2011-2020年32个中低收入国家的产妇死亡监测和应对系统报告:我们可以从报告中学到什么?
Lillian Whiting-Collins1, Florina Serbanescu1, Ann-Beth Moller2
1Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta Georgia, United States of America.
低收入和中等收入国家的产妇死亡监测和应对 (MDSR) 报告显示内容和数据完整性存在显著差异. 标准化这些报告对于提高问责制和预防产妇死亡的有效性至关重要.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 卫生系统研究 卫生系统研究
背景情况:
- 孕产妇死亡监测和应对 (MDSR) 系统对于减少可预防的孕产妇死亡率至关重要.
- 现有的MDSR报告在不同国家和时间之间缺乏可比性,这阻碍了有效的分析和行动.
- 全球MDSR指导已经发展到包括更广泛的系统组件,而不仅仅是审查.
研究的目的:
- 检查低收入和中等收入国家 (LMICs) MDSR报告的核心内容.
- 确定在MDSR系统中监控数据收集和传播的改进领域.
- 评估MDSR报告如何更好地指导减少孕产妇死亡率的建议和行动.
主要方法:
- 来自32个LMIC的56份MDSR报告的演性内容分析.
- 编码书的开发,以评估系统的实施,通知/审查监测,以及响应的制定/实施.
- 分析的重点是数据的完整性,通报率,审查的完成和行动的证据.
主要成果:
- 报告内容和数据完整性的显著变化被观察到.
- 许多报告 (59%) 表示未完全捕捉所有产妇死亡.
- 根据先前的建议采取行动的证据基本上不存在 (71%的后续报告).
结论:
- 目前的MDSR报告在内容和响应努力的文件方面有所不同.
- 综合和标准化的报告可以提高问责制和有效性.
- 建议采用标准化报告模板,以提高数据质量,可比性和用于预防孕产妇死亡的利用率.
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