在2021年津巴布韦马孔德区对产妇死亡监测和应对系统的评估
Tsitsi Brenda Makanyanga1,2, Bernard Madzima2, More Mungati3
1Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, University of Zimbabwe, Harare, Zimbabwe.
PloS one
|July 1, 2024
概括
马孔德的孕产妇死亡监测和应对系统被发现是可以接受的,但面临着及时性和完整性的挑战,阻碍了减少孕产妇死亡率的努力.
科学领域:
- 公共卫生监督 公共卫生监督
- 孕产妇健康 孕产妇健康
- 医疗保健系统评估 医疗保健系统评估
背景情况:
- 孕产妇死亡率仍然是一个全球卫生危机,每天有近800人死于可预防的并发症.
- 孕产妇死亡监测和应对 (MDSR) 系统对于降低孕产妇死亡率至关重要.
- 马孔德区在2021年报告了高的孕产妇死亡率 (275/100,000),只有62%的死亡被审计.
研究的目的:
- 评估马孔德区孕产妇死亡监测和应对 (MDSR) 系统的表现.
- 确定影响MDSR系统在降低孕产妇死亡率方面的有效性因素.
主要方法:
- 根据CDC关于公共卫生监测评估的指导方针进行了一项描述性的横截面研究.
- 通过采访员管理的79名卫生工作者问卷和对产妇死亡通知表格的审查来收集数据.
- 评估的关键绩效指标包括卫生工作者知识,系统有用性,及时性,完整性和稳定性.
主要成果:
- 总体而言,卫生工作者对MDSR系统的了解很好 (77.2%).
- 经过审计的大量孕产妇死亡 (93%) 是由于可避免的原因造成的.
- 该系统在及时性,稳定性和完整性方面存在弱点,只有21%的设施显示了反和共享信息的证据.
结论:
- 马孔德的MDSR系统是可以接受和简单的,但需要在及时性,稳定性和完整性方面进行改进.
- 电子健康记录的不足使用,繁重的工作负载和数据管理不佳阻碍了系统性能.
- 建议包括任命一个MDSR联络人,改善审计分钟共享,加强数据管理实践.
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