Registered or unregistered? Levels and differentials in registration and certification of births in Ghana.
Registered or unregistered? Levels and differentials in registration and certification of births in Ghana.
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DOI：
10.1186/s12914-018-0163-5
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发表时间：
2018-06-13
影响因子：
3
通讯作者：
Fuseini K
中科院分区：
文献类型：
--
作者：
Dake FAA;Fuseini K
儿童出生是一个需要登记的重大事件，但情况并非总是如此，因为估计每年有4 000万名新生儿没有登记。出生登记保障了儿童的基本权利，使他们获得身份、公民身份/国籍，并得到法律的保护，免遭暴力、虐待和侵犯人权行为。因此，必须对所有出生进行登记，更重要的是，出生登记后必须发放出生证。但令人遗憾的是，许多非洲国家的出生登记仍然低于可接受的国际标准，并非所有登记的出生都得到认证。本文审查了加纳的出生登记和认证。研究了出生登记和证明的儿童、出生登记但未证明的儿童和出生未登记的儿童的母亲在特征上的差异。本文分析了2014年加纳人口和健康调查的数据，利用了家庭和儿童数据文件中的变量。描述性分析工具（频率，百分比和交叉表）和多项逻辑回归分析被用来检查3880（加权）0-4岁儿童的分析样本之间的出生登记状态的差异。在加纳，每4个新生儿中就有1个（28.89%）从未进行过登记。年轻母亲（15-19岁）、母亲未受过正规教育、居住在农村地区的母亲和最贫穷的五分之一人口的母亲所生子女的出生登记和认证率最低。此外，据观察，在家分娩和没有医疗专业人员协助的分娩在登记和认证的分娩中所占比例最低。此外，不满一岁的儿童出生时更有可能没有登记或没有出生证。在加纳，旨在改进出生登记和认证的努力需要针对登记和认证水平低的儿童和母亲群体，特别是在家中出生的儿童、年轻母亲所生的儿童以及母亲贫穷和/或居住在农村地区的儿童。
The birth of a child is a vital event that needs to be registered but this is not always the case as an estimated 40 million births go unregistered annually. Birth registration safeguards the basic rights of children and gives them an identity, citizenship/nationality and legal protection against violence, abuse and human rights violations. It is therefore necessary that all births are registered and even more critical that the registration of a birth is followed by the issuance of a birth certificate. But sadly, birth registration in many African countries continues to remain below acceptable international standards and not all registered births are certified. This paper examined birth registration and certification in Ghana. Differentials in the characteristics of children and mothers of children whose births are registered and certified, children whose births are registered but not certified and children whose births are not registered were examined. This paper analysed data from the 2014 Ghana Demographic and Health Survey drawing on variables from the household and children’s data files. Descriptive analytical tools (frequencies, percentage and cross tabulations) and multinomial logistic regression analysis were used to examine differentials in birth registration status among an analytical sample of 3880 (weighted) children aged 0–4 years. The birth of about every 1 in 4 (28.89%) children in Ghana have never been registered. Birth registration and certification was lowest among children born to young mothers (15–19 years), children whose mothers have no formal education, mothers who reside in rural areas and mothers in the poorest wealth quintile. Additionally, home births and births that were not assisted by a medical professional were observed to have the lowest proportion of registered and certified births. Furthermore, the birth of children who are less than a year old was significantly more likely not to be registered or issued with a birth certificate. Efforts aimed at improving birth registration and certification in Ghana need to target groups of children and mothers with low levels of registration and certification particularly children who are born at home, children born to young mothers and children whose mothers are poor and or reside in rural areas.
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影响因子：
3
作者：
Amo-Adjei, Joshua;Annim, Samuel Kobina
通讯作者：
Annim, Samuel Kobina
影响因子：
1.8
作者：
Adi AE;Abdu T;Khan A;Rashid MH;Ebri UE;Cockcroft A;Andersson N
通讯作者：
Andersson N
影响因子：
3.3
作者：
Barrientos, Armando;Byrne, Jasmina;Villa, Juan Miguel
通讯作者：
Villa, Juan Miguel
影响因子：
11.1
作者：
Fagernäs, Sonja;Odame, Joyce
通讯作者：
Odame, Joyce
DOI：
10.4103/2276-7096.148567
发表时间：
2015-01-01
期刊：
Journal of Medicine in the Tropics
影响因子：
--
作者：
Isara, A. R.;Atimati, A. O.
通讯作者：
Atimati, A. O.