A review of the structure and function of vital registration system in Ghana: towards improvement in mortality data quality for health policy analysis
Identifieur interne : 000849 ( Main/Exploration ); précédent : 000848; suivant : 000850A review of the structure and function of vital registration system in Ghana: towards improvement in mortality data quality for health policy analysis
Auteurs : Julius N. Fobil [Ghana, Allemagne] ; Eunice Aryee [Ghana] ; Francis Bilson [Ghana] ; Juergen May [Allemagne] ; Alexander Kraemer [Allemagne]Source :
- Journal of Public Health in Africa [ 2038-9922 ] ; 2011.
Abstract
Vital registration systems (VRS) are important in the collection of routine data on indicators of development. These are particularly useful if they are properly built to address weaknesses in the system leading to poor data quality. For instance, routine data on health events (e.g. morbidity, mortality etc.) are crucial for rapid assessment of disease burden and mortality trends in the population. They are also useful in the identification of vulnerable groups in populations. Despite their usefulness, VRS in many developing countries including Ghana are poorly structured raising questions about the quality of the output data from these systems. The present study aimed at assessing and documenting the structure and function of the VRS in Ghana, as well as at identifying the structural features that potentially compromise the reliability and validity of the output data from the Ghanaian VRS. To perform this study, collection and review of policy and legal documents establishing the VRS, documentation and evaluation of component structures of the system, assessment of procedural protocols guiding data collection processes and in-depth interviews with staff at the Ghana Births and Deaths Registry were performed. The assessment of the structure of the Ghana VRS, policy documents setting it up and the operational procedures reveals important lapses (e.g. presence of outmoded practices, imperfections in Births and Deaths Registry Act, 1965, Act 301 and imperfect system design) in the system that could compromise validity and reliability of the data generated from the VRS in Ghana.
Url:
DOI: 10.4081/jphia.2011.e5
PubMed: 28299047
PubMed Central: 5345480
Affiliations:
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Fobil</name><affiliation wicri:level="4"><nlm:aff id="A1">School of Public Health, College of Health Sciences, University of Ghana;</nlm:aff><country>Ghana</country><placeName><settlement type="city">Accra</settlement><settlement type="town">Legon (Ghana)</settlement><region type="region">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation><affiliation wicri:level="3"><nlm:aff id="A2">Bernhard-Notch Institute for Tropical Medicine, Hamburg, Germany;</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Bernhard-Notch Institute for Tropical Medicine, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="A3">School of Public Health, Department of Public Health Medicine, Bielefeld University, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>School of Public Health, Department of Public Health Medicine, Bielefeld University</wicri:regionArea><wicri:noRegion>Bielefeld University</wicri:noRegion><wicri:noRegion>Bielefeld University</wicri:noRegion><wicri:noRegion>Bielefeld University</wicri:noRegion></affiliation></author><author><name sortKey="Aryee, Eunice" sort="Aryee, Eunice" uniqKey="Aryee E" first="Eunice" last="Aryee">Eunice Aryee</name><affiliation wicri:level="4"><nlm:aff id="A1">School of Public Health, College of Health Sciences, University of Ghana;</nlm:aff><country>Ghana</country><placeName><settlement type="city">Accra</settlement><settlement type="town">Legon (Ghana)</settlement><region type="region">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation></author><author><name sortKey="Bilson, Francis" sort="Bilson, Francis" uniqKey="Bilson F" first="Francis" last="Bilson">Francis Bilson</name><affiliation wicri:level="3"><nlm:aff id="A4">37 Military Teaching Hospital, Health Division, Ministry of Defense, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>37 Military Teaching Hospital, Health Division, Ministry of Defense, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="May, Juergen" sort="May, Juergen" uniqKey="May J" first="Juergen" last="May">Juergen May</name><affiliation wicri:level="3"><nlm:aff id="A2">Bernhard-Notch Institute for Tropical Medicine, Hamburg, Germany;</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Bernhard-Notch Institute for Tropical Medicine, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Kraemer, Alexander" sort="Kraemer, Alexander" uniqKey="Kraemer A" first="Alexander" last="Kraemer">Alexander Kraemer</name><affiliation wicri:level="1"><nlm:aff id="A3">School of Public Health, Department of Public Health Medicine, Bielefeld University, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>School of Public Health, Department of Public Health Medicine, Bielefeld University</wicri:regionArea><wicri:noRegion>Bielefeld University</wicri:noRegion><wicri:noRegion>Bielefeld University</wicri:noRegion><wicri:noRegion>Bielefeld University</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Public Health in Africa</title><idno type="ISSN">2038-9922</idno><idno type="eISSN">2038-9930</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Vital registration systems (VRS) are important in the collection of routine data on indicators of development. These are particularly useful if they are properly built to address weaknesses in the system leading to poor data quality. For instance, routine data on health events (e.g. morbidity, mortality etc.) are crucial for rapid assessment of disease burden and mortality trends in the population. They are also useful in the identification of vulnerable groups in populations. Despite their usefulness, VRS in many developing countries including Ghana are poorly structured raising questions about the quality of the output data from these systems. The present study aimed at assessing and documenting the structure and function of the VRS in Ghana, as well as at identifying the structural features that potentially compromise the reliability and validity of the output data from the Ghanaian VRS. To perform this study, collection and review of policy and legal documents establishing the VRS, documentation and evaluation of component structures of the system, assessment of procedural protocols guiding data collection processes and in-depth interviews with staff at the Ghana Births and Deaths Registry were performed. The assessment of the structure of the Ghana VRS, policy documents setting it up and the operational procedures reveals important lapses (e.g. presence of outmoded practices, imperfections in Births and Deaths Registry Act, 1965, Act 301 and imperfect system design) in the system that could compromise validity and reliability of the data generated from the VRS in Ghana.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Morrow, Rh" uniqKey="Morrow R">RH Morrow</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Setel, Pw" uniqKey="Setel P">PW Setel</name></author><author><name sortKey="Sankoh, O" uniqKey="Sankoh O">O Sankoh</name></author><author><name sortKey="Rao, C" uniqKey="Rao C">C Rao</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bahl, R" uniqKey="Bahl R">R Bahl</name></author><author><name sortKey="Frost, C" uniqKey="Frost C">C 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Hnizdo</name></author><author><name sortKey="Goldstein, B" uniqKey="Goldstein B">B Goldstein</name></author><author><name sortKey="Sluis Cremer, Gk" uniqKey="Sluis Cremer G">GK Sluis-Cremer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lerer, Lb" uniqKey="Lerer L">LB Lerer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hyder, Aa" uniqKey="Hyder A">AA Hyder</name></author><author><name sortKey="Rotllant, G" uniqKey="Rotllant G">G Rotllant</name></author><author><name sortKey="Morrow, Rh" uniqKey="Morrow R">RH Morrow</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wiley, As" uniqKey="Wiley A">AS Wiley</name></author><author><name sortKey="Pike, Il" uniqKey="Pike I">Il Pike</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Krickeberg, K" uniqKey="Krickeberg K">K Krickeberg</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>Ghana</li></country><region><li>Hambourg</li><li>Région du Grand Accra</li></region><settlement><li>Accra</li><li>Hambourg</li><li>Legon (Ghana)</li></settlement><orgName><li>Université du Ghana</li></orgName></list><tree><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Fobil, Julius N" sort="Fobil, Julius N" uniqKey="Fobil J" first="Julius N." last="Fobil">Julius N. Fobil</name></region><name sortKey="Aryee, Eunice" sort="Aryee, Eunice" uniqKey="Aryee E" first="Eunice" last="Aryee">Eunice Aryee</name><name sortKey="Bilson, Francis" sort="Bilson, Francis" uniqKey="Bilson F" first="Francis" last="Bilson">Francis Bilson</name></country><country name="Allemagne"><region name="Hambourg"><name sortKey="Fobil, Julius N" sort="Fobil, Julius N" uniqKey="Fobil J" first="Julius N." last="Fobil">Julius N. Fobil</name></region><name sortKey="Fobil, Julius N" sort="Fobil, Julius N" uniqKey="Fobil J" first="Julius N." last="Fobil">Julius N. Fobil</name><name sortKey="Kraemer, Alexander" sort="Kraemer, Alexander" uniqKey="Kraemer A" first="Alexander" last="Kraemer">Alexander Kraemer</name><name sortKey="May, Juergen" sort="May, Juergen" uniqKey="May J" first="Juergen" last="May">Juergen May</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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