Several factors related to the provision and other endogenous factors help to understand the problem. Indeed, indigenous people generally live in the forest. Therefore, their living environment has not facilitated a quantitative and qualitative improvement of the services involved in birth registration: health services, civil services and courts. To this low use of health services due to the scarcity of services, we can add the insufficient number of registration centres. All camps are equipped with secondary centres. Courts are based in the Department administrative centres. The distances to be travelled are also considerable in the case of late reporting. Therefore, adults without birth certificates are in large numbers in these communities. In general, the cultural context is favourable to late registration. Beyond the costs of delivery, the problem is that the registration centres require additional fees. The issue of covering travel-related expenses is an additional barrier to the birth registration. In addition to the difficulties of geographical accessibility, the problem of utilisation of health services and civil registration is explained by the costs of the services. Although registration is free, poor families are forced to pay for some services (antenatal, fact sheets, regional taxes, requisition, etc.) before receiving the birth certificate. The importance of access issues is justified by the very low level of life of these populations. Similarly, the use of health facilities for childbirth is not a common practice among indigenous women. Traditional medicine has been developed to meet the delivery requirements and TBAs play an important role in these communities. According to the 2008 study by the Ministry of Territorial Administration and Decentralisation (Directorate General of Territorial Administration) with the support of UNICEF, indigenous women say that they are not encouraged to do antenatal and childbirth in modern health centres because the staff there abuses them. This kind of attitude is not likely to generate better use of health services, and those of birth registration in particular. Hence the importance of the practice of home deliveries which limits the systematic reporting of births since the heads of villages and households are often unaware that they also have the obligation to report the birth to the civil registrar. This is also the case for the social relations of the Bantu towards indigenous groups, which are often tainted with ethnocentrism and discriminatory behaviour. To date, there are no statistics available on the number of refugee children who received birth certificates. However, the 04-2010 Act of 14 June 2010 in particular articles 13, 14, 16, 17 confers the same rights of birth registration to refugee children. Faced with this situation, the government will: (i) ensure the improvement of indigenous people’s access to basic social services through the National Action Plan on improving indigenous people's quality of life; (ii) implement the strategic framework on the registration of births from 2009 to 2013. The implementation of this strategy requires adequate resources. Also, the support of development partners including the European Union and United Nations agencies (UNICEF and UNFPA) is requested. 38