Abstract
PurposeCivil registration and vital statistics (CRVS) systems should be the primary source of routine mortality data. However, there is lack of information about the completeness of death registration at the sub-national level of Egypt. The current study was conducted to estimate the completeness of death registration at the national and sub-national levels of Egypt, to investigate the spatial patterns of the completeness, and to examine the factors that influence it.MethodsData from the Central Agency for Public Mobilization and Statistics (CAPMAS, 2018) and Egypt Demographic and Health Survey (EDHS 2008, 2014) were used to estimate the completeness of death registration using an empirical method (random-effects models); hot spot analysis was conducted using Moran’s I and Getis-Ord Gi*; and the geographically weighted regression (GWR) model has been also carried out.ResultsThe study estimates show that Egypt has 96% completeness of death registration, and all governorates have completeness of more than 90% except for Beni-Suef, Menia, Aswan, Suhag, Luxor, ELWadi ELGidid, and South Sinai. According to sex, the death registration of females is slightly better than that of males (96.8% compared to 95.4%). Concerning residence, urban area has almost complete death registration compared to rural area (99.5% and 85.4%, respectively). Hot spot analysis shows that all hot spots are centered on the north of Egypt, while all cold spots are focused on the south. However, according to the geographically weighted regression (GWR) model, poverty, illiteracy, and health office density are considered major factors for the completeness of death registration.ConclusionAlthough the completeness in Egypt is almost 100%, this analysis suggests that it may not be, and that it could be somewhat lower in some rural areas. However, there is uncertainty in the sub-national estimates because deaths are only reported by place of occurrence and not place of usual residence. Thus, efforts should focus on improving the quality of data of the vital registration system in some rural areas and in lower Egyptian governorates.
Highlights
Civil registration and vital statistics (CRVS) systems are the primary sources of accurate, timely, and regular data on deaths and other vital events for national and subnational levels of government [1]
3.1 Completeness of death registration The results show that Egypt has 96% completeness of death registration (Table 1)
With the exception of Beni-Suef, Menia, Aswan, Suhag, Luxor, ELWadi ELGidid, and South Sinai; all other governorates have more than 90% completeness of death registration
Summary
Civil registration and vital statistics (CRVS) systems are the primary sources of accurate, timely, and regular data on deaths and other vital events for national and subnational levels of government [1]. The data provided by CRVS systems is used for evaluating both national and sub-national level development plans as well as for monitoring the Sustainable Development Goals (SDGs). Africa is a special case with respect to civil registration [3]. In many African countries, civil registration is still incomplete, despite decades of being in existence, and is not being used as the major source of legal identity records and documents as well as for compiling vital statistics [4]. A few African countries have sustained a complete or near-complete vital registration for
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