Hernández Bernardo, Ramírez-Villalobos Dolores, Duarte María Beatriz, Corcho Alexander, Villarreal Gabriela, Jiménez Aline, Torres Luis Manuel
Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Salud Publica Mex. 2012 Jul-Aug;54(4):393-400. doi: 10.1590/s0036-36342012000400009.
To measure the underregistry of mortality in children under five years old, and the coverage of the Birth Certificate (BC) in municipalities with very low human development index (HDI) in Mexico.
We studied all deaths of children under five years old occurred in 2007 and all births occurred in 2007 and 2008 in a sample of 20 municipalities with very low HDI in Mexico. We conducted an intentional search of births and deaths.
We identified 12 additional deaths not included in official registries, for an underregistration of 22.6%, and 68.1% of births did not have a BC. Lack of BC was more frequent if the mother did not speak Spanish, if she did not have Seguro Popular if the birth was attended by a traditional midwife. Conclusions. It is necessary to strengthen the registry of deaths and births in municipalities with very low HDI.
测定墨西哥人类发展指数极低的市镇中五岁以下儿童死亡登记不全的情况以及出生证明（BC）的覆盖率。
我们研究了墨西哥20个人类发展指数极低的市镇中2007年发生的所有五岁以下儿童死亡情况以及2007年和2008年发生的所有出生情况。我们对出生和死亡情况进行了主动搜索。
我们发现官方登记中未包含的另外12例死亡，登记不全率为22.6%，68.1%的出生没有出生证明。如果母亲不会说西班牙语、没有参加大众保险或者由传统助产士接生，则缺少出生证明的情况更为常见。结论。有必要加强人类发展指数极低的市镇中的死亡和出生登记工作。
