Kandel N, Singh N, Fric A
Evidence and Health Information Unit, Department of Health Systems Development, WHO-Regional Office for South-East Asia, New Delhi, India.
J Nepal Health Res Counc. 2010 Apr;8(1):63-8.
Information related to mortality is pivotal for evidence based policy and planning, resource mobilization and impact of intervention. This information is essential to monitor trends in health situation of the population, detect new epidemics, encourage research into avoidable causes of death, evaluate the success of control programs, and improve accountability for expenditures on disease control. Sixty percent of the countries of the world don't provide enough information on vital events and complete and representative information. Apart from vital registration system, other methods for getting mortality data are in current practices, such as facility based information system, censuses, household survey, research demographic surveillance sites, epidemiological studies and sample vital registration system, which complement the national health information system. All methods have their limitations. Piggy backing of national censuses for mortality statistics would follow the principle of Sample Registration System (SRS) using verbal autopsy tools to generate the mortality data just after the censuses. This method can be the suitable/useful mortality measuring system representing the population by age, sex, location and causes of death with less effort and at a lower cost. This method can be used to verify mortality data collected from other sources and/or for adjustment of existing mortality data.
与死亡率相关的信息对于循证政策与规划、资源调动以及干预措施的影响而言至关重要。这些信息对于监测人群健康状况趋势、发现新的流行病、推动对可避免死亡原因的研究、评估防控项目的成效以及提高疾病控制支出的问责制必不可少。世界上60%的国家并未提供足够的生命事件信息以及完整且具代表性的信息。除了生命登记系统外,目前还有其他获取死亡率数据的方法,如基于机构的信息系统、人口普查、家庭调查、研究性人口监测点、流行病学研究以及抽样生命登记系统,这些方法对国家卫生信息系统起到补充作用。所有方法都有其局限性。借助人口普查附带收集死亡率统计数据将遵循样本登记系统(SRS)的原则,在普查之后利用口头尸检工具生成死亡率数据。这种方法可以成为一种合适/有用的死亡率测量系统,以较低的工作量和成本按年龄、性别、地点和死亡原因呈现人口情况。该方法可用于核实从其他来源收集的死亡率数据和/或调整现有死亡率数据。