Real-time Monitoring of Infant Mortality Based on Primary Data Analysis from the Unified State Information System in the Healthcare Sector

Background. To manage maternal and child health services, it is essential to provide relevant data to the decision-making process. The Ministry of Health of the Russian Federation has developed a system of weekly analytical reports on infant mortality based on primary data from information systems, including distribution by regions, causes of death, dynamic series, and integral estimates. The monitoring results are used to implement management decisions that improve the medical care organization in maternal and child health, and to evaluate decision efficacy. Objective. The aim of the study is to develop a model for analyzing infant mortality to manage the work of obstetric, gynecological, and pediatric services based on primary data. Methods. Data source on registered deaths under the age of 1 year is the Federal Register of Medical Death Certificates of the Unified State Information System in the Healthcare Sector (FRMDC EGISZ). Data on the number of live births from the Federal Register of Medical Birth Certificates of the Unified State Information System in the Healthcare Sector (FRMBC EGISZ) were also used to calculate the infant mortality rate. Results. The results of data processing from FRMDC EGISZ and FRMBC EGISZ correlate with monthly data on infant mortality published by Rosstat. The suggested approach allows rapidly analyse infant mortality rates at the regional level, including causes and place of death. Conclusion . Existing information systems and proven approaches for primary data analysis on birth and death counts make it possible to increase the efficacy of obstetric, gynecological, and pediatric services management, whereas indicators and their calculation frequency can be adapted to health organizers requests.