加纳围产死亡率的预测因素:系统审查协议
Damien Punguyire1, Gilbert Abotisem Abiiro2,3, Munawar Harun Koray4
1Upper West Regional Health Directorate, Ghana Health Service, Wa, Upper West Region, Ghana.
BMJ open
|September 30, 2024
概括
加纳的围产死亡率很高,阻碍了可持续发展目标. 本范围审查确定了导致这种公共卫生问题的倾向性,支持性和需要因素,旨在为干预措施提供信息.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 医疗保健利用情况 医疗保健利用情况
背景情况:
- 撒哈拉以南非洲地区面临着严重的公共卫生挑战,产后死亡率高,特别是在加纳.
- 实现2030年可持续发展目标的母亲和儿童健康受到加纳持续高高的围产死亡率的威胁.
- 现有的加纳围产死亡率研究缺乏全面的多因素分析.
研究的目的:
- 进行范围审查,绘制加纳围产死亡率预测因素的地图.
- 通过安德森的医疗保健利用框架分析倾向因素 (人际关系,社会结构,健康信仰).
- 评估支持因素 (医疗保健,社会支持,健康素养) 和需要因素 (孕产妇和胎儿状况),识别知识差距.
主要方法:
- 根据"科克莱恩手册"为指导的系统审查.
- 在PubMed,科学网,Scopus和CINAHL数据库中进行搜索.
- 包括2000年1月至2024年6月的英语语言研究,综合基于安德森框架的发现.
主要成果:
- 识别人际关系,社会结构和健康信仰因素作为诱导影响.
- 评估获得医疗保健,社会支持和健康素养作为关键推动因素.
- 概述母亲和胎儿状况作为影响围产死亡率的关键需求因素.
结论:
- 本综述提供了加纳围产死亡率的多因素预测因素的全面地图.
- 调查结果突出了针对性干预措施的领域,以减少围产死亡率和改善母亲和儿童健康结果.
- 该研究确定了关键的知识差距,以告知未来的研究和政策制定.
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