ArticleInternational journal for equity in health2021
Have inequalities in completeness of death registration between states in India narrowed during two decades of civil registration system strengthening?
Article in International journal for equity in health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed.
- Beyond Counting Deaths: Why India must Strengthen Civil Registration and Vital Statistics Systems for Equitable Health Governance.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026Article
- Counting men, missing women: a qualitative exploration of barriers underlying sex disparity in death registration in selected districts of Bangladesh.BMJ public health · 2026Article
- Gender differentials in death registration completeness in Gujarat, India: a policy analysis of structural, economic, and socio-cultural barriers.Frontiers in public health · 2026Article
- Completeness of death registration in Ghana: An evaluation of multiple data sources and methods.PloS one · 2026Article
- India's death toll in 2021 during the COVID-19 pandemic: insights from delayed official civil registration data.Journal of global health · 2025Article
- Spatial disparities in death registration across states and districts of India, 2019-21.BMC public health · 2025Article
- Article
- Neonatal, Infant, and Child Mortality in India: Progress and Future Directions.Indian journal of pediatrics · 2023Review
- Death registration coverage 2019-2021, India.Bulletin of the World Health Organization · 2023Article
- All-cause mortality during the COVID-19 pandemic in Chennai, India: an observational study.The Lancet. Infectious diseases · 2022Observational
- Commentary: Examining contextual factors contributing to differentials in COVID-19 mortality in U.S. vs. India.Frontiers in public health · 2022Article
- Mortality Statistics in India: Current Status and Future Prospects.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
- Jointly Estimating Subnational Mortality for Multiple Populations.Demographic researchArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn India the number of registered deaths increased substantially in recent years, improving the potential of the civil registration and vital statistics (CRVS) system to be the primary source of mortality data and providing more families of decedents with the benefits of possessing a death certificate. This study aims to identify whether inequalities in the completeness of death registration between states in India, including by sex, have narrowed during this period of CRVS system strengthening.
methodsData used in this study are registered deaths by state and year from 2000 to 2018 (and by sex from 2009 to 2018) reported in the Civil Registration Reports published by the Office of Registrar General of India. Completeness of death registration is calculated using the empirical completeness method. Levels and trends inequalities in completeness are measured in each state a socio-economic indicator - the Socio-Demographic Index (SDI).
resultsEstimated completeness of death registration in India increased from 58% in 2000 to 81% in 2018. Male completeness rose from 60% in 2009 to 85% in 2018 and was much higher than female completeness, which increased from 54 to 74% in the same period. Completeness remained very low in some states, particularly from the eastern (e.g. Bihar) and north-eastern regions. However, in states from the northern region (e.g. Uttar Pradesh) completeness increased significantly from a low level. There was a narrowing of inequalities in completeness according to the SDI during the period, however large inequalities between states remain.
conclusionsThe increase in completeness of death registration in India is a substantial achievement and increases the potential of the death registration system as a routine source of mortality data. Although narrowing of inequalities in completeness demonstrates that the benefits of higher levels of death registration have spread to relatively poorer states of India in recent years, the continued low completeness in some states and for females are concerning. The Indian CRVS system also needs to increase the number of registered deaths with age at death reported to improve their usability for mortality statistics.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.