise.) This 
                    system can be followed even for older children. 
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                   How 
                    does this work? 
                      According to the amendments made in 1992, 
                    the most important factor when considering a registration 
                    of birth is the child's birthplace. Once the birthplace is 
                    established, it is necessary to determine which division it 
                    comes under. Each division has its own Divisional Registrar, 
                    appointed by the Registrar General. 
                     
                   Either 
                    the mother or father of the child should report the birth 
                    to the Divisional Registrar. If due to unavoidable reasons, 
                    the parents are unable to comply with the rules, any person 
                    residing in the same house or an informant appointed by the 
                    parents has the right to report it.  
                     
                   The registration 
                    of births and deaths is completed free of charge. Only those 
                    wishing for additional copies of the birth certificate need 
                    to pay a provisional sum.  
                     
                   Registrars 
                    of Births and Deaths within the Colombo City limits and at 
                    all main hospitals islandwide require either a degree in Western 
                    or Ayurvedic Medicine. Other Birth, Death and Marriage Registrars 
                    require eight passes at the G.C.E. Ordinary Level Examination 
                    and also need to be reputed members of the community with 
                    ways and means of supporting themselves.  
                     
                   Applications 
                    are called through Gazette Notifications and applicants should 
                    fulfil the following basic criteria.  
                     
                   Either 
                    male or female, married, permanent residents of the division 
                    between 21 - 60 years of age may apply for the post, which 
                    is a voluntary position on par with that of a Justice of Peace. 
                     
                     
                   As this 
                    is a voluntary position the Registrar General's office is 
                    unable to dictate terms to the Divisional Registrars. Ideally 
                    this should not be the case since birth certificates are basic 
                    documents and births should be registered by persons who hold 
                    responsible positions in society.  
                     
                   They 
                    should ideally be answerable to the Registrar General's Office. 
                     
                     
                   "This 
                    has been the system ever since the inception of the Birth 
                    and Death Registration Act," says the Registrar General. 
                    "We too would like to see it revised. Permanent employees 
                    would definitely be under much more obligation toward the 
                    Department." 
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                   No 
                    money, no people 
                    Divisional Registrars are paid Rs. 10.00 by the department 
                    for each birth or death that they register, according to the 
                    Registrar General's office. A paltry sum indeed for some like 
                    Dr. (Mrs.) Malini Suraweera, the Registrar of the Wellawatte 
                    Division under whom Royal Hospital, St. Anne's Hospital and 
                    Delmon Hospital fall under. She registers only around 10 to 
                    20 births a month. Dr. Suraweera employs her sister to help 
                    with the clerical duties in their rented office on Galle Road. 
                    Besides the rent they are also required to pay their own electricity 
                    bills.  
                     
                   The Registrar 
                    General's Department pays the Registrars an additional Rs. 
                    150 to cover their overheads. "We know that it is not 
                    an adequate sum and have forwarded a proposal for revision 
                    to the government," says Mr. Ratnasiri. "Inadequate 
                    resources have resulted in this. We too are understaffed and 
                    would appreciate it very much if the system could be computerized, 
                    but lack of funds prevent this." 
                     
                   For Dr. 
                    A. Uthumalebbe, the Registrar for the Slave Island Division, 
                    the situation is much the same. He too has been a Registrar 
                    of Births and Deaths since 1990 and took on the position as 
                    he wanted to help the public. "He has already submitted 
                    three resignations," says his wife, "But they are 
                    yet to be accepted." 
                     
                   Dr. Uthumalebbe's 
                    Division covers Nawaloka Hospital, Ratnam's Hospital and the 
                    Municipal Maternity Hospital. He employs three young girls 
                    to help with the clerical duties, and is working in rented 
                    premises. As someone responsible has to be present at all 
                    times his wife is available at the Malay Street office from 
                    8.30 to 5.00 every weekday. "There are times we are called 
                    at home even at midnight, when there is a sudden death, it 
                    can be a hassle." 
                     
                   "If 
                    it is such a hassle why do these doctors willingly come forward 
                    and accept this?" asks Mr. Ratnasiri. "It is after 
                    all a voluntary position." According to Mr. Ratnasiri 
                    the competition to apply for the position is incredible.  
                     
                   While 
                    the patients at all these hospitals have to go in search of 
                    the Registrars of the Division, patients at one of the more 
                    exclusive private nursing homes have it easy, for the Registrar 
                    or one his employees is available on one day of the week at 
                    the hospital itself for birth registrations. The situation 
                    seems to be beyond the control of the Registrar General's 
                    Office and from a parent's perspective, the system seems terribly 
                    unfair. 
                     
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