开发民政登记和生命统计 (CRVS) 系统的实施研究:印尼的教训
Dede Anwar Musadad1, Tri Juni Angkasawati2, Yuslely Usman3
1Health Research Organization, National Research and Innovation Agency Republic of Indonesia, Jakarta Pusat, Indonesia.
BMJ global health
|July 20, 2023
概括
印度尼西亚 印度尼西亚 印度尼西亚
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 人口统计学 人口统计学
背景情况:
- 公民登记和生命统计 (CRVS) 系统对于监测健康指标至关重要.
- 印度尼西亚的CRVS系统在为国家卫生政策生产可靠的重要统计数据方面面临挑战.
- 2019年启动了一项国家战略,到2024年改进CRVS覆盖范围和数据质量.
研究的目的:
- 通过形成性和实施性研究指导印尼国家CRVS战略的实施.
- 评估地方一级修订的死亡报告程序的可行性和可持续性.
主要方法:
- 使用国际框架进行CRVS评估和差距分析.
- 开发了经过修订的业务流程模型和现场指令手册,用于死亡报告.
- 在两个地区 (马兰格和库杜斯) 试点测试报告程序,并进行培训和数据分析.
主要成果:
- 在试点地点实现了高死亡报告完整性 (83%89%).
- 推导出可信的因特定死亡概况,需要进一步验证.
- 证明了实施经过修订的当地死亡报告程序的可行性.
结论:
- 修订的死亡报告程序是可行的,可以通过制度化和能力建设来维持.
- 调查结果支持加快印尼CRVS系统的发展,以基于证据的健康行动.
- 提高CRVS数据质量对于有效的国家卫生政策和方案评估至关重要.
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