Birth Register and Statistics. A big challenge for the Pan American

Birth Register and Statistics. A big challenge for the Pan American

Birth Register and Statistics. A big
challenge for the Pan American Health
Organization (PAHO)
Dr Fatima Marinho, HDM/HA Coordinator
Congreso Mundial de Epidemiología.
Porto Alegre, Brasil, September 21-25, 2008
1
2
Crude Birth Rate AMERICAS and Sub Regions 2008
Central America
Latin Caribbean
Non-Latin C aribbean
North Am eri ca
South Americ a
10
15
Source: CEPAL/United Nations 2008
20
25
Birth rate
30
35
3
Fertility Rate AMERICAS and Sub Regions 2008
Centr al Ameri ca
Latin Car ibbea n
Non- Latin C ar ib be an
North Am eri ca
S outh A me ric a
1.5
Source: CEPAL/United Nations 2008
2
2.5
3
3.5
4
4
Vital and Health Statistics Situation
2004-2005
Project started – evaluation of vital statistics information
.
2005
A preliminary report was presented
A database was consolidated, and a REGIONAL REPORT was issued
identifying strengths and weaknesses in the production of countries
statistics.
The report also identified differences among countries to facilitate
the design of a plan of action, both national and international in
scope, that, respecting national differences and needs, would
strengthen capacity in the management, operation, and maintenance
of health information systems.
5
Regional Situation
The Regional Report lists the countries according to their vital and health statistics
situation, revealing wide disparities among countries and even within them.
This findings make it possible to pinpoint the areas requiring greater attention and
targeting (at geographical and sectoral level, in processes associated with health
care, vital records systems, etc.).
Coverage. Situation was relatively better in 7 of 26 countries, which exhibited broad
coverage (over 85%) throughout their national territory. Al the other extreme,
however, 7 countries recorded barely 50% of these events. This means: only one out
of every two births or deaths are recorded (under recording affects special groups of
population).
Quality. Affects the countries in a more homogeneous manner, specially at the local
level. Lack of information on the mother’s age, the child’s birth weight, the place of
residence, the socioeconomics characteristics of people involved in events, the
attribution of ill-defined cause of death or failure to state the cause make it difficult
for the countries to know the true levels of risk and burden of disease or to determine
the epidemiogical profiles of mortality.
6
1. COVERAGE. Births and deaths. 2005 (c)
HAI
HON
PER
BOL
BEL
PAR
RDO
NIC
VEN
ECU
ELS
COL
MEX
Death
Births
PAN
GUA
BRA
BAH
SVC
TRI
CRI
BAR
ARG
CHI
URU
CUB
EUA
7
0.00
10.00
20.00
30.00
40.00
50.00
60.00
70.00
80.00
90.00
100.00
U
ni
do
s
C
u
U ba
ru
gu
ay
C
h
A
rg ile
en
B tina
ar
ba
Tr
in C
do
id os
ad ta s
y Ri
To ca
ba
go
S
tV
ic
e
B
ah nt
am
as
G Br
ua a
te sil
m
al
a
P
an
am
a
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ex
i
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ol co
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lS
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al ia
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ad
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en
o
ez r
u
R
el
ep Ni
a
. D ca
r
om ag
in ua
ic
an
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a
ar
ag
ua
y
B
el
ic
B e
ol
iv
ia
P
e
H
on ru
du
ra
s
E
st
ad
os
2. Regional Situation. Births and Deaths coverage. 2005 (c)
Situation of Vital Statistics in the countries. Birth and death coverage.
100
90
80
70
60
50
40
30
20
10
0
8
3. COVERAGE. MEXICO. Births. Occurred vs. Registered. 2005 (c)
MEXICO. Porcentaje de nacimientosocurridosen el año sobre el total
de registradosen el año. 2003
90
80
70
60
50
40
30
20
10
0
9
4. COVERAGE. PARAGUAY. Births. Differences between sources
(MOH,VR). 2005 (c)
Gráfico 2
Nacimientos. Diferencias debidas a la transmisión (salud y registro civil). 2005.
80,0
70,0
60,0
50,0
40,0
30,0
20,0
10,0
C
on
ce
pc
ió
Sa
n
n
Pe
dr
C
o
or
di
lle
ra
G
ua
i
C
aa rá
gu
az
ú
C
aa
za
pá
Ita
pú
M
is a
io
ne
Pa
s
ra
gu
A
ar
lto
Pa í
ra
ná
C
en
Ñ
t
ee ral
m
bu
cú
A
m
am
ba
Pr Ca
y
ni
es
n
id
en dey
te
ú
H
ay
es
B
oq
A
u
lto
er
Pa ón
ra
gu
ay
A
su
nc
ió
Ex
n
tr
an
je
ro
To
ta
l
de
lP
aí
s
0,0
10
5. COVERAGE. PARAGUAY. Births. Register vs. estimates. 2005 (c)
Gráfico 3
Nacimientos. Cobertura (diferencia entre registro y estimaciones). 2005.
200,0
180,0
160,0
140,0
120,0
100,0
80,0
60,0
40,0
20,0
C
on
ce
pc
ió
Sa
n
n
Pe
dr
C
o
or
di
lle
ra
G
ua
i
C
aa rá
gu
az
ú
C
aa
za
pá
Ita
pú
a
M
is
io
ne
Pa
s
ra
gu
A
ar
lto
í
Pa
ra
ná
C
en
t
Ñ
ee ral
m
bu
cú
A
m
am
ba
Pr Ca
y
ni
es
nd
id
ey
en
ú
te
H
ay
es
B
oq
A
u
lto
er
ón
P
ar
ag
ua
A
y
su
nc
ió
n
To
ta
l
de
lP
aí
s
0,0
11
6. COVERAGE. HONDURAS. Births. Register vs. estimate. 2005 (c)
12
7. COVERAGE. MEXICO. Births. Register vs. estimates. 2005 (c)
MEXICO. Cobertura de nacimientossegún estimación
disponible, por jurisdicción y año de ocurrencia. 2003
100.0
90.0
80.0
70.0
60.0
50.0
40.0
30.0
20.0
13
8. COVERAGE. BRASIL. Births. Register vs. estimates. 2005 (c)
Gráfico 4
Nacimientos. Cobertura, estimaciones varias. Circa 2002.
120
100
80
60
Relaciones de
supervivencia
Estim aciones 1
40
Esrtim aciones 2
20
0
14
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9. QUALITY. PARAGUAY. Births. Unspecified birth-weight of child. 2005 (c)
70.0
60.0
50.0
40.0
30.0
20.0
10.0
0.0
15
A
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T o
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B T I O Q t al
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10. QUALITY. COLOMBIA. Births. Unspecified birth-weight of child. 2005 (c)
70.0
60.0
50.0
40.0
30.0
20.0
10.0
0.0
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iu
d
C
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To
11. QUALITY. ARGENTINA. Births. Unspecified birth-weight of child. 2005 (c)
30.0
25.0
20.0
15.0
10.0
5.0
0.0
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Way forward (2008-2009)
2007. PAHO DC approved the Strategy for the Strengthening Vital
and Health Statistics in the countries of the Americas in it s 27th
Session (WDC, October 2007) that aims at providing amore effective
assistance to the countries, promote horizontal cooperation,
establish a collaboration mechanism between areas of the
Organization, and coordinate actions with other IOs.
2008. PAHO EC approved a Regional Plan for the Strengthening
Vital and Health Statistics in the countries of the Americas (PEVS)
(http://www.paho.org/spanish/gov/ce/ce142index-s.htm).
2007-2008. The PEVS is included in the SP 2008-2013, Strategic
Objective 11 (“To strengthen leadership, governance and the
evidence base of health systems.”)
http://intranet.paho.org/DPM/PPS/Strategic_Plan0812_INTRANET-esp.doc
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Way forward (2008-2009)
The RP has led to consideration of lines of action in the following areas:
(a)
(b)
(c)
(d)
(e)
(f)
Preparation or expansion of situation analysis in each country.
Creation of an interinstitutional team to make a diagnosis and
devise a plan in each country.
The priorization of greater coverage (thematic, geographical,
sectoral), improvements in quality, and timelines of availability and
dissemination of data.
To prepare a national plan in countries (NP).
To harmonize the national plan in the PEVS.
To define a corporative multilateral components of the plan.
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