The adolescent birth rate (ABR) is an important indicator of maternal health, adolescent sexual health, and gender equity; it remains high in sub‐Saharan Africa. While Demographic and Health Surveys (DHS) are the main source of ABR estimates, Health and Demographic Surveillance Systems (HDSS) also produce ABRs. Studies are lacking, however, to assess the ease of access and accuracy of HDSS ABR measures. In this paper, we use birth and exposure data from 10 HDSS in six African countries to compute local ABRs and compare these rates to DHS regional rates where the HDSS sites are located, standardizing by education and place of residence. In rural HDSS sites, the ABR measure is on average 44 percent lower than the DHS measure, after controlling for education and place of residence. Strong temporary migration of childless young women out of rural areas and different capacities in capturing temporarily absent women in the DHS and HDSS could explain this discrepancy. Further comparisons based on more strictly similar populations and measures seem warranted.

中文翻译：

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农村地区的青少年生育率低于预期：来自 10 个非洲 HDSS 的结果。

青少年生育率（ABR）是孕产妇健康、青少年性健康和性别平等的重要指标；它在撒哈拉以南非洲仍然很高。虽然人口与健康调查 (DHS) 是 ABR 估计值的主要来源，但健康与人口监测系统 (HDSS) 也会产生 ABR。然而，缺乏研究来评估 HDSS ABR 措施的易用性和准确性。在本文中，我们使用来自六个非洲国家的 10 个 HDSS 的出生和暴露数据来计算本地 ABR，并将这些比率与 HDSS 站点所在的 DHS 区域比率进行比较，按教育程度和居住地进行标准化。在农村 HDSS 站点中，在控制了教育和居住地之后，ABR 指标平均比 DHS 指标低 44%。无子女的年轻女性大量暂时移出农村地区，以及在 DHS 和 HDSS 中捕获暂时缺席的女性的不同能力可以解释这种差异。基于更严格相似的人群和措施的进一步比较似乎是有必要的。