Completeness of birth registration in Brazil: an overview of methods and data sources

Lima, Everton Emanuel Campos de; Queiroz, Bernardo Lanza; Zeman, Kryštof

doi:10.1186/s41118-018-0035-9

Cited by 8 publications

(12 citation statements)

References 36 publications

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“…Third, Brazil has some data challenges—under-reporting of births and deaths and limited covariate data quality. However, data quality has improved substantially in recent years and is less problematic over the period when most SFL was introduced 25. Furthermore, model specifications account for trends over time— including gradual improvements in data quality—and there would have to be changes in data recording quality concurrent with the variable introduction of SFL to bias these results.…”

Section: Discussionmentioning

confidence: 99%

“…Live birth data provided information on the total number of live births and numbers of VLBW births (less than 1500 g), LBW births (less than 2500 g), births by caesarean section, births in hospital and births to mothers with at least 4 years of education. While historically underreporting of birth has been problematic in Brazil, in recent years this has improved with over 95% of birth registered in 2015 25. Information on municipal monthly primary healthcare coverage (the Family Health Strategy) was taken from the Brazilian Ministry of Health’s Department of Primary Care website (http://dab.saude.gov.br).…”

Section: Methodsmentioning

confidence: 99%

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Smoke-free legislation and neonatal and infant mortality in Brazil: longitudinal quasi-experimental study

et al. 2019

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ObjectiveTo examine the associations of partial and comprehensive smoke-free legislation with neonatal and infant mortality in Brazil using a quasi-experimental study design.DesignMonthly longitudinal (panel) ecological study from January 2000 to December 2016.SettingAll Brazilian municipalities (n=5565).ParticipantsInfant populations.InterventionSmoke-free legislation in effect in each municipality and month. Legislation was encoded as basic (allowing smoking areas), partial (segregated smoking rooms) or comprehensive (no smoking in public buildings). Associations were quantified by immediate step and longer term slope/trend changes in outcomes.Statistical analysesMunicipal-level linear fixed-effects regression models.Main outcomes measuresInfant and neonatal mortality.ResultsImplementation of partial smoke-free legislation was associated with a −3.3 % (95% CI −6.2% to −0.4%) step reduction in the municipal infant mortality rate, but no step change in neonatal mortality. Comprehensive smoke-free legislation implementation was associated with −5.2 % (95% CI −8.3% to −2.1%) and −3.4 % (95% CI −6.7% to −0.1%) step reductions in infant and neonatal mortality, respectively, and a −0.36 (95% CI −0.66 to−0.06) annual decline in the infant mortality rate. We estimated that had all smoke-free legislation introduced since 2004 been comprehensive, an additional 10 091 infant deaths (95% CI 1196 to 21 761) could have been averted.ConclusionsStrengthening smoke-free legislation in Brazil is associated with improvements in infant health outcomes—particularly under comprehensive legislation. Governments should accelerate implementation of comprehensive smoke-free legislation to protect infant health and achieve the United Nation’s Sustainable Development Goal three.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Smoke-free legislation and neonatal and infant mortality in Brazil: longitudinal quasi-experimental study

et al. 2019

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“…Local Burden of Disease HIV Collaborators: Michael A Cork 1 , Nathaniel J Henry 1,2 , Stefanie Watson 1 , Andrew J Croneberger 1 , Mathew Baumann 1 , Ian D Letourneau 1 , Mingyou Yang 1 , Audrey L Serfes 1 , Jaffar Abbas 3 , Nooshin Abbasi 4 , Hedayat Abbastabar 5 , Lucas G Abreu 6 , Eman Abu-Gharbieh 7 , Basavaprabhu Achappa 8 , Maryam Adabi 9 , Tadele G Adal 10 , Adeyinka E Adegbosin 11 , Victor Adekanmbi 12 , Olatunji O Adetokunboh 13,14 , Marcela Agudelo-Botero 15 , Bright O Ahinkorah 16 , Keivan Ahmadi 17 , Muktar B Ahmed 18,19 , Robert K Alhassan 20 , Vahid Alipour 21,22 , Amir Almasi-Hashiani 23 , Nelson Alvis-Guzman 24,25 , Robert Ancuceanu 26 , Tudorel Andrei 27 , Davood Anvari 28,29 , Muhammad Aqeel 30 , Jalal Arabloo 21 , Olatunde Aremu 31 , Malke Asaad 32 , Desta D Atnafu 33 , Alok Atreya 34 , Beatriz Paulina Ayala Quintanilla 35 , Samad Azari 21 , Darshan B B 36 , Atif A Baig 37 , Maciej Banach 38,39 , Simachew A Bante 40 , Miguel A Barboza 41,42 , Sanjay Basu 43,44 , Neeraj Bedi 45,46 , Diana F Bejarano Ramirez 47,48 , Isabela M Bensenor 49 , Fentahun Y Beyene 40 , Yih...…”

Section: Acknowledgementsmentioning

confidence: 99%

“…An additional complication in HIV mortality estimation is that-due to stigma or misdiagnosis-HIV deaths may be misclassified and coded to other underlying causes of death such as tuberculosis, endocrine disorders, meningitis, or encephalitis [23][24][25]. Moreover, vital registration (VR) systems in many countries in Latin America are incomplete and not all deaths are recorded in official statistics [23,[25][26][27]. While a variety of methods have been proposed to estimate the completeness of death registration at the country level [28,29], standard methods rely on stable population and sex pattern assumptions that often do not hold in small subnational areas [29,30].…”

Section: Introductionmentioning

confidence: 99%

Mapping subnational HIV mortality in six Latin American countries with incomplete vital registration systems

Cork¹,

Henry²,

Watson³

et al. 2021

BMC Med

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Background Human immunodeficiency virus (HIV) remains a public health priority in Latin America. While the burden of HIV is historically concentrated in urban areas and high-risk groups, subnational estimates that cover multiple countries and years are missing. This paucity is partially due to incomplete vital registration (VR) systems and statistical challenges related to estimating mortality rates in areas with low numbers of HIV deaths. In this analysis, we address this gap and provide novel estimates of the HIV mortality rate and the number of HIV deaths by age group, sex, and municipality in Brazil, Colombia, Costa Rica, Ecuador, Guatemala, and Mexico. Methods We performed an ecological study using VR data ranging from 2000 to 2017, dependent on individual country data availability. We modeled HIV mortality using a Bayesian spatially explicit mixed-effects regression model that incorporates prior information on VR completeness. We calibrated our results to the Global Burden of Disease Study 2017. Results All countries displayed over a 40-fold difference in HIV mortality between municipalities with the highest and lowest age-standardized HIV mortality rate in the last year of study for men, and over a 20-fold difference for women. Despite decreases in national HIV mortality in all countries—apart from Ecuador—across the period of study, we found broad variation in relative changes in HIV mortality at the municipality level and increasing relative inequality over time in all countries. In all six countries included in this analysis, 50% or more HIV deaths were concentrated in fewer than 10% of municipalities in the latest year of study. In addition, national age patterns reflected shifts in mortality to older age groups—the median age group among decedents ranged from 30 to 45 years of age at the municipality level in Brazil, Colombia, and Mexico in 2017. Conclusions Our subnational estimates of HIV mortality revealed significant spatial variation and diverging local trends in HIV mortality over time and by age. This analysis provides a framework for incorporating data and uncertainty from incomplete VR systems and can help guide more geographically precise public health intervention to support HIV-related care and reduce HIV-related deaths.

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“…The earliest studies on assessing the quality of vital registration data may be mentioned in Hirschman and Tan's (1971) work on evaluating mortality data in vital statistics and Shamsuddin and Lieberman's (1998) work on linking death reports with birth and death certificates. Under-registration of births and completeness of birth registration have been widely studied in other countries (Brito et al, 2017;Duryea et al, 2006;Garenne et al, 2016;Lima et al, 2018;Makinde et al, 2016;Nannan et al, 2019). However, no study has been carried out to evaluate the completeness of birth registration in Malaysia since the seminal work of Saw (1964) on the under-registration of births in Peninsular Malaysia (then known as Malaya) before independence in 1957, and that of Leete and Kwok (1986) on the estimation of fertility in East Malaysia.…”

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confidence: 99%

Deficiency in civil registration and vital statistics reporting in remote areas: the case of Sabah, Malaysia

Lai

Tey

2021

Genus

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Malaysia has a well-established civil registration system dating back to the 1960s. Birth registration is virtually complete at the national level. However, the quality of civil registration in some remote areas is doubtful, as evidenced by the abnormally low birth and death rates in several districts. This study focuses on identifying districts in Sabah, where the reporting of births seems problematic. Sabah is the least developed state in Malaysia, and it is sparsely populated, despite being the second most populous state in the country. Sabah’s civil registration lags behind the other states, to the extent that birth and death statistics were not reported for the state in the vital statistics report for the period 2000 to 2009. A 2016 study found that death registration is almost 100%, except for Sabah (88%). The plausible reasons behind the ultra-low birth rate reported in several remote districts in Sabah include misreporting of the place of occurrence as the usual residence, delayed reporting, non-coverage, ignorance of the law, inaccessibility, presence of a large number of migrants, miscommunication, and errors in data entry. The under-reporting of births may have serious consequences, such as misallocation of resources and deprivation of services to those affected. In line with the transformative promise of “leaving no one behind,” the Sustainable Development Goals urge all countries to strive to improve data quality for planning; this includes complete birth registration for creating effective development programs to reach target groups more effectively.

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Completeness of birth registration in Brazil: an overview of methods and data sources

Cited by 8 publications

References 36 publications

Smoke-free legislation and neonatal and infant mortality in Brazil: longitudinal quasi-experimental study

Smoke-free legislation and neonatal and infant mortality in Brazil: longitudinal quasi-experimental study

Mapping subnational HIV mortality in six Latin American countries with incomplete vital registration systems

Deficiency in civil registration and vital statistics reporting in remote areas: the case of Sabah, Malaysia

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