利用妇幼卫生监测资料评价妇幼卫生年报儿童与孕产妇死亡数据

目的:发现妇幼卫生年报报告的儿童死亡率和孕产妇死亡率可能存在的问题,为评价妇幼卫生年报数据质量提供一定的线索。方法:对1996～2009年我国妇幼卫生监测和妇幼卫生年报提供的儿童与孕产妇死亡率进行趋势描述,并对两数据源相应指标进行Spearman相关分析,最后计算两数据源相应指标相差的比例。结果:我国妇幼卫生年报数据反映了与监测数据所揭示的相同的死亡率变化趋势,两数据源的相应死亡率呈高度正相关。年报儿童死亡率普遍比监测数据低1/3～1/2,两数据源孕产妇死亡率相差较少,但近年有增加的趋势。结论:妇幼卫生年报数据能够反映儿童和孕产妇死亡率的变化趋势,但可能存在漏报,建议开展儿童与孕产妇死亡漏报的大型专项调查。

Evaluation of the data of children and maternal death from the national annual report system of MCH using the data based on the surveillance system of MCH

Objective:To find the probable problems existing in the mortality of children and maternal mortality from the national annual report system of maternity and child hygiene(MCH),provide a certain clue for evaluating the quality of data based on the national annual report system of MCH. Methods:The change trends of mortality of children and maternal mortality provided by the surveillance system of MCH and the national annual report system of MCH were described,then the relevant indexes of two data sources were...