Birth registration and access to health care: an assessment of Ghana's campaign success
Birth registration and access to health care: an assessment of Ghana's campaign success
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DOI：
10.2471/blt.12.111351
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发表时间：
2013-06-01
影响因子：
11.1
通讯作者：
Odame, Joyce
中科院分区：
文献类型：
--
作者：
Fagernäs, Sonja;Odame, Joyce
在许多发展中国家，问题出生登记仍远未完成。加纳在开展大规模注册运动之前就是如此。这项研究基于调查数据，评估了2004-2005年在加纳发起的注册运动的结果。主要战略包括：延长婴儿免费登记的法定期限；将登记纳入儿童健康促进周；培训社区卫生工作者进行出生登记；使用社区登记志愿者；在庆祝活动期间为儿童登记；试行社区人口登记。本文讨论了这些战略对提高登记率的贡献，并显示了出生登记与各种保健服务可获得性指标和家庭特征之间的关联程度。地方加纳出生和死亡登记处与国际组织，主要是国际计划和联合国儿童基金会合作，实施出生登记运动。与许多其他撒哈拉以南非洲国家不同，加纳的登记率在活动期间大幅上升。宣传战略改善了前往登记中心的便利程度，缩短了距离。调查数据显示，5岁以下儿童的登记率从2003年的44%上升到2008年的71%。经验教训将出生登记纳入社区卫生保健、健康运动和流动登记活动可以减少出生登记的间接成本，特别是在较贫穷的社区，并大幅提高登记率。应进一步加强卫生部门与登记活动之间的联系，并扩大社区人口登记的使用。
Problem Birth registration remains far from complete in many developing countries. This was true of Ghana before a major registration campaign was undertaken.Approach This study, based on survey data, assesses the results of a registration campaign initiated in 2004-2005 in Ghana. Key strategies included: extending the legal period for free registration of infants; incorporating registration in child health promotion weeks; training, community health workers to register births; using community registration volunteers; registering children during celebrations, and piloting community population registers. This paper discusses the contribution of these strategies to the increase in registration rates and shows the degree of association between birth registration and various health-care access indicators and family characteristics.Local setting The Ghana Births and Deaths Registry worked together with international organizations, mainly Plan International and the United Nations Children's Fund, to implement the birth registration campaign..Relevant changes Unlike many other sub-Saharan African countries, Ghana saw a substantial rise in registration rates over the campaign period. Campaign strategies improved accessibility and shortened distance to registration centres. Survey data show that the registration rate for children younger than 5 years rose from 44% in 2003 to 71% in 2008.Lessons learnt Incorporation of birth registration into community health care, health campaigns and mobile registration activities can reduce the indirect costs of birth registration, especially in poorer communities, and yield substantial increases in registration rates. The link between the health sector and registration activities should be strengthened further and the use of community population registers expanded.