尼泊尔死亡登记的差异、障碍和促进因素:来自民事登记和人口动态统计(CRVS)调查的证据

IF 1.6 Q2 DEMOGRAPHY JOURNAL OF POPULATION RESEARCH Pub Date : 2024-06-26 DOI:10.1007/s12546-024-09338-x
Surender Prasad Pandey, Hafizur Rahman Chowdhury, Tim Adair
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引用次数: 0

摘要

尼泊尔的死亡登记并不完整,这限制了其作为常规死亡率数据来源为政策制定提供信息的效用。本研究使用 2015/16 年尼泊尔民事登记和人口动态统计(CRVS)调查的数据,对家庭和 CRVS 服务提供者(地方登记员)进行调查,使用逻辑回归和社会经济、人口和地理特征的协变量来评估死亡登记的可能性。此外,还分析了受访者进行和不进行死亡登记的主要原因,以及改进民事登记和人口动态统计系统的方法。与孕产原因(12%)、户主受教育程度较高和家庭拥有较多通信设施的情况相比,男性(77%)和女性(60%)、老年(45 岁及以上 70%)和青年(0-14 岁 26%)或死于外伤(70%以上)的死者更有可能进行死亡登记(70%)。各省和某些种族群体的死亡登记情况也有很大差异。死亡登记的主要原因是转移财产权利、获得社会保障或其他法律程序(合计占登记死亡人数的 85%)。大多数家庭(72%)和服务提供者(70%)认为,不进行死亡登记的主要原因是没有必要。住户和服务提供者都表示,通过安排流动小组进行登记、允许在死亡发生地登记以及推广在线登记,可以使登记更加方便。本研究中发现的障碍和促进因素是宝贵的证据,可为尼泊尔和其他面临死亡登记不完整这一类似挑战的国家加强民事登记和人口动态统计系统的工作提供参考。
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Differentials, barriers and enablers of death registration in Nepal: evidence from the Civil Registration and Vital Statistics (CRVS) survey

Death registration in Nepal is incomplete, which limits its utility as a routine source of mortality data to inform policy development. This study uses data from the Civil Registration and Vital Statistics (CRVS) Survey 2015/16 in Nepal conducted among households and CRVS service providers (local registrars) to assess the likelihood of death registration, using logistic regression with covariates of socio-economic, demographic and geographic characteristics. Respondents’ main reasons for registration and non-registration of deaths and ways to improve the CRVS system are also analysed. Death registration (70%) was more likely where the decedent was male (77%) versus female (60%), older aged (45 years and above 70%) versus young aged (0–14 years 26%) or died of injuries (more than 70%) compared with maternal causes (12%), where the household head’s education was higher and where the household haf more communication facilities. There were also large differences death registration by province and for certain ethnic groups. The main reasons for death registration were to transfer property entitlements, access social security or for other legal processes (a combined 85% of registered deaths). The major reason for non-registration of deaths according to most households (72%) and service providers (70%) was that it was not necessary. Both households and service providers stated that registration would be made more convenient by arranging mobile teams for registration, allowing registration at place of occurrence, and promoting online registration. The barriers and enablers identified in this study are valuable evidence to inform CRVS strengthening efforts in Nepal and other countries facing a similar challenge of incomplete death registration.

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来源期刊
CiteScore
2.30
自引率
0.00%
发文量
18
期刊介绍: The Journal of Population Research is a peer-reviewed, international journal which publishes papers on demography and population-related issues. Coverage is not restricted geographically. The Journal publishes substantive empirical analyses, theoretical works, applied research and contributions to methodology. Submissions may take the form of original research papers, perspectives, review articles and shorter technical research notes. Special issues emanating from conferences and other meetings are also considered.
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