TY - JOUR
T1 - Adult death registration in Matlab, rural Bangladesh
T2 - completeness, correlates, and obstacles
AU - Haider, M. Moinuddin
AU - Alam, Nurul
AU - Ibn Bashar, Mamun
AU - Helleringer, Stéphane
N1 - Funding Information:
The adult mortality estimation and verification (AMEV) study was funded by the National Institutes of Health through New York University (PI: Nurul Alam). The publication cost was granted by International Development Research Centre by means of the CRVS Fellowship awarded by the International Union for the Scientific Study of Population (IUSSP) to M. Moinuddin Haider, the primary author of the paper.
Funding Information:
We thank the data collection team for its hard work and dedication. Everton E. C. Lima and Patrick Gerland provided useful comments. We express appreciation to all IUSSP CRVS panel members who shared their insights. The International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) gratefully acknowledges the institutional support of the governments of the People’s Republic of Bangladesh, Canada, Sweden, and the UK. Finally, and most importantly, we thank the AMEV study participants and their families. Without their support, this work would not have been possible.
Publisher Copyright:
© 2021, The Author(s).
PY - 2021/12
Y1 - 2021/12
N2 - Civil registration of vital events such as deaths and births is a key part of the process of securing rights and benefits for individuals worldwide. It also enables the production of vital statistics for local planning of social services. In many low- and lower-middle-income countries, however, civil registration and vital statistics (CRVS) systems do not adequately register significant numbers of births and, especially, deaths. In this study, we aim to estimate the completeness of adult death registration (for age 15 and older) in the Matlab health and demographic surveillance system (HDSS) area in Bangladesh and to identify reasons for (not) registering deaths in the national CRVS system. We conducted a sample survey of 2538 households and recorded 571 adult deaths that had occurred in the 3 years preceding the survey. Only 17% of these deaths were registered in the national CRVS system, with large gender differences in registration rates (male = 26% vs. female = 5%). Respondents who reported that a recent death in the household was registered indicated that the primary reasons for registration were to secure an inheritance and to access social services. The main reasons cited for not registering a death were lack of knowledge about CRVS and not perceiving the benefits of death registration. Information campaigns to raise awareness of death registration, as well as stronger incentives to register deaths, may be needed to improve the completeness of death registration in Bangladesh.SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s41118-021-00125-7.
AB - Civil registration of vital events such as deaths and births is a key part of the process of securing rights and benefits for individuals worldwide. It also enables the production of vital statistics for local planning of social services. In many low- and lower-middle-income countries, however, civil registration and vital statistics (CRVS) systems do not adequately register significant numbers of births and, especially, deaths. In this study, we aim to estimate the completeness of adult death registration (for age 15 and older) in the Matlab health and demographic surveillance system (HDSS) area in Bangladesh and to identify reasons for (not) registering deaths in the national CRVS system. We conducted a sample survey of 2538 households and recorded 571 adult deaths that had occurred in the 3 years preceding the survey. Only 17% of these deaths were registered in the national CRVS system, with large gender differences in registration rates (male = 26% vs. female = 5%). Respondents who reported that a recent death in the household was registered indicated that the primary reasons for registration were to secure an inheritance and to access social services. The main reasons cited for not registering a death were lack of knowledge about CRVS and not perceiving the benefits of death registration. Information campaigns to raise awareness of death registration, as well as stronger incentives to register deaths, may be needed to improve the completeness of death registration in Bangladesh.SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s41118-021-00125-7.
KW - Bangladesh
KW - Barriers
KW - Civil registration and vital statistics
KW - Death registration
KW - Enablers
KW - Low- and lower-middle-income countries
KW - Mortality
KW - Survey data
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U2 - 10.1186/s41118-021-00125-7
DO - 10.1186/s41118-021-00125-7
M3 - Article
C2 - 34312569
AN - SCOPUS:85111170796
SN - 0016-6987
VL - 77
JO - Genus
JF - Genus
IS - 1
M1 - 13
ER -