乌干达死产的趋势和地理空间分布,2014-2020年
Petranilla Nakamya1,2, Allan Komakech3, Stella M Migamba3
1Uganda National Institute of Public Health, Kampala, Uganda. nakamyapetra@musph.ac.ug.
BMC pregnancy and childbirth
|April 8, 2024
概括
乌干达 乌干达 乌干达 乌干达
科学领域:
- 公共卫生 公共卫生
- 产科和妇科 产科和妇科
- 流行病学 流行病学
背景情况:
- 乌干达面临着高死亡出生率,在2021年每1000次分娩中有17.8例死亡.
- 该国于2014年通过了世界卫生组织的"每一个新生儿行动计划" (ENAP),该计划的目标是到2035年,每1000次分娩中少于10例死产.
- 自ENAP实施以来,死产负担的趋势需要调查.
研究的目的:
- 评估2014年至2020年乌干达死胎的时间和空间分布.
- 为改善孕产妇和新生儿安全的规划提供信息.
主要方法:
- 来自地区卫生信息系统 (2014-2020) 的死产监测数据的分析.
- 生死胎的定义:胎儿在妊娠28周后死亡或体重超过1000克.
- 用逻辑回归来进行趋势分析,计算区,区域和国家一级每年死产发病率.
主要成果:
- 尽管报告率下降 (71%至46%),但全国每年死产发病率从2014年的24/1000下降到2020年的17/1000,尽管报告率下降了 (71%至46%).
- 中部地区始终显示出最高的发病率,而东部地区的下降速度最慢.
- 穆本德,卡兰加拉,霍伊马和内比等地区持续记录高死胎率 (>30/1,000).
结论:
- 乌干达的死胎发病率仍然高于国家目标,即使数据报告不足.
- 某些地区和地区出现不成比例的高死胎率,需要有针对性的干预措施.
- 建议包括持续建立管理孕妇的能力,专注于高负担领域,并调查报告不足的问题.
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