A global assessment of civil registration and vital statistics systems: monitoring data quality and progress

Mikkelsen, Lene; Phillips, David; AbouZahr, Carla; Setel, Philip; Savigny, Don de; Lozano, Rafael; López, Alan D.

doi:10.1016/s0140-6736(15)60171-4

Cited by 425 publications

(446 citation statements)

References 18 publications

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“…For countries like Brazil, obtaining and maintaining complete vital information systems is a challenge 24 . In addition to the difficulties inherent in information systems, mainly related to underreporting and lack of information quality, there are aspects related to the territorial dimension, such as remote places, difficult to reach, often inhabited by social groups with their own cultural values.…”

Section: Discussionmentioning

confidence: 99%

Captação de óbitos não informados ao Ministério da Saúde: pesquisa de busca ativa de óbitos em municípios brasileiros

Almeida

Szwarcwald

Frias

et al. 2017

Rev. bras. epidemiol.

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Introduction:The proactive search of deaths is a strategy for capturing events that were not informed to the Mortality Information System of Ministry of Health. Its importance to reduce underreporting of deaths and to evaluate the operation of the information system is widely known. Objective: To describe the methodology and main findings of the Proactive Search of Deaths, 2013, establishing the contribution of different information sources. Methods: The research was carried out in 79 Brazilian municipalities. We investigated several official and unofficial sources of information about deaths of municipality residents. Every information source investigated and all cases found in each source were typed in an on-line panel. The second stage of the research was the confirmation of cases to verify information of year and residence and to complete missing information. For all confirmed cases, we estimated the completeness of death registration and correction factors according to the adequacy level of mortality information. Results: We found 2,265 deaths that were not informed to the Mortality Information System. From those, 49.3% were found in unofficial sources, cemeteries and funeral homes. In some rural municipalities, precarious burial conditions were found in cemeteries in the middle of the forest and no registration of the deceased. Correction factors were inversely associated to the adequacy level of mortality information. Conclusion: The findings confirm the association between level of information adequacy and completeness of death registration, and indicate that the application of the proactive search is an effective method to capture deaths not informed to the Ministry of Health.

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Section: Discussionmentioning

confidence: 99%

Captação de óbitos não informados ao Ministério da Saúde: pesquisa de busca ativa de óbitos em municípios brasileiros

Almeida

Szwarcwald

Frias

et al. 2017

Rev. bras. epidemiol.

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“…The less developed North and Northeast regions presented the higher proportion of correction by coverage and by redistribution of causes of deaths. The decrease in the magnitude of these corrections in 2011 may reflect improvements on information quality over time and can contribute to narrowing the data quality gap between the northern and southern regions of the country, these latter with data quality similar to developed countries 17 . The North and Northeast regions also presented the higher mortality rates for both sexes, although declining trends in mortality rates can be observed among all regions of the country.…”

Section: Discussionmentioning

confidence: 99%

Consistent declining trends in stroke mortality in Brazil: mission accomplished?

Passos

Ishitani

Franco

et al. 2016

Arq. Neuro-Psiquiatr.

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Stroke is the second leading cause of death in Brazil and worldwide 1 and trends in stroke mortality rates may be analyzed as a proxy of social economic differences among countries and regions. A systematic review of population-based studies showed a divergent, statistically significant difference trend in stroke incidence rates, from 1970 to 2008. It was observed a 42% decrease in stroke incidence in high income countries in contrast to a more than 100% increase in this incidence in middle and low income countries 2 . There is a ten-fold difference in mortality rates for stroke between the most-affected and the less-affected countries. Moreover, national per capita income has been pointed out as the strongest predictor of stroke mortality even after adjusting for cardiovascular risk factors 3 . In Brazil, there is evidence of declining mortality from stroke in São Paulo since the 1970s 4 and all over the country since the 1980s 5 , but the magnitude of the mortality rates and its decline, as well as the differences among the regions of the country need to be better investigated. From 1979 to 1996, among Brazilian adults aged 30 or more years old, despite the high values, the age-adjusted death rate for stroke dropped significantly (p<0.001) from 200 to 164 deaths/100,000 population in men and from 168 to 130 deaths/100,000 population in women ABstrACtStroke mortality rates are declining in Brazil, but diferences among regions need to be better investigated. The age-adjusted stroke mortality trends among adults (30-69 years-old) from Brazilian regions were studied between 1996 and 2011. Method: Data were analyzed after: 1) reallocation of deaths with non-registered sex or age; 2) redistribution of garbage codes and 3) underreporting correction. A linear regression model with autoregressive errors and a state space model were fitted to the data, aiming the estimation of annual trends at every point in time. Results: Although there were high values, a steady decrease of rates was observed. The decreasing trends among all regions were statistically significant, with higher values of decline among the Northeast and Northern regions, where rates were the highest. Conclusion: Standardized methodology use is mandatory for correct interpretation of mortality estimates. Although declining, rates are still extremely high and efforts must be made towards prevention of stroke incidence, reduction of case-fatality rates and prevention of sequelae.Key-words: stroke; mortality rate; health inequalities. resumo Objetivos: As taxas de mortalidade por acidente vascular encefálico (AVE) estão em declínio no Brasil, mas diferenças entre as regiões precisam ser melhor investigadas. Foram analisadas as tendências de mortalidade por AVE ajustadas por idade em adultos (30-69 anos) de regiões do Brasil, entre 1996 e 2011. Método: Análise realizada após realocação dos óbitos sem registro de sexo ou idade; redistribuição de códigos mal definidos e correção do subregistro. Modelos de regressão linear e de espaço de estados foram utilizad...

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“…An assessment of civil registration and vital statistics systems indicated that 16 of 47 countries had very low quality systems and no data were available for a further 28 countries. 252 In the absence of such systems, alternative approaches to the acquisition and reporting of valuable population level health data have been developed, despite limited resources. Examples include: retrospective household surveys, such as demographic and health surveys, multiple indicator cluster surveys, and the health and demographic surveillance systems (HDSS).…”

Section: Current Public Health Capacity In Sub-saharan Africamentioning

confidence: 99%

The path to longer and healthier lives for all Africans by 2030: the Lancet Commission on the future of health in sub-Saharan Africa

et al. 2017

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A global assessment of civil registration and vital statistics systems: monitoring data quality and progress

Cited by 425 publications

References 18 publications

Captação de óbitos não informados ao Ministério da Saúde: pesquisa de busca ativa de óbitos em municípios brasileiros

Captação de óbitos não informados ao Ministério da Saúde: pesquisa de busca ativa de óbitos em municípios brasileiros

Consistent declining trends in stroke mortality in Brazil: mission accomplished?

The path to longer and healthier lives for all Africans by 2030: the Lancet Commission on the future of health in sub-Saharan Africa

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