ALG conducted a cost-benefit analysis of investments related to implementing interoperability between health facilities and civil registration services for birth registration in Burundi between November 2025 and January 2026. The study was commissioned by UNICEF on behalf of the Government of Burundi.

The cost-benefit analysis aims to provide Burundi with a strategic decision-making tool to identify profitable investments for improving children’s access to civil registration services, particularly within the framework of scaling up the interoperability approach for birth registration nationwide, using a quantitative methodology. This tool is a necessary contribution to the implementation of Burundi’s revised 2018-2027 National Development Plan and to achieving the Sustainable Development Goals.

The results of this study will provide the Government, UNICEF, and other development partners with the necessary evidence to support government systems and mobilize resources for the birth registration program. Specifically, the study is intended to:

• Develop a cost-benefit analysis of investments in interoperability between civil registration and health services for birth registration in Burundi. This analysis must clearly identify and articulate the short-, medium-, and long-term social and economic gains of investments in the sector (cost-effectiveness analysis, cost-efficiency analysis, cost of inaction analysis);
• Demonstrate the expected returns (cost-benefit ratio) of investments in birth registration in Burundi, particularly in interoperability between civil registration and health services;
• Identify funding options to ensure the nationwide scaling up of interoperability between health facilities and civil registration services for birth registration in Burundi.

ALG’s work will enable a cost-benefit analysis of the interoperability approach to inform the national scaling-up process and support advocacy for the inclusion of the interoperability budget in the national budget.

The firm worked in close collaboration and coordination with the national steering committee on interoperability and, more specifically, with the structures of the ministries responsible for the interior, health, finance, and other ministries involved in civil registration, as well as development partners, including NGOs and CSOs that support birth registration in Burundi.

Since 2007, ALG carried out more than 20 projects in Burundi.