与产后护理质量相关的关键因素:对23个国家的综合分析
Shuangyu Zhao1, Yixuan Zhang1,2, Angela Y Xiao1
1Vanke School of Public Health, Tsinghua University, No. 30, Shuangqing Road, Haidian District, Beijing, 100084, PR China.
EClinicalMedicine
|August 3, 2023
概括
高质量的孕产妇和新生儿产后护理 (PNC) 是至关重要的,但被忽视. 在低收入和中等收入国家,机构分娩和频繁的产前护理 (ANC) 访问是与改善PNC质量相关的关键因素.
科学领域:
- 全球健康 全球健康
- 孕产妇和儿童的健康
- 公共卫生政策 公共卫生政策
背景情况:
- 低收入和中等收入国家 (LMICs) 的孕产妇和新生儿死亡率仍然很高,阻碍了实现可持续发展目标的进展.
- 高质量的产后护理 (PNC) 对于母亲和新生儿的福祉至关重要,但经常被忽视.
- 这项研究调查了在LMIC中与高质量的孕产妇和新生儿PNC相关的因素.
研究的目的:
- 估计可观测因素与高质量的孕产妇和新生儿PNC之间的联系.
- 为改善PNC干预和政策在LMICs.提供数据.
- 为实现全球母亲和儿童健康目标作出贡献.
主要方法:
- 使用来自23个LMIC (2015-2022) 的人口和健康调查进行横截面研究.
- 包括年龄在15-49岁之间的妇女,最后一次生下一个独生子女.
- 评估了世卫组织推的11种PNC行为,以确定质量的孕产妇和新生儿PNC,并使用后勤回归分析了15个因素.
主要成果:
- 只有41.42%的妇女获得了高质量的母性PNC,42.34%的妇女获得了高质量的新生儿PNC.
- 熟练的分娩服务 (SBA),四次或更多的产前护理 (ANC) 访问,以及机构分娩与高质量的孕产妇PNC有很强的关联.
- 对高质量的新生儿PNC观察到类似的关联,SBA和频繁的ANC访问尤其具有影响力.
结论:
- 机构分娩和频繁的ANC访问是高质量的孕产妇和新生儿PNC的关键积极预测指标.
- 迫切需要在LMIC中显著改善PNC质量,以实现全球卫生目标.
- 解决这些因素可以改善母亲和新生儿的健康状况.
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