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  1. 1

    Availability and quality of mortality statistics in selected ESCAP countries.

    United Nations. Economic and Social Commission for Asia and the Pacific [ESCAP]

    [Unpublished] 1984. Paper presented at the Meeting on Analysis of Trends and Patterns of Mortality in the ESCAP Region, 13-19 November 1984, Bangkok. [9] p.

    Since very few developing countries have complete vital registration, most base their mortality statistics on data from occasional demographic surveys and population censuses. Brass technics are used to estimate child mortality from data on children ever born and children still living by 5-year age groups of mothers. Many of the 1980 censuses included these questions. In view of the importance of vital statistics for development planning, the UN has recently listed data to be collected by a vital registration system. Because complete registration is so difficult to achieve, some countries--India, Pakistan, and Bangladesh, for example--operate sample registration systems, which are mostly dual-method surveys, continuous registration systems coupled with periodic household surveys. Demographic survey data relies largely on indirect methods for estimating infant and child mortality. This type of survey underestimates childbearing at older ages and overestimates childbearing at younger ages. Tables 1 and 2 list information on mortality collected in the 1970 and 1980 censuses of countries in the Economic and Social Commission for Asia and the Pacific (ESCAP) region by whether information was collected on children born alive, children living, the date of birth of the last child, and whether that child is still living. Table 3 lists the UN recommendations on data to be collected in death registration.
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  2. 2

    Yozgat MCH/FP Project: Turkey country report.

    Coruh M

    [Unpublished] 1979. Paper prepared for the Technical Workshop on the Four Country Maternal and Child Health/Family Planning Projects, New York, Oct. 31-Nov. 2, 1979. (Workshop Paper No. 2) 10 p.

    An integrated health care system which combined the maternal/child health with other services was undertaken in the Yozgat Province of Turkey from 1972-77. The objective was to train midwives in MCH/FP and orient their activities to socialization. The first 2 years of the program was financed by UNFPA. 52 health stations were completed and 18 more are under construction. The personnel shortage stands at 33 physicians, 21 health technicians, 30 nurses, and 67 midwives. Yozgat Province is 75% rural and has about a 50% shortage of roads. The project was evaluated initially in 1975 and entailed preproject information studies, baseline health practices and contraceptive use survey, dual record system, and service statistics reporting. The number of midwives, who are crucial to the program, have increased from an average 115 in 1975 to 160 in 1979. Supervisory nurses are the link between the field and the project managers. Their number has decreased from 17 to 6. Until 1977 family planning service delivery depended on a handful of physicians who distributed condoms and pills. The Ministry of Health trained women physicians in IUD insertions. The crude death rate in 1976 was 13.2/1000; the crude birth rate was 42.7/1000. The crude death rate in 1977 was 14.8/1000; birth rate, 39.9/1000. Common child diseases were measles, enteritis, bronchopneumonia, otitis, and parasitis.
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