Vargas-Herrera Javier, Ruiz Karim Pardo, Nuñez Gladys Garro, Ohno Janet Miki, Pérez-Lu José Enrique, Huarcaya William Valdez, Clapham Benjamin, Cortez-Escalante Juan
Iniciativa Bloomberg "Información para la salud" - Vital Strategies. Lima, Perú.
Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú.
Rev Peru Med Exp Salud Publica. 2018 Jul-Sep;35(3):505-514. doi: 10.17843/rpmesp.2018.353.3913.
Peru has a low coverage of deaths with a cause of death (54%) and a poor-quality registration of causes of death, as about 30% of causes of death are classified as poorly-defined or not very useful for the formulation of public policies. In response to these problems, the Ministry of Health, together with other government agencies, with the support of the Bloomberg Philanthropies "Data for Health Initiative," is implementing the National Death Registry Information System (SINADEF). The objective of this article is to describe the process of strengthening the mortality information system in Peru, focused on the implementation of SINADEF. The activities that have been carried out are described in the following areas: a) Management of the mortality information system, b) Process standardization, c) Use of information and communication technology, d) Coverage of deaths with medical certificate, e) Improvement of the quality of information, f) Development of studies, and g) Monitoring of processes. Since the implementation of SINADEF in August 2016 until July 2018, 28,407 users of the SINADEF application have been created and a total of 122,411 deaths have been registered. The quality of data recording, including the cause of death, has been improved, while low coverage of deaths with a cause of death still persists.
秘鲁死因登记覆盖率较低(54%),死因登记质量不佳,约30%的死因被归类为定义不明确或对制定公共政策用处不大。为应对这些问题,卫生部与其他政府机构在彭博慈善基金会“健康数据倡议”的支持下,正在实施国家死亡登记信息系统(SINADEF)。本文的目的是描述秘鲁加强死亡信息系统的过程,重点是SINADEF的实施。以下领域描述了已开展的活动:a)死亡信息系统管理;b)流程标准化;c)信息通信技术的使用;d)有医学证明的死亡登记覆盖率;e)信息质量改进;f)研究开展;g)流程监测。自2016年8月实施SINADEF至2018年7月,已创建28407个SINADEF应用程序用户,共登记122411例死亡。包括死因在内的数据记录质量有所提高,但有死因的死亡登记覆盖率仍然较低。