印度公民登记系统中死亡登记的完整性（2005 年至 2015 年）。
Completeness of death registration in the Civil Registration System, India (2005 to 2015).
机构信息
Public Health Foundation of India, Gurugram, India.
Public Health Foundation of India, Gurugram, India; Institute for Health Metrics & Evaluation, University of Washington, Seattle, WA, USA.
出版信息
Indian J Med Res. 2019 Jun;149(6):740-747. doi: 10.4103/ijmr.IJMR_1620_17.
BACKGROUND & OBJECTIVES: In many developing countries including India, the civil registration data are incomplete, inadequate and not timely, therefore, compromising the usefulness of these data. The completeness of registration of death (CoRD) in the Indian Civil Registration System (CRS) was assessed from 2005 to 2015 at State level to understand its current status and trends over time and also to identify gaps in data to improve CRS data quality.
METHODS
CoRD for each year for each State was calculated from the CRS reports for 2005-2015. Data were analyzed nationally by geographic region and individual State. The availability of CoRD by age group and sex was also reported.
RESULTS
About 40 per cent increase in CoRD was documented for India between 2005 and 2015, with CoRD of 76.6 per cent in 2015. CoRD was >90 per cent in the western and southern regions and the eastern, central and northeastern regions had CoRD lower than the Indian average in 2015. Among the 29 States, 16 (55.2%) State had CoRD >80 per cent and five (17.2%) <50 per cent and 10 States recorded 100 per cent CoRD. Despite the highest per cent increase during 2005-2015 (108.5%), CoRD in Uttar Pradesh was 44.2 per cent in 2015. Varying levels of progress in 2015 were seen between the State with similar CoRD estimates in 2015. Nagaland (-63.3%), Manipur (-33.1%) and Tripura (-30.3%) were the only States that documented a decrease in CoRD during 2005-2015. The age non-availability for India ranged from 37.0 per cent in 2009 to 37.9 per cent in 2015, an average of 41.5 per cent over the seven years and was an average of 35.6 and 36.6 per cent for males and females, respectively. Age was available for all registered deaths only in five (17.2%) of the 29 States in 2009 and four (13.8%) in 2015. Sex non-availability for the recorded deaths was much lower as compared with that for age.
INTERPRETATION & CONCLUSIONS: Despite the significant progress made in CoRD in India, critical differences between the States within the CRS remain, with poor availability of reporting by age and sex. Concentrated efforts to assess the strengths and weaknesses at the State level of the CRS processes, quality of data and plausibility of information generated are needed in India.
背景与目的
在包括印度在内的许多发展中国家，民事登记数据不完整、不充分且不及时，因此这些数据的可用性受到影响。本研究旨在评估印度民事登记系统（CRS）2005 年至 2015 年期间的死亡登记完整性（CoRD），以了解其当前状况和随时间的变化趋势，并确定数据差距以提高 CRS 数据质量。
方法
根据 2005-2015 年 CRS 报告计算每年每个州的 CoRD。根据地理位置和个别州对数据进行了全国性分析。还报告了按年龄组和性别划分的 CoRD 可用性。
结果
2005 年至 2015 年间，印度的 CoRD 记录增加了约 40%，2015 年的 CoRD 为 76.6%。西部地区和南部地区的 CoRD 超过 90%，而东部、中部和东北部地区的 CoRD 低于印度 2015 年的平均水平。在 29 个州中，有 16 个（55.2%）州的 CoRD 超过 80%，5 个（17.2%）州的 CoRD 低于 50%，10 个州的 CoRD 为 100%。尽管在 2005-2015 年期间的增长率最高（108.5%），但 2015 年北方邦的 CoRD 仍为 44.2%。在 2015 年，州际之间的 CoRD 估计值相似，但进展程度存在差异。2005-2015 年间，只有那加兰邦（-63.3%）、曼尼普尔邦（-33.1%）和特里普拉邦（-30.3%）的 CoRD 记录下降。印度的年龄不可用率范围从 2009 年的 37.0%到 2015 年的 37.9%，七年的平均水平为 41.5%，男性和女性的平均水平分别为 35.6%和 36.6%。2009 年，只有 5 个（17.2%）州的所有登记死亡病例都有年龄信息，2015 年则为 4 个（13.8%）。与年龄相比，记录死亡病例的性别不可用率要低得多。
解释与结论
尽管印度的 CoRD 取得了显著进展，但 CRS 内部各州之间仍存在显著差异，报告的年龄和性别数据可用性较差。印度需要集中精力评估 CRS 流程、数据质量和生成信息的合理性在州一级的优势和劣势。
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