生活在主要城市是否有利于索马里的机构交付?
Naima Said Sheikh1, Ahmed M Hussein2, Shukri Said Mohamed2
1Department of Public Health Science, Norwegian University of Life Sciences, Ås, Norway.
Frontiers in global women's health
|August 9, 2024
概括
索马里机构分娩率很低,许多妇女因知识不足,缺乏产前护理和距离而在家分娩. 改善健康教育和获得免费服务对于减少孕产妇死亡率至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 机构分娩是减少发展中国家孕产妇死亡率的经过验证的干预措施.
- 索马里机构医疗率低 (32%),大多数医疗设施集中在主要城市.
- 了解基于设施的分娩障碍对于改善索马里母亲的结果至关重要.
研究的目的:
- 调查阻碍妇女在索马里主要城市的医疗机构分娩的因素.
- 确定索马里家庭分娩与机构分娩相关的关键决定因素.
主要方法:
- 在索马里11个主要城市 (2021年10月至12月) 进行的一项基于社区的健康调查.
- 从430名女性中采集数据,使用结构化问卷;采用了方便的抽样.
- 进行描述性统计和后勤回归分析 (二进制和多变量) 来评估关联.
主要成果:
- 总体而言,机构分娩的发病率为57%,摩加迪沙为38%,其他城市为53%.
- 缺乏对医院分娩的重要性的了解 (AOR 3.64),没有接受产前护理 (AOR 2.5) 和缺乏分娩地点咨询 (AOR 2.15) 显著增加了家庭分娩的几率.
- 家庭分娩的主要原因包括财务限制,距离设施很远以及家庭分娩的感知方便.
结论:
- 索马里主要城市的家庭分娩率仍然很高,这与缺乏健康教育和进入障碍有关.
- 建议加强初级医疗保健信息,教育和沟通 (IEC) 活动.
- 建议政府考虑为弱势妇女提供免费,可访问的产前护理和设施供应.
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