公民登记系统和重要统计:成功和错失的机会
Prasanta Mahapatra1, Kenji Shibuya, Alan D Lopez
1Institute of Health Systems, Hyderabad, India. pmahapat@ihsnet.org.in
Lancet (London, England)
|November 22, 2007
概括
公民登记系统对于监测出生和死亡至关重要,但其质量在全球范围内仍然很差. 尽管有国际努力,发展中国家的重要统计系统几乎没有得到改善,这凸显了缺乏公认的优先级.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 卫生系统研究 卫生系统研究
背景情况:
- 对于公共卫生监测至关重要的重要统计数据来源于民政登记系统.
- 重要统计数据的质量直接影响其对监测人口动态和健康趋势的有用性.
- 公民登记和重要统计 (CRVS) 系统的进展有限,特别是在发展中国家,阻碍了有效的数据利用.
研究的目的:
- 提出一个全面的框架来评估重要统计数据的质量.
- 审查重要统计数据的可用性和质量的全球状态和历史趋势.
- 确定当前国际努力改善重要统计数据的挑战和局限性.
主要方法:
- 对向联合国 (联合国) 提交的例行报告进行分析.
- 审查由世界卫生组织 (WHO) 收集的死亡原因数据.
- 评估一般生命统计和死亡原因统计的可用性和质量的趋势.
主要成果:
- 随着时间的推移,在全球范围内获得一般生命统计数据和死亡原因统计数据方面观察到的改善很小.
- 在过去的五十年中,很少有发展中国家成功地加强了其民事登记和重要统计系统.
- 国际努力在改善数据可比性和出版方面表现出有效性,但改进往往是零星和短期的.
结论:
- 国家和发展伙伴并不认为民事登记系统是优先考虑的.
- 需要大量,持续的投资和战略重点来提高全球重要统计数据的质量.
- 提出了质量评估的实际框架,以指导未来对CRVS系统的改进.
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