Comparative analysis of completeness of death registration, adult mortality and life expectancy at birth in Brazil at the subnational level

Data de publicação

30 de setembro de 2020


Population Health Metrics


Background – Measuring the Global Burden of Disease (GBD) has been the key to verifying the evolution of health indicators worldwide. We analyse subnational GBD data for Brazil in order to monitor the performance of the Brazilian states in the last 28 years on their progress towards meeting the health-related SDGs.

Methods – As part of the GBD study, we assessed the 41 health-related indicators from the SDGs in Brazil at the subnational level for all the 26 Brazilian states and the Federal District from 1990 to 2017. The GBD group has rescaled all worldwide indicators from 0 to 100, assuming that for each one of them, the worst value among all countries and overtime is 0, and the best is 100. They also estimate the overall health-related SDG index as a function of all previously estimated health indicators and the SDI index (Socio-Demographic Index) as a function of per capita income, average schooling in the population aged 15 years or over, and total fertility rate under the age of 25 (TFU25).

Results – From 1990 to 2017, most subnational health-related SDGs, the SDG and SDI indexes improved considerable in most Brazilian states. The observed differences in SDG indicators within Brazilian states, including HIV incidence and health worker density, increased over time. In 2017, health-related indicators that achieved good results globally included the prevalence of child wasting, NTD, household air pollution, conflict mortality, skilled birth attendance, use of modern contraceptive methods, vaccine coverage, and health worker density, but poor results were observed for child overweight and homicide rates. The high rates of overweight, alcohol consumption, and smoking prevalence found in the historically richest regions (i.e., the South and Southeast), contrast with the high rates of tuberculosis, maternal, neonatal, and under-5 mortality and WASH-related mortality found in the poorer regions (i.e., the North and Northeast).

Conclusions – The majority of Brazil’s health-related SDG indicators have substantially improved over the past 28 years. However, inequalities in health among the Brazilian states and regions remain noticeable negatively affecting the Brazilian population, which can contribute to Brazil not achieving the SDG 2030 targets.



Vínculo institucional



Bernardo L. Queiroz

Programa de Pós-Graduação em Demografia, Universidade Federal de Minas Gerais

Marcos R. Gonzaga

Departamento de Demografia e Ciências Atuariais, Universidade Federal do Rio Grande do Norte

Ana M. N. Vasconcelos

Departamento de Estatística, Universidade de Brasília

Bruno T. Lopes

Instituto de Ciências Exatas, Universidade Federal de Minas Gerais

Daisy M. X. Abreu

Faculdade de Medicina, Universidade Federal de Minas Gerais