优化贝宁的急诊产科和新生儿护理网络,通过基于专家的分国家级优先级
Zeynabou Sy1,2, Yaniss Guigoz1,2, Michel Brun3
1GeoHealth Group, Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Frontiers in global women's health
|June 18, 2024
概括
贝宁优先考虑紧急产科和新生儿护理 (EmONC) 设施,改善人口获得基本的孕产妇健康服务. 该战略的目标是有限的资源,以提高功能和减少孕产妇死亡率.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 地理信息系统 (GIS) 是指地理信息系统.
背景情况:
- 到2030年减少孕产妇死亡率需要在贝宁改善获得高质量的紧急产科和新生儿护理 (EmONC) 的机会.
- 基于专家的方法被用来识别和优先考虑EmONC产妇网络.
研究的目的:
- 确定和优先考虑EmONC分娩中心网络,以最大限度地提高人口覆盖率和功能.
- 为改善孕产妇医疗保健获取和质量的资源分配提供信息.
主要方法:
- 与国际,国家和部门的孕产妇健康专家进行了研讨会.
- 使用AccessMod软件进行地理可访问性建模,并结合了专家对旅行特征的见解,以实现现实的旅行时间估计.
- 在评估EmONC服务的可用性和地理可用性方面,同时也进行了评估.
主要成果:
- 从125个指定的设施中,优先选择了109个EmONC产科.
- 在距离EmONC产妇医院一小时车程内的全国人口覆盖率从92.6%增加到94.1%.
- 通过升级高原和大西洋部门的设施,实现了覆盖率的增加.
结论:
- 优先考虑的方法实现了最低的EmONC可用性,具有优良的地理可用性.
- 有限的资源可以针对更小,优先的设施网络,以提高功能.
- 该战略支持贝宁减少孕产妇死亡率和改善紧急产科和新生儿护理的目标.
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