If you can't fix the problem change the standards.

Q3 Medicine
Siddharth Joshi, Veena Shatrugna
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引用次数: 0

Abstract

Over the last few months, established data systems in India have been the target of heated dispute, chiefly by members of the Economic Advisory Council to the Prime Minister, ranging from the inflation numbers [1], to the sampling frame for surveys done by the National Sample Survey Organisation (NSS), the National Family Health Survey (NFHS) and the Periodic Labour Force Survey (PLFS)[2], haemoglobin cut-offs for anaemia [3] and childhood growth standards, female labour force participation rate and life expectancy at birth [4]. The attempts to revise economic data systems has invited a raging debate [5, 6], prompting the government to set up a panel to review the NSS's methodology. However, the arguments being made in favor of downward revision of nutritional standards have received much less scrutiny, except for a recent editorial which comments on the general problem of drawing up standards [7]. This is despite the fact that these proposals have already caught the fancy of the government. A policy decision has already been taken to discontinue gathering of data on Hb-levels as part of the quinquennial National Family Health Surveys, which would now be collected as part of a new Dietary and Bio-markers Survey. Neither the rationale for such a move, nor the details of the methodology of the new survey, or the time-frame within which such data would be released have been made available for public deliberation. Similarly, discussions have been initiated on devising "indigenous" growth standards for children [8]. Hence, it becomes imperative to examine the basis of these renewed calls for revision of existing standards.

如果你不能解决问题,那就改变标准
在过去的几个月里,印度的既定数据系统一直是激烈争论的目标,主要争论者是总理经济顾问委员会的成员,争论范围从通货膨胀数字[1]到全国抽样调查组织(NSS)、全国家庭健康调查(NFHS)和定期劳动力调查(PLFS)[2]所做调查的抽样框架、贫血症的血红蛋白临界值[3]以及儿童成长标准、女性劳动力参与率和出生时预期寿命[4]。修订经济数据系统的尝试引发了激烈的争论[5, 6],促使政府成立了一个小组来审查国家统计系统的方法。然而,除了最近一篇社论对制定标准的一般问题进行了评论之外,支持向下修订营养标准的论点受到的关注要少得多[7]。尽管这些建议已经引起了政府的注意。政府已经做出政策决定,不再在五年一次的全国家庭健康调查中收集有关血红蛋白水平的数据,现在将在新的膳食和生物标志物调查中收集这些数据。此举的理由、新调查方法的细节或发布这些数据的时限均未公布,供公众审议。同样,关于制定 "本土 "儿童成长标准的讨论也已经开始[8]。因此,当务之急是研究这些再次呼吁修订现有标准的依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Indian journal of medical ethics
Indian journal of medical ethics Medicine-Medicine (all)
CiteScore
2.40
自引率
0.00%
发文量
96
期刊介绍: The Indian Journal of Medical Ethics (formerly Issues in Medical Ethics) is a platform for discussion on health care ethics with special reference to the problems of developing countries like India. It hopes to involve all cadres of, and beneficiaries from, this system, and strengthen the hands of those with ethical values and concern for the under-privileged. The journal is owned and published by the Forum for Medical Ethics Society, a not-for-profit, voluntary organisation. The FMES was born out of an effort by a group of concerned doctors to focus attention on the need for ethical norms and practices in health care.
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