Number of children dying before reaching age five. Limitations and exceptions: Complete vital registration systems are fairly uncommon in developing countries. Thus estimates must be obtained from sample surveys or derived by applying indirect estimation techniques to registration, census, or survey data. Survey data are subject to recall error, and surveys estimating infant/child deaths require large samples because households in which a birth has occurred during a given year cannot ordinarily be preselected for sampling. Indirect estimates rely on model life tables that may be inappropriate for the population concerned. Extrapolations based on outdated surveys may not be reliable for monitoring changes in health status or for comparative analytical work.