低资源环境中的产前护理覆盖率:Birhan队列的估计
Clara Pons-Duran1, Delayehu Bekele1,2, Sebastien Haneuse3
1Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, United States of America.
PLOS global public health
|November 15, 2023
概括
埃塞俄比亚的产前护理 (ANC) 覆盖率在初次访问时很高,但在建议的四次或更多次访问时很低. 许多妇女在28周后停止护理,强调需要改进的保留策略.
科学领域:
- 孕产妇和儿童的健康
- 公共卫生 公共卫生
- 埃塞俄比亚的医疗保健系统
背景情况:
- 产前护理 (ANC) 覆盖率估计通常取决于自我报告的数据,引入潜在的偏见.
- 准确的ANC覆盖率和保留数据对于改善低资源环境中的孕产妇健康结果至关重要.
研究的目的:
- 利用前性收集的数据,估计埃塞俄比亚阿姆哈拉农村的ANC覆盖率和保留模式.
- 为了最大限度地减少与自我报告的ANC数据相关的偏见.
- 为提高ANC服务利用率和遵守国家指导方针的战略提供信息.
主要方法:
- 利用了Birhan队列研究 (2018年12月 - 2020年4月) 的纵向数据.
- 通过潜在的设施图表抽象和自我报告来衡量ANC访问.
- 包括2069名妇女,其中150名妇女的子集拥有完整的预期设施报告,用于早期怀孕入学.
主要成果:
- 在具有完整前性报告的女性中,97.3%参加了至少一次ANC访问,34.0%参加了四次或更多次访问.
- 总体而言,92.3%的人参加了至少一次ANC访问,而28.8%的人参加了四次或更多次访问.
- 没有女性参加了八次或更多的ANC访问,而70.3%的妇女在怀孕28-36周后停止了护理.
结论:
- 虽然ANC的初始访问率很高,但在阿姆哈拉农村,四次或更多次访问的覆盖率并不理想.
- 存在重大保留挑战,大多数女性在怀孕晚期停止ANC随访.
- 迫切需要进行干预,以改善ANC的持续参与,并与埃塞俄比亚至少八次访问的国家准则保持一致.
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