Mortality in Central Java: results from the indonesian mortality registration system strengthening project.
Mortality in Central Java: results from the indonesian mortality registration system strengthening project.
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DOI：
10.1186/1756-0500-3-325
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发表时间：
2010-12-02
影响因子：
1.8
通讯作者：
Lopez AD
中科院分区：
文献类型：
--
作者：
Rao C;Soemantri S;Djaja S;Suhardi;Adair T;Wiryawan Y;Pangaribuan L;Irianto J;Kosen S;Lopez AD
死亡登记系统的死亡统计数据对卫生政策和发展至关重要。印度尼西亚最近在2006年12月强制全国范围内进行了强制死亡登记。本文介绍了2006-2007年期间在中爪哇两个试点登记区开展的确定登记死亡原因的活动的方法和结果。这些方法涉及几个步骤，首先是调整报告登记死亡原因的国际标准，以便在苏拉卡尔塔(城市)和佩卡龙安(农村)两个地点实施。医院死亡原因由主治医生证实。口头验尸用于家庭死亡。使用ICD-10对潜在原因进行编码。通过对卫生部门、民事登记系统和一项独立的家庭调查的数据进行三角测量，对乡村和城市病房的样本进行了登记完整性评估。最后，为每个站点制定了总死亡率指标和死因排名。2006-2007年期间，这两个地点共登记了10,038人死亡；每年的粗死亡率为每1000人5.9至6.8人。农村地区的数据完整性(72.5%)高于城市地区(52%)。与农村人口相比，城市人口中男性和女性出生时的调整预期寿命都较高。中风、缺血性心脏病和慢性呼吸系统疾病是这两个人群的主要原因。其他重要原因是城市地区的糖尿病和癌症，以及农村地区的结核病和腹泻病。在中爪哇，非传染性疾病导致了相当大比例的过早死亡。在印度尼西亚，将死因报告与死亡登记结合起来似乎是可行的。卫生部门和登记部门之间需要更好地合作，以提高数据质量。这是印度尼西亚卫生政策和监测的第一个地方死亡率指标。不同利益攸关方对数据的强烈需求可以刺激进一步加强死亡率登记系统。
Mortality statistics from death registration systems are essential for health policy and development. Indonesia has recently mandated compulsory death registration across the entire country in December 2006. This article describes the methods and results from activities to ascertain causes of registered deaths in two pilot registration areas in Central Java during 2006-2007. The methods involved several steps, starting with adaptation of international standards for reporting causes of registered deaths for implementation in two sites, Surakarta (urban) and Pekalongan (rural). Causes for hospital deaths were certified by attending physicians. Verbal autopsies were used for home deaths. Underlying causes were coded using ICD-10. Completeness of registration was assessed in a sample of villages and urban wards by triangulating data from the health sector, the civil registration system, and an independent household survey. Finally, summary mortality indicators and cause of death rankings were developed for each site. A total of 10,038 deaths were registered in the two sites during 2006-2007; yielding annual crude death rates of 5.9 to 6.8 per 1000. Data completeness was higher in rural areas (72.5%) as compared to urban areas (52%). Adjusted life expectancies at birth were higher for both males and females in the urban population as compared to the rural population. Stroke, ischaemic heart disease and chronic respiratory disease are prominent causes in both populations. Other important causes are diabetes and cancer in urban areas; and tuberculosis and diarrhoeal diseases in rural areas. Non-communicable diseases cause a significant proportion of premature mortality in Central Java. Implementing cause of death reporting in conjunction with death registration appears feasible in Indonesia. Better collaboration between health and registration sectors is required to improve data quality. These are the first local mortality measures for health policy and monitoring in Indonesia. Strong demand for data from different stakeholders can stimulate further strengthening of mortality registration systems.