增加机构分娩和儿童免疫覆盖率,通过在阿富汗进行基于认可调查的社区对话干预
Shafiqullah Hemat1,2, Sharifullah Alemi1, Sadia Ahmady2
1Department of Global Health Entrepreneurship, Division of Public Health, Tokyo Medical and Dental University, Tokyo, 113-8510, Japan.
Public health in practice (Oxford, England)
|October 20, 2023
概括
一项赞赏性调查干预显著提高了阿富汗的机构分娩和儿童免疫率. 这种社区对话方法在改善一个充满挑战的地区的母亲和儿童健康结果方面被证明是有效的.
科学领域:
- 全球健康 全球健康
- 公共卫生干预 公共卫生干预
- 孕产妇和儿童的健康
背景情况:
- 改善孕产妇和儿童健康状况仍然是一个全球性的挑战,特别是在资源有限和难以到达的地区.
- 阿富汗在获得医疗保健方面面临重大障碍,影响了机构分娩和儿童免疫覆盖率.
研究的目的:
- 通过欣赏性调查方法评估社区对话干预的有效性.
- 评估干预对机构分娩和阿富汗坎大哈儿童免疫覆盖率的影响.
主要方法:
- 在坎大哈的选定的地区进行了干预前后评估研究.
- 分析了基线1046名儿童和干预后927名儿童的数据,重点关注机构分娩和免疫状态.
- 为了确定干预的影响,使用了干预净效应和差异差异 (DID) 分析.
主要成果:
- 干预区的机构分娩率上升了41.9%,而非干预区的分娩率下降了41.9%.
- 12-23个月和24-35个月的儿童的完整免疫覆盖率显著增加 (净效应分别为59.1%和44.8%).
- 抗原特异性免疫覆盖率也显示在干预区域显著增加.
结论:
- 基于认真调查的社区对话干预有效地改善了机构分娩和儿童免疫覆盖率.
- 这种方法甚至在具有挑战性的,难以到达的地理环境中也取得了成功.
- 这些发现突显了社区驱动干预措施在增强母婴健康服务方面的潜力.
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