评估印度足够优质的产前护理及其决定因素
1International Institute for Population Sciences (IIPS), Mumbai, India. saifnihal.iips@gmail.com.
BMC pregnancy and childbirth
|October 25, 2024
概括
质量产前护理 (ANC) 在印度在2015-16年和2019-21年之间增加了适度的9%,只有32%的母亲得到了充分的护理. 主要障碍包括IFA平板电脑提供和咨询,强调需要改进内容和经验.
科学领域:
- 孕产妇和儿童的健康
- 公共卫生 公共卫生
- 医疗保健质量评估 医疗保健质量评估
背景情况:
- 产前护理 (ANC) 对于预防产妇和新生儿死亡率至关重要.
- 虽然印度的ANC覆盖率有所增加,但质量仍然是一个重大问题.
- 在有效的孕产妇和新生儿健康结果的覆盖范围之外,解决质量问题是必不可少的.
研究的目的:
- 检查2015-16年至2019-21年期间印度产前护理质量组成部分的变化.
- 确定与获得足够高质量的产前护理相关的因素.
- 分析足够高质量的产前护理的地理分布.
主要方法:
- 利用了印度国家家庭健康调查 (NFHS) 的两轮数据 (2015-16年和2019-21年).
- 定义高质量的产前护理,包括熟练的提供者,及时性,充足性和内容的适当性.
- 采用多变量多项逻辑回归来识别使用NFHS-5数据的足够质量的ANC决定因素.
主要成果:
- 2019-21年,只有32%的母亲获得了足够优质的产前护理,比2015-16年增加了9%的点.
- 获得足够质量的ANC的障碍包括提供铁和叶酸 (IFA) 药片和咨询.
- 充足质量的ANC利用率在南方州最高,随着妇女的教育,财富,医疗保险和大众媒体曝光而增加.
结论:
- 尽管覆盖率有所提高,但印度的产前护理质量仍然很低,需要紧急改进.
- 提高质量需要解决服务差距,改善对女性护理经验的衡量.
- 专注于内容的适当性和整体护理经验对于实现高质量的产前护理至关重要.
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