Why Don’t You Register Your Child? A Study of Attitudes and Factors Affecting Birth Registration in Kenya, and Policy Suggestions
研究肯尼亚父母不登记孩子出生的原因，发现尽管知晓率高、障碍低，仍有超过50%的儿童未登记，这源于父母权衡成本收益后的有意选择，并提出利用医院分娩、疫苗接种和信息技术来影响决策的政策建议。
Birth registration imposes major challenges in developing countries, with importance to rights, health and all levels of development. Despite targeted initiatives, often with focus on improved access and information, universal registration has been elusive. Using cross-sectional survey from Kenya, we provide new evidence for why parents may not register. We report high awareness, low barriers – however with over 50 per cent of children unregistered. We argue this is due to deliberate, informed choice by parents where they weigh perceived costs/benefits. We recommend new focus on this deliberation and policy piggybacking hospital delivery, vaccination and information and communications technology to re-balance parent decision.