An assessment of infant mortality rates in Colombia, 1980-2009
Marta Cecilia Jaramillo1, Dov Chernichovsky2, José Juan Jiménez Moleón3
1Universidad Icesi, Facultad de Ciencias Administrativas y Económicas, Departamento de Gestión Organizacional, Cali, Colombia.
Insights
Colombia
Area of Science:
- Public Health
- Demography
- Biostatistics
Background:
- Infant mortality rate (IMR) is a critical indicator of national welfare and development.
- Colombia's official IMR data (2009) shows inconsistencies between registered (13.69/1000) and estimated (20.13/1000) rates.
- Such discrepancies are common in transitional economies, necessitating data reconciliation.
Purpose of the Study:
- To clarify Colombia's infant mortality rate reporting accuracy from 1980 to 2009.
- To reconcile inconsistencies using recently available public data.
- To provide a reliable estimate of Colombia's infant mortality trends.
Main Methods:
- Analysis of 8,636,510 live birth records (1998-2009) and 443,338 death records (1979-2009).
- Integration of data from birth/death registries, census, national statistics (DANE), and surveys (Profamilia).
- Application of an exponential function for estimating IMR (1980-2009) after descriptive analysis and data reconciliation.
Main Results:
- Registered and estimated 2009 IMRs are incompatible due to differing long-term decline rates.
- The registered rate underestimates the true IMR, while the estimated rate likely overestimates it.
- Independent analyses suggest Colombia's 2009 IMR is between 15.81 and 17.58, with 3.0-5.0% annual decline (1980-2009).
Conclusions:
- Colombia's IMR significantly decreased from approximately 54 to 17 between 1980 and 2009.
- This represents a long-term average annual decline rate of about 4.0%.
- The study provides a more accurate picture of infant mortality trends in Colombia.
Purpose:
The infant mortality rate is a key indicator of human welfare and development. However, in Colombia, the Departamento Administrativo Nacional de Estadística has set the registered rate for 2009 as 13.69 per 1,000 live births, while the estimated rate is 20.13, suggesting the presence of inconsistencies in the data, as in many other transitional economies. Objective: To set the record straight on Colombia's Infant mortality rate reporting since 1980 by using all available data that have recently become public.
Methods:
. The study analyzes 8,636,510 records of live births (1998-2009) and 443,338 records of deaths (1979-2009), and considers information from all available sources: births and death registries, census data, Departamento Administrativo Nacional de Estadística, and Profamilia surveys. First, following a descriptive analysis, an exponential function is used to estimate the Infant mortality rates in Colombia for 1980-2009 while resolving internal inconsistencies in the data from all sources. The objective is to evaluate the infant mortality rate in Colombia, 1980-2009.
Results:
The analysis demonstrates that the registered and the estimated rates for 2009 are incompatible since they follow inconsistent long-term rates of decline in Infant mortality rate. While the registered rate underestimates the real situation, the estimated rate appears to grossly overestimate it. Analyses, based on other sources, put the Infant mortality rate between 15.81 and 17.58 in 2009, with rates of decline between 3.0 and 5.0 percent for the period 1980-2009.
Conclusions:
The study concludes that during the period 1980-2009, the Infant mortality rate for Colombia on average fell from about 54 to about 17, suggesting a long-term annual rate of decline of about 4.0 percent.
Related Concept Videos
Applications of Life Tables
Life Tables
Drug Dosing: Infants and Children
Actuarial Approach
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Prevalence and Incidence
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...


