Demographic surveillance and health equity in sub-Saharan Africa

Demographic surveillance and health equity in sub-Saharan Africa
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DOI:
10.1093/heapol/16.4.337
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发表时间:
2001-12-01
影响因子:
3.2
通讯作者:
Macleod, B
Macleod, B
中科院分区:
医学3区
文献类型:
--
作者:
Ngom, P;Binka, FN;Macleod, B

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制定卫生政策总是需要准确的数据,但在解决卫生不公平问题方面尤其重要。在撒哈拉以南非洲,越来越多的实地研究站能够生成相关数据,从而支持卫生政策行动,在过去60年中,人口监测系统一直是评价旨在减少撒哈拉以南非洲死亡率和发病率方面社会经济差异的卫生干预措施的重要研究工具。大部分这类工作是由实地研究地点进行的,这些地点往往地处偏远,资源有限。本文件回顾了自在Pholela(南非)和Niakhar(塞内加尔)实地开展开创性工作以来我们所学到的东西。然后,报告重点介绍了目前通过INDEPTH-一个对发展中国家人口及其健康状况进行持续人口学评价的实地地点国际网络-解决保健公平问题的努力。
Accurate data are always needed to inform health policy, but are especially critical in tackling health inequities. The growing number of field research stations in sub-Saharan Africa are well-placed to generate relevant data and so support health policy action.Over the past 60 years, demographic surveillance systems have been crucial research tools for the evaluation of health interventions aimed at reducing socioeconomic differentials in mortality and morbidity in sub-Saharan Africa. The bulk of such work has been carried out by field research sites, often operating in remote, resource-constrained settings. The present paper reviews what we have learned since the pioneering work carried out in the field sites of Pholela (South Africa) and Niakhar (Senegal). It then focuses on current efforts to address health equity through INDEPTH, the international network of field sites with continuous demographic evaluation of population and their health in developing countries.