评估澳大利亚的怀孕前健康状况,以支持在最初2000天内获得更好的结果 - 建立核心指标框架的关键需求
Asvini K Subasinghe1, Kirsten I Black2,3, Edwina Dorney2
1Department of Health Systems and Equity, Eastern Health Clinical SchoolMonash University, Melbourne, Victoria, Australia.
概括
澳大利亚缺乏关键的孕前健康指标的国家数据,影响母亲和儿童的福祉. 改善数据链接和国家框架对于监测妇女至关重要.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 理想的母亲和孩子的结果取决于怀孕前的健康状况.
- 澳大利亚预孕健康网络在2021年制定了核心指标.
- 现有的围产期数据库进行了审计,以检查指标数据的可用性.
研究的目的:
- 审计澳大利亚围产期数据库,查找怀孕前健康核心指标数据.
- 评估七个关键健康领域的数据可用性.
- 识别与怀孕前健康相关的数据收集的差距.
主要方法:
- 进行了州和地区围产期数据库的审计.
- 与收集的数据对比,绘制了七个怀孕前的健康领域.
- 确定了缺少的数据,特别是健康的社会决定因素.
主要成果:
- 在所有七个健康领域都缺乏预孕前核心指标数据.
- 对于健康指标的社会决定因素,发现了显著的数据缺口.
- 目前收集的数据不足以用于国家妊娠前健康监测.
结论:
- 由于数据不足,国家对妇女妊娠前健康状况的监测受到阻碍.
- 为了全面的监督,需要加强数据链接.
- 建议为持续监测制定一个基于证据的国家框架.
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