An Assessment of LAC's Vital Statistics System : The Foundation of Maternal and Infant Mortality Monitoring
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World Bank, Washington, DC
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Vital records, the registration of
births, deaths, marriages and divorces, and the vital
statistics derived from these records serve two important
purposes. Firstly, vital records are legal documents, but
the focus of this review, is the role of vital records to
create demographic and epidemiological statistics that are
used in monitoring trends and developing health policies and
programs. Vital statistics are classic public goods, and the
World Bank is keenly interested in assisting countries in
the Latin America region to strengthen their vital
statistics systems. This assessment reviews the status and
evolution of vital statistics systems in Latin America and
makes recommendations for improving their coverage, quality,
and timeliness. The strongest systems in the region on the
measures of coverage, quality and timeliness are found in
Argentina, Chile, Costa Rica, and Uruguay. This review found
that countries in Latin America are well ahead of many other
regions in the world in developing their vital registration
systems. Yet challenges remain before these systems can
support results-oriented health programs. Concerted efforts
to improve these systems are likely to generate large
payoffs in terms of supporting better public policies. Vital
statistics should very soon replace surveys in Latin America
as the most important primary source of information about
births and deaths given their potential to more effectively
guide policymaking and monitor results related to the
maternal and infant health Millennium Development Goals (MDGs).
Palabras clave
ACCESS TO HEALTH SERVICES, BABIES, BABY, BASIC HEALTH, BCG, BIRTH ATTENDANTS, BIRTH COMPLICATIONS, BIRTH DEFECTS, BIRTH RATES, CAUSES OF DEATH, CENSUS OF POPULATION, CENSUSES, CENTER FOR HEALTH, CENTRAL AMERICA, CERTIFICATION, CHILD HEALTH, CHILD MORTALITY, CHILDBIRTH, CHRONIC DISEASES, CITIES, CITIZEN, CITIZENS, CIVIL REGISTRATION SYSTEMS, CLINICS, COMMUNICABLE DISEASES, COMPLICATIONS, DEATH CERTIFICATES, DEATH REGISTER, DEVELOPING COUNTRIES, DEVELOPMENT ASSISTANCE, DIABETES, DIAGNOSIS, DISEASE, DISEASE CONTROL, DISSEMINATION, DIVORCE, DOCTORS, FACT SHEETS, FAMILY FORMATION, FAMILY RELATIONSHIPS, FATHER, FATHERS, FERTILITY, FETAL DEATH, FETUS, FLOW OF INFORMATION, GOVERNMENT AGENCIES, GOVERNMENT OFFICES, HEALTH CENTERS, HEALTH CONDITIONS, HEALTH INDICATORS, HEALTH INEQUITIES, HEALTH INFORMATICS, HEALTH INFORMATION, HEALTH INFORMATION SYSTEM, HEALTH INFORMATION SYSTEMS, HEALTH MANAGEMENT, HEALTH OUTCOMES, HEALTH PLANNING, HEALTH POLICIES, HEALTH PROBLEMS, HEALTH PROGRAMS, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICES, HEALTH SURVEYS, HEALTH SYSTEM, HEALTH SYSTEMS, HEALTH WORKERS, HIGH BLOOD PRESSURE, HOME DELIVERIES, HOSPITAL, HOSPITAL ADMISSIONS, HOSPITAL BIRTHS, HOSPITAL PERSONNEL, HOSPITALS, HOUSEHOLD SURVEYS, HUMAN DEVELOPMENT, HUMAN RESOURCES, HUMAN RIGHT, IMMIGRANTS, IMMUNIZATION, IMPACT EVALUATIONS, INCOME, INDIGENOUS PEOPLE, INFANT, INFANT DEATH, INFANT DEATHS, INFANT HEALTH, INFANT MORTALITY, INFANT MORTALITY RATE, INFANT MORTALITY RATES, INFECTIONS, INFORMATION SYSTEM, INFORMATION SYSTEMS, INHERITANCE, INJURIES, INJURY, INSTITUTIONAL CAPACITY, INSURANCE, LACK OF AWARENESS, LATIN AMERICAN, LAWS, LEADING CAUSES, LEADING CAUSES OF DEATH, LIMITED RESOURCES, LIVE BIRTH, LIVE BIRTHS, LOW BIRTH WEIGHT, MALARIA, MALNUTRITION, MARKETING, MATERNAL AND CHILD HEALTH, MATERNAL DEATH, MATERNAL DEATHS, MATERNAL HEALTH, MATERNAL HEALTH OUTCOMES, MATERNAL MORTALITY, MATERNAL MORTALITY DATA, MATERNAL MORTALITY RATES, MATERNAL MORTALITY RATIO, MATERNITY HOSPITALS, MEASLES, MEDICAL CARE, MEDICAL CONDITIONS, MEDICAL STAFF, MEDICAL SYSTEMS, MILLENNIUM DEVELOPMENT GOALS, MINISTRY OF HEALTH, MORTALITY, MORTALITY RATE, MOTHER, MULTILATERAL ORGANIZATIONS, MULTIPLE BIRTHS, MUSCLES, NATIONAL GOVERNMENT, NATIONAL LAW, NATIONAL LEVEL, NATIONAL LEVELS, NEONATAL MORTALITY, NEWBORNS, NUMBER OF DEATHS, NUTRITION, OLDER PEOPLE, PERINATAL MORTALITY, PHYSICIAN, PHYSICIANS, POLITICAL SUPPORT, POPULATION COUNCIL, POPULATION FUND, POPULATION SUBGROUPS, PREGNANCY, PRENATAL CARE, PREVALENCE, PROGRESS, PUBLIC EDUCATION, PUBLIC HEALTH, PUBLIC HEALTH STATISTICS, PUBLIC KNOWLEDGE, PUBLIC POLICIES, QUALITY CONTROL, QUALITY OF HEALTH, REGISTRATION SYSTEMS, REPRODUCTIVE AGE, REPRODUCTIVE AGE MORTALITY, RESEARCH PROGRAM, RESOURCE ALLOCATION, RESOURCE LIMITATIONS, RISK FACTORS, RURAL AREAS, SKILLED ATTENDANCE, SKILLED BIRTH ATTENDANCE, SKILLED BIRTH ATTENDANTS, SKILLED HEALTH PERSONNEL, SOCIAL AFFAIRS, SOCIOECONOMIC STATUS, STILLBIRTH, SUICIDES, SYMPTOMS, SYPHILIS, TB, TERMINATIONS OF PREGNANCY, TRAUMA, TREATMENT, TUBERCULOSIS, UMBILICAL CORD, UNDER-FIVE MORTALITY, UNFPA, URBAN AREAS, VACCINATION, VACCINE, VIOLENCE, VITAL STATISTICS, WOMAN, WOMEN'S HEALTH, WORKERS, WORLD HEALTH ORGANIZATION