緊急事態後のキャンプにおける難民および国内避難民の生殖健康指標と成果
Michelle Hynes1, Mani Sheik, Hoyt G Wilson
1Division of Reproductive Health, National Center for Chronic Disease, Centers for Disease Control and Prevention, Mailstop K-22, 2900 Woodcock Blvd, Atlanta, GA 30341, USA. mhynes@cdc.gov
JAMA
|August 2, 2002
まとめ
緊急事態後のキャンプでの難民および国内避難民の生殖健康結果は,一般的に,本国または受け入れ国よりも良好でした. 結果に影響を与えた主な要因には,キャンプの設置,医療スタッフ,給食プログラムが含まれていました.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- エピデミオロジー エピデミオロジー
- デモグラフィー デモグラフィー 人口統計
背景:
- 避難民の生殖健康に関する疫学的なデータは限られている.
- 生殖保健サービスは,難民および国内避難民 (IDP) にとって極めて重要です.
研究 の 目的:
- 緊急事態後のキャンプにいる難民と国内避難民の生殖健康データを,参照集団と収集し,比較する.
- これらの集団における生殖健康の結果に影響を与えるプログラム的要因を特定する.
主な方法:
- 7カ国の52のキャンプで688,766人の個人を回顧的に調査した (1998年8月~2000年3月).
- 生育率 (CBR),新生児死亡率 (NNMR),妊産婦死亡率 (MMR),低出生体重 (LBW) の割合,中絶合併症の発生率を比較した.
- 結果は,ホスト国および原産国のデータと比較してベンチマークされた.
主要な成果:
- ほとんどの難民と国内避難民のグループは,出身国や受け入れ国と比較して,CBR,NNMR,MMR,LBWの割合が低い.
- 高いCBRは,より新しいキャンプと,より多くの地元の医療スタッフと相関しています.
- LBW率の上昇は,雨季,新しいキャンプ,地域保健医療従事者の減少,補足栄養プログラムがないことと関連している.
結論:
- 緊急事態後のキャンプでの生殖健康の結果は,多くの場合,出身国およびホスト国の住民の成績を上回ります.
- キャンプの設立日,医療従事者の密度,栄養支援プログラムは,生殖健康指標に大きく影響を与えます.
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