SPECIAL RELEASE VITAL STATISTICS: NCR 2009

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` Republic of the Philippines NATIONAL STATISTICS OFFICE National Capital Region Number: 2013-02 SPECIAL RELEASE VITAL STATISTICS: NCR 2009 This special release presents data on vital statistics which occurred in 2009 and were registered from January 2009 to March 2010. Statistics on this vital event were based on information obtained from the birth, marriage, and death certificates transmitted by the City/Municipal Civil Registrars to the Office of the Civil Registrar General of the National Statistics Office for processing and archiving. No adjustments for under registration or for delay in the submission of these certificates were made in the analysis. LIVE BIRTH NCR live birth decrease by 0.7 percent in 2009 There were 1,745,585 live births registered in the country in 2009, recording a decrease of 2.2 percent from the 2008 figure of 1,784,316. NCR recorded a total of 265,774 registered live births in 2009 or 0.7 percent decrease from 267,766 in 2008. Of the total registered live births in NCR, 137,878 or 51.9 were males and 127,896 or 48.1 were females. Refer to Table 1 for details The figure below shows the percent distribution of Live Birth by Sex, Philippines and NCR for the 2009. Percent Distribution of Live Birth by Sex, Philippines and NCR: 2009 60.0 50.0 52.0 51.9 48.0 48.1 40.0 30.0 20.0 Male Female 10.0 0.0 Phil NCR 1

October records the highest number of live births Of the 1.75 million live births registered for the entire country, around 286 thousand or 16.4 percent of the total births occurred in the Nationall Capital Region. The month of October recorded 28,415 live births in NCR for the year 2009. Its percentage share (10.0%) to total live birth was the highest during the year. And the month of February recorded the least number of births with only 20,890. Refer to Table 2 for details Percent Distribution of Live Births by Month of Occurrence, NCR: 2009 12.0 10.0 9.5 10.0 8.3 8..1 7.9 8.2 7.9 7.9 8.2 8.0 7.3 8.7 8.2 6.0 4.0 2.0 0.0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Source: Vital Statisticss Division, NSO Month Nine out of ten births are medically attended In NCR, 91.0 percent of registered birth deliveries were attended by medical practitioners who may either be a physician, nurse or a midwife. On the other hand, 9.0 percent of babies born were attended by traditional and other birth attendants. Refer to Table 3 for details Percentage Distribution of Live Births by Attendant at Birth, NCR: 2009 Hilot/Midwife* 8.9 Nurse 0.4% Others 0.1% Not Stated 0.01% Midwife 30.5% Physician 60.1% Source: Vital Statisticss Division, NSO Note: *- Unlicensed midwife 2

MARRIAGE NCR registered marriages total 71,447 in 2009 For the entire country, there were 492,254 marriages registered in 2009, an increase of 1.2 percent from the 2008 count of 486,514. In NCR, a total of 71,447 marriages were recorded in 2009, or a decrease of 7.0 percent from 2008 figure of 76,821. Refer to Table 4 for details February is the most preferred month for marriages In NCR, one (8,318) out of ten (71,447) couples in NCR opted to get married during the month of February. In fact, during this month, there was a daily average of 297 marriages which is equivalent to a daily index of 151.5. December came next, with a total of 8,314 registered marriages and average of 268 per day or daily index of 136.7. In contrast, November was the least preferred month for tying the knots with lifetime partners with only 4,442 occurrences, or a daily average of 146 or daily index of 75.5. Refer to Table 5 for details Daily Average of Marriages by Month of Occurrence, NCR: 2009 350 300 250 200 150 100 50 0 297 268 148 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Month DEATH About 3.5 deaths per thousand population occur in 2009 In NCR, reported deaths in 2009 reached 61,031. This was 3.5 percent higher than the previous year s result of 64,687 resulting to a crude death rate (CDR) of 5.9 deaths per 1000 population. Male deaths (38,445) outnumbered female (28,586) deaths, resulting to a sex ratio of 135 males per 100 females for the year. Refer to Table 6 for details One out of five deaths is caused by disease of the heart In NCR, diseases of the heart were constantly the top leading cause of deaths with 15,985 total death occurrences or 23.8 percent. Cardiovascular disease (7,128 or 10.6%) came second in rank, followed by pneumonia (5,598 or 8.4%). 3

More than one-half (38,320 or 57.2%) of the total deaths was attribute to the top ten leading causes of deaths. Refer to Table 7 for details Almost fifty percent of the total deaths reported are not medically attended Of the total 75,019 reported deaths in NCR, almost one-half (35,705 or 47.6%) were not medically attended. Refer to Table 8 for details Percentage Distribution of Deaths by Attendant at Death, NCR: 2009 Not Attended 47.6% 75,019 Attended 52.4% 4

Explanatory Notes Introduction Vital statistics are derived from information obtained at the time when the occurrences of vital events and their characteristics are inscribed in a civil register. Vital acts and events are the births, deaths, fetal deaths, marriages, and all such events that have something to do with an individual s entrance and departure from life together with the changes in civil status that may occur to a person during his lifetime. Recording of these events in the civil register is known as a vital or civil registration and the resulting documents are called vital records. The structure of vital statistics system The production of vital statistics comprised of the system of operation in which the registration of vital events is an important component. The system begins with the registration followed by processing and controlling of vital records and ends with the compilation and analysis of vital statistics. Under commonwealth Act 591, the Bureau of Census (now National Statistics Office) is mandated to generate general purpose statistics and to carry out administer Act No. 3753. Under the same law, the head of the NSO is also the Civil Registrar General (CRG) who directs and supervises the local civil registration activities in the country. The CRG in this regard is empowered to issue implementing rules and regulation on civil registration for proper compliance and, to design and order the printing of the necessary forms. The vital statistics system involves different entities and cutting across different departments and personalities. For the registration of vital events, the Local Civil Registry Offices (LCROs), which are the registration units in the country and headed by the City/Municipal Civil Registrars (C/MCRs), are under the Local Government Units (LGUs). The hospitals, clinics, rural health units and similar institutions including barangay secretaries, practicing physicians, midwives, nurses, traditional midwives, solemnizing officers from various religious sects and denomination are required to assists in the reporting of vital events for registration at the LCROs. The concerned parents, next of kin, contracting parties, witness or the person who has full knowledge of the occurrence of the events are also required to report the event, in default of the first mentioned set of informants. The processing and controlling of vital documents are done at the LCROs and at the NSO Provincial and Central Offices. The compilation and analysis of vital statistics is taken cared of by NSO central offices under the Vital Statistics Division (VSD) of the Civil Registration Department. The Registration Method As mandated in Act 3753, all vital events that marked the entry and departure of a person of his lifetime and the changes in his/her civil status shall be registered. The registration method is defined as continuous, permanent and compulsory recording of the occurrences and characteristics of vital events, primarily for their value as legal documents and secondary for their usefulness as a source of statistics. Where to register the event As a general rule, vital events should be registered at the LCRO where the events occur. In special cases, where the document about a vital event is presented to the LCRO which is not the place of occurrence, the same maybe accepted and is considered as out-of-town reporting. However, such 5

documents should not be registered by the receiving LCRO. It must be forwarded to the LCRO where the event took place for purpose of registration. Definition of terms and Concepts This section presents the significant terminologist and descriptions in the foregoing highlights and tables are defined below. Included are some items found in the certificates and summary measure used in the certificates and summary used in the describing the facts of events. Vital statistics on the other hand, are derived from information obtained at the time when the occurrences of vital events and their characteristics are inscribed in a civil register. Live Birth is a complete expulsion or extraction from its mother of a product of conception, irrespective of the duration of the pregnancy, which after such separation, breathes or shows any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of the voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached: each product of such a birth is considered live born. Marriage is a contract of permanent union between a man and a woman entered into in accordance with law for the establishment of conjugal and family life. Death refers to the permanent disappearance of all evidence of life at any time after live birth has taken place (postnatal cessation of vital function without capability of resuscitation). Daily Index is the increase/decrease from the overall daily average of event occurrences. Crude Death Rate (CDR) refers to the number of deaths per 1,000 mid-year population. Period of Gestation refers to the number of completed weeks which have elapsed between the first day of the last normal menstrual period and the date of delivery irrespective of whether the product of conception was live-born or born without evidence of life. Sex Ratio refers to the number of males per one hundred females. Usual Residence refers to the place where the person habitually or permanently residences. Place of Occurrence refers to the place where the vital event took place. For more details, please visit www.census.gov.ph 6

Table 1. Number of Live Births by Place of Occurrence and by Sex, Sex Ratio, Philippines and NCR: 2008 and 2009 Usual Residence of Mother 2009 2008 Both Sexes Male Female Sex Ratio Both Sexes Male Female Sex Ratio Philippines 1,745,585 907,221 838,364 108.2 1,784,316 929,080 856,236 108.5 NCR 285,515 148,112 137,403 107.8 267,766 139,092 128,674 108.1 Table 2. Number of Live Births by Month of Occurrence: NCR 2009 Month of Occurence Number Percentage Share NCR 285,515 100.0 January 23,757 8.3 February 20,890 7.3 March 22,996 8.1 April 22,461 7.9 May 23,306 8.2 June 22,525 7.9 July 22,581 7.9 August 23,277 8.2 September 27,134 9.5 October 28,415 10.0 November 24,760 8.7 December 23,413 8.2 Table 3. Number of Live Births by Usal Residence of the Mother and by Type of Attendance: NCR 2009 Type of Attendance Number Percent NCR 265,774 100.0 Physician 159,750 60.1 Nurse 1,027 0.4 Midwife 81,106 30.5 Hilot/Midwife* 23,610 8.9 Others 257 0.1 Not Stated 24 0.0 Note: * -Unlicensed midwife

Table 4. Number of Marriages, by Place of Occurrence, Philippines and NCR : 2008 and 2009 Place of Occurrence 2009 2008 Philippines 492,254 486,514 NCR 71,447 76,821 City of Manila 10,109 10,184 NCR- Second District 30,867 34,596 City of Mandaluyong 1,432 1,501 City of Marikina 1,931 2,013 City of Pasig 2,461 2,918 Quezon City 19,086 21,971 City of San Juan 5,957 6,193 NCR- Third District 12,028 12,945 Kalookan City 9,297 9,926 City of Malabon 606 602 City of Valenzuela 1,636 1,808 Navotas City 489 609 NCR- Fourth District 18,443 19,096 City of Las Piñas 2,583 2,869 City of Makati 2,256 3,167 City of Muntinlupa 2,612 2,741 City of Parañaque 3,522 2,607 Pasay City 5,311 5,587 City of Taguig 1,763 1,715 Pateros 396 410

Table 5. Number and Percentage Distribution of Marriages by Month of Occurrence: NCR 2009 Month of Occurence Number Daily Average Daily Index NCR 71,447 196 100.0 January 6,459 208 106.1 February 8,318 297 151.5 March 5,922 191 97.4 April 5,058 169 86.2 May 6,745 218 111.2 June 6,352 212 108.2 July 4,845 156 79.6 August 4,521 146 74.5 September 4,603 153 78.1 October 5,868 189 96.4 November 4,442 148 75.5 December 8,314 268 136.7 Table 6. Number of deaths and Crude Death Rate, by Sex, and Sex Ratio by Usual Residence of Mother NCR: 2009 Usual Residence of Mother Number Crude Death Rate Both Sexes Male Female Both Sexes Male Female Sex Ratio Philippines 480,820 279,513 201,307 5.2 6.0 4.4 138.8 NCR 67,031 38,445 28,586 5.9 6.9 4.9 134.5 Note: CDR was computed based on 2000 projection population Table 7. Percentage Distribution of Ten Leading Causes of Deaths, NCR: 2009 Causes of Deaths Number Percent Total 67,031 100.0 1. Diseases of the Heart 15,985 23.8 2. Cerebrovascular Disease 7,128 10.6 3. Pneumonia 5,598 8.4 4. Malignant Neoplasm 5,014 7.5 5. Tuberculosis 3,924 5.9 6. Diabetes Mellitus 3,447 5.1 7. Chronic Lower Respiratory Disease 2,712 4.0 8. Conditions Originating on Perinatal Period 2,570 3.8 9. Assault 1,591 2.4 10. Nephritis, Nephrotic Syndrome & Neprosis 1,453 2.2 All other causes 17,609 26.3

Table 8. Number of Deaths by Place of Occurrence, by Attendance at Death, Philippines and NCR: 2009 Place of Occurrence Total Type of Attendance Attended Not Attended Philippines 480,820 158,208 322,612 NCR 75,019 39,314 35,705 City of Manila 19,022 11,369 7,653 NCR- Second District 29,325 18,599 10,726 City of Mandaluyong 1,759 920 839 City of Marikina 2,963 1,844 1,119 City of Pasig 4,349 2,681 1,668 Quezon City 19,416 12,592 6,824 City of San Juan 838 562 276 NCR- Third District 11,600 2,249 9,351 Kalookan City 6,209 1,265 4,944 City of Malabon 1,527 80 1,447 City of Valenzuela 2,639 853 1,786 Navotas City 1,225 51 1,174 NCR- Fourth District 15,072 7,097 7,975 City of Las Piñas 2,996 1,645 1,351 City of Makati 2,668 1,646 1,022 City of Muntinlupa 2,442 1,352 1,090 City of Parañaque 2,473 957 1,516 Pasay City 2,208 871 1,337 City of Taguig 2,070 550 1,520 Pateros 215 76 139