基于人口普查与出生历史的比较,以估计尼日尔5岁以下的死亡率
Brittany Peterson1, Ahmed Mamane Arzika2, Abdou Amza3
1Francis I. Proctor Foundation, University of California, San Francisco, California.
The American journal of tropical medicine and hygiene
|October 30, 2023
概括
出生史调查提供了一种可行的替代方案,用于监测大规模药物管理试验中的儿童死亡率. 这种方法减少了时间和劳动力,同时提供了可比的生命状态数据.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 儿童生存率 儿童生存率
背景情况:
- 世界卫生组织 (WHO) 关于大规模阿齐思罗米辛分发的指导方针要求对儿童的存活率进行死亡率监测.
- 传统的生命状态监测依赖于每两年一次的以人口为基础的人口普查,这是劳动密集型的.
- 出生史为死亡率监测提供了一个潜在的更可行的替代方案.
研究的目的:
- 为了比较出生历史调查的准确性和可行性与基于人口的人口普查,以估计儿童死亡率.
- 评估出生史作为一种替代方法,用于实验中的生命状态监测.
主要方法:
- 使用了来自减少眼睛对抗性眼睛死亡 (MORDOR) 试验的Macrolides Oraux的数据.
- 在16个社区,比较半年人口普查 (参考标准) 与出生历史调查 (索引测试).
- 评估了参与者数量,家庭数量,死亡率和死亡率的相关性.
主要成果:
- 人口普查记录了更多的参与者和家庭 (相关性>0.94).
- 方法之间的死亡人数相关性为0.84.
- 死亡率发生率相关性为0.60;灵敏度为80%,特异性为98%的死亡状态比较.
结论:
- 出生史调查显示,对跟踪儿童生命状况具有良好的灵敏度和高特异性.
- 在儿童生存研究中,出生史是为监测儿童死亡率而进行两年一次人口普查的合理且可能更可行的替代方案.
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