, there are inequalities in the completeness and quality of the mortality
registry between men and women and among geographical areas. Consequently, using cause of death
statistics leads to several difficulties. Our aim was to analyze geographical inequalities
due to some of the main specific causes of death in the provinces of Ecuador
(2001–2016) after correction for the deficiencies found in the mortality
This ecologic study used mortality
data from 2001 to 2016 for the 22 provinces of Ecuador
at the beginning of the study period. We assessed completeness using death distribution methods for the intercensal period 2001–2010. We assessed quality by estimating the percentage of garbage codes for the entire study period. We corrected mortality
using completeness as a correction factor and applying a garbage code redistribution protocol. We estimated age-standardized mortality
ratios in the provinces of Ecuador
for men and women, before and after applying the correction methods.
We found substantial changes in the number of deaths due to the selected causes after garbage code redistribution and correction for completeness. These changes corresponded to the deficiencies in completeness and quality found in the study areas and the manner in which garbage codes were redistributed to each of the studied causes. We observed changes in the geographical patterns of mortality
due to specific causes.
Correcting deficiencies in the mortality
registry resulted not only in changes in the number of deaths but also in the geographical patterns of mortality