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SOCIALDEVELOPMENTDIVISION
BirthRegistrationinAsiaandthePacific:
AClassificationandRegressionTreesAnalysistoIdentifythe
FurthestBehindChildren
OrlandoRoman
WORKINGPAPERSERIES
SEPTEMBER2023
2
Disclaimer:TheviewsexpressedthroughtheSocialDevelopmentDivisionWorkingPaperSeriesshouldnotbereportedasrepresentingtheviewsoftheUnitedNations,butasviewsoftheauthor(s).WorkingPapersdescriberesearchinprogressbytheauthor(s)andarepublishedtoelicitcommentsforfurtherdebate.Theyareissuedwithoutformalediting.TheUnitedNationsbearsnoresponsibilityfortheavailabilityorfunctioningofURLs.Opinions,figuresandestimatessetforthinthispublicationaretheresponsibilityoftheauthorsandshouldnotnecessarilybeconsideredasreflectingtheviewsorcarryingtheendorsementoftheUnitedNations.Anyerrorsaretheresponsibilityoftheauthors.MentionoffirmnamesandcommercialproductsdoesnotimplytheendorsementoftheUnitedNations.
3
Pleasecitethispaperas:Roman,O.(2023).BirthRegistrationinAsiaandthe
Pacific:AClassificationandRegressionTreesAnalysistoIdentifytheFurthestBehindChildren.UnitedNationsESCAP,SocialDevelopmentDivision,September2023.Bangkok.
Availableat:
/kp
ESCAP/6-WP/63
Abouttheauthors:OrlandoRomanservesasaconsultantattheUnitedNationsEconomicandSocialCommissionforAsiaandthePacific.
4
TableofContents
ABSTRACT 5
1.INTRODUCTION 6
2.THEDETERMINANTSOFBIRTHREGISTRATION 8
3.DATA 9
4.METHODOLOGY 12
5.RESULTS 14
6.CONCLUSION 22
7.APPENDIX 23
REFERENCES 29
5
ABSTRACT
ThispaperinvestigatesthedeterminantsofbirthregistrationinAsiaandthePacific.DrawingondatafromtheDemographicandHealthSurveys(DHS)andtheMultipleIndicatorClusterSurveys(MICS)fromfiverepresentativecountriesintheregion,namelyCambodia,Mongolia,Pakistan,Samoa,andUzbekistan,thepaperusesClassificationandRegressionTrees(CART)toidentifythegroupsofchildrenunder5yearsofagewhoareleastlikelytohavetheirbirthbeingregistered,i.e.,thefurthestbehindgroups.Results
underscoresignificantwithinandcross-countrydisparities.Thewealthofthehouseholdwherethechildcurrentlyresides,ageofthechild,educationalattainmentofthemother,numberofchildrenunder5yearsofageinthehousehold,andsexofthechild,appeartobethemostimportantcharacteristicsinfluencingbirthregistrationratesandidentifyingthefurthestbehindgroups.ThepaperaimstoinformpolicymakingandinterventionsstrategiesintendedatimprovingbirthregistrationratesinAsiaandthePacific.
Keywords:CRVS,birthregistration,leaving
noonebehind,inequalityofopportunity.
6
1.INTRODUCTION
The2030AgendaforSustainableDevelopmentmakesacallto“l(fā)eavenoonebehind”andto“endeavortoreachthefurthestbehindfirst”inthepathtowardssustainabledevelopment.Itcrystallizestheglobalconsensusfortransitioningtowardsmoreegalitarian,cohesiveandsolidarity-basedsocieties,bypromotinginclusivedevelopmentasapathwaytoasustainablefuture.Inpracticalterms,thepledgeto“l(fā)eavenoonebehind”meansgoingbeyondassessingaverageandaggregateprogress,towardsensuringprogressforallpopulationgroupsatadisaggregatedlevel.Thisrequiresdisaggregatingdatatoidentifygroupsbeingvulnerable,excludedordiscriminatedagainst,aswellasthoseexperiencingmultipleandintersectingformsofdiscriminationandinequalities.
Birthregistrationservesasafundamentalconduitintheendeavorto“l(fā)eavenoonebehind”.Birthregistrationrefersto“thecontinuous,permanentanduniversalrecording,withinthecivilregistry,oftheoccurrenceandcharacteristicsofbirthsinaccordancewiththelegalrequirementsofa.iItisdeemedanessentialinitialstepinassessinganindividual’slegalidentityand,consequently,theiraccesstorightsandservices.Inaddition,itisafundamentalhumanrightrecognizedbytheInternationalCovenantonCivilandPoliticalRightsandtheConventionoftheRightoftheChild.1
BirthregistrationisemphasizedinSustainableDevelopmentGoal(SDG)16,target16.9,whichcalls“[b]y2030,[to]providelegalidentityforall,includingbirthregistrationThistargetistrackedbytheindicator“proportionofchildrenunder5yearsofagewhosebirthshavebeenregisteredwithacivilauthority,byage”.iiHowever,birthregistrationhasalsoadirectimpactonotherdevelopmentareas,includingnopoverty(SDG1),goodhealthandwell-being(SDG3),educationaladvancement(SDG4),accesstodecentjobs(SDG
1Inspecific,article24oftheInternationalCovenantonCivilandPoliticalRights,andarticle7oftheConventionontheRightsoftheChild.
5),reducedinequalities(SDG10),peace,justice,andstronginstitutions(SDG16),amongothers.
Theabsenceofbirthregistrationcanleadtoseverelong-termrepercussions,buildingvulnerabilitiesacrossthelifecycle.Itrenderschildrenandindividualsinvisibletogovernmentalsystemsandhinderstheirfullengagementtocontributeandbenefitfromsocietalprogress.Thosewithouttheirbirthbeingregisteredmayencountersignificantbarrierswhentryingtoaccessservicessuchashealthcareandeducation,makingthemsusceptibletomarginalizationandpoverty.Thelackofageverificationalsoexposesunregisteredindividualstohumanrightsabuses,includingunderagelabor,earlymarriage,andhumantrafficking.Theinabilitytoconfirmone'snationalitycanalsoresultinstatelessness,furthercomplicatingtheirsituation.
ThispaperidentifiesthecommoncharacteristicsaffectingtheprevalenceofbirthregistrationinAsiaandthePacific.Itusesclassificationandregressiontrees(CART)toexploreinequalitiesinbirthregistrationandidentifythosechildrenunder5yearsofagewhoareleastlikelytohavetheirbirthbeingregisteredwiththecompetentnationalauthorities.ThepaperusesDemographicandHealthSurvey(DHS)andMultipleIndicatorClusterSurvey(MICS)acrossfivecountriesinAsiaandthePacific,eachrepresentingadifferentsub-region.CARTisastraightforwardtooltooperationalizethepledgeto“l(fā)eavenoonebehind”andacceleratenationalprogresstowardsachievingtheSDGsduetoitssimplicityandinterpretability.Itusesanalgorithmtoassessallpossiblecombinationsofcharacteristicstodeterminewhichonesaccountthemostinexplainingbirthregistrationratesandidentifythefurthestbehindgroupsi.e.,thosegroupsofchildrenunder5yearsofagewiththelowestbirthregistrationrates.
7
Thispaperisstructuredasfollows:Section2offers
aliteraturereview.Section3introducesthedata.
Section4explainsCART.Section5presentsthe
findingsonbirthregistration.Section6comestoa
conclusion.Thepaperissupplementedbyan
Appendix.
8
2.THEDETERMINANTSOF
BIRTHREGISTRATION
Thescholarlyliteratureonbirthregistrationidentifiesamultitudeoffactorsinfluencingthisvitalprocess.InAsiaandthePacific,theinterplayofdemandfactorssuchassocio-economicstatus,parentaleducation,religion,ethnicity,mother’sage,andmaritalstatushasprovedtosignificantlyinfluencebirthregistrationrates.InIndia,forexample,lowerbirthregistrationratesareprevalentamongchildrenwhosemotherslackformaleducation,arenotexposedtomedia,belongtothepoorestwealthquintiles,orareidentifiedwithmarginalizedclassesorasMuslims.iiiMeanwhile,intheLaoPeople’sDemocraticRepublic,birthregistrationratesforchildrenunder5areinfluencedbyethno-geographicfactors,includingsettlementpatternsandtheirmotherhavingaminorityidentity.iv
Inadditiontoindividualcharacteristics,supply-sidefactorscanfurtheraffectthelikelihoodofabirthbeingregistered.Forinstance,inIndonesia,thecostofregistration,thedistancetotheregistrationcenter,andalackofawarenessandknowledgeabouttheregistrationprocessserveassignificantimpedimentsforchildrenunder5beingregistered.vSimilarly,inChina,bothculturalfactorsandgeographiclocationarehighlightedaskeydeterminantsofbirthregistration.vi
AnalysingstudiesbeyondAsiaandthePacificbringsforthadditionalinsights.InGhana,apositivecorrelationexistsbetweenamother’seducationlevelandhouseholdwealth,andthelikelihoodofbirthregistration.viiInNigeria,awarenessaboutbirthregistration,accesstomassmedia,alongwithmother’sage,maritalstatus,occupation,andplaceofdeliveryhavebeenidentifiedascontributorstoabirthbeingregistered.viiiAcrossSub-SaharanAfrica,reducedchancesofbirthregistrationareassociatedwithwealthandeducationstatus,limitedwomen’sautonomy,adherencetotraditionalreligions,andotherfactorssuchasprenatalcare,birthregistrationlegislation,fertilityrates,prevalenceofconflicts,andthedegreedecentralizationoftheregistrationsystem.ix
Takenasawhole,thesestudiesemphasizeamultitudeofindividual,societalandinstitutionalfactorsinfluencingbirthregistrationrates,therebyunderliningthenecessityforin-depth,country-specificanalyses.Individualcharacteristicsencompasselementssuchassocioeconomicstatus,children’sandmother’sage,parentaleducation,religion,ethnicity,andmaritalstatus.Conversely,systemicdeterminantsincludefactorssuchasdistancetoregistrationcentres,cost,availabilityofinformation,awarenessoftheregistrationprocess,andculturalnorms.
9
3.DATA
ThispaperusesDHSandMICS.ThedataspansfivecountriesinAsiaandthePacific,eachstandingasrepresentativefortheirrespectivesubregions,namelyCambodiaDHS2021-2022fromSouth-EastAsia,MongoliaMICS2018fromNorthandNorth-EastAsia,PakistanDHS2017-2018fromSouthandSouth-WestAsia,SamoaMICS2019-2020fromthePacific,andUzbekistanMICS2021-2022fromNorthandCentralAsia.
TheDHSandMICSdatasetsareselectedduetotheirconsistentcollectionofbirthregistrationdata.ThestandardDHShouseholdquestionnaireincludesaquestionaboutwhetherallchildrenunder5yearsofageareregistered.Similarly,theMICSquestionnaireasksmothersorprimarycaretakersofchildrenunder5yearsofagetoprovideinformationontheirchild’sbirthcertificateorregistrationstatuswiththerelevantcivilauthorities.Thesesurveysalsoofferotheradvantages,including:1)comparabilityacrosscountries;2)accessibilityofthedata;and3)therichsetofquestionsonhealth,demographicandbasicsocio-economicdataaboutchildrenunder5yearsofage,theirmother,andthehouseholdstheylivein.
Theanalysisofthispaperisconfinedtochildrenunder5yearsofage,astheyconstitutethereferencegroupforSDG16.9.1anddataarenotavailableforchildren5yearsofageandabove.Whetherachild’sbirthisregisteredwiththenationalauthoritiesisbasedonapositiveresponsefromeithertheirmotherorprimarycaretaker(MICS),orthehouseholdhead(DHS),toeitherofthequestions:
1)“Does(name)haveabirthcertificate?”;and
2)“Has(name)’sbirthbeenregisteredwiththeCivilRegistrationAuthority?”.
Thespecificsetofquestionsvariesaccordingtotheparticularsurvey(Table1).Thismethodoffersasimple,yeteffectivewaytoassessbirthregistrationrateswithinthesurveyedpopulations.ToillustratethedeterminantsofbirthregistrationinAsiaand
thePacific,thispaperusesSamoa’sMICS2019-2020asarepresentativecasestudy.Thechoiceofvariablesalignswiththescholarlyliterature,recognizingallpotentialdeterminantsacrossthesurveymodules,includingdatafromchildrenunder5yearsofage,women15-49yearsofage,andcharacteristicsofthehouseholdstheylivein.ForcountrieswithaDHSsurvey,theinformationisavailableinthehouseholdandhouseholdmembermodule.
TheMICSsurveymodulesareaggregatedatthehouseholdlevel,associatingeachchildunder5yearsofagewiththeirmotheroraprimarycaretakerwithinthehousehold(Table2).Thecharacteristicsselectedtoassessbirthregistrationratesarewealthofthehouseholdwherethechildrenunder5yearsofagecurrentlyreside
(belongingtothetop60orthebottom40ofthewealthdistribution)andplaceofresidence(urbanorrural).Inexaminingthecharacteristicsofthechildrenunder5yearsofage,thefollowingcharacteristicsaretakenintoaccount:numberofchildrenunder5yearsofageinthehousehold
(none(<0.5),1ormore(>0.5),2ormore(>1.5),3ormore(>2.5),fewerthan2(<1.5),fewerthan3(<2.5));ageofthechild(1,2,3,or4yearsofage);sexofthechild(boyorgirl);andwhetherthechildisanonlychild.Lastly,inevaluatingmother’scharacteristics,theconsideredvariablesare:agegroupofthemother(15-24yearsofage,25–34yearsofage,or35-49yearsofage);educationalattainmentofthemother(lowereducation,secondaryeducation,orhighereducation);maritalstatusofthemother(currentlymarried,formerlymarried,ornevermarried)andplaceofdeliveryofthechild(hospitalorhome/other).Othervariablessuchastheethnicity,religion,andlanguageofthehouseholdheadwerealsoconsidered,thoughonlyreligionconsistentlyaffecttheresultsinSamoa.Further,systemicdeterminantssuchascost,availabilityofinformation,awarenessoftheregistrationprocess,amongothers,arenotconsideredduetodataunavailability.
10
Table1:Listofcountries,variablesnames,andsurveyquestions
Country
Data
VariableName
SurveyQuestioninDHS/MICS
AnswersinDHS/MICS
Survey
Recode
Cambodia
DHS
hv140
Does(NAME)haveabirth
certificate?
IFNO,PROBE:
Has(NAME)'sbirtheverbeen
registeredwiththecivilauthority?
1=HasCertificate
2=Registered
3=Neither
8=Don'tKnow
PR
Mongolia
MICS
BR1
Does(name)haveabirthcertificate?Ifyes,ask:
MayIseeit?
1=Yes,Seen
2=Yes,NotSeen
3=No
8=DK
CH
BR2
Has(name)’sbirthbeenregisteredwiththeCivil
RegistrationAuthority?
1=Yes
2=No
8=DK
Pakistan
DHS
hv140
Does(NAME)havehis/hernameenteredontoa'bay'form?
IFYES:Does(NAME)havea
birthcertificate?
IFNO:Does(NAME)havea
birthcertificate?
1=Nameonbayformandhavebirthcertificate
2=Nameonbirthformandhavenobirthcertificate
3=Onlybirthcertificate
4=Neitherofabove
8=Don'tKnow
PR
Samoa
MICS
BR1
Does(name)haveabirthcertificate?Ifyes,ask:
MayIseeit?
1=Yes,Seen
2=Yes,NotSeen
3=No
8=DK
CH
BR2
Has(name)’sbirthbeenregisteredwiththeBirth,DeathandMarriagesOffice(BDM)?
1=Yes
2=No
8=DK
Uzbekistan
MICS
BR1
Does(name)haveabirthcertificate?Ifyes,ask:
MayIseeit?
1=Yes,Seen
2=Yes,NotSeen
3=No
8=DK
CH
BR2
Has(name)’sbirthbeenregisteredwiththeCivilRegistryOffice?
1=Yes
2=No
8=DK
Note:ESCAPelaborationbasedonlatestDHSandMICS.
11
Table2:Surveydataanddeterminantsofbirthregistration.SamoaMICS2019-2020
“ch”
childrenrecode
“wm”
womenrecode
“hl””
householdmembersrecode
“hh”
householdrecode
HH1
clusternumber
HH2
householdnumber
LN
linenumber
UF1clusternumber
UF2householdnumber
UF3
child'slinenumber
mother/caretaker'sline
UF4
number
nativelanguageofthe
UF14
respondent
UB2
ageofchild
coveredbyanyhealth
UB9
insurance
BR1birthcertificate
BR2
birthregistration
knowledgeofbirth
BR3
registration
HH6area
HL4
sex
highestlevelof
ED5A
educationattended
CAGE
ageinmonths
melev
el
mother'seducation
cinsur
ance
healthinsurance
cdisab
functionaldifficulties
ility
(age2-4years)
ethnici
ethnicityofhousehold
ty
head
religio
religionofhousehold
n
head
careta
mother'sfunctional
kerdis
disabilities(age18-49)
chwei
childrenunder5's
ght
sampleweight
winde
x5wealthindexquintile
PSU
primarysamplingunit
stratu
m
stratum
HH1
HH2
LN
WM1
WM2
WM3
WM14
WB4
WB6A
WB18
WB20
WB21
WB22
WB24
MT9
CM11
MN2
MN20
MA1
MA5
HH6
CEB
welevelinsurance
disabilitywmactivity
wreligio
n
wmemployment
ethnicity
religionwmweight
windex5
PSU
stratum
clusternumber
householdnumberlinenumber
clusternumber
householdnumberwoman'sline
number
nativelanguageoftherespondent
ageofwoman
highestlevelof
schoolattendedcoveredbyhealth
insurance
religionof
householdhead
mothertongue
ethnicgroup
occupation
everusedthe
internet
childreneverbornreceivedprenatalcare
placeofdelivery
maritalstatus
maritalstatus
area
childreneverborn
education
healthinsurancefunctional
difficulties(age18-49)
mainactivity
women'sreligionwomen's
employmentstatusethnicityof
householdhead
religionof
householdheadwoman'ssampleweight
wealthindex
quintile
primarysample
unit
stratum
HH1
clusternumber
HH2
householdnumber
HL1
linenumber
relationshiptothe
HL3
head
HL4sex
HL6
age
linenumberof
HL8
womanage15-49linenumberfor
HL10
childrenage0-4highestlevelof
ED5A
educationattended
HH6
area
ethnici
ethnicityof
ty
householdhead
religio
religionofhousehold
n
head
heleve
educationof
l
householdhead
melev
el
mother'seducation
careta
functionaldifficulties
kerdis
(age18-49years)
felevel
father'seducation
hhwei
householdsample
ght
weight
winde
x5
wealthindexquintileprimarysampling
PSU
unit
stratu
m
samplestrata
HH1
HH2
HH6
HH1
6
HH4
8
HH5
1
HC1
A
HC1
B
HC2
HC1
3
HHS
EX
HHAGE
ethni
city
religi
on
helevel
hhweightwindex5
PSU
strat
um
clusternumber
householdnumber
area
nativelanguageoftherespondent
numberofHH
members
numberofchildren
underage5
religionof
householdhead
languageof
householdheadethnicgroupofhouseholdheadinternetaccessathome
sexofhouseholdhead
ageofhouseholdhead
ethnicityof
householdhead
religionof
householdhead
educationof
householdhead
householdsample
weight
wealthindex
quintile
primarysamplingunit
samplestrata
Note:ESCAPelaborationbasedonSamoaMICS2019-2020.
12
4.METHODOLOGY
TheprimarygoalofCARTistoidentifythegroupsofchildrenunder5yearsofagewiththelowestandhighestlikelihoodoftheirbirthbeingregistered.Theindicator“birthregistration”istheresponsevariable,whilethefactorsthatcharacterizethesegroupsofchildren,theirmother,andthehouseholdstheylivein,aretheexplanatoryvariables,alsoreferredtoas“circumstances”.2Atreeisananalyticalstructurethatrepresentsgroupsofchildrenofthesamplepopulationthathavesignificantlydifferentbirthregistrationrates.
Toidentifythegroupsofchildrenunder5yearsofagewiththegreatestdifferenceinbirthregistration,CARTisconstructedforeachcountryintheformofbinaryregressiontreesusingR,anopen-sourcestatisticalsoftware.Therootnodeofthetreereferstotheentirepopulationsample.TheCARTalgorithmstartsbysearchingforthefirstsplit(or“partition”)ofthetree.Itdoessobylookingateachcircumstanceandseparatingthesampleintwogroups,sothatitbestsatisfiesacertain“splittingcriterion.”Thissplittingcriterioncanbedefinedinafewways,whiletheoneusedhereistheAnalysisofVariance,or“ANOVA.”Theformulathatrepresentsthecoreofthealgorithmisthefollowing:
SST?(SSL+SSR)
WhereSST=∑(Yi?)2isthesumofsquaresfor
theparentnode,andSSLandSSRarethesumsofsquaresfortheleftandrightchildnodes,respectively.xThesumofsquaresiscalculatedby
firstfindingthedistancebetween,thesample
mean,andtheithdatapointYi.Thisisalsoreferredtoasthedeviation.
IfdeviationsforalldatapointsY1,Y2,…,Yiare
squaredandthensummed,asin∑(Yi?)2,this
yieldsthesumofsquaresforthesedata.Thisisequivalenttochoosingthesplittomaximizethe
2Withinthefieldofmachinelearning,responseandexplanatoryvariablesaremorecommonlyreferredtoas
between-groupssumofsquaresinasimpleanalysisofvariance.
TheCARTalgorithmappliesthisANOVAtesttoeachpossiblesplit,orpartition,ofthesamplepopulationgivenbythecircumstances.Aftercomparingalloftheavailablepartitions,thealgorithmisabletoidentifythesinglepartitionthatwoulddecreasevariancethemostforthecombinedsumofsquaresofthechildnodescomparedtotheparentnode.ThisishowCARTusesANOVAtoidentifythebestpossiblesplitforeachnodedownthetree.ItshouldbenotedthatthereareothermethodologieswithinCARTumbrellalikerandomforests,baggedorboosteddecisiontrees.Inoursetting,ANOVAfitsbesttobinaryregressiontreesthathaveadiagnosticpurpose.
Inthecontextofbirthregistration,SSTwoulddescribethevarianceinthesumofsquaresfortheshareofchildrenunder5yearsofagewhohavehadtheirbirthregistered.Thepossiblepartitionsofthissample,resultinginSSLandSSR,reliesheavilyonthespecificvariablesselectedtoexplainbirthregistration.Thecharacteristicsusedintheanalysisarewealthofthehouseholdwherethechildrenunder5yearsofagecurrentlyreside(belongingtothetop60orthebottom40ofthewealthdistribution);placeofresidence(urbanorrural);numberofchildrenunder5yearsofageinthehousehold(none(<0.5),1ormore(>0.5),2ormore(>1.5),3ormore(>2.5),fewerthan2(<1.5),fewerthan3(<2.5));ageofthechild(1,2,3,or4yearsofage);sexofthechild(boyorgirl);whetherthechildisanonlychild(0,1);agegroupofthemother(15-24yearsofage,25–34yearsofage,or35-49yearsofage);educationalattainmentofthemother(lowereducation,secondaryeducation,orhighereducation);maritalstatusofthemother(currentlymarried,formerlymarried,ornevermarried)andplaceofdeliveryofthechild(hospitalorhome/other).
WithintheparametersofCART,allpartitionsarebinary;amongcircumstanceswithmultiplesplit
targetandinputattributes,respectively.
13
thresholds,suchasageofthemother,eachpossible
combinationofagegroupingisconsidered(for
example,15-24yearsofageand35-49yearsofage
couldbeasinglecohortassignedtooneofthe
nodes,with25-34yearsofageassignedtothe
other).Thismeanstheresultantnodesassociated
withSSLandSSRaremutuallyexclusiveand
complementary,andeverychildrenbelongstoone
andonlyoneofthenodesforeachpartitionofthe
treegeneration.
Theactualalgorithmthatgeneratesthenodesfor
eachpartitionworksstep-by-step,startingfrom
theentiresample(where“T”givenbySSTisthe
rootnode).Eachtimethesampleispartitioned,
newnodesaregeneratedandtheANOVAis
calculatedandcomparedtotheANOVAbeforethe
newpartition.Thisstepwiseprocessofbuilding
nodesandbranchesofatreeisalsoknownas
“recursivepartitioning.”Eachpartition(andhence
thenewpairofnodes)iskeptwhenthedecreaseof
varianceexceedsapresetthresholdalsoknownas
a“complexityparameter.”Whenthebestavailable
partitionfailstosatisfythecomplexityparameter,
orasetofotherpresetconditionscannotbe
satisfied,thealgorithmceasestomakeadditional
partitions.Thenodesthatcouldnotbefurther
partitionedarehenceforthreferredtoas“terminal
nodes.”
Inadditiontofindinggroupsofchildrenunder5
yearsofagewhosebirthisregistered,theCART
algorithm,appliedtoidentifythefurthestbehind,
requiresthateachgroupshouldhavesufficient
groupmembers.Toavoidatoosmallsub-sample
size,theanalysisceasestomakeadditional
partitionsiftheresultantnodeswouldfailto
containeither9percentofthetotalsample
populationoranabsolutevalueof49survey
respondents.Theanalysisisalsolimitedto6levels
ofnodes(encompassing5partitions),asadditional
partitionspastthatpointhavediminishingreturns
forthepurposeofidentifyingpopulationgroups.
WhenconsideringCARTmodelsincluding
ethnicity,religion,andlanguageofthehousehold
head,theresultantnodesneedtocontainatleast5
percentofthetotalsamplepopulation.This
conditionfacilitatestheCARTalgorithmtodetect
theseminoritygroups.
14
5.RESULTS
ToillustratehowCARTdetermineswhichcircumstancesaccountforthemostvariationinbirthregistration,theexampleofSamoaisusedbelow.Samoa’scivilregistrationsystemlegallyrequiresallbirths,deathsandmarriagestoberegisteredwiththeBirths,DeathsandMarriages(BDM)divisionoftheSamoaBureauofStatistics.ItismandatedthateverybirthmustbenotifiedtotheBDMofficeassoonaspracticalafterthebirth.xi
IntheMICS2019-2020,thesurveyresponseratewere3,196households,4,139womenaged15-49,and2,687mothersorcaretakersinterviewedforchildrenunder5yearsofage.SummarystatisticsfollowingSDGtarget16.9andtheindicator“proportionofchildrenunder5yearsofagewhosebirthshavebeenregisteredwithacivilauthority,byage”highlightthat67percentofchildreninSamoahavetheirbirthregisteredwithacivilauthority.ThisresultalignswithSamoa’sMICSSurveyFindingReport.xiiWhileone-thirdofch
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