Estimating Child Mortality at the Sub-national Level in Papua New Guinea: Evidence From the Integrated Health and Demographic Surveillance System.
Estimating Child Mortality at the Sub-national Level in Papua New Guinea: Evidence From the Integrated Health and Demographic Surveillance System.
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估计巴布亚新几内亚的次国国家级别的儿童死亡率：来自综合健康和人口监测系统的证据。
DOI：
10.3389/fpubh.2021.723252
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发表时间：
2021
影响因子：
5.2
通讯作者：
Okely AD
中科院分区：
文献类型：
--
作者：
Pham BN;Emori RB;Ha T;Parrish AM;Okely AD
儿童死亡率是公共卫生系统有效的重要指标。可用于估算巴布亚新几内亚 (PNG) 儿童死亡率的数据来源有限。本研究的目的是利用综合健康和人口监测系统 (iHDSS) 的新数据，提供巴布亚新几内亚地方一级的儿童死亡率估计值。采用直接估算和间接估算方法，对家庭人口动态统计数据和孕产妇出生史数据进行分析，估算2014-2017年期间三项关键儿童健康指标：5岁以下死亡率（U5MR）、婴儿死亡率（IMR）和新生儿死亡率（NMR）。通过比较两种方法之间的平均相对差异来评估估计值的差异。直接估算显示，2014-2017 年期间，所有地点每 1000 名活产儿的 U5MR 为 93，IMR 为 51，NMR 为 34。间接估计报告称，2014 年所有地点的 U5MR 为每 1000 例活产 105 例，IMR 为 67 例。两种方法之间 U5MR 和 IMR 估计的平均相对差异分别为 3 个百分点和 24 个百分点。各个监测点的 U5MR 估计值各不相同，其中埃拉省 (136) 观察到的水平最高，其次是东部高地 (122)、马当 (105) 和中部 (42)。间接估计显示 U5MR 和 IMR 的估计值高于直接估计值。 IMR 估计值之间的差异大于 U5MR 估计值之间的差异，这意味着 U5MR 估计值比 IMR 估计值更可靠。各省之间儿童死亡率估计值的差异凸显了背景因素对儿童死亡率的影响。 U5MR 估计值较高可能与社会经济发展不平等、获得医疗服务的机会有限以及 2014 年至 2017 年高原地区爆发的麻疹疫情有关。 iHDSS 为国家以下各级儿童死亡率的直接和间接估计提供了可靠的数据。该数据源是对巴布亚新几内亚用于监测和报告儿童死亡率的现有国家数据源的补充。
Child mortality is an important indication of an effective public health system. Data sources available for the estimation of child mortality in Papua New Guinea (PNG) are limited. The objective of this study was to provide child mortality estimates at the sub-national level in PNG using new data from the integrated Health and Demographic Surveillance System (iHDSS). Using direct estimation and indirect estimation methods, household vital statistics and maternal birth history data were analysed to estimate three key child health indicators: Under 5 Mortality Rate (U5MR), Infant Mortality Rate (IMR) and Neonatal Mortality Rate (NMR) for the period 2014–2017. Differentials of estimates were evaluated by comparing the mean relative differences between the two methods. The direct estimations showed U5MR of 93, IMR of 51 and NMR of 34 per 1000 live births for all the sites in the period 2014–2017. The indirect estimations reported an U5MR of 105 and IMR of 67 per 1000 live births for all the sites in 2014. The mean relative differences in U5MR and IMR estimates between the two methods were 3 and 24 percentage points, respectively. U5MR estimates varied across the surveillance sites, with the highest level observed in Hela Province (136), and followed by Eastern Highlands (122), Madang (105), and Central (42). The indirect estimations showed higher estimates for U5MR and IMR than the direct estimations. The differentials between IMR estimates were larger than between U5MR estimates, implying the U5MR estimates are more reliable than IMR estimates. The variations in child mortality estimates between provinces highlight the impact of contextual factors on child mortality. The high U5MR estimates were likely associated with inequality in socioeconomic development, limited access to healthcare services, and a result of the measles outbreaks that occurred in the highlands region from 2014-2017. The iHDSS has provided reliable data for the direct and indirect estimations of child mortality at the sub-national level. This data source is complementary to the existing national data sources for monitoring and reporting child mortality in PNG.
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影响因子：
3.8
作者：
Manning, Laurens;Laman, Moses;Davis, Timothy M. E.
通讯作者：
Davis, Timothy M. E.
影响因子：
3.7
作者：
Bauze, Anna E.;Tran, Linda N.;Lopez, Alan D.
通讯作者：
Lopez, Alan D.
影响因子：
15.8
作者：
Alkema L;You D
通讯作者：
You D
影响因子：
15.8
作者：
Guillot, Michel;Gerland, Patrick;Saabneh, Ameed
通讯作者：
Saabneh, Ameed
影响因子：
15.8
作者：
Hill K;You D;Inoue M;Oestergaard MZ;Technical Advisory Group of United Nations Inter-agency Group for Child Mortality Estimation
通讯作者：
Technical Advisory Group of United Nations Inter-agency Group for Child Mortality Estimation