Introduction: Through forensic auditing a new way to monitor medical data was opened. Forensic auditing uses Benford’s law, which explains the frequency distribution in naturally occurring data sets. We applied this ...Introduction: Through forensic auditing a new way to monitor medical data was opened. Forensic auditing uses Benford’s law, which explains the frequency distribution in naturally occurring data sets. We applied this law on data for Maternal Mortality. This is an extremely important number in policy-making for sustainable project implementation. Methodology: The law states that the probability of a leading occurring number can be calculated through the following equation: observed and expected values were compared. To confirm statistical significance examination we used the Chi-square test. Results: The chi-square value for MMR was 21.08 for the 2012 report and 19.97 for the 2014 report. Chi-square was higher than the cut off value, which leads to the rejection the null hypothesis. The rejection of the null hypothesis means that the numbers observed in the publication are not following Benford’s law. Explanations can reach from errors, operational discrepancies and psychological challenges to manipulations in the struggle for international funding. Conclusion: Knowledge on this mathematical relation is not used widely in medicine, despite being a very valuable and quick tool to identify datasets in need of close scrutiny.展开更多
China, as a whole, is about to meet the Millennium Development Goals for reducing the maternal mortality ratio (MMR) and infant mortality rate (IMR), but the disparities between rural area and urban area still exists....China, as a whole, is about to meet the Millennium Development Goals for reducing the maternal mortality ratio (MMR) and infant mortality rate (IMR), but the disparities between rural area and urban area still exists. This study estimated the potential effectiveness of expanding coverage with high impact interventions using the Lives Saved Tool (LiST). It was found that gestational hypertension, antepartum and postpartum hemorrhage, preterm birth, neonatal asphyxia, and neonatal childhood pneumonia and diarrhea are still the major killers of mothers and children in rural area in China. It was estimated that 30% of deaths among 0-59 month old children and 25% of maternal deaths in 2008 could be prevented in 2015 if primary health care intervention coverage expanded to a feasible level. The LiST death cause framework, compared to data from the Maternal and Child Mortality Surveillance System, represents 60%-80% of neonatal deaths, 40%-50% of deaths in 1-59 month old children and 40%-60% of maternal deaths in rural areas of western China.展开更多
Since the People’s Republic of China founded,especially over the last 15 years,maternal mortality rate(MMR)has fallen dramatically.In 2014,China has achieved the target of a reduction of 75%MMR from 1990 to 2015(MDG ...Since the People’s Republic of China founded,especially over the last 15 years,maternal mortality rate(MMR)has fallen dramatically.In 2014,China has achieved the target of a reduction of 75%MMR from 1990 to 2015(MDG 5)ahead of schedule.This achievement can be attributed to the improvement of legislation and policy,government commitment and investment on maternal health,extensive international cooperation,implementation of the maternal health program,development of maternal and child health(MCH)service system and development of MCH surveillance systems.Although China has achieved MDG 5,there are many kinds of difficulties and challenges in achieving the post-2015 Sustainable Development Goals(SDGs).Therefore,multi-strategy actions need to be considered to seize the opportunities to further reduce the MMR in the future.展开更多
文摘Introduction: Through forensic auditing a new way to monitor medical data was opened. Forensic auditing uses Benford’s law, which explains the frequency distribution in naturally occurring data sets. We applied this law on data for Maternal Mortality. This is an extremely important number in policy-making for sustainable project implementation. Methodology: The law states that the probability of a leading occurring number can be calculated through the following equation: observed and expected values were compared. To confirm statistical significance examination we used the Chi-square test. Results: The chi-square value for MMR was 21.08 for the 2012 report and 19.97 for the 2014 report. Chi-square was higher than the cut off value, which leads to the rejection the null hypothesis. The rejection of the null hypothesis means that the numbers observed in the publication are not following Benford’s law. Explanations can reach from errors, operational discrepancies and psychological challenges to manipulations in the struggle for international funding. Conclusion: Knowledge on this mathematical relation is not used widely in medicine, despite being a very valuable and quick tool to identify datasets in need of close scrutiny.
基金supported jointly by WHO(CHN-12-MCN-005007)UNICEF(YH702H&N)Chinese Post-doctoral Foundation(2012M510295)
文摘China, as a whole, is about to meet the Millennium Development Goals for reducing the maternal mortality ratio (MMR) and infant mortality rate (IMR), but the disparities between rural area and urban area still exists. This study estimated the potential effectiveness of expanding coverage with high impact interventions using the Lives Saved Tool (LiST). It was found that gestational hypertension, antepartum and postpartum hemorrhage, preterm birth, neonatal asphyxia, and neonatal childhood pneumonia and diarrhea are still the major killers of mothers and children in rural area in China. It was estimated that 30% of deaths among 0-59 month old children and 25% of maternal deaths in 2008 could be prevented in 2015 if primary health care intervention coverage expanded to a feasible level. The LiST death cause framework, compared to data from the Maternal and Child Mortality Surveillance System, represents 60%-80% of neonatal deaths, 40%-50% of deaths in 1-59 month old children and 40%-60% of maternal deaths in rural areas of western China.
文摘Since the People’s Republic of China founded,especially over the last 15 years,maternal mortality rate(MMR)has fallen dramatically.In 2014,China has achieved the target of a reduction of 75%MMR from 1990 to 2015(MDG 5)ahead of schedule.This achievement can be attributed to the improvement of legislation and policy,government commitment and investment on maternal health,extensive international cooperation,implementation of the maternal health program,development of maternal and child health(MCH)service system and development of MCH surveillance systems.Although China has achieved MDG 5,there are many kinds of difficulties and challenges in achieving the post-2015 Sustainable Development Goals(SDGs).Therefore,multi-strategy actions need to be considered to seize the opportunities to further reduce the MMR in the future.
