Burnet Institute, Melbourne, Victoria, Australia.
Asia Pac J Public Health. 2013 Mar;25(2):134-44. doi: 10.1177/1010539511417423. Epub 2011 Jul 31.
Data on adolescent reproductive health (ARH) are required to inform evidence-based policies and programs. The reports of national-level household surveys such as the Demographic and Health Survey (DHS) and Multiple Indicator Cluster Survey (MICS) are important sources of such data in developing countries. The aim of this study was to map data on ARH from DHS and MICS reports from selected countries in the Asia and Pacific regions. The DHS and MICS reports for Bangladesh, Cambodia, Indonesia, Papua New Guinea, Philippines, Solomon Islands, Timor-Leste, Vanuatu, and Vietnam were reviewed. Data on 128 indicators, including ARH outcomes, outcomes for babies of adolescent mothers, and adolescents' access to health information and services, were mapped. Available data are limited because of the omission of cohorts such as young adolescents (10-14 years old) and, in many surveys, unmarried women; the omission of important indicators; and failure to report data disaggregated by age. DHS and MICS reports have limited capacity to inform policy and programs to improve ARH. A review of DHS and MICS sampling strategies and reporting templates, and a consideration of alternative data collection strategies, are warranted.
需要青少年生殖健康 (ARH) 数据来为循证政策和方案提供信息。在发展中国家,人口与健康调查 (DHS) 和多指标类集调查 (MICS) 等国家级家庭调查的报告是此类数据的重要来源。本研究旨在绘制来自选定亚太地区国家的 DHS 和 MICS 报告中 ARH 数据的图谱。审查了孟加拉国、柬埔寨、印度尼西亚、巴布亚新几内亚、菲律宾、所罗门群岛、东帝汶、瓦努阿图和越南的 DHS 和 MICS 报告。绘制了包括 ARH 结果、青少年母亲婴儿的结果以及青少年获得健康信息和服务的机会等 128 个指标的数据。由于缺少青年期前儿童(10-14 岁)和许多调查中未婚妇女等队列,以及重要指标的遗漏,以及未能按年龄细分报告数据,因此可用数据有限。DHS 和 MICS 报告在为改善 ARH 政策和方案提供信息方面能力有限。有必要审查 DHS 和 MICS 的抽样策略和报告模板,并考虑替代数据收集策略。