Interim measures for meeting needs for health sector data: births, deaths, and causes of death

Hill, Kenneth; Lopez, Alan D; Shibuya, Kenji; Jha, Prabhat

doi:10.1016/s0140-6736(07)61309-9

Cited by 123 publications

(100 citation statements)

References 27 publications

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“…76 However, the largest and most rapid increase in data available now would be through inclusion of reliable stillbirth capture in existing household surveys. 77 These surveys, especially the demographic health surveys (DHS) and UNICEF's multiple indicator cluster surveys, provide more than 75% of worldwide data for neonatal and child deaths. DHS rely on retrospective pregnancy histories over the past 5 years and are unreliable for stillbirth data at present, although some surveys do capture stillbirths more accurately.…”

Section: Improving National Stillbirth Data For Action Improving Stilmentioning

confidence: 99%

“…77,82 Novel approaches are needed to record pregnancies and outcomes accurately; for example, in India, sentinel surveillance sites are used. 83 In view of the large diff erences in stillbirth rates in urban versus rural residences, ethnic origins, and socioeconomic metrics, data for programme design and tracking need to be as local and specifi c as possible.…”

Section: Comparable Definitionmentioning

confidence: 99%

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Stillbirths: Where? When? Why? How to make the data count?

et al. 2011

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for The Lancet's Stillbirths Series steering committee* Despite increasing attention and investment for maternal, neonatal, and child health, stillbirths remain invisible-not counted in the Millennium Development Goals, nor tracked by the UN, nor in the Global Burden of Disease metrics. At least 2·65 million stillbirths (uncertainty range 2·08 million to 3·79 million) were estimated worldwide in 2008 (≥1000 g birthweight or ≥28 weeks of gestation). 98% of stillbirths occur in low-income and middle-income countries, and numbers vary from 2·0 per 1000 total births in Finland to more than 40 per 1000 total births in Nigeria and Pakistan. Worldwide, 67% of stillbirths occur in rural families, 55% in rural sub-Saharan Africa and south Asia, where skilled birth attendance and caesarean sections are much lower than that for urban births. In total, an estimated 1·19 million (range 0·82 million to 1·97 million) intrapartum stillbirths occur yearly. Most intrapartum stillbirths are associated with obstetric emergencies, whereas antepartum stillbirths are associated with maternal infections and fetal growth restriction. National estimates of causes of stillbirths are scarce, and multiple (>35) classifi cation systems impede international comparison. Immediate data improvements are feasible through household surveys and facility audit, and improvements in vital registration, including specifi c perinatal certifi cates and revised International Classifi cation of Disease codes, are needed. A simple, programme-relevant stillbirth classifi cation that can be used with verbal autopsy would provide a basis for comparable national estimates. A new focus on all deaths around the time of birth is crucial to inform programmatic investment. Why don't stillbirths count?Stillbirths are invisible in many societies and on the worldwide policy agenda, but are very real to families who experience a death. Despite 30 years of attention to child survival interventions, 1,2 more than 20 years of attention to safe motherhood, 3,4 and increasing recent attention to survival of newborn babies, 5-7 the focus worldwide has remained on survival after livebirth. Stillbirths remain mostly ignored, not counting on policy, programme, and investment agendas, both internationally and often also at the national level. 8 The importance of neonatal deaths has risen on the worldwide policy agenda, mainly because of the Millennium Development Goals (MDGs) and recognition of the increasing proportion of child deaths that happen in the fi rst month of life-from 37% in 2000 7 to 41% in 2008. 9 A baby who dies just after birth counts in the MDG tracking, but a baby who dies in the third trimester or even during labour does not. Neither the MDGs nor the Global Burden of Disease metrics mention stillbirths, and stillbirth data are not routinely compiled by the UN. Even when stillbirths are recorded in surveys, the data are frequently combined with early neonatal deaths and reported as perinatal mortality, a combination that reduces visibility and might mask reporti...

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Section: Improving National Stillbirth Data For Action Improving Stilmentioning

confidence: 99%

Section: Comparable Definitionmentioning

confidence: 99%

Stillbirths: Where? When? Why? How to make the data count?

et al. 2011

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“…3 Numerous authors have highlighted the need to strengthen national statistics systems and improve the comparability of mortality data and of international collection and reporting of data. [4][5][6][7][8] While the importance of such data at national level is well established, recent evidence of heterogeneous mortality patterns within countries and districts [9][10][11] -and the health inequities that they reflect -suggests that it is also important to compile such data at subnational level. 12 In contexts of resource constraints and health disparities, subpopulation data are critical for identifying and monitoring inequalities in health status and for prioritizing interventions, services and research at the local level.…”

Section: Introductionmentioning

confidence: 99%

Differential health needs of the population in Cape Town, South Africa: Local-level mortality surveillance in resource-limited settings: a case study of the City of Cape Town highlights disparities in health

Groenewald¹,

Bradshaw²,

Daniels³

et al. 2010

Bull World Health Org

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“…Despite canvassing for the improvement of the CRS around the world by the World Health Organization and partners in Hill et al 2007;Mahapatra et al 2007;Setel et al 2007), it remains unclear how much progress has been made in Nigeria, based on conflicting reports. Estimation of completeness is necessary to assess progress toward universal birth registration and to focus interventions on areas with most need.…”

mentioning

confidence: 99%

Trends in the completeness of birth registration in Nigeria: 2002-2010

Makinde

Olapeju

Ogbuoji

et al. 2016

DemRes

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BACKGROUNDNigeria is a signatory to the Convention on the Rights of the Child, which identifies birth registration as a child's right. However, it is unclear how much progress has been made toward attaining universal birth registration in the country. METHODSThis paper reports findings from a secondary analysis of data from the 2007 and 2011 UNICEF Multiple Indicator Cluster Survey in Nigeria. Trends in birth registration completeness based on year of birth of children and age at survey were computed, tabulated, and graphed. RESULTSBirth registration completeness was 31.5% and 41.5% in 2007 and 2011 respectively. Children had better odds of registration across Nigeria in 2011 than in 2007 (OR 1.79, 95% CI 1.59-2.01), except in the North East geopolitical zone (OR 0.76, 95% CI 0.55-1.07). Likewise, older children had better odds of registration than those aged less than one year. Female children had worse chances of registration than their male counterparts (OR 0.92, 95% CI 0.85-0.99). CONCLUSIONBirth registration improved in 2011 over 2007 across Nigeria except in the North East region. However, much still needs to be done to achieve universal birth registration. Birth registration appears to still be influenced by the gender and age of the child. CONTRIBUTIONThis paper provides a rigorous assessment of the progress made toward universal birth registration, which has not been previously demonstrated.

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Interim measures for meeting needs for health sector data: births, deaths, and causes of death

Cited by 123 publications

References 27 publications

Stillbirths: Where? When? Why? How to make the data count?

Stillbirths: Where? When? Why? How to make the data count?

Differential health needs of the population in Cape Town, South Africa: Local-level mortality surveillance in resource-limited settings: a case study of the City of Cape Town highlights disparities in health

Trends in the completeness of birth registration in Nigeria: 2002-2010

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