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  1. 1

    Child mortality since the 1960s: a database for developing countries.

    United Nations. Department of Economic and Social Development. Population Division

    New York, New York, United Nations, 1992. viii, 400 p. (ST/ESA/SER.A/128)

    Available child mortality data are provided since the 1960s for 82 developing countries, arranged alphabetically, with a population of >1 million. The scope and methodology of the data, the main findings, a guide to the notation and layout of the database, and country specific profiles are included. Available data are included from many different sources without adjustment; graphs are provided. There is a brief discussion of the nature of child mortality and the methods used to measure it such as the crude death rate, age specific death rates, the infant mortality rate, <5 mortality, mortality 1-5 years, and model life tables for age specific child mortality. There is also discussion of the various data sources and estimation methods: vital registration data, prospective surveys, household surveys, prospective sample surveys, surveillance systems, retrospective questions in censuses and surveys, questions on recent household deaths by age, Brass method questions to whom on aggregate number of children born or dead, questions on women's most recent birth and survival, and maternity histories. Commentary is provided on the common index approach and the intersurvey change approach to evaluation of child mortality estimates. There is not 1 best method for measuring mortality. Countries with the most complete reporting of vital registration data are Hong Kong, Israel, Mauritius, Puerto Rico, and Singapore. Countries with incomplete data which does not provide a good measure of child mortality are Egypt, El Salvador, Guatemala, Jamaica, and Trinidad and Tobago. Brass estimates which agree with vital registration data include the following countries: Costa Rica, Cuba, Kuwait, and Peninsular Malaysia. Indirect estimates which confirm vital registration data pertain to Chile and Uruguay. Brass questions provide satisfactory results in Costa Rica, Cuba, Egypt, El Salvador, Guatemala, Jamaica, Sri Lanka, and Trinidad and Tobago. Underestimates are expected for Argentina and Egypt. Indirect methods applied to census data provide good estimates for 23 countries, indirect methods applied to survey data yields good estimates for 21 countries, and direct calculations from maternity histories provide good estimates for 20 countries. 17 countries have poor results from maternity histories alone. Child mortality may have fallen by >50% in developing countries between 1960-85.
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  2. 2

    Measuring childhood mortality: a guide for simple surveys.

    David PH; Bisharat L; Hill AG; Bennett S

    Amman, Jordan, United Nations Children's Fund, Regional Office of the Middle East and North America, 1990. 172 p.

    This handbook is intended to aid the United Nations International Children's Emergency Fund (UNICEF) handle surveys of childhood mortality added to vaccination coverage surveys (expanded program of immunization- -EPI) surveys or to diarrheal mortality and morbidity surveys (MMT). By including all women of reproductive ages in each household as part of EPI coverage surveys, the survey window has widened. The core modality module (CMM) locks neatly into this flow. It is not intended to be a substitute for other ways to measure child mortality. Infant and under- age-5 mortality are indicators of social welfare. The reasons why these surveys are called "simple" or "rapid" are listed. Measurement of mortality is covered in Chapter 1. The Brass method, the birth history, the preceding births technique, and the design and execution of a simple mortality survey are discussed here. Formulating the questionnaire is covered in the next chapter. Discussed here are the mortality module; translation, layout and pretesting of the questionnaire; the screening questionnaire, and the mortality questionnaire (Modules A and B). Chapter 3 discusses the design of a sample survey to measure childhood mortality. Discussed here are cluster and stratified sampling, modifying EPI surveys for purposes of mortality estimation, selecting the sample and the clusters, determining sample size, and the requirements of a good sample. Collecting the data is discussed in chapter 4. Topics discussed include field work, preparation of the interview instructions, field supervisor and interviewers, selection and training of field staff, training course outline, selecting households in the sample, quality control; supervisor's responsibilities, how to handle an interview, and how to fill in the questionnaire. The 5th chapter discusses data analysis. Under data analysis, data tabulation of the mortality data, the Brass estimates of childhood mortality and trends, preceding birth technique estimates, estimates from the short birth history, technical note: calculating sampling error for proportions and points to remember are described. How to write the report is discussed in chapter 6.
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  3. 3

    [Data and analysis methodology] Donnees et methodes d'analyse.

    United Nations. Economic Commission for Africa. Secretariat

    In: Infant and childhood mortality and socio-economic factors in Africa. (Analysis of national World Fertility Survey data) / Mortalite infantile et juvenile et facteurs socio-economiques en Afrique. (Analyse des donnees nationales de l'Enquete Mondiale sur la Fecondite), [compiled by] United Nations. Economic Commission for Africa [ECA]. Addis Ababa, Ethiopia, United Nations, ECA, 1987. 7-26. (RAF/84/P07)

    Technical problems and methods associated with the analysis of differential child mortality data for a conference of representatives from 8 African countries, sponsored by the UN Economic Commission for Africa and the International Statistical Institute are described. The data being interpreted were from the World Fertility Surveys, conducted between 1977 and 1981, including complete birth histories of women up to 50 years of age. A core questionnaire contained 7 sections on woman's background, maternity history, contraceptive knowledge and marriage history, fertility regulation, work history and husband's background. Mortality was measured by Brass methods and the cohort approach with analysis of determining factors. No adjustment was made for omission of births and of dead children: since underreporting is more likely to occur in the past, current mortality estimates can be considered fairly accurate. Methods of correcting for misreporting are described. The extent of potential bias due to lack of data on children whose mothers were deceased at the time of survey is unknown. Another source of bias is truncation due to loss of data on older children born to older women. Generally the quality of the World Fertility Survey mortality data is reasonably good, compared to other studies.
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  4. 4

    Availability and quality of mortality statistics in selected ESCAP countries.

    United Nations. Economic and Social Commission for Asia and the Pacific [ESCAP]

    [Unpublished] 1984. Paper presented at the Meeting on Analysis of Trends and Patterns of Mortality in the ESCAP Region, 13-19 November 1984, Bangkok. [9] p.

    Since very few developing countries have complete vital registration, most base their mortality statistics on data from occasional demographic surveys and population censuses. Brass technics are used to estimate child mortality from data on children ever born and children still living by 5-year age groups of mothers. Many of the 1980 censuses included these questions. In view of the importance of vital statistics for development planning, the UN has recently listed data to be collected by a vital registration system. Because complete registration is so difficult to achieve, some countries--India, Pakistan, and Bangladesh, for example--operate sample registration systems, which are mostly dual-method surveys, continuous registration systems coupled with periodic household surveys. Demographic survey data relies largely on indirect methods for estimating infant and child mortality. This type of survey underestimates childbearing at older ages and overestimates childbearing at younger ages. Tables 1 and 2 list information on mortality collected in the 1970 and 1980 censuses of countries in the Economic and Social Commission for Asia and the Pacific (ESCAP) region by whether information was collected on children born alive, children living, the date of birth of the last child, and whether that child is still living. Table 3 lists the UN recommendations on data to be collected in death registration.
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