堕胎护理的可用性,准备和获取:将金沙萨和刚果民主共和国中部的人口和卫生设施数据联系起来
Sophia Magalona1, Haley L Thomas2, Pierre Z Akilimali3
1Department of Population Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, 21205, USA. cmagalo1@jhmi.edu.
BMC health services research
|June 20, 2023
概括
大多数刚果民主共和国的设施已经准备好提供堕胎护理,但商品短缺和获取不平等仍然存在. 改善供应链和解决农村/贫困妇女获取权益至关重要.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 刚果民主共和国 (DRC) 在2018年将堕胎合法化,但对堕胎护理服务,设施准备和可访问性的理解仍然有限.
- 这项研究解决了在合法化后金沙萨和刚果中部堕胎护理服务的可用性和可访问性方面的知识差距.
研究的目的:
- 检查医疗保健设施的可用性和准备情况,以便在刚果民主共和国提供堕胎服务.
- 评估堕胎后的护理 (PAC) 和药物堕胎在非刑事化之前和之后的提供.
- 分析获得PAC和药物流产服务的不平等情况.
主要方法:
- 利用2017-2018年人口和健康调查服务提供评估 (SPA) 数据对153个设施进行评估,以评估三个堕胎护理领域的信号功能和准备.
- 将SPA设施数据与2021年绩效监测行动 (PMA) 数据进行比较,以评估PAC和药物堕胎提供合法化后的变化.
- 采用PMA数据以地理空间地将设施与女性样本联系起来,评估在金沙萨和刚果中部的PAC和药物流产服务的近距离.
主要成果:
- 大多数设施在堕胎护理领域都表现出准备 (>60%),与初级设施相比,转诊准备更高.
- 准备的关键障碍包括缺少基本商品的库存,如mizoprostol,抗生素和避孕药.
- 在非刑事化后,服务提供增加了;在金沙萨城市,获得几乎是普遍的,但在刚果中部农村,与教育和财富有关.
结论:
- 虽然大多数设施拥有堕胎护理的基本信号功能,但商品的可用性仍然是一个挑战.
- 在服务获取方面存在重大不平等,特别是农村地区的贫困妇女.
- 针对供应链改进和提高可访问性的干预措施对于公平的堕胎护理提供至关重要.
更多相关视频
相关概念视频
01:26Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
01:28International Nursing Organizations II
1.1K
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
1.1K
01:30Specialized Care Centers and Settings-I
978
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
978
01:30Specialized Care Centers and Settings-II
757
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
757
01:30Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
01:22Birth Control Methods
376
Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although...
376