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[Completeness variable evaluation from death certificate of children less than one year in Pernambuco State,
Juliana Martins Barbosa da Silva Costa1, Paulo Germano de Frias
1Instituto Materno-Infantil Professor Fernando Figueira, Recife, PE 50070-550. jumarbs@ibest.com.br
Insights
Completeness of infant death certificate data in Brazil improved for some variables but declined for others. Enhancing data quality requires better educational strategies and control measures for accurate vital statistics.
Area of Science:
- Public Health
- Epidemiology
- Vital Statistics
Background:
- Accurate death certificates are crucial for understanding child mortality.
- Assessing data completeness is vital for reliable epidemiological analysis.
- The Mortality Information System (SIM) in Brazil is a key source for vital statistics.
Purpose of the Study:
- To evaluate the completeness of variables on death certificates for children under one year old in Pernambuco, Brazil.
- To analyze trends in data completeness from 1997 to 2005.
- To identify specific variables with improving or declining completeness.
Main Methods:
- An evaluative, descriptive, time series study design was employed.
- Data from the Mortality Information System (SIM) for infant deaths (1997-2005) in Pernambuco were analyzed.
- Incompleteness was calculated per variable by municipality, assessing trends and completeness percentages.
Main Results:
- Significant variations in data completeness were observed across different death certificate variables.
- Completeness improved for variables such as sex, age, race/color, place of occurrence, type of delivery, and weeks of gestation.
- Completeness decreased for variables related to autopsy confirmation, surgery completion, and medical examination.
Conclusions:
- There are disparities in the quality of information recorded on infant death certificates.
- Targeted educational interventions and improved data quality control are necessary.
- Enhancing death certificate completeness is essential for accurate monitoring of infant mortality and public health interventions.
Abstract:
An evaluative, descriptive, time series study was conducted to evaluate the completeness of variables from death certificate. The study population consisted of all deaths of children less than one year old living in Pernambuco State, Brazil, from 1997 to 2005, contained in the database of the Mortality Information System (SIM), provided by the Data Processing Department of the Unified Health System (DATASUS). We calculated each variable's incompleteness (blank/unknown data) by municipality of residence. Based on these data, we calculated the percentage of municipalities with excellent completeness (>95%) and the tendency qui-square (p>95%). There was a difference in the filling behavior of the variables of the death certificate. While sex, age, race/color, place of occurrence, type of delivery and weeks of gestation had an increase in the percentage of municipalities with excellent filling, death confirmed by autopsy, completion of surgery, complement and medical examination showed a decrease. The study emphasizes the importance of educational actions and a better control in the filling of the variables in death certificates.
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