• Gac Med Mex · Jan 2024

    Comparative Study

    Registration of deaths in children under five years of age has improved in Mexico, however, the underreporting has not yet been eliminated.

    • Rafael Lozano, Itzuri Castillo, María J Ríos-Blancas, Christian Razo, and Juan J González.
    • Departamento de Salud Pública, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City, Mexico.
    • Gac Med Mex. 2024 Jan 1; 160 (4): 420428420-428.

    BackgroundThe underreporting of vital statistics poses a problem for the quality of information. To address underreporting, Mexico implemented the "Intentional Search for Children Deaths" in 2002.ObjectiveTo analyze trends in the underreporting of deaths in neonates and children under 5 years of age (U5) from 1992 to 2022 at the national level and by state.Material And MethodsA comparative analysis was conducted between the records of the National Institute of Statistics and Geography (INEGI) and the Institute for Health Metrics and Evaluation (IHME) chosen as the gold standard after comparison with five other independent data sources. The analysis considers marginalization to describe the magnitude of underreporting.ResultsFrom 2001 to 2022, at the national level, the underreporting gap decreased from 38.2% to 9.0% among children U5 and from 30.7% to 5.5% in the neonatal age, with heterogeneous results across states.ConclusionsThe registration of deaths has improved; however, it is crucial to identify states needing further investigation and intervention to reduce the underreporting gap in infant mortality.Copyright: © 2024 Permanyer.

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