National Indigenous Reform Agreement: P10-Mortality rates (and excess deaths) for children under 5 by leading causes, 2010
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Mortality rates (and excess deaths) for children under 5 by leading causes, 2010|
|Registration status:||Community Services (retired), Superseded 04/04/2011|
There are two measures for this indicator:
Measure (1a): Mortality rates for children aged less than five years, by leading causes of death (ICD-10 chapter level), by Indigenous statusMeasure (1b): Excess deaths for Indigenous children aged less than five years, by leading causes of death (ICD-10 chapter level).
|Rationale:||High level of public interest. Key measure for the 'Closing the Gap' indicator of halving the gap in mortality rates for children under 5.|
|Indicator set:||National Indigenous Reform Agreement (2010) Community Services (retired), Superseded 04/04/2011|
|Outcome area:||Indigenous children have the same health outcomes as other Australian children Indigenous, Endorsed 21/07/2010|
|Quality statement:||National Indigenous Reform Agreement: P10-Mortality rates (and excess deaths) for children under 5 by leading causes, 2010 QS Community Services (retired), Superseded 04/04/2011|
Collection and usage attributes
|Population group age to:||Childern under 5 years|
'Perinatal mortality’ is defined as death of an infant within 28 days of birth (neonatal death) or of a fetus (unborn child) that weighs at least 400 grams or, if birth weight is unavailable, at gestational age of 20 weeks or more.
Part A: Number, rates, rate ratio and rate differencePart B: Excess deaths for Indigenous children aged less than 5 years is defined as the observed number of Indigenous deaths among perinatals; infants; children aged 1–4 years and children aged 0–4 years less expected number of deaths among Indigenous children of the corresponding age group if the age specific rate of the non-Indigenous population was applied to the Indigenous population.
Perinatal and infant mortality rates: 1000 x (Numerator ÷ Denominator)
Children 1-4 and 0-4 years mortality rates: 100,000 x (Numerator ÷ Denominator)Part B: Excess deaths: Observed number of Indigenous deaths less expected number of deaths if the age specific rate of the non-Indigenous population was applied to the Indigenous population for the given age groups above.
Perinatal: Number of perinatal deaths (foetal and neo-natal)
Infant: Number of deaths among children aged 0-1 years
Children 1-4: Number of deaths among children aged 1-4 yearsChildren 0-4: Number of deaths among children 0 to 4 years
|Numerator data elements:|
|Denominator:||Perinatal: Number of all live births and stillbirths
Infant: Number of live birthsChildren 1-4: Population aged 1-4 years Children 0-4: Population aged 0-4 years
|Denominator data elements:|
|Disaggregation data elements:|
Required disaggregation: By leading causes of death; National and state/territory by Indigenous status, by leading cause of death (ICD-10 chapter level)
Recommended disaggregation: National, by Indigenous status, by leading cause of death (ICD-10 chapter level)
Most recent data available for 2010 CRC baseline report: 2007
At this stage, only selected states and territories (NSW, Qld, WA, SA & NT) are considered of accepted quality for reporting Indigenous deaths for all ages.
Indigenous child and particularly infant mortality data is subject to high variability due to small numbers of deaths among children 0 to 4 years.
Due to small number of Indigenous deaths reported each year 5 year, combined data are recommended for reporting.
Perinatal data from the National Perinatal Data Collection (NPDC) is unable to be reported by cause of death. Therefore, the Australian Bureau of Statistics (ABS) death registrations data is recommended for reporting perinatal mortality rates by cause of death.
|Unit of measure:||Person|
Indicator conceptual framework
|Framework and dimensions:||Deaths|
Data source attributes
|Organisation responsible for providing data:||Australian Bureau of Statistics|
|Further data development / collection required:|
The statistical agencies and state/territory governments are currently working with Registrars, funeral directors and doctors to improve the quality of Indigenous status information on death notification forms and death certificates.Indigenous identification needs improvement in deaths data.
|Related metadata references:|
See also National Healthcare Agreement: P19-Infant/young child mortality rate, 2010 Health, Superseded 08/06/2011
Has been superseded by National Indigenous Reform Agreement: PI 10-Mortality rates (and excess deaths) by leading causes for children under 5, 2011 Indigenous, Archived 01/07/2012