Twenty-two nations have no data on birth registration. She pointed out that lack of a birth certificate threatened children. Whether seeking immunization, entering school or proving one is too young for military service or to work in hazardous industries, a birth certificate is a necessity. Without proof of birth, a child cannot be legally vaccinated in at least 20 countries, according to the report. More than 30 States require birth registration before a child can be treated in a health centre.
Most countries demand to see a birth certificate before enrolling a child in school.
Many require one for supplemental feeding programmes. The author of the lead article in The Progress of Nations, Unity Dow, brought her personal experience as the first female High Court Judge in Botswana to the task of reporting on birth registration. If convicted, he could face the hangman's noose because he cannot prove that he was under 18 at the time the crime was committed. Her article provides details about the countries where birth certification is made difficult by cumbersome procedures or costs. In addition, she devotes attention to the problems faced by refugees and others born away from home.