在印度的新生儿中,自然灾害和产后护理之间的关联:使用地理空间方法迈向全面覆盖的一步
Papai Barman1, Nawaj Sarif2, Amiya Saha3
1Department of Family & Generations, International Institute for Population Sciences, Mumbai, 400088, India. papaib138@gmail.com.
BMC emergency medicine
|July 17, 2023
概括
产后护理 (PNC) 覆盖率在印度容易发生自然灾害的地区明显较低. 有针对性的干预措施对于改善受灾地区的母亲和儿童健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 空间流行病学 空间流行病学
- 灾害管理 灾害管理
背景情况:
- 产后护理 (PNC) 对于预防儿童死亡率至关重要,但覆盖范围在全球范围内仍然不够理想.
- 在PNC接入方面存在显著的区域差异,特别是在印度容易发生自然灾害的地区.
研究的目的:
- 检查印度PNC覆盖面的空间变化.
- 调查自然灾害流行率与地区级PNC覆盖率之间的关联.
主要方法:
- 利用国家家庭健康调查 (2019-21) 数据对1,76,843名儿童进行调查.
- 印度综合脆弱性地图集 (Integrated Vulnerability Atlas of India) 绘制地图,以识别容易发生洪水,地震和山体滑坡的地区.
- 采用空间单变量,双变量,物流和地理加权回归分析.
主要成果:
- 低PNC覆盖率集中在容易发生自然灾害的地区 (印度北部,东部,东北部).
- 与全国平均水平 (81.1%) 相比,PNC覆盖率在受洪水 (75.9%),地震 (68.3%) 和山体滑坡 (80.6%) 影响的地区较低.
- 易受危害的地区获得PNC的几率明显较低 (OR:洪水为0.85,地震为0.77,山体滑坡为0.77).
结论:
- 在PNC服务覆盖范围中,异质性是显而易见的,灾难易发地区的接入率较低.
- 建议采取有针对性的干预措施,包括移动卫生服务和加强卫生系统,以改善这些脆弱地区的PNC可访问性和质量.
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