How reliable are self-reported estimates of birth registration completeness? Comparison with vital statistics systems.

<h4>Background</h4>The widely-used estimates of completeness of birth registration collected by Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS) and published by UNICEF primarily rely on registration status of children as reported by respondents. However...

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Autores principales:	Tim Adair, Alan D Lopez
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/25492023427544728145cb1d68490f84
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spelling	oai:doaj.org-article:25492023427544728145cb1d68490f842021-12-02T20:03:53ZHow reliable are self-reported estimates of birth registration completeness? Comparison with vital statistics systems.1932-620310.1371/journal.pone.0252140https://doaj.org/article/25492023427544728145cb1d68490f842021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252140https://doaj.org/toc/1932-6203<h4>Background</h4>The widely-used estimates of completeness of birth registration collected by Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS) and published by UNICEF primarily rely on registration status of children as reported by respondents. However, these self-reported estimates may be inaccurate when compared with completeness as assessed from nationally-reported official birth registration statistics, for several reasons, including over-reporting of registration due to concern about penalties for non-registration. This study assesses the concordance of self-reported birth registration and certification completeness with completeness calculated from civil registration and vital statistics (CRVS) systems data for 57 countries.<h4>Methods</h4>Self-reported estimates of birth registration and certification completeness, at ages less than five years and 12-23 months, were compiled and calculated from the UNICEF birth registration database, DHS and MICS. CRVS birth registration completeness was calculated as birth registrations reported by a national authority divided by estimates of live births published in the United Nations (UN) World Population Prospects or the Global Burden of Disease (GBD) Study. Summary measures of concordance were used to compare completeness estimates.<h4>Findings</h4>Birth registration completeness (based on ages less than five years) calculated from self-reported data is higher than that estimated from CRVS data in most of the 57 countries (31 countries according to UN estimated births, average six percentage points (p.p.) higher; 43 countries according to GBD, average eight p.p. higher). For countries with CRVS completeness less than 95%, self-reported completeness was higher in 26 of 28 countries, an average 13 p.p. and median 9-10 p.p. higher. Self-reported completeness is at least 30 p.p. higher than CRVS completeness in three countries. Self-reported birth certification completeness exhibits closer concordance with CRVS completeness. Similar results are found for self-reported completeness at 12-23 months.<h4>Conclusions</h4>These findings suggest that self-reported completeness figures over-estimate completeness when compared with CRVS data, especially at lower levels of completeness, partly due to over-reporting of registration by respondents. Estimates published by UNICEF should be viewed cautiously, especially given their wide usage.Tim AdairAlan D LopezPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252140 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Tim Adair Alan D Lopez How reliable are self-reported estimates of birth registration completeness? Comparison with vital statistics systems.
description	<h4>Background</h4>The widely-used estimates of completeness of birth registration collected by Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS) and published by UNICEF primarily rely on registration status of children as reported by respondents. However, these self-reported estimates may be inaccurate when compared with completeness as assessed from nationally-reported official birth registration statistics, for several reasons, including over-reporting of registration due to concern about penalties for non-registration. This study assesses the concordance of self-reported birth registration and certification completeness with completeness calculated from civil registration and vital statistics (CRVS) systems data for 57 countries.<h4>Methods</h4>Self-reported estimates of birth registration and certification completeness, at ages less than five years and 12-23 months, were compiled and calculated from the UNICEF birth registration database, DHS and MICS. CRVS birth registration completeness was calculated as birth registrations reported by a national authority divided by estimates of live births published in the United Nations (UN) World Population Prospects or the Global Burden of Disease (GBD) Study. Summary measures of concordance were used to compare completeness estimates.<h4>Findings</h4>Birth registration completeness (based on ages less than five years) calculated from self-reported data is higher than that estimated from CRVS data in most of the 57 countries (31 countries according to UN estimated births, average six percentage points (p.p.) higher; 43 countries according to GBD, average eight p.p. higher). For countries with CRVS completeness less than 95%, self-reported completeness was higher in 26 of 28 countries, an average 13 p.p. and median 9-10 p.p. higher. Self-reported completeness is at least 30 p.p. higher than CRVS completeness in three countries. Self-reported birth certification completeness exhibits closer concordance with CRVS completeness. Similar results are found for self-reported completeness at 12-23 months.<h4>Conclusions</h4>These findings suggest that self-reported completeness figures over-estimate completeness when compared with CRVS data, especially at lower levels of completeness, partly due to over-reporting of registration by respondents. Estimates published by UNICEF should be viewed cautiously, especially given their wide usage.
format	article
author	Tim Adair Alan D Lopez
author_facet	Tim Adair Alan D Lopez
author_sort	Tim Adair
title	How reliable are self-reported estimates of birth registration completeness? Comparison with vital statistics systems.
title_short	How reliable are self-reported estimates of birth registration completeness? Comparison with vital statistics systems.
title_full	How reliable are self-reported estimates of birth registration completeness? Comparison with vital statistics systems.
title_fullStr	How reliable are self-reported estimates of birth registration completeness? Comparison with vital statistics systems.
title_full_unstemmed	How reliable are self-reported estimates of birth registration completeness? Comparison with vital statistics systems.
title_sort	how reliable are self-reported estimates of birth registration completeness? comparison with vital statistics systems.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/25492023427544728145cb1d68490f84
work_keys_str_mv	AT timadair howreliableareselfreportedestimatesofbirthregistrationcompletenesscomparisonwithvitalstatisticssystems AT alandlopez howreliableareselfreportedestimatesofbirthregistrationcompletenesscomparisonwithvitalstatisticssystems
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How reliable are self-reported estimates of birth registration completeness? Comparison with vital statistics systems.

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