Stillbirth Reporting

Morocco

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Morocco Stillbirth Reporting Reporting System

Reporting System

Compulsory Coverage

Is stillbirth registration available and compulsory for all stillbirths occurring within the country's jurisdiction?

Compulsory for all stillbirths

Recommended Practice based on International Guidelines

Tracking stillbirths and other fetal deaths is important for statistical and public health planning purposes. Official recognition that the fetal death occurred can have significance for families and can help to facilitate cremation and burial if the family desires. If stillbirths are recorded via the civil registration system, the law should require that all stillbirths that occur in the country are registered.
Law Source
UNGOLF para 301
Law Source
Law 36.21 Article 29

Does the law mandate reporting of all stillbirths through the health sector?

Not permitted

Recommended Practice based on International Guidelines

Tracking stillbirths and other fetal deaths is important for statistical and public health planning. If stillbirths are tracked through the health sector, the law (or guidelines and SOPs) should require the health sector to report fetal deaths to the central health ministry. For in-facility stillbirths, reporting responsibility should fall on the head of the health facility or attending medical professional. For community stillbirths, reporting responsibility is place on the birth attendant, who may be required to report the ministry of health directly, or may report through a local health facility.
Law Source
UNGOLF para 305
Law Source

Informant

Who is the designated primary informant for declaring stillbirths to the civil registrar?

Any parent

Recommended Practice based on International Guidelines

UN guidelines provide that, in priority order of preference, the informant for a fetal death is the same as for a live birth: first, the head of the health facility (for a fetal death that occurred in a health facility) or the birth attendant (for a fetal death that occurred outside a health facility with a birth attendant); second, the mother; third, the father; fourth the nearest relative of the mother; and fifth, any other adult person having knowledge of the facts.
Law Source
UNGOLF para 304
Law Source
Law 36.21 Articles 29, 37

Role of the Health Sector

What is the role of the health sector in stillbirth registration?

Notification

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.
Law Source
UNGOLF para 304 - 305
Law Source
Law 36.21 Articles 29, 20

Place

Where must stillbirths be reported?

Anywhere

Recommended Practice based on International Guidelines

If fetal deaths are reported through the civil registration system, the health facility, birth attendant or other informant should report a fetal death to the registration office in the location where the fetal death occurred, or at any location where access is available to the registration system, if the system is sufficiently networked. Where registration is required at the place of residence of the mother, this may reduce the rates of registration.
Law Source
UNGOLF para 305
Law Source
Law 36.21 Articles 19, 29

Time

What is the reporting period for stillbirth registrations specified under the law?

30 days

Recommended Practice based on International Guidelines

The time frame for reporting a fetal death is usually the same as that for a death. There should, however, be a procedure for late and delayed reporting pending a medical-legal decision if the fetal death status is unclear or disputed.
Law Source
UNGOLF para 305
Law Source
Law 36.21 Article 29
Decree 2.22.04 Article 40

Register

Does the civil register contain a separate register for stillbirths, distinct from birth and death registers?

No

Recommended Practice based on International Guidelines

Stillbirth should be registered in a separate fetal death (or stillbirth) register. UN guidelines indicate that stillbirths should not be registered in the birth register or the death register, as they do not establish a legal identity, retire a legal identity or affect civil status. Including stillbirths in those registers can also make it harder to disaggregate the data for statistical purposes. Instead it is recommended that a separate register of stillbirths is established. However, some countries with digital systems do include stillbirths in the register of births, with a a notation that the event is a stillbirth to allow for disaggregation.
Law Source
UNGOLF para 301
Law Source
Law 36.21 Article 29

Fees

Are there any fees for stillbirth registration?

Unclear

Recommended Practice based on International Guidelines

No fee should be charged for the timely registration of a live birth, marriage, divorce, fetal death or death

To encourage registration, the legislation should clearly state that registration of a birth, fetal death and death within the time period prescribed by the law is free of charge.
Law Source
UNGOLF paras 36 and 419
Law Source