ウガンダの難民と受け入れ住民のための緊急後の医療サービス (1999-2002年)
Christopher Garimoi Orach1, Vincent De Brouwere
1Makerere University Institute of Public Health, Kampala, Uganda Vrije Universiteit Brussel, Belgium. cgorach@iph.ac.ug
Lancet (London, England)
|August 18, 2004
まとめ
ウガンダの難民は,より多くの産科手術を受け,母子の死亡率がホストコミュニティよりも低い. これは,地元住民と比較して,難民が基本的保健サービスへのアクセスを改善していることを示しています.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 公衆衛生は公衆衛生である.
- 母親の健康について
背景:
- ウガンダは1990年以来,難民を受け入れ,入植地はホストコミュニティに統合されています.
- 妊産婦のニーズに対応する医療へのアクセスを理解することは,難民と受け入れ国の両者にとって極めて重要です.
研究 の 目的:
- 1999年から2002年の間にウガンダの難民とホスト人口の産婦人科のニーズを満たす状況を比較する.
- 大規模な産科介入の格差と妊産婦死亡率の格差を評価する.
主な方法:
- アルーア,アドジュマニ,モヨ地区の病院から (1999-2001) の主要な産科介入に関する遡及的および将来のデータ収集.
- アジュマニ地区で難民とホスト集団のために実施されたコミュニティベースの妊産婦死亡率調査 (2002).
主要な成果:
- 難民の集団は,ホスト集団と比較して,主要な産科介入の割合が著しく高かった (1.01%対0.45%および0.40%).
- アジュマニ地区の妊産婦死亡率は,難民 (130/100,000出産) よりもホスト集団 (322/100,000出産) で2.5倍高かった.
結論:
- ウガンダ北部の難民は,田舎のホスト人口よりも産科医療の医療サービスへのアクセスが優れていることを実証しました.
- ウガンダの難民とホストコミュニティの間では,産科医療の利用と結果に大きな格差があります.
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