Who counts? 4 - The way forward
Who counts? 4 - The way forward
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DOI：
10.1016/s0140-6736(07)61310-5
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发表时间：
2007-11-24
期刊：
影响因子：
168.9
通讯作者：
Szreter, Simon
中科院分区：
文献类型：
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作者：
AbouZahr, Carla;Cleland, John;Szreter, Simon
良好的公共卫生决策取决于可靠且及时的出生和死亡统计数据（包括死亡的医疗原因）。所有高收入国家无一例外都有国家民事登记系统来记录这些事件并定期、频繁和及时地生成生命统计数据。相比之下，许多低收入和中低收入国家没有这些统计数据，尽管在这些国家过早死亡最为严重，并且最需要强有力的证据来支持决策。民事登记在法律地位以及保护经济、社会和人权方面还为个人带来一系列好处。然而，过去30年来，全球卫生和发展界未能向各国提供开发民事登记系统所需的技术和财政支持。建立和维护此类系统并确保提供可靠的生命统计数据并没有单一的蓝图。每个国家都面临着不同的挑战，必须相应地制定战略。然而，可以采取一些步骤，我们提出了一种方法，将短期内生成更好的生命统计数据的方法的应用与长期综合民事登记系统的能力建设结合起来。
Good public-health decisionmaking is dependent on reliable and timely statistics on births and deaths (including the medical causes of death). All high-income countries, without exception, have national civil registration systems that record these events and generate regular, frequent, and timely vital statistics. By contrast, these statistics are not available in many low-income and lower-middle-income countries, even though it is in such settings that premature mortality is most severe and the need for robust evidence to back decisionmaking most critical. Civil registration also has a range of benefits for individuals in terms of legal status, and the protection of economic, social, and human rights. However, over the past 30 years, the global health and development community has failed to provide the needed technical and financial support to countries to develop civil registration systems. There is no single blueprint for establishing and maintaining such systems and ensuring the availability of sound vital statistics. Each country faces a different set of challenges, and strategies must be tailored accordingly. There are steps that can be taken, however, and we propose an approach that couples the application of methods to generate better vital statistics in the short term with capacity-building for comprehensive civil registration systems in the long run.