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Measuring child mortality in resource limited settings using alternative approaches: South African case study

Post the Millennium Development Goal project a significant number of countries are still faced with the challenge of monitoring child mortality. Despite numerous enquiries since 1996 to provide this basic health indicator, South Africa has experienced prolonged periods of uncertainty regarding the l...

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Main Author: Nannan, Nadine
Other Authors: Dorrington, Rob
Format: Thesis
Language:English
Published: Division of Actuarial Science 2018
Subjects:
Demography
Actuarial Science
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access_status_str Open Access
author Nannan, Nadine
author2 Dorrington, Rob
author_browse Dorrington, Rob
Nannan, Nadine
author_facet Dorrington, Rob
Nannan, Nadine
author_sort Nannan, Nadine
collection Thesis
description Post the Millennium Development Goal project a significant number of countries are still faced with the challenge of monitoring child mortality. Despite numerous enquiries since 1996 to provide this basic health indicator, South Africa has experienced prolonged periods of uncertainty regarding the level and trend of infant and under-5 mortality. The thesis develops an analytical framework to review all available data sources and methods of analysis and presents the results of the four approaches adopted to measure child mortality trends. Reviewing the demographic indicators produced from seven census and survey enquiries, the overall performance and the strengths and limitations of each approach is evaluated. Poor and extremely poor quality of data for child mortality emerges as a pervasive challenge to census and survey data. The thesis presents the remarkable improvement in the completeness of birth and death registration through South Africa's CRVS system, particularly since 2000, illustrating the possibility of using CRVS data to monitor provincial child mortality in the future and highlighting statistical challenges arising from the movement of children. In conclusion, South Africa should focus on improving CRVS for purposes of monitoring childhood mortality provincially and the comprehensive evaluation of available data is a useful lesson for other upper-middle-income countries.
format Thesis
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:32:58.612Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2018
publishDateRange 2018
publishDateSort 2018
publisher Division of Actuarial Science
publisherStr Division of Actuarial Science
record_format dspace
source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/27836 Measuring child mortality in resource limited settings using alternative approaches: South African case study Nannan, Nadine Dorrington, Rob Bradshaw, Debbie Demography Actuarial Science Post the Millennium Development Goal project a significant number of countries are still faced with the challenge of monitoring child mortality. Despite numerous enquiries since 1996 to provide this basic health indicator, South Africa has experienced prolonged periods of uncertainty regarding the level and trend of infant and under-5 mortality. The thesis develops an analytical framework to review all available data sources and methods of analysis and presents the results of the four approaches adopted to measure child mortality trends. Reviewing the demographic indicators produced from seven census and survey enquiries, the overall performance and the strengths and limitations of each approach is evaluated. Poor and extremely poor quality of data for child mortality emerges as a pervasive challenge to census and survey data. The thesis presents the remarkable improvement in the completeness of birth and death registration through South Africa's CRVS system, particularly since 2000, illustrating the possibility of using CRVS data to monitor provincial child mortality in the future and highlighting statistical challenges arising from the movement of children. In conclusion, South Africa should focus on improving CRVS for purposes of monitoring childhood mortality provincially and the comprehensive evaluation of available data is a useful lesson for other upper-middle-income countries. 2018-04-24T13:57:15Z 2018-04-24T13:57:15Z 2018 Doctoral Thesis Doctoral PhD http://hdl.handle.net/11427/27836 eng application/pdf Division of Actuarial Science Faculty of Commerce University of Cape Town
spellingShingle Demography
Actuarial Science
Nannan, Nadine
Measuring child mortality in resource limited settings using alternative approaches: South African case study
thesis_degree_str Doctoral
title Measuring child mortality in resource limited settings using alternative approaches: South African case study
title_full Measuring child mortality in resource limited settings using alternative approaches: South African case study
title_fullStr Measuring child mortality in resource limited settings using alternative approaches: South African case study
title_full_unstemmed Measuring child mortality in resource limited settings using alternative approaches: South African case study
title_short Measuring child mortality in resource limited settings using alternative approaches: South African case study
title_sort measuring child mortality in resource limited settings using alternative approaches south african case study
topic Demography
Actuarial Science
url http://hdl.handle.net/11427/27836
work_keys_str_mv AT nannannadine measuringchildmortalityinresourcelimitedsettingsusingalternativeapproachessouthafricancasestudy

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