バングラデシュの妊産婦死亡率:2015年のカントリーケーススタディへのカウントダウン
Shams El Arifeen1, Kenneth Hill2, Karar Zunaid Ahsan3
1International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Lancet (London, England)
|July 4, 2014
まとめ
バングラデシュの妊産婦死亡率は,医療へのアクセスの改善とより広範な開発要因により大幅に減少し,ミレニアム開発目標の目標を超えました. この成功は,世界的な母子の健康戦略のための貴重な洞察を提供します.
科学分野:
- 公衆衛生は公衆衛生である.
- デモグラフィー デモグラフィー 人口統計
- 保健政策 保健政策 保健政策
背景:
- バングラデシュは2015年までにミレニアム開発目標 (MDG) 5を達成するためのカウントダウン国です.
- この国は,妊産婦死亡率とサービス利用に関する高品質の調査を実施しています.
研究 の 目的:
- バングラデシュにおける妊産婦死亡率 (MMR) の変化を測定する.
- MMRにおける観察された変化に寄与する要因を特定する.
主な方法:
- バングラデシュ産婦人死亡率調査 (2001年,2010年) とバングラデシュの人口統計と健康調査のデータを活用した.
- 妊産婦死亡リスクの変化を推定するためにポアソン回帰法を使用した.
主要な成果:
- MMRは,1998年から2001年,そして2007年から10年の間に,100,000生児につき322人から194人に減少し,年間減少率は5.6%でした.
- 医療へのアクセスの改善,生育率の低下,収入の増加,より良い教育は,MMRの減少に寄与しました.
- 2010年の潜在的母性死亡の約52%は,生育率と死亡リスクの低下により回避されたと推定されています.
結論:
- バングラデシュでのMMRの減少は,保健部門の介入とより広範な社会経済的要因の両方の結果でした.
- このケーススタディは,統合開発アジェンダと母体保健施設への投資の論理的根拠を提供します.
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