Zahniser C, Halpin G, Hollinshead W, Kessel S, Koontz A
Public Health Rep. 1987 Mar-Apr;102(2):211-6.
Health planners should base program decisions on the best information available. Combining information from different sources can be valuable in identifying problems--the essential first step in program planning. To facilitate this process, a workshop was conducted during the National Infant Mortality Surveillance Conference in Atlanta, GA. Maternal and child health directors explored the use of linked birth and infant death data for program planning and evaluation. Linked birth and infant death certificate files permit evaluation of infant mortality by birth weight and other infant and maternal characteristics, thus providing more detailed information than birth or death certificates alone. An assessment of the birth weight distribution of live births, birth weight specific-mortality risks, distribution of deaths by birth weight, and birth weight-specific causes of death can help identify problems in the childbearing population and with the delivery of health services. Once the infant health problems are defined clearly, the selection and delivery of services can be better targeted and evaluated for the reduction of these problems.
卫生规划者应依据可得的最佳信息来做出项目决策。整合来自不同来源的信息对于识别问题很有价值，而识别问题是项目规划的关键第一步。为推动这一进程，在佐治亚州亚特兰大举行的全国婴儿死亡率监测会议期间举办了一次研讨会。母婴健康主任们探讨了如何利用关联的出生和婴儿死亡数据进行项目规划和评估。关联的出生和婴儿死亡证明文件允许按出生体重以及其他婴儿和母亲特征来评估婴儿死亡率，从而提供比单独的出生或死亡证明更详细的信息。对活产儿的出生体重分布、特定出生体重的死亡风险、按出生体重划分的死亡分布以及特定出生体重的死因进行评估，有助于识别育龄人群以及卫生服务提供方面存在的问题。一旦明确界定了婴儿健康问题，就可以更好地确定服务的选择和提供方向，并对减少这些问题的效果进行评估。
