提供者与母亲的互动与家庭调查中的出生结果错误分类有关:几内亚比绍的一项病例对照研究
Sabine M Damerow1,2, Diana Yeung3, Justiniano Sd Martins1
1Bandim Health Project, INDEPTH Network, Bissau, Guinea-Bissau.
Journal of global health
|August 17, 2023
概括
在几内亚比绍,在分娩期间提供者与母亲的沟通有限,这与错误分类死产 (SB) 和新生儿早期死亡 (ENND) 有关. 这种错误分类导致家庭调查中高估了新生儿死亡率.
科学领域:
- 围产期流行病学 围产期流行病学
- 孕产妇和儿童的健康
- 卫生信息系统 卫生信息系统
背景情况:
- 每年有数以百万计的儿童在分娩期间死亡,特别是在低收入和中等收入国家.
- 准确跟踪死胎 (SBs) 和新生儿早期死亡 (ENNDs) 对于有效的预防战略至关重要.
- 家庭调查经常错误地分类SB和ENND,阻碍了准确的死亡率数据.
研究的目的:
- 调查围产阶段提供者与母亲之间的相互作用与几内亚比绍SB和ENND错误分类之间的关联.
- 量化分娩期间沟通对出生结果数据准确性的影响.
主要方法:
- 在班迪姆健康项目的健康和人口监测系统 (HDSS) 中进行的一项病例控制研究.
- 将追溯调查数据与未来的HDSS记录联系起来,以识别错误分类的死亡 (病例) 与正确分类的死亡 (对照).
- 采访了女性对周产期提供者与母亲的互动,使用描述性统计和后勤回归分析数据.
主要成果:
- 大多数错误分类涉及死亡出生 (SBs) 被报告为新生儿早期死亡 (ENNDs).
- 缺乏关于分娩进展或婴儿健康的产后更新是常见的;询问这些减少了错误分类的可能性.
- 简短的死亡通知 (<5分钟) 和缺乏事件或原因细节的死亡通知与更高的错误分类率有关.
结论:
- 在几内亚比绍,分娩期间提供者与母亲的沟通是有限的,这对家庭调查中出生结果数据的准确性产生了重大影响.
- 错误分类,特别是将SBs归类为ENNDs,导致对新生儿死亡率的高估.
- 改善提供者-母亲沟通对于可靠的死亡率数据和有针对性的干预措施至关重要.
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