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目的调查卫生Ⅷ项目实施期间项目县婴儿死亡漏报情况。方法采用逐级核查、追踪的办法,对1998—2005年8个项目县16个样本乡的所有村进行婴儿死亡漏报调查;对部分县、乡、村级知情人进行定性访谈以了解漏报的原因。结果1998—2005年,卫生Ⅷ项目地区婴儿死亡年漏报率波动在14%-33%之间;项目实施前、后期婴儿死亡漏报率相对较高,项目实施中期婴儿死亡漏报率有所减缓。卫生经费不足、记录不规范、人口流动和计划外生育等可能是婴儿死亡漏报的原因。结论项目实施期间,婴儿死亡漏报率和婴儿死亡漏报原因与国内报道基本一致。
Objective To investigate the case of under-reporting of infant death in project counties during the implementation of health Ⅷ project. Methods The method of level-by-level verification and tracing was used to investigate the infant mortality and omission in all villages in 16 sample townships of 8 project counties from 1998 to 2005. Qualitative interview was conducted among some county, township and village level insiders to learn about the omission s reason. Results During the period from 1998 to 2005, the annual failure rate of infant mortality in the Ⅷ project area fluctuated between 14% and 33%. The rate of underestimation of infant mortality before and after the project implementation was relatively high, Slow down. Inadequate health funds, irregular records, population movements and unplanned births may be responsible for underemployment of infant deaths. Conclusions During the implementation of the project, the reasons for underestimation of infant deaths and infant deaths were basically consistent with those reported in China.