评估撒哈拉以南非洲新生儿的产后护理:一项跨国分析
Habitu Birhan Eshetu1, Fantu Mamo Aragaw2, Wubshet Debebe Negash3
1Department of Health Promotion and Health Behavior, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
PloS one
|February 15, 2024
概括
撒哈拉以南非洲新生儿的产后护理 (PNC) 是不够的,只有23.51%的新生儿得到最佳护理. 诸如母亲的教育,财富和获得产前护理等因素影响了足够的PNC提供.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 人口统计学 人口统计学
背景情况:
- 优化产后护理 (PNC) 对于预防孕产妇和新生儿死亡率以及长期并发症至关重要.
- 撒哈拉以南非洲 (SSA) 面临着全球新生儿死亡率最高的地区.
- 在SSA中新生儿的适当PNC含量仍未得到充分探索,需要对影响因素进行研究.
研究的目的:
- 确定与撒哈拉以南非洲新生儿适当的产后护理 (PNC) 相关的个人和社区层面的因素.
- 为决策者和项目经理提供有关改善该地区新生儿PNC的有针对性的干预措施的信息.
主要方法:
- 从21个SAS国家的人口和健康调查的二次数据分析.
- 包括105,904名受访者的加权样本.
- 应用一个多层次的二元物流回归模型来确定重要的因素.
主要成果:
- 在SSA的新生儿中,在23.51%的病例中发现了足够的PNC.
- 具有足够的PNC的积极关联包括:母亲年龄≥35,更高的母亲教育水平,更高的财富地位,增加产前护理 (ANC) 访问 (1-7和8+),以及医疗机构的交付.
- 城市居住和低社区贫困也与足够的PNC有关,而居住在东非,中非或西非次区域的几率较低.
结论:
- 在SSA中新生儿足够PNC的患病率很低,需要紧急关注.
- 影响适当PNC的关键因素包括母亲的年龄,教育,财富,ANC的利用,分娩地点,居住地,社区贫困和次区域位置.
- 干预策略应优先加强弱势群体获得ANC服务的机会,以改善新生儿PNC.
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