国家民事登记和重要统计系统的比较性能:综合评估
Lene Mikkelsen1, Jessica Hooper2, Tim Adair3
1LM Consulting, Tamborine Mountain, Australia.
Bulletin of the World Health Organization
|November 29, 2023
概括
全球民事登记和重要统计系统的平均值为0.70,但占世界五分之一.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 卫生信息系统 卫生信息系统
背景情况:
- 民事登记和重要统计 (CRVS) 系统对于公共卫生和治理至关重要.
- 全球CRVS性能差异很大,影响数据的可用性和可靠性.
- 了解目前的CRVS性能对于有针对性的改进策略至关重要.
研究的目的:
- 评估民事登记和重要统计系统的全球状态.
- 确定CRVS改进的战略发展途径和优先干预措施.
- 为不同绩效水平的国家提出量身定制的战略.
主要方法:
- 使用公开可用的数据应用绩效评估框架.
- 使用与CRVS性能相关联的复合指标.
- 经过数据不相比性和缺失值的调整.
主要成果:
- 全球平均CRVS绩效得分为0.70 (尺度0-1),区域差异很大.
- 全球约有20%的人口居住在43个CRVS表现低的国家 (<0.477).
- 与其他CRVS决定因素相比,卫生部门指标的表现始终不佳.
结论:
- 建议加强卫生部门对出生/死亡通知和口头尸检的参与.
- 建议对死亡原因诊断进行系统培训.
- 概述了四个可适应区域加强活动的CRVS改进途径.
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