Evaluation of the mortality registry in Ecuador (2001–2013): social and geographical inequalities in completeness and quality

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• dc.contributor.author Peralta Chiriboga, Alejandro Andrés, 1985-
• dc.contributor.author Benach, Joan
• dc.contributor.author Borrell i Thió, Carme
• dc.contributor.author Espinel Flores, Verónica, 1979-
• dc.contributor.author Cash-Gibson, Lucinda, 1984-
• dc.contributor.author Queiroz, Bernardo L.
• dc.contributor.author Marí Dell'Olmo, Marc, 1978-
• dc.date.accessioned 2021-04-07T07:52:11Z
• dc.date.available 2021-04-07T07:52:11Z
• dc.date.issued 2019
• dc.description.abstract Background Mortality registries are an essential data source for public health surveillance and for planning and evaluating public policy. Nevertheless, there are still large inequalities in the completeness and quality of mortality registries between and within countries. In Ecuador, there have been few nationwide evaluations of the mortality registry and no evaluations of inequalities between provinces. This kind of analysis is fundamental for strengthening the vital statistics system. Methods Ecological study assessing the completeness, quality and internal consistency of mortality data in the provinces of Ecuador, using 13 years of mortality data (2001–2013). Completeness was assessed using three types of death distribution methods (DDMs), quality by estimating the percentages of garbage codes and deaths with unspecified age or sex in the registered deaths, and internal consistency by estimating the percentage of deaths with reported causes of deaths considered impossible in some age–sex combinations. Finally, we propose a classification of the mortality registry in the studied areas based on completeness and quality. Results Completeness estimates (mean of the three methods used) in the provinces ranged from 21 to 87% in women and from 35 to 89% in men. The percentage of garbage codes in the provinces ranged from 21 to 56% in women and from 25 to 52% in men. Garbage coding was higher in women and in older age groups. The percentage of deaths with unspecified age or sex, and the percentage of deaths with reported causes of deaths considered impossible in some age–sex combinations was low in all the studied areas. The mortality registry could only be classified as acceptable in one area for men and one area for women. Conclusions We found substantial inequalities by sex, geographical areas and age in the completeness and quality of the mortality registry of Ecuador. The findings of this study will be helpful to direct measures to improve Ecuador’s vital statistics system and to generate strategies to reduce bias when using mortality data to analyse health inequalities in the country.en
• dc.description.sponsorship Andrés Peralta was supported by the National Scholarship programme of the Ecuadorian government -National Secretary of Higher Education, Science, Technology and Innovation (SENESCYT – Convocatoria Abierta 2013 – Primera Fase).
• dc.format.mimetype application/pdf
• dc.identifier.citation Peralta A, Benach J, Borrell C, Espinel-Flores V, Cash-Gibson L, Queiroz BL, Marí-Dell'Olmo M. Evaluation of the mortality registry in Ecuador (2001–2013): social and geographical inequalities in completeness and quality. Popul Health Metr. 2019 Mar 28;17(3):1-12. DOI: 10.1186/s12963-019-0183-y
• dc.identifier.doi http://dx.doi.org/10.1186/s12963-019-0183-y
• dc.identifier.issn 1478-7954
• dc.identifier.uri http://hdl.handle.net/10230/47034
• dc.language.iso eng
• dc.publisher BioMed Central
• dc.relation.ispartof Population Health Metrics. 2019 Mar 28;17(3):1-12
• dc.rights This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Mortalityen
• dc.subject.keyword Mortality registriesen
• dc.subject.keyword Vital statisticsen
• dc.subject.keyword Health inequalitiesen
• dc.subject.keyword Geographical inequalitiesen
• dc.title Evaluation of the mortality registry in Ecuador (2001–2013): social and geographical inequalities in completeness and qualityen
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion