1 Child Mortality Estimation Pending Issues Workshop on MDG monitoring (SADC/ECA) Kampala, Uganda, 5-8 May 2008

2 MDG4: Reduce child mortality Target 5: Reduce by two-thirds, between 1990 and 2015, the under-five mortality rate 13. Under-five mortality rate (U5MR) 14. Infant mortality rate (IMR) 15. Proportion of 1 year-old children immunised against measles

3 Summary of pending issues 1.Are there differences between child mortality estimates (IMR and U5MR) produced at the country level and those produce globally? 2.The inter agency group for child mortality estimation 3.The child mortality data base 4.Regional workshops for coordination and capacity building

4 Summary of pending issues 1.Are there differences between child mortality estimates (IMR and U5MR) produced at the country level and those produce globally? Yes and very often! The question is Why? 1.The inter agency group for child mortality estimation 2.The child mortality data base 3.Regional workshops for coordination and capacity building

5 Reasons for the differences Different data sources: vital registration, population census, household surveys, sample registration systems or a combination of them Different methods of calculation for IMR and U5MR Different methods of estimation when combining data sources and methods Reference year to which the estimates correspond and when the estimates are produced (usually in June for UNICEF but published in November)

6 The reality of child mortality estimates The majority of child mortality occurs in countries without adequate vital registration systems - hence use has to be made of alternative sources, primarily household surveys and censuses. What do these source data look like graphically, and what might be the derived mortality estimates? Example: Uganda

7 Uganda U5MR 1

8 Uganda U5MR 2

9 Uganda U5MR 3

10 Uganda U5MR 4

11 Estimates

12 Levels and Trends of Child Mortality in 2006 [Working Paper] Estimates developed by the Inter-agency Group for Child Mortality Estimation

13 Summary of pending issues 1.Are there differences between child mortality estimates (IMR and U5MR) produced at the country level and those produce in New York? 2.The inter agency group for child mortality estimation: IGME! 3.The child mortality data base 4.Regional workshops for coordination and capacity building

14 IGME? The Inter Agency Group for Child Mortality Estimation – IGME includes UNICEF, WHO, The World bank and the UN Population Division. Invites other agencies. Aims to produce yearly estimation of child mortality indicators (IMR and U5MR) In the process of developing and maintaining the CM Data Base Aims to create capacity at the country level to increase the use of the CM data base Meets at least once a year. Most recent meeting in March 2008.

15 Summary of pending issues 1.Are there differences between child mortality estimates (IMR and U5MR) produced at the country level and those produce in New York? 2.The inter agency group for child mortality estimation 3.The child mortality data base 4.Regional workshops for coordination and capacity building

16 The child mortality data base A DevInfo application I will demonstrate the features and uses The idea is for countries to become users for data entry, assessment, estimation and dissemination Training to be implemented via regional workshops

17 Summary of pending issues 1.Are there differences between child mortality estimates (IMR and U5MR) produced at the country level and those produce in New York? 2.The inter agency group for child mortality estimation 3.The child mortality data base 4.Regional workshops for coordination and capacity building

18 Regional workshops for coordination and capacity building One week training for Maternal Mortality and Child Mortality Starting in September 2008 in Bangkok Second workshop in Africa (end of 2008 beginning of 2009) Representatives of MOH and NSOs + UNICEF (if needed) Review of data sources, methodologies, and estimation procedures Hands-on training

19 Focal point for CM estimation in New York Edilberto Loaiza Tel QUESTIONS?