Rmm comparation americas fatima marinho costa rica

Mortalidad MaternaTendencias y valores

Región de las Américas

Fatima Marinho

Coordinadora Información y Análisis – PAHO

Costa Rica, Feb 2011

ARG. Estimaciones e intervalos IHME

0

10

20

30

40

50

60

70

80

1990

1992

1994

1996

1998

2000

2002

2004

2006

2008

IHME

Lower MMR

Upper MMR

PAHO

WHO UNICEF UNFPAWB

CHI. Estimaciones e intervalos IHME

0

10

20

30

40

50

60

IHME

Lower MMR

Upper MMR

PAHO

WHO UNICEF UNFPAWB

MEX. Estimaciones e intervalos IHME.

0

10

20

30

40

50

60

70

80

90

100

IHME

Lower MMR

Upper MMR

PAHO

WHO UNICEF UNFPAWB

COR. Estimaciones e intervalos IHME.

0

5

10

15

20

25

30

35

40

45

50

IHME

Lower MMR

Upper MMR

PAHO

WHO UNICEF UNFPAWB

BOL. Estimaciones e intervalos IHME

0

100

200

300

400

500

600

700

IHME

Lower MMR

Upper MMR

PAHO

WHO UNICEF UNFPAWB

ECU. Estimaciones e intervalos IHME.

0

50

100

150

200

250

300

IHME

Lower MMR

Upper MMR

PAHO

WHO UNICEF UNFPAWB

HON. Estimaciones e intervalos IHME.

0

50

100

150

200

250

300

IHME

Lower MMR

Upper MMR

PAHO

WHO UNICEF UNFPAWB

PAN. Estimaciones e intervalos IHME.

0

10

20

30

40

50

60

70

80

90

100

IHME

Lower MMR

Upper MMR

PAHO

WHO UNICEF UNFPAWB

PAR. Estimaciones e intervalos IHME.

0

50

100

150

200

250

IHME

Lower MMR

Upper MMR

PAHO

WHO UNICEF UNFPAWB

DOR. Estimaciones e intervalos IHME.

0

50

100

150

200

250

IHME

Lower MMR

Upper MMR

PAHO

WHO UNICEF UNFPAWB

VEN. Estimaciones e intervalos IHME.

0

10

20

30

40

50

60

70

80

90

100

IHME

Lower MMR

Upper MMR

PAHO

WHO UNICEF UNFPAWB

Comentarios• The use of the correction factor (CF) of 1.5 and the generalized

application for VR data is problematic.• For those countries with better registration systems (e.g. Canada,

Uruguay, Cuba, Chile) CF causes an artificial increase in MMR and benefits the ones with less quality of vital registration (e g. Guatemala, Belize and Suriname).

• The CF of 1.5 has been applied over 18 years (1990-2008) without any consideration that many countries in this region have improved their vital registration system, especially since 2000. The CF should decrease over time.

• This is the case of Uruguay, Argentina and Mexico. It is very hard to accept the inconsistency between the latest 2005 WHO estimate and the new one, e.g Mexico. In the latter publication, Mexico’s important progress has been started in 2002 and was recognized by WHO while this time it was not considered.

• We expect that the MMR of Argentina, Brazil, Venezuela and Mexico are more proximate.

• We consider the technical note too brief and without enough details to simulate the results.