An evaluation of vital registers as sources of data for infant mortality rates in Cameroon.
BACKGROUND
Infant mortality rates have been widely used as indicators of health status and the availability, utilization and effectiveness of health services. Two principal sources of data for infant mortality rates are vital registers and censuses. This study was designed to evaluate the accuracy of vital registers as sources of data for infant mortality rates in Cameroon.


METHODS
A household census of births and infant deaths that occurred in Buea Subdivision between 1 November 1991 and 31 October 1992 was conducted to determine the proportion that were registered and the reasons why the remainder were not registered.


RESULTS
The registration coverage was found to be 62% for births and 4% for infant deaths. The most frequently reported reasons for not registering births were lack of money, lack of time and a complicated registration procedure. For infant deaths the reasons were lack of knowledge and no perceived benefits.


CONCLUSIONS
Vital registers of birth and death are not an accurate source of data for infant mortality rates in Cameroon. Motivation for birth and death registration appear to be dependent on the perceived benefits. A mechanism of registration that uses medical institutions may substantially increase registration coverage for births and infant deaths.
Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle.
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I
Ndong
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S
Gloyd
J
J
Gale
D001719:Birth Certificates; D002163:Cameroon; D003644:Death Certificates; D006801:Humans; D007223:Infant; D007226:Infant Mortality; D007231:Infant, Newborn; D012042:Registries; D014798:Vital Statistics