An assessment of infant mortality rates in Colombia, 1980–2009
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Purpose. The infant mortality rate (IMR) is a key indicator of human welfare and development. However, in Colombia, the Departamento Administrativo Nacional de Estadística (DANE) has set the registered rate for 2009 as 13.69 per 1,000 live births, while the estimated rate is 20.13, suggesting the presence of inconsistencies in the data, as in many other transitional economies. This paper aims to set the record straight on Colombia’s IMR reporting since 1980 by using all available data that have recently become public.
Methodology. The study analyzes 8,636,510 records of live births (1998–2009) and 443,338 records of deaths (1979–2009), and considers information from various other sources such as the statistical yearbooks and survey results. An exponential function is used to estimate the IMRs in Colombia for 1980–2009 while resolving internal inconsistencies in the data from all sources.
Findings. The analysis demonstrates that the registered and the estimated rates for 2009 are incompatible since they follow inconsistent long-term rates of decline in IMR. While the registered rate underestimates the real situation, the estimated rate appears to grossly overestimate it. Analyses, based on other sources, put the IMR between 15.81 and 17.58 in 2009, with rates of decline between 3.0 and 5.0 percent for the period 1980–2009.
Value. The study concludes that during the period 1980–2009, the IMR for Colombia on average fell from about 54 to about 17, suggesting a long-term annual rate of decline of about 4.0 percent.
- Infant Mortality
- Trends
- Vital Statistics
- Health Information System
- Colombia
- Regional Difference.
Marta Cecilia Jaramillo, Universidad Icesi, Facultad de Ciencias Administrativas y Económicas, Departamento de Gestión Organizacional, Cali, Colombia
Dov Chernichovsky, University of Ben-Gurion de Negev, Health Systems Management Department, Faculty Member. Israel,
https://orcid.org/0000-0003-3840-701XJosé Juan Jiménez Moleón, Universidad de Granada, Facultad de medicina, Vicerrectoría Académica. Granada, España
https://orcid.org/0000-0001-7917-6145Albacar E, Borrell C. Evolución de la mortalidad infantil en la ciudad de Barcelona (1983-1998). Gaceta Sanitaria. 2004;18(1):24-31. https://doi.org/10.1016/S0213-9111(04)71995-0 DOI: https://doi.org/10.1016/S0213-9111(04)71995-0
Gil GP, Gálvez R. Medicina preventiva y salud pública. Elsevier: España; 2001. 1322 p.
Laskar MS, Harada N. Trends and regional variations in infant mortality rates in Japan, 1973-1998. Public Health. 2005;119(7):659-663. https://doi.org/10.1016/j.puhe.2004.08.019 DOI: https://doi.org/10.1016/j.puhe.2004.08.019
Victora CG, Aquino EML, do Carmo Leal M, Monteiro CA, Barros FC, Szwarcwald CL. Maternal and child health in Brazil: progress and challenges. Lancet. 2011;377(9780):1863-1876. https://doi.org/10.1016/S0140-6736(11)60138-4 DOI: https://doi.org/10.1016/S0140-6736(11)60138-4
ONU. Objetivos de Desarrollo del Milenio 2009. Naciones Unidas; 2009. Cited: 2013 Jan 19. Available from: http://www.cinu.org.mx/ODM3/
OMS. Panorama de la salud en la región. "Panorama de la salud en Las Américas", Salud en las Américas: México.
Naciones Unidas. Objetivos de desarrollo del milenio, Informe 2008. Nueva York: Departamento de Asuntos Económicos y Sociales de las Naciones Unidas (DESA); 2008. p. 54. (Seguimiento al Desarrollo de los Objetivos de Desarrollo del Milenio). Available from:
Hinestroza LMP. Los objetivos de desarrollo sostenible y su inclusión en Colombia. Producción + Limpia. 2019; 14(1): 122-127. https://doi.org/10.22507/pml.v14n1a8 DOI: https://doi.org/10.22507/pml.v14n1a8
Ministerio de Salud y Protección Social. Indicadores Básicos 2010: Situación de Salud de Colombia. 2011. Cited: 2012 Feb 27. Available from: http://www.minsalud.gov.co/salud/Paginas/INDICADORESBASICOSSP.aspx.
Pulido, A., Higuera, D., Jaramillo, M., Navas, Y. Informe anual AVS año 2010. Bogotá DC: Gráficas Gilpor
Cited: 2013 Feb 3. 150 p. Available from: http://www.asivamosensalud.org/publicaciones/informe-anual/publicacion.ver/46
DANE. Estimaciones tasa de mortalidad infantil nacional, departamental y municipal, período 2005-2009. 2011. Available from: http://www.dane.gov.co/index.php?option=com_content&view=article&id=73&Itemid=119
Profamilia. Mortalidad Infantil y en la niñez. In: Encuesta Nacional de Demografía y salud 2005. Cited 2013 Feb 6. Available from: http://www.profamilia.org.co/encuestas/00resumen/01general.htm
Ministerio de Salud y Protección Social. Indicadores básicos 2007. Bogotá DC: Ministerio de Salud y Protección Social; 2008. Cited: 2012 Feb 27. p. 26. Available from: http://www.minsalud.gov.co/salud/Paginas/INDICADORESBASICOSSP.aspx
Jaramillo-Mejía M, Chernichovsky D, Jiménez-Moleón JJ. Resolving the Enigma of Infant mortality rate in Colombia. Rochester, NY: Social Science Research Network; 2012. Cited 2013 Feb 4. Report No.: ID 2096901. Available from: http://papers.ssrn.com/abstract=2096901 https://doi.org/10.2139/ssrn.2096901 DOI: https://doi.org/10.2139/ssrn.2096901
Medina V MR, Martínez Gómez C. Geografía de la mortalidad infantil en Colombia, 1985-1994. Bogotá, D.C.: DANE, Departamento Administrativo Nacional de Estadística; 1999. 160 p. Available from: http://books.google.es/books/about/Geograf%C3%ADa_de_la_mortalidad_infantil_en.html?id=Dv7wAAAAIAAJ&redir_esc=y
DANE. Ficha Metodológica Estadísticas Vitales. Bogotá DC: DANE; 2008. Available from: http://200.69.105.197/redatam/SDPDOC/DEFUN/ficha_vitales.pdf
DANE. Metodología Estadísticas Vitales. Bogotá, D.C.: DANE; 2009. p. 54. DANE (Colección de Documentos). Report No.: 82. Available from: http://www.dane.gov.co/files/investigaciones/fichas/Estadisticas_vitales.pdf
Urdinola BP. Determinantes socioeconómicos de la mortalidad infantil en Colombia,1993. Rev Colomb Estadistica. 2011;34(1):39-72. https://doi.org/10.1080/0032472031000149566 DOI: https://doi.org/10.1080/0032472031000149566
Jaramillo-Mejía MC. Situación de la mortalidad infantil en Colombia. Granada, España: Universidad de Granada; 2016.
Mathers CD, Fat DM, Inoue M, Rao C, Lopez AD. Counting the dead and what they died from: an assessment of the global status of cause of death data. Bull World Health Organ. 2005; 83(3):171-7.
DANE. Hacia el mejoramiento de los sistemas de Registro Civil y Estadísticas Vitales. Seminarios Regionales. Síntesis. Bogotá, D.C.: Departamento Administrativo Nacional de Estadística, Dirección de Censos; 1996. 150.
López QF, Obando VJ. Brechas sobre el acceso al control prenatal en Colombia según los estudios realizados entre 1998 y 2018. Cali, Colombia: Pontificia Universidad Javeriana; 2019. Available from: http://hdl.handle.net/11522/12618
Alarcón GDA, Robles M. Los retos para medir la mortalidad infantil con registros civiles incompletos. Inter-American Development; 2007. Available from: http://idbdocs.iadb.org/wsdocs/getdocument.aspx?docnum=2220423 DOI: https://doi.org/10.18235/0012075
Toro RJP, Lunes RF, Mills, S. Achieving health outcomes in Colombia: Civil Registration and Vital Statistics System, Unique Personal Identification Number, and Unified Beneficiary Registry System for Births and Deaths. Washington: World Bank Group; 2019. Cited: 2019 Sep 23. Available from: https://elibrary.worldbank.org/doi/abs/10.1596/32538. https://doi.org/10.1596/32538 DOI: https://doi.org/10.1596/32538
Cendales R, Pardo C. Quality of death certification in Colombia. Colomb Med (Cali). 2018;49:121-7. https://doi.org/10.25100/cm.v49i1.3155 DOI: https://doi.org/10.25100/cm.v49i1.3155
Kaempffer RA, Medina LE. Mortalidad infantil reciente en Chile: Éxitos y desafíos. Rev Chilena Pediatr. 2006;77(5):492-500. https://doi.org/10.4067/S0370-41062006000500007 DOI: https://doi.org/10.4067/S0370-41062006000500007
Medina LE, Kaempffer RA. Tendencias y características de la mortalidad chilena 1970-2003. Rev Med Chile. 2007;135(2):240-50. https://doi.org/10.4067/S0034-98872007000200014 DOI: https://doi.org/10.4067/S0034-98872007000200014
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