基于社区的综合干预,以在河边偏远地区利用熟练的孕产妇保健服务,孟加拉国
Nafisa Lira Huq1, Anisuddin Ahmed2, Tanjeena Tahrin Islam3
1BRAC James P Grant School of Public Health, Dhaka 1213, Bangladesh.
概括
孟加拉国的一项综合孕产妇保健项目显著提高了熟练护理的利用率. 这项干预措施增加了偏远地区的母亲的产前护理访问,熟练的分娩服务和产后检查.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 医疗保健干预措施 医疗保健干预措施
背景情况:
- 在孟加拉国,尽管孕妇死亡率有所降低,但仍然存在高产妇死亡率,与怀孕相关的疾病构成重大风险.
- 熟练的孕产妇保健服务利用对于降低孕产妇死亡率至关重要.
- 偏远的河流地区在获得产妇健康服务方面存在独特的挑战.
研究的目的:
- 评估基于社区的综合孕产妇保健项目的对服务利用的影响.
- 评估干预前后熟练产妇保健服务利用率的变化.
- 为了确定一个非政府组织在孟加拉国偏远地区的项目的有效性.
主要方法:
- 使用差异差异物流模型来衡量干预效应.
- 在干预和比较组 (N=1,304个) 中检查了熟练的孕产妇医疗保健服务的使用情况.
- 从项目实施前和之后的0-6个月内经历过分娩的母亲收集的数据.
主要成果:
- 干预组中的母亲有3倍的可能性有≥4次产前护理 (ANC) 访问 (AOR:2.9).
- 熟练助产员的使用率增加了1.5倍 (AOR: 1.5).
- 在分娩后42天内寻求产后护理 (PNC) 的患者也增加了1.5倍 (AOR: 1.5).
结论:
- 综合干预对ANC覆盖率,熟练分娩率和偏远河流地区母亲的PNC产生了积极影响.
- 该项目展示了社区和设施干预措施的潜力,以改善孕产妇健康结果.
- 调查结果表明,其他低收入和中等收入国家 (LMICs) 也可以采用类似的综合方法.
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