モザンビークの携帯電話インタビューによる幼児死亡率の測定
Almamy Malick Kante1, Cremildo Manhica2, Akum Aveika1
1Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Tropical medicine & international health : TM & IH
|September 1, 2025
まとめ
モザンビークの携帯電話による調査は 幼児死亡率を正確に記録し 子どもの生存率と健康状態の進展を 追跡するための 伝統的な対面面インタビューの 実行可能な代替案を提供しました
科学分野:
- 世界保健
- 人口統計
- 公衆衛生の監視
背景:
- 幼児死亡率は 低所得国や中所得国の重要な健康指標です
- 伝統的な測定は家庭の個人調査に基づいています.
- タイムリーで費用対効果の高いモニタリングのために,代替データ収集方法を探求することが不可欠です.
研究 の 目的:
- モザンビークの幼児死亡率データを収集するための携帯電話のインタビューの実現可能性と正確さを評価する.
- 携帯電話の調査から得られた死亡率の推定値を 確立された方法と比較する.
主な方法:
- 既存のデータベース (全国死亡率監視対策 (COMSA)) とランダムダイヤル (RDD) の2つの携帯電話サンプル戦略が採用されました.
- 生殖年齢の女性は,妊娠歴についてインタビューされました.
- 新生児 (NMR),乳児 (IMR),および5歳未満の死亡率 (U5MR) を計算し,国連,COMSA,人口および健康調査 (DHS) のデータと比較した.
主要な成果:
- 携帯電話の調査では 幼児死亡率がDHSに匹敵します
- COMSA電話サンプルU5MR (2020-2021) は59. 3で,DHS (59. 6) と似ています.
- RDDサンプルは死亡率を過小評価し,COMSA電話サンプルは死亡率の傾向が類似した.
結論:
- 最近の幼児死亡率のレベルと傾向を 効果的に測定できます
- この方法は,DHSのような従来の対面調査と比べられる代替手段として,国内および地方のモニタリングを行うことができます.
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