A global assessment of civil registration and vital statistics systems: monitoring data quality and progress
A global assessment of civil registration and vital statistics systems: monitoring data quality and progress
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DOI：
10.1016/s0140-6736(15)60171-4
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发表时间：
2015-10-03
期刊：
影响因子：
168.9
通讯作者：
Lopez, Alan D.
中科院分区：
文献类型：
--
作者：
Mikkelsen, Lene;Phillips, David E.;Lopez, Alan D.
对更高质量数据的需求不断增加，加强民事登记和人口动态统计（CRVS）系统的投资也不断增加，因此需要更加重视客观、可比、具有成本效益的监测和评估方法来衡量进展情况。我们应用综合指数（生命统计绩效指数[VSPI]）来评估1980-2012年间148个国家或地区CRVS系统的绩效，并将其分为五个不同的绩效类别，从基本（分数接近零）到满意（分数接近1），自2005年以来的平均VSPI分数为0.61（SD 0.31）。正如预期的那样，表现最好的系统主要集中在欧洲地区、美洲和澳大利亚，只有东亚和拉丁美洲的两个国家。大多数低分国家位于非洲或亚洲地区。在全球范围内，自 2000 年以来只取得了不大的进展，登记的死亡百分比从 36% 增加到 38%，登记出生的 5 岁以下儿童的百分比从 58% 增加到 65%。然而，在过去 30 年中，一些国家通过记录更多死亡情况并提高死因信息的准确性，对其 CRVS 系统进行了重大改进。未来对 CRVS 强化效果的监控将极大地受益于 VSPI 等指标的应用，该指标是客观的，计算成本低，并且能够识别对良好或不良性能做出最大贡献的系统组件。
Increasing demand for better quality data and more investment to strengthen civil registration and vital statistics (CRVS) systems will require increased emphasis on objective, comparable, cost-effective monitoring and assessment methods to measure progress. We apply a composite index (the vital statistics performance index [VSPI]) to assess the performance of CRVS systems in 148 countries or territories during 1980-2012 and classify them into five distinct performance categories, ranging from rudimentary (with scores close to zero) to satisfactory (with scores close to one), with a mean VSPI score since 2005 of 0.61 (SD 0.31). As expected, the best performing systems were mostly in the European region, the Americas, and Australasia, with only two countries from east Asia and Latin America. Most low-scoring countries were in the African or Asian regions. Globally, only modest progress has been made since 2000, with the percentage of deaths registered increasing from 36% to 38%, and the percentage of children aged under 5 years whose birth has been registered increasing from 58% to 65%. However, several individual countries have made substantial improvements to their CRVS systems in the past 30 years by capturing more deaths and improving accuracy of cause-of-death information. Future monitoring of the effects of CRVS strengthening will greatly benefit from application of a metric like the VSPI, which is objective, costless to compute, and able to identify components of the system that make the largest contributions to good or poor performance.