服务的可用性和为基本的紧急产科和新生儿护理的准备:来自尼泊尔卫生设施调查2021年的分析
Achyut Raj Pandey1, Bikram Adhikari1, Bipul Lamichhane1
1HERD International, Lalitpur, Nepal.
PloS one
|August 17, 2023
概括
在尼泊尔的当地和私人卫生设施中,基本紧急产科和新生儿护理 (BEmONC) 的可用性和准备性很低. 改善培训,供应链和监督对于提高母亲和新生儿健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 尽管尼泊尔对母亲和新生儿健康的关注越来越大,但所期望的健康改善尚未完全实现.
- 尼泊尔必须提高服务质量,同时提高接入和覆盖率,以实现到2030年实现可持续发展目标 (SDG).
- 对卫生设施 (HF) 基本紧急产科和新生儿护理 (BEmONC) 服务的可用性和准备情况的分析至关重要.
研究的目的:
- 分析尼泊尔卫生设施 (HF) 中基本紧急产科和新生儿护理 (BEmONC) 服务的可用性和准备情况.
主要方法:
- 利用了来自全国代表性的尼泊尔卫生设施调查 (NHFS) 2021年的数据.
- 评估BEmONC可用性,使用世卫组织定义的七个信号功能和准备能力,跨越指导方针/人员培训,设备/供应和药物.
- 采用加权描述和推断分析,包括多变量线性回归,以确定与高频准备相关的因素.
主要成果:
- 只有45.0%的联邦/省级医院,0.3%的地方高频医院和10.5%的私立医院提供了所有七个BEmONC信号功能.
- 联邦/省级医院的整体准备度分数为72.9±13.6,地方医院为54.2±12.8,私立医院为53.1±15.1.
- 与联邦/省级医院相比,地方和私人医院的准备程度明显低;农村,山区和有质量保证活动的监督设施的准备程度更好.
结论:
- 在尼泊尔的当地和私人医疗机构中,BEmONC服务的可用性和准备性不足.
- 通过培训,改进供应链管理和定期支持性监督来提高BEmONC服务供应,建议建立能力.
- 这些干预措施对于改善母亲和新生儿健康结果以及实现国家健康目标至关重要.
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