Kumar Rajesh
Healthequity Action Learnings Foundation, Chandigarh, India.
Indian J Community Med. 2022 Oct-Dec;47(4):476-478. doi: 10.4103/ijcm.ijcm_614_22. Epub 2022 Dec 14.
When plague epidemics swept India in the second half of the 19 century, there was an epidemiological need for mortality statistics; as a result, vital event registration systems were established. However, despite the existence of multiple sources of mortality statistics in many ministries/departments of the government, neither the number of deaths nor the causes of deaths reported annually are complete yet. Multilateral international organisations have supported modelling for the generation of mortality statistics in developing countries rather than supporting and funding the development of real-time mortality data. With specific initiatives for decentralising the registration process to primary health centres and sub-health centres, the civil registration system despite its flaws, can be improved for gathering accurate data on mortality, including the causes of deaths.
19世纪下半叶鼠疫疫情席卷印度时,出于流行病学对死亡率统计的需求,于是建立了生命事件登记系统。然而,尽管政府多个部委存在多种死亡率统计来源,但每年报告的死亡人数和死亡原因都尚不完整。多边国际组织支持在发展中国家进行死亡率统计建模,而不是支持和资助实时死亡率数据的开发。通过将登记流程下放到初级卫生中心和次卫生中心的具体举措,民事登记系统尽管存在缺陷,但仍可加以改进,以收集包括死亡原因在内的准确死亡率数据。