对尼泊尔新生儿即时护理准备和可用性的评估
Ranjan Dhungana1, Mala Chalise1, Robert B Clark2
1Children's Medical Mission, Kathmandu, Nepal.
Global health action
|December 12, 2023
概括
在尼泊尔,即时的新生儿护理干预显示出可用性和准备能力的差距,特别是在农村地区. 有针对性的培训计划显著改善了新生儿护理服务和设施准备,提高了新生儿生存率.
科学领域:
- 新生儿健康 新生儿健康
- 公共卫生干预 公共卫生干预
- 医疗保健设施评估的评估
背景情况:
- 全球新生儿死亡率仍然是一个关键问题,需要改善立即获得新生儿护理干预的机会.
- 尼泊尔在医疗保健设施内准备和可用性的基本新生儿护理服务存在显著差异.
研究的目的:
- 评估尼泊尔卫生机构即时新生儿护理准备和可用性的状态.
- 将已经实施新生儿复苏能力建设计划的设施与尚未实施的设施进行比较.
主要方法:
- 在尼泊尔的154个卫生设施中进行了一项观察性,横截面的研究.
- 数据收集涉及现场检查和母亲日志审查,以评估即时新生儿护理准备和可用性.
主要成果:
- 总体而言,即时新生儿护理干预的可用性为52.8%,准备率为79.6%. 干燥/包裹 (96%) 和复苏 (69.9%) 的得分较高,但延迟绳紧 (42.0%),皮肤接触 (28.6%) 和维生素K预防 (16.1%) 的得分较低.
- 设施准备在基础设施,医药,设备和人员培训方面很高,但新生儿复苏辅助设备 (28.8%) 却很低.
- 观察到差异,农村地区和马德什省的得分较低. 省级和私立医院的表现优于当地医院. 在LDSC/SSN指导计划显示,积极的关联与改善的准备和可用性.
结论:
- 在尼泊尔,医疗机构的准备和即时新生儿护理干预措施的实际可用性之间存在很大的差距.
- 解决差异,特别是农村和地方级设施的差异,对于改善新生儿存活率至关重要.
- 针对性的培训和指导计划,如LDSC/SSN倡议,对于提高新生儿护理服务和设施准备能力至关重要.
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