在受危机影响的环境中实施母婴死亡监测和应对的复杂性:一个比较的案例研究
Meighan Mary1,2,3, Hannah Tappis4,5,6, Elaine Scudder7
1International Health Department, Bloomberg School of Public Health, Johns Hopkins University, 615 N Wolfe St, Baltimore, MD, 21205, USA. mmary1@jhu.edu.
Conflict and health
|July 15, 2024
概括
在人道主义环境中实施母婴死亡监测和应对 (MPDSR) 需要适应独特的上下文因素. 成功的MPDSR依赖于资源的可用性,支持性的实施气候,以及改善孕产妇和产周护理的社区参与.
科学领域:
- 全球健康 全球健康
- 公共卫生监督 公共卫生监督
- 人道主义医学 人道主义医学
背景情况:
- 孕产妇和产周死亡监测和应对 (MPDSR) 系统对于了解和预防孕产妇和产周死亡至关重要.
- 尽管存在诸如服务中断,不安全和资源短缺等挑战,但在人道主义背景下实施的研究不足.
研究的目的:
- 调查背景因素如何影响在五个人道主义环境中实施基于设施的MPDSR干预措施.
- 在受危机影响的地区确定有效的MPDSR的促进者和障碍.
主要方法:
- 在孟加拉国,乌干达,南苏丹,巴勒斯坦和也门的描述性案例研究.
- 对MPDSR文档的桌面审查和76次关键告密者采访 (2021年12月至2022年7月).
- 面试成绩单的主题内容分析,以评估采用,透,可持续性和忠诚度.
主要成果:
- 在五个人道主义环境中,MPDSR的实施有很大差异.
- 资源的可用性,实施气候和卫生系统动态影响了采用和忠诚度.
- 人们注意到一种普遍的责怪文化;成功实施涉及质量改进,整合,社区参与和特定环境的适应.
结论:
- 人道主义环境需要定制的MPDSR方法,以适应紧急危机需要和利益相关者的优先事项.
- 有效的MPDSR实施必须支持弱势群体的卫生工作者和应急人员.
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