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在文化为基础的健康促进计划后对新生儿风死亡率的影响
Lancet (London, England)
|September 1, 2001
概括
一个由社区领导的健康促进计划显著减少了马赛人中新生儿风死亡率. 这一举措证明了文化敏感干预措施在改善婴儿健康结果方面的有效性.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 孕产妇和儿童的健康
背景情况:
- 新生儿结节炎在马赛社区中构成了显著的死亡风险.
- 传统的做法是将牛涂在茎上,这导致新生儿风率高.
研究的目的:
- 评估健康促进计划对新生儿风死亡率的影响.
- 评估涉及当地妇女的社区干预措施的有效性.
主要方法:
- 在与马赛社区协商后,制定了一项健康促进计划.
- 当地妇女接受了培训,并实施了该计划.
- 从1981年到1988年,干预和控制区域之间的新生儿风率进行了比较.
主要成果:
- 新生儿风率在1981年计划实施后急剧下降.
- 到1988年,干预地区的年死亡率为每1000例出生0.75.
- 对照区域的年死亡率明显较高,从每1000例出生中74-93例.
结论:
- 根据文化定制的健康促进计划可以大大减少新生儿风.
- 社区参与和地方领导对于成功的公共卫生干预至关重要.
- 简单的,本地驱动的举措可以导致婴儿存活率的大幅度改善.
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