@article{fdi:010067366, title = {{C}ompleteness of birth and death registration in a rural area of {S}outh {A}frica : the {A}gincourt health and demographic surveillance, 1992-2014}, author = {{G}arenne, {M}ichel and {C}ollinson, {M}.{A}. and {K}abudula, {C}.{W}. and {G}omez-{O}liv{\'e}, {F}.{X} and {K}ahn, {K}. and {T}ollman, {S}.}, editor = {}, language = {{ENG}}, abstract = {{B}ackground: {C}ompleteness of vital registration remains very low in sub-{S}aharan {A}frica, especially in rural areas. {O}bjectives: {T}o investigate trends and factors in completeness of birth and death registration in {A}gincourt, a rural area of {S}outh {A}frica covering a population of about 110,000 persons, under demographic surveillance since 1992. {T}he population belongs to the {S}hangaan ethnic group and hosts a sizeable community of {M}ozambican refugees. {D}esign: {S}tatistical analysis of birth and death registration over time in a 22-year perspective (1992–2014). {O}ver this period, major efforts were made by the government of {S}outh {A}frica to improve vital registration. {F}actors associated with completeness of registration were investigated using univariate and multivariate analysis. {R}esults: {B}irth registration was very incomplete at onset (7.8% in 1992) and reached high values at end point (90.5% in 2014). {L}ikewise, death registration was low at onset (51.4% in 1992), also reaching high values at end point (97.1% in 2014). {F}or births, the main factors were mother’s age (much lower completeness among births to adolescent mothers), refugee status, and household wealth. {F}or deaths, the major factors were age at death (lower completeness among under-five children), refugee status, and household wealth. {C}ompleteness increased for all demographic and socioeconomic categories studied and is likely to approach 100% in the future if trends continue at this speed. {C}onclusion: {R}eaching high values in the completeness of birth and death registration was achieved by excellent organization of the civil registration and vital statistics, a variety of financial incentives, strong involvement of health personnel, and wide-scale information and advocacy campaigns by the {S}outh {A}frican government.}, keywords = {{CROISSANCE} {DEMOGRAPHIQUE} ; {MORTALITE} ; {FECONDITE} ; {RECENSEMENT} ; {ANALYSE} {STATISTIQUE} ; {IMMIGRE} ; {NIVEAU} {DE} {VIE} ; {NIVEAU} {D}'{INSTRUCTION} ; {INDICATEUR} {SOCIOECONOMIQUE} ; {POLITIQUE} {DEMOGRAPHIQUE} ; {SURVEILLANCE} {DEMOGRAPHIQUE} ; {AFRIQUE} {DU} {SUD} ; {MOZAMBIQUE} ; {AGINCOURT}}, booktitle = {}, journal = {{G}lobal {H}ealth {A}ction}, volume = {9}, numero = {}, pages = {art. no 32795 [10 en ligne]}, year = {2016}, DOI = {10.3402/gha.v9.32795}, URL = {https://www.documentation.ird.fr/hor/fdi:010067366}, }