The decision making on maternal and child health program needs reliable and actual data on births and deaths, including the cause of death (COD), through a well-functioning civil registration and vital statistics (CRVS) system as the best data source of health information system, in order to make a good health policy. This study aimed to describe the CRVS System in North Bolaang Mongondow to get mortality statistics for health indicators. This study was held in 2021 in District North Bolaang Mongondow. The community health centre (Puskesmas) has responsibility for birth and death data from 1 September 2020 to 31 October 2021, using Form 4 for birth and Form 5 for death. Puskesmas paramedic visited each death case in the outer hospital to perform the autopsy with the smart verbal autopsy (VA) application, calculating the infant mortality rate (IMR), the under -five mortality rate (U5MR), and life expectancy at birth (e0) followed the lifetable and direct methods for maternal mortality ratio (MMR). Observations of this 2021 study revealed a total of 1,054 live births. In addition, 468 deaths ( by all causes) were visited for verbal autopsy in 2021, which included 6 maternal deaths and 21 childhood deaths. The leading health indicators from the CRVS system in North Bolaang Mongondow District include crude death rate (CDR) of 5.2/1,000 population; e0 = 72.92; IMR and U5MR were 15 and 33 by 1000 live births; MMR = 568/100,000 live births. It can be concluded that data collected from the CRVS system in North Bolaang Mongondow was still underreported since community health center staff failed to follow up on some mortality cases. The CRVS system successfully provides the leading mortality indicators at the district level as part of the health information system.
