2022年尼日尔的堕胎后护理的可用性,准备性和可访问性:2022年尼日尔的堕胎后护理的可用性,准备性和可访问性:2022年尼日尔的堕胎后护理的可用性,准备性和可访问性:2022年尼日尔的堕胎后护理的可用性,准备性和可访问性:2022年
Haley L Thomas1, Souleymane Alzouma2, Sani Oumarou2
1Department of Population, Family and Reproductive Health, Johns Hopkins University Bloomberg School of Public Health, 615 N. Wolfe Street., Baltimore, MD, 21205, USA. hthoma29@jh.edu.
尼日尔的堕胎后护理 (PAC) 服务不足,设施的可用性和准备能力较低. 获得基本的PAC服务仍然不足,特别是在综合护理方面,这影响了孕产妇的健康结果.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 生殖健康 生殖健康
背景情况:
- 堕胎后护理 (PAC) 是紧急产科护理的重要组成部分,但在尼日尔仍然缺乏研究.
- 评估基于设施的PAC服务的可用性,准备性和可访问性对于改善孕产妇健康结果至关重要.
研究的目的:
- 评估尼日尔以设施为基础的流产后护理 (PAC) 服务的可用性,准备程度和可访问性.
- 识别PAC服务供应中的差距,并为改善孕产妇健康的干预提供信息.
主要方法:
- 利用来自尼日尔行动绩效监测的女性和设施数据,将全国代表性的女性样本 (n=3,696) 与258个公共和私人设施联系起来.
- 使用基本和全面PAC的信号功能框架评估了PAC的可用性和设施准备情况.
- 通过确定在提供PAC服务的设施5公里范围内居住的妇女的比例来计算地理可访问性.
主要成果:
- 只有36.4%的设施满足了基本的PAC信号功能,14%满足了全面的PAC信号功能,其中氧化剂和腹腔切除术是最常见的缺失组件.
- 私人设施对全面的PAC服务的准备程度较低.
- 虽然47%的妇女住在任何PAC设施5公里以内,但只有33.4%和7.9%的妇女可以获得基本和全面的PAC. 城市居住和高等教育水平与更好的获取相关.
结论:
- 在尼日尔,堕胎后护理 (PAC) 的可用性,准备和可访问性不足,对母亲的健康构成风险.
- 建议包括确保基本商品库存和加强初级设施的PAC服务,以减轻不安全堕胎的负面影响.
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