在孟加拉国农村地区,基于社区的产妇护理计划对死亡率的影响
V Fauveau1, K Stewart, S A Khan
1Centre for Population Studies, London School of Hygiene and Tropical Medicine, UK.
Lancet (London, England)
|November 9, 1991
概括
在孟加拉农村村派出训练有素的助产士显著降低了孕产妇死亡率. 这种以社区为基础的干预改善了孕产妇的存活率,通过早期发现和管理产科并发症.
科学领域:
- 社区健康 社区健康
- 孕产妇健康 孕产妇健康
- 全球健康 全球健康
背景情况:
- 孕产妇死亡率仍然是一个重大的全球卫生挑战,特别是在农村环境.
- 建议以社区为基础的干预措施来改善产妇护理,但它们对孕产妇死亡率的影响需要进一步调查.
研究的目的:
- 评估一个以社区为基础的孕产妇护理计划的有效性,包括训练有素的助产士,以减少孟加拉农村的孕产妇死亡率.
主要方法:
- 在孟加拉国农村进行了一项比较研究,将一个有受过培训的助产士的项目区域与一个没有助产士的邻近控制区域进行比较.
- 由于产科并发症导致的孕产妇死亡率在干预期之前和之后进行了比较.
- 经过培训的助产士参加了家庭分娩,管理了并发症,并协助转诊到中央产科诊所.
主要成果:
- 在计划之前,由于产科并发症而导致的孕产妇死亡率在两个地区都是相似的.
- 在为期3年的计划中,干预区域的孕产妇死亡率明显低于对照区域的孕产妇死亡率 (每1000例活产1.4),而不是对照区域的孕产妇死亡率 (每1000例活产3.8).
- 这些地区之间的孕产妇死亡率差异具有统计学意义 (p = 0.02).
结论:
- 在村级部署训练有素的助产士可以有效地提高孕产妇的存活率.
- 成功实施需要适当的培训,资源,监督和助产士的支持系统.
- 应仔细考虑所需的资源和扩大此类计划所面临的挑战.
关键词:
亚洲 亚洲 亚洲 亚洲 亚洲孟加拉国 孟加拉国 孟加拉国 是一个提供医疗保健服务.人口结构因素 人口结构因素发展中国家 发展中国家评价 评价 评价评价方法的评估方法.评估研究 评估研究计划生育 计划生育方式计划生育计划 计划生育计划 计划生育计划卫生健康 卫生健康 卫生健康卫生工作人员 卫生工作人员卫生服务 卫生服务 卫生服务医疗服务评估 医疗服务评估综合计划 综合计划产妇健康服务 产妇健康服务孕产妇的死亡率 孕产妇的死亡率母婴健康服务 母婴健康服务死亡率 死亡率 死亡率护士 - 助产士护士 - 助产士组织与管理 组织与管理人口人口的人口人口.人口特征 人口特征人口动态 人口动态初级医疗保健是一项主要的医疗保健.计划活动 计划活动项目评价 项目评价程序 程序 程序 程序推和咨询 推和咨询研究报告 研究报告农村人口 农村人口南亚 南亚亚洲 南亚
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