A/HRC/39/30 also enabled a follow-up programme on women’s rights, involving citizen dialogues on birth and marriage registration, thereby addressing the issue of child marriage. 36 2. Integration with national services 43. Integrating birth registration processes with other State services and structures, for example by offering registration alongside primary health-care services or immunization programmes, has demonstrated strong results for children who would otherwise miss out on birth registration. Such an approach can be especially helpful to reach children in situations of conflict or humanitarian crisis. 37 However, access to essential services to which children have a right should never depend on a child being registered or holding a birth certificate. 44. In Sierra Leone, Plan International supported the development of an integrated system of immunization services together with birth registration services. This proved to be a cost-effective method through which a single programme could be delivered to ensure more efficient delivery of both services at the same time, and supported the expansion of birth registration.38 45. In the Dominican Republic, birth registration takes place directly in hospitals where registration facilities have been installed. Certain aspects of registration are also carried out in maternal and infant care facilities. Laws have been developed to support the late registration of children from excluded groups of the population, in partnership with the electoral registry council, which follows up on civil registry data and takes stock of hospital-based birth registrations on a monthly basis. 39 46. In Germany, there is collaboration with the health service to ensure birth registration, and the notification of a birth by the medical professionals or others present is compulsory, whether it occurs at a hospital, another birth facility or outside of such facilities. In cases where documentation required for the issuance of a birth certificate is missing, there are alternative means of satisfying these requirements, such as witness testimonies or the acceptance of other documents. 40 47. In Sudan, the Ministry of Health, in partnership with the World Health Organization, UNICEF and Plan International, integrated birth registration within its regular annual vaccination campaigns, including as part of its expanded national immunization programme. This enabled civil registrars to access children born into conflict-affected areas, remote rural communities, and situations of internal displacement, and thereby significantly increased the rates of birth registration among children at risk. 41 3. Mobile birth registration 48. The Committee on the Rights of the Child has noted that an effective system of birth registration must be flexible and responsive to the circumstances of families, for example by providing mobile registration units where appropriate. Initiatives in which mobile birth registration units have been deployed to register children in rural, isolated or otherwise excluded communities have often been effective at reaching children who would otherwise not be registered. However, such measures tend to be short-term or temporary, and there is a need to ensure their full integration with national registration systems through sustainable approaches, including sustainable financing of the associated costs.42 49. In Uganda, in partnership with UNICEF and Uganda Telecom, the National Identification and Registration Authority implemented an innovative technological solution in the form of a Mobile Vital Records System. The Mobile Vital Records System was developed to address the bottlenecks of the paper-based system, and to simplify and 36 37 38 39 40 41 42 10 Submission from Germany; and Plan International, Birth Registration in Emergencies. Plan International, Innovations in Birth Registration (2017). Submission from Plan International. Submission from the Dominican Republic. Submission from Germany. Submission from Plan International. Plan International, Birth Registration in Emergencies.