孟加拉国孕产妇死亡率:2015年倒计时国家病例研究
Shams El Arifeen1, Kenneth Hill2, Karar Zunaid Ahsan3
1International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Lancet (London, England)
|July 4, 2014
概括
在孟加拉国,由于改善医疗保健和更广泛的发展因素,孕产妇死亡率大幅下降,超过了千年发展目标的目标. 这一成功为全球孕产妇健康战略提供了宝贵的见解.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 卫生政策 卫生政策
背景情况:
- 孟加拉国是一个倒计时国家,有望在2015年实现千年发展目标 (MDG) 5.
- 该国已经对产妇死亡率和服务使用进行了高质量的调查.
研究的目的:
- 测量孟加拉国孕产妇死亡率 (MMR) 的变化.
- 确定导致MMR观察到变化的因素.
主要方法:
- 利用了来自孟加拉国孕产妇死亡率调查 (2001年,2010年) 和孟加拉国人口与健康调查的数据.
- 使用波桑回归来估计孕产妇死亡风险的变化.
主要成果:
- 在1998-2001年和2007-2010年之间,每10万活产婴儿的MMR死亡人数从322人下降到194人,每年下降5.6%.
- 改善医疗保健准入,降低生育率,增加收入和更好的教育有助于减少MMR.
- 据估计,2010年有52%的潜在孕产妇死亡因降低生育和死亡风险而被避免.
结论:
- 孟加拉国MMR的减少是由于卫生部门的干预以及更广泛的社会经济因素造成的.
- 本案例研究为综合发展议程和对产妇保健设施的投资提供了理由.
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