一个复合指数;社会经济贫困和生殖和孕产妇健康干预措施的覆盖范围
Leonardo Z Ferreira1, Fernando C Wehrmeister1, Jakob Dirksen2
1International Center for Equity in Health, Universidade Federal de Pelotas, R. Marechal Deodoro 1160, Centro, Pelotas, Brazil.
社会经济贫困与低收入和中等收入国家的生殖和孕产妇健康干预覆盖率较低有关. 对于熟练的助产士来说,差异最为显著,需要有针对性的干预.
科学领域:
- 全球健康 全球健康
- 健康 公平 卫生 公平
- 健康的社会经济决定因素
背景情况:
- 生殖和孕产妇健康干预措施对于减少死亡率和发病率至关重要.
- 社会经济地位显著影响健康结果和获得护理.
- 了解干预覆盖范围的不平等对于有针对性的公共卫生战略至关重要.
研究的目的:
- 分析生殖和孕产妇健康干预覆盖范围中的社会经济不平等.
- 为此分析,使用社会经济贫困状况的综合指数.
- 检查低收入和中等收入国家和地区的这些差异.
主要方法:
- 来自国家家庭调查 (2015-2019) 的数据被用于计算社会经济贫困.
- 评估了三个关键干预措施的覆盖范围:计划生育的满意度,产前护理访问和熟练的助产士.
- 使用斜率和度指数评估绝对和相对不平等.
主要成果:
- 在低收入国家 (中位数为41%) 和中低收入国家 (中位数为11%) 观察到更高的贫困比例.
- 贫困家庭对所有评估的健康干预措施的平均覆盖率始终较低.
- 在分娩时,熟练的护理人员显示了最严重的不平等,贫困人口的覆盖率明显较低.
结论:
- 生殖和孕产妇健康干预覆盖率存在持续差异,特别影响社会经济上贫困人口.
- 需要努力减少这些不平等,并改善获得基本的孕产妇和生殖健康服务的机会.
- 提高熟练助产员的覆盖率是解决健康不平等问题的关键优先事项.
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