Civil registration systems and vital statistics: successes and missed opportunities

Civil registration systems and vital statistics: successes and missed opportunities
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DOI:
10.1016/s0140-6736(07)61308-7
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发表时间:
2007-11-10
期刊:
影响因子:
168.9
通讯作者:
Szreter, Simon
Szreter, Simon
中科院分区:
医学1区
文献类型:
--
作者:
Mahapatra, Prosanta;Shibuya, Kenji;Szreter, Simon

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通过民事登记系统生成的生命统计数据是长期持续监测出生和死亡情况的主要来源。人口动态统计的有用性取决于其质量。在本系列的第二份文件中,我们提出了一个评估生命统计质量的全面实用框架。通过向联合国提交的常规报告和向世卫组织报告的死因数据,我们回顾了世界人口动态统计的现状和过去的趋势,并注意到全球人口动态统计或死因统计的可获得性几乎没有改善。在过去50年中,只有少数发展中国家能够改进其民事登记和人口动态统计系统。国际社会为提高人口动态统计数据的可比性所作的努力似乎是有效的,在收集和公布数据方面也取得了合理的进展。然而,全世界为改进数据所作的努力仅限于零星的短期措施。我们的结论是,各国和发展伙伴尚未认识到民事登记系统是一个优先事项。
Vital statistics generated through civil registration systems are the major source of continuous monitoring of births and deaths over time. The usefulness of vital statistics depends on their quality. In the second paper in this Series we propose a comprehensive and practical framework for assessment of the quality of vital statistics. With use of routine reports to the UN and cause-of-death data reported to WHO, we review the present situation and past trends of vital statistics in the world and note little improvement in worldwide availability of general vital statistics or cause-of-death statistics. Only a few developing countries have been able to improve their civil registration and vital statistics systems in the past 50 years. International efforts to improve comparability of vital statistics seem to be effective, and there is reasonable progress in collection and publication of data. However, worldwide efforts to improve data have been limited to sporadic and short-term measures. We conclude that countries and developmental partners have not recognised that civil registration systems are a priority.