Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||PI 10-Mortality rates (and excess deaths) by leading causes for children under 5, 2012|
|Registration status:||Indigenous, Archived 13/06/2013|
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 (2012) Indigenous, Archived 13/06/2013|
|Outcome area:||Indigenous children have the same health outcomes as other Australian children Indigenous, Endorsed 21/07/2010|
|Quality statement:||National Indigenous Reform Agreement: PI 10-Mortality rates (and excess deaths) by leading causes for children under 5, 2012 QS Indigenous, Archived 13/06/2013|
Collection and usage attributes
|Population group age to:|
This indicator uses a number of different population group age bands:
Rates are calculated for Indigenous and non-Indigenous.
Rate ratios and rate differences are calculated for Indigenous: non-Indigenous.
Note: Causes of death to be listed from highest to lowest Indigenous percentage for the most recent period (5 years combined).
Excludes deaths where Indigenous status was not stated.
(1a): Number; percentage; rate per 1,000 of all births (perinatal); rate per 1,000 live births (infant); rate per 100,000 persons (children 1-4 and children 0-4); rate ratio and rate difference.
(1b): Excess deaths: Number (observed, expected, excess) and percentage (per cent of excess deaths).
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) of at least 20 completed weeks of gestation or with a birth weight of at least 400 grams.
‘Leading causes of death’ are ICD-10 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)
Rate ratio: Indigenous rate divided by non-Indigenous age standardised rate
Rate difference: Indigenous rate minus non-Indigenous rate
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 for the corresponding period 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 to 4 yearsChildren 0-4: Number of deaths among children aged 0 to 4 years
|Numerator data elements:|
|Denominator:||Perinatal: Number of all births (including live births, and stillbirths of at least 20 completed weeks of gestation or with a birth weight of at least 400 grams).
Infant: Number of live birthsChildren 1-4: Population aged 1-4 years Children 0-4: Population aged 0-4 years
|Denominator data elements:|
Current period - 2005-2009:
For Indigenous and non-Indigenous (numbers, rates, percentage, rate ratios, and rate differences):
For Indigenous only (number -observed, expected, excess; and per cent of excess deaths):
|Disaggregation data elements:|
Most recent data available for 2012 CRC report is 2009.
Data are by reference year.
Aggregated data (2005-2009) will be reported for the current reporting period.
Single year data for children aged under 5 years by leading cause of death are not required as the data are too small to identify trends. The CRC may reconsider this for future reports.
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 and 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 aged 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.
Baseline year for NIRA target (Halve the child mortality gap within a decade) is 2008; 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:|
Improve the quality of Indigenous identification in deaths data.
Source and reference attributes
|Steward:||National Indigenous Reform Agreement Performance Information Management Group|
|Related metadata references:|
See also National Healthcare Agreement: PB 09-Halve the mortality gap for Indigenous children under five within a decade, 2012 Health, Superseded 25/06/2013, Indigenous, Endorsed 11/09/2012
See also National Healthcare Agreement: PI 19-Infant and young child mortality rate, 2012 Health, Superseded 25/06/2013
Has been superseded by National Indigenous Reform Agreement: PI 06-Under five mortality rate by leading cause, 2013 Indigenous, Archived 13/12/2013
Supersedes National Indigenous Reform Agreement: PI 10-Mortality rates (and excess deaths) by leading causes for children under 5, 2011 Indigenous, Archived 01/07/2012