Burden of Disease Research Unit, South Africa Medical Research Council, Francie van Zijl Drive, Parow valley, Cape Town, 7501, South Africa.
Centre for Actuarial Research, University of Cape Town, Cape Town, South Africa.
Bull World Health Organ. 2019 Jul 1;97(7):468-476. doi: 10.2471/BLT.18.222620. Epub 2019 May 28.
To estimate the completeness of live birth registration through South Africa's civil registration and vital statistics system between 1996 and 2011.
The number of births registered by the civil registration and vital statistics system was compared with independent estimates of the true number of births derived using: (i) the reverse survival method applied to 2011 census data; (ii) the application of estimated age-specific fertility rates to population estimates from censuses and surveys; and (iii) data from the public-sector district health information system.
In 1996, an estimated 25% of births were registered within the calendar year of birth and 33% were registered before the end of the subsequent calendar year. By 2008, 76% of registrations occurred within the calendar year of birth, 84% occurred by the end of the following year and 90% occurred before the child's fifth birthday. These improvements were seen in all provinces and differences in completeness between provinces narrowed markedly. Improvements in the completeness of registration coincided with government efforts to strengthen the system, new legislation on vital registration and the introduction of child support grants, which required birth certificates. Interprovincial migration of children influenced the completeness of registration in affected provinces. There was some terminological confusion among government agencies on defining the timeliness of registration and the year of birth.
The completeness of birth registration in South Africa increased rapidly between 1996 and 2004. To allow international comparison, the method for measuring the completeness of birth registration needs to be standardized.
评估 1996 年至 2011 年南非民事登记和人口动态统计系统中活产登记的完整性。
将民事登记和人口动态统计系统登记的出生人数与通过以下方法得出的真实出生人数的独立估计数进行比较：（i）应用于 2011 年人口普查数据的反向生存法；（ii）将估计的特定年龄生育率应用于人口普查和调查的人口估计数；以及（iii）来自公共部门地区卫生信息系统的数据。
1996 年，估计有 25%的出生在出生当年进行了登记，33%的出生在随后的日历年结束前进行了登记。到 2008 年，76%的登记发生在出生当年，84%的登记发生在次年年底，90%的登记发生在孩子 5 岁生日之前。所有省份都取得了这些改进，省份之间的完整性差距明显缩小。登记完整性的提高与政府加强该系统的努力、关于人口动态登记的新立法以及引入儿童抚养费的举措相吻合，这些举措都要求提供出生证明。儿童在各省之间的迁移影响了受影响省份的登记完整性。政府机构在定义登记及时性和出生年份方面存在一些术语混淆。
1996 年至 2004 年期间，南非出生登记的完整性迅速提高。为了便于国际比较，衡量出生登记完整性的方法需要标准化。
