埃塞俄比亚产前护理服务的有效覆盖:基于人口的横截面研究
Zewditu Abdissa1,2,3, Kassahun Alemu4, Seblewengel Lemma5,6
1Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. zewditudenuabdissa@gmail.com.
BMC pregnancy and childbirth
|April 27, 2024
概括
埃塞俄比亚的有效产前护理 (ANC) 覆盖率很低,只有12%的妇女获得优质服务. 提高服务质量和提高妇女意识对于更好的ANC采用和完成至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 产前护理 (ANC) 对于安全的孕产妇和生殖健康至关重要.
- 虽然在埃塞俄比亚,ANC的访问覆盖率有所增加,但有效的覆盖需要进一步调查.
- "有效覆盖率"将需求,利用率和质量整合为一个全面的卫生系统绩效衡量标准.
研究的目的:
- 测量埃塞俄比亚有效的产前护理覆盖率.
- 识别ANC服务提供和质量的差距.
主要方法:
- 一种两阶段的集群采样方法调查了埃塞俄比亚六个地区的2714名妇女 (15-49岁) 和462个卫生设施.
- 从2019年10月到2020年1月收集的数据.
- 通过评估四次或更多次ANC访问,设施准备,铁酸盐补充剂,破伤风疫苗接种和工艺质量来分析有效覆盖级联.
主要成果:
- 只有40%的女性有四次或更多的ANC访问,区域差异很大 (3%至74%).
- 平均设施准备率为70%,接种疫苗和铁酸盐补充剂覆盖率为26%,ANC工艺质量为64%.
- 经质量调整后的有效ANC覆盖率低至12%,分娩准备讨论得分最低.
结论:
- 埃塞俄比亚的有效ANC覆盖率非常低,主要是由于未充分完成推访问.
- 提高ANC服务质量对于提高采用率和完成率至关重要.
- 为了提高妇女对ANC福利的认识,也需要进行干预.
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