Adult death registration in Matlab, rural Bangladesh: completeness, correlates, and obstacles.
Adult death registration in Matlab, rural Bangladesh: completeness, correlates, and obstacles.
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DOI：
10.1186/s41118-021-00125-7
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Helleringer S
中科院分区：
文献类型：
--
作者：
Haider MM;Alam N;Ibn Bashar M;Helleringer S
对死亡和出生等重大事件进行民事登记是确保全世界个人权利和利益的一个关键部分。它还能够为地方规划社会服务提供重要的统计数据。然而，在许多低收入和中低收入国家，民事登记和生命统计(CRVS)系统没有充分登记大量的出生人数，特别是死亡人数。在这项研究中，我们旨在评估孟加拉国MatLab健康和人口监测系统(HDSS)地区成人死亡登记(15岁及以上)的完整性，并找出(不)在国家CRVS系统中登记死亡的原因。我们对2538个家庭进行了抽样调查，记录了调查前3年发生的571例成人死亡。这些死亡中只有17%登记在国家CRVS系统中，登记率存在很大的性别差异(男性=26%，女性=5%)。报告家庭中最近一例死亡已登记的答复者表示，登记的主要原因是为了获得遗产和获得社会服务。没有登记死亡的主要原因是缺乏对CRVS的了解，以及没有意识到死亡登记的好处。为提高孟加拉国死亡登记的完整性，可能需要开展宣传运动，提高对死亡登记的认识，并加强对死亡登记的激励。网上版载有补充材料，可在10.1186/s41118-021-00125-7查阅。
Civil registration of vital events such as deaths and births is a key part of the process of securing rights and benefits for individuals worldwide. It also enables the production of vital statistics for local planning of social services. In many low- and lower-middle-income countries, however, civil registration and vital statistics (CRVS) systems do not adequately register significant numbers of births and, especially, deaths. In this study, we aim to estimate the completeness of adult death registration (for age 15 and older) in the Matlab health and demographic surveillance system (HDSS) area in Bangladesh and to identify reasons for (not) registering deaths in the national CRVS system. We conducted a sample survey of 2538 households and recorded 571 adult deaths that had occurred in the 3 years preceding the survey. Only 17% of these deaths were registered in the national CRVS system, with large gender differences in registration rates (male = 26% vs. female = 5%). Respondents who reported that a recent death in the household was registered indicated that the primary reasons for registration were to secure an inheritance and to access social services. The main reasons cited for not registering a death were lack of knowledge about CRVS and not perceiving the benefits of death registration. Information campaigns to raise awareness of death registration, as well as stronger incentives to register deaths, may be needed to improve the completeness of death registration in Bangladesh. The online version contains supplementary material available at 10.1186/s41118-021-00125-7.
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