1999年至2002年,乌干达为难民和东道主群体提供紧急情况后的卫生服务
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
概括
乌干达的难民接受了更多的产科干预,并且产妇死亡率低于东道社区. 这表明,与当地居民相比,难民更容易获得基本的医疗服务.
科学领域:
- 全球健康 全球健康
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
背景情况:
- 自1990年以来,乌干达一直在接待难民,定居点融入了接待社区.
- 对于难民和东道国人口来说,了解产科需求的医疗保健准入是至关重要的.
研究的目的:
- 为了比较1999年至2002年期间乌干达难民和东道国人口之间的产科需求的满足情况.
- 评估主要产科干预和产妇死亡率的差异.
主要方法:
- 从阿鲁亚,阿杜马尼和莫约地区的医院 (1999-2001) 收集关于重大产科干预的回顾性和前性数据.
- 在阿杜马尼区为难民和东道主群体 (2002) 进行的基于社区的孕产妇死亡调查.
主要成果:
- 与东道国人口相比,难民人口的重大产科干预率显著更高 (1.01%与0.45%和0.40%相比).
- 阿杜马尼区的孕产妇死亡率在接收人口中 (322/100,000分娩) 比难民中 (130/100,000分娩) 高出2.5倍.
结论:
- 乌干达北部的难民比农村的接待人口更容易获得产科护理的医疗服务.
- 在乌干达的难民和东道社区之间,在产科护理的利用和结果方面存在显著的差异.
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