出生制度化对印度卫生政策和出生登记的影响。

IF 2.6 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Annals of Global Health Pub Date : 2024-08-16 eCollection Date: 2024-01-01 DOI:10.5334/aogh.4474
Sheetal Verma, Laxmi Kant Dwivedi, Ritul Kamal
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引用次数: 0

摘要

背景:印度 1969 年颁布的《出生和死亡登记法》(RBD)规定必须持续记录人口动态事件;然而,该法颁布 50 多年后,普遍性仍未实现。出生登记是一项基本权利,对于人口分析和有效的政策规划至关重要。出生登记与儿童发展、医疗保健和其他社会因素密切相关。分析出生登记的趋势有助于设计有针对性的干预措施和监测可持续发展目标 (SDG) 的进展情况。目标:本文旨在分析印度各邦出生登记的变化。本文还探讨了出生登记制度化的影响,并强调了其在政策制定中的重要性。研究方法:本研究利用最新两轮全国家庭健康调查(NFHS-4 和 NFHS-5)的数据分析印度的出生登记趋势。研究采用了多变量逻辑回归分析来检验分娩地点对出生登记的影响。研究结果对 NFHS-4 和 NFHS-5 数据的比较表明,印度各邦的出生登记率各不相同,一些地区取得了显著进步,而另一些地区则面临持续挑战。多变量逻辑回归分析凸显了分娩地点对登记可能性的重要影响。财富与分娩地点之间的交互作用显示出一种缓解效应,表明增加住院分娩对出生登记有积极影响,这种效应在不同的家庭财富水平下更为明显。这突出表明,由于住院分娩率较高,较富裕的家庭更有可能进行出生登记。结论印度在根据可持续发展目标普及出生登记方面取得了进展,也面临着挑战。全国家庭健康调查数据显示出生登记有所改善,但差距依然存在。社会经济地位、分娩地点和产妇教育对出生登记有很大影响。在 Janani Suraksha Yojana 等计划的推动下,住院分娩大大提高了登记的可能性。将出生登记与医疗服务相结合可提高医疗数据的准确性和服务的提供。通过优先采取有针对性的干预措施、消除社会障碍和利用现有计划,印度可以确保每个孩子都能进行出生登记,从而迈向更健康、更公平的未来。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of Institutionalisation of Births on Health Policies and Birth Registration in India.

Background: The Registration of Births and Deaths Act (RBD) of 1969 in India mandates continuous recording of vital events; however, after more than 50 years of its enactment, universality remains elusive. Birth registration, a fundamental right, is essential for demographic analysis and effective policy planning. Birth registration is closely linked to child development, access to healthcare, and other societal factors. Analysing its trends helps in designing targeted interventions and monitoring progress toward the Sustainable Development Goals (SDGs). Objectives: This paper aims to analyse the changes in birth registration across Indian states. This paper also examines the impact of institutionalization of births on registration and underscores its significance in policymaking. Methods: The study utilises data from the latest two rounds of National Family Health Survey (NFHS-4 & NFHS-5) to analyse birth registration trends in India. Multivariable logistic regression analysis was employed to examine the impact of place of delivery on birth registration. Findings: The comparison of NFHS-4 and NFHS-5 data demonstrates varying birth registration rates across Indian states, with notable progress in some regions and persistent challenges in others. Multivariable logistic regression analysis highlights the significant influence of place of delivery on registration likelihood. The interaction between wealth and place of delivery suggests a mitigating effect, indicating that increasing institutional births has a positive impact on birth registration, with this effect being more pronounced at different levels of household wealth. It highlights that wealthier households were more likely to register births due to the higher rate of institutional deliveries. Conclusion: India's journey towards universal birth registration under the SDGs presents progress and challenges. NFHS data shows improvements in birth registration, but disparities still persist. Socio-economic status, place of delivery, and maternal education have strong influences on birth registration. Institutional deliveries significantly increase registration likelihood, facilitated by programs like Janani Suraksha Yojana. Integrating birth registration with health services enhances health data accuracy and service delivery. By prioritising targeted interventions, addressing social barriers, and leveraging existing programs, India can ensure that every child's birth is registered, advancing towards a healthier, more equitable future.

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来源期刊
Annals of Global Health
Annals of Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.30
自引率
3.40%
发文量
95
审稿时长
11 weeks
期刊介绍: ANNALS OF GLOBAL HEALTH is a peer-reviewed, open access journal focused on global health. The journal’s mission is to advance and disseminate knowledge of global health. Its goals are improve the health and well-being of all people, advance health equity and promote wise stewardship of the earth’s environment. The journal is published by the Boston College Global Public Health Program. It was founded in 1934 by the Icahn School of Medicine at Mount Sinai as the Mount Sinai Journal of Medicine. It is a partner journal of the Consortium of Universities for Global Health.
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