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進むべき道は,その道です
Carla AbouZahr1, John Cleland, Francesca Coullare
1Health Metrics Network, World Health Organization, Geneva, Switzerland. abouzahrc@who.int
Lancet (London, England)
|November 22, 2007
まとめ
多くの低所得国では,出生と死亡に関する重要な統計システムがなく,公衆衛生を妨げています. これらのシステムの開発には,よりよい健康に関する意思決定のための量身の定めた戦略と長期的な能力構築が必要です.
科学分野:
- 公衆衛生は公衆衛生である.
- デモグラフィー デモグラフィー 人口統計
- 保健システムの強化
背景:
- 出生と死亡に関する信頼できる重要な統計は,公衆衛生の意思決定に不可欠です.
- 高所得国は,多くの低所得国とは異なり,堅牢な国民登録制度を有しています.
- 低所得者層における不十分な重要な統計は,早死率を悪化させ,根拠に基づいた政策を阻害する.
研究 の 目的:
- 低所得国における重要な統計の必要性を強調する.
- 市民登録システムを支援する世界的な保健イニシアチブの失敗に対処する.
- 重要な統計の改善と長期的な能力の構築のための二重アプローチを提案する.
主な方法:
- 市民登記と重要統計システム (CRVS) の重要性を検討する.
- 様々な国の文脈でCRVSを確立する際の課題を分析する.
- CRVS開発のための短期と長期の戦略を組み合わせて提案する.
主要な成果:
- 市民登記制度は,重要な法的地位を提供し,個人の権利を保護します.
- 低所得国におけるCRVSの欠如は,効果的な公衆衛生介入を妨げています.
- CRVSを成功裏に導入するためには,個別化された段階的なアプローチが必要である.
結論:
- 市民登記と重要な統計システムの強化は,世界の保健の公平性にとって不可欠です.
- 低所得国におけるCRVS開発に対する国際的支援は不十分である.
- 持続可能な戦略には,重要な統計の生成の即時改善と,包括的な市民登録のための長期的な能力構築が含まれます.
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