National Indigenous Reform Agreement: PI 10-Mortality rates (and excess deaths) by leading causes for children under 5, 2011
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||PI 10-Mortality rates (and excess deaths) by leading causes for children under 5, 2011|
|Registration status:||Indigenous, Archived 01/07/2012|
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 status.
Measure (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 (2011) Indigenous, Archived 01/07/2012|
|Outcome area:||Indigenous children have the same health outcomes as other Australian children Indigenous, Endorsed 21/07/2010|
Collection and usage attributes
|Population group age to:||Children under 5 years|
Rate ratios and rate differences are calculated for Indigenous:non-Indigenous.
Per 1,000 births (perinatal and infant)
Per 100,000 persons (children 1-4 and children 0-4)
(1b): Excess deaths: number
Note: causes to be listed from highest to lowest Indigenous percentage.
‘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.
‘Leading causes of death’ are codes used for leading causes of death in the Aboriginal and Torres Strait Islander Health Performance Framework:
Main condition in the fetus/infant
Main condition in the mother, fetus and newborn affected by:
Child 1-4 mortality:
Child 0-4 mortality:
Percentage: number of deaths by cause divided by total deaths
Perinatal and infant mortality rates: 1,000 x (Numerator÷ Denominator)
Children 1-4 and 0-4 mortality rates: 100,000 x (Numerator÷ Denominator)
Excess deaths: Observed number of Indigenous deaths among perinatal, 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: Number of perinatal deaths (foetal and neo-natal)
Infant: Number of deaths among children aged less than 1 year
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:|
National by Indigenous status, by leading causes of death (ICD-10 chapter level).
|Disaggregation data elements:|
Most recent data available for 2011 CRC report is 2008.
Aggregated data (2004-2008) will be reported for the current reporting period.
Single year data (2007, 2008) will be reported for the leading cause of death for infants and 0-4 year olds (‘Certain conditions originating in the perinatal period’) for time series analyses (national level only).
Disaggregation by Indigenous status will be based on data only from jurisdictions for which the quality of Indigenous identification is considered acceptable.
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.
National rates should include these five states and territories only.
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 for the current reporting period. Disaggregation by leading causes of death is recommended to be reported at the national level only and not by state/territory due to small numbers.
Perinatal data from the NPDC is unable to be reported by cause of death. Therefore, ABS death registrations data is recommended for reporting perinatal mortality rates for this indicator.
Baseline year for this indicator is 2008; target year is 2018.
|Unit of measure:||Person|
Indicator conceptual framework
|Framework and dimensions:||Deaths|
Data source attributes
|Organisation responsible for providing data:||Australian Bureau of Statistics (ABS).|
|Further data development / collection required:|
|Related metadata references:|
See also National Healthcare Agreement: PB 09-Halve the mortality gap for Indigenous children under five within a decade, 2011 Health, Superseded 30/10/2011
See also National Healthcare Agreement: PI 19-Infant and young child mortality rate, 2011 Health, Superseded 30/10/2011
Supersedes National Indigenous Reform Agreement: P10-Mortality rates (and excess deaths) for children under 5 by leading causes, 2010 Community Services (retired), Superseded 04/04/2011
Has been superseded by National Indigenous Reform Agreement: PI 10-Mortality rates (and excess deaths) by leading causes for children under 5, 2012 Indigenous, Archived 13/06/2013