尼日利亚婴儿产后护理的覆盖范围和决定因素:基于人口的横截面研究
Bolaji Emmanuel Egbewale1,2, Olusola Oyedeji3, Jesse Bump1
1Department of Global Health and Population Takemi Program in International Health Harvard T. H. Chan School of Public Health Boston Massachusetts USA.
尼日利亚的婴儿产后护理 (PNC) 出勤率低至37.3%,设施交付是关键预测因素. 需要进行干预措施,以改善新生儿的生存率和获得必要的产后护理.
科学领域:
- 全球儿童健康 儿童健康
- 公共卫生干预措施 公共卫生干预措施
- 孕产妇和儿童的健康
背景情况:
- 尼日利亚面临着高负担的5岁以下儿童死亡率,许多死亡发生在新生儿期.
- 世界卫生组织建议婴儿产后护理 (PNC) 改善新生儿的生存率.
- 在包括尼日利亚在内的许多地区,PNC服务的低利用率是一个重大挑战.
研究的目的:
- 检查尼日利亚婴儿产后护理 (PNC) 的覆盖范围.
- 确定与婴儿PNC出席相关的个人级别决定因素.
主要方法:
- 利用了2018年尼日利亚人口健康调查 (NDHS) 的数据.
- 婴儿PNC定义为出生后2天内接受的护理.
- 使用修改后的波桑回归模型来估计PNC预测器的相对风险 (RR).
主要成果:
- 全国婴儿PNC覆盖率为37.3%,区域差异很大.
- 在医疗机构的分娩与PNC出席有很强的关联 (RR:6.07).
- 较高的母亲教育,就业,城市居住,女性家庭主管和财富增加与更大的PNC吸收有关.
结论:
- 尼日利亚婴儿PNC吸收率极低,需要紧急干预.
- 战略应侧重于促进公平获取和增加PNC服务需求.
- 解决社会经济和人口因素对于通过PNC提高新生儿生存率至关重要.
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