马里巴马科的孕产妇和新生儿护理覆盖范围和内容的趋势,马里,马里
Mariam Traoré1, Djeneba Coulibaly2,3, Fatou Diawara2,3
1National Institute of Public Health of Mali, Bamako, Mali. drguindomariam@gmail.com.
巴马科的孕产妇和新生儿保健服务显示出差异,贫困和移民妇女面临减少对护理的机会. 这些因冲突而加剧的不平等,凸显了有针对性的卫生计划的必要性.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 人口统计学 人口统计学
背景情况:
- 马里城市中心的孕产妇和新生儿卫生服务覆盖率不均.
- 贫困,城市移民和自2012年以来的安全危机加剧了这些差距.
研究的目的:
- 分析巴马科的孕产妇和新生儿护理覆盖率的趋势和差异.
- 根据贫困和移民状况来确定获取机会的差异.
主要方法:
- 来自马里人口和健康调查 (2001-2018) 的二次数据的分析.
- 对产前护理,分娩护理和产后护理指标的检查.
主要成果:
- 在非贫困/非移民妇女和贫困/移民妇女之间,在产前和分娩护理方面存在显著的接入差距.
- 随着时间的推移,差距越来越大,特别是在产前访问 (ANC 4+) 和分娩护理方面,移民状况显示出更大的差异.
- 虽然非贫困妇女的剖腹产率较高,但贫困新生儿获得的产后护理更多.
结论:
- 巴马科对母亲和新生儿健康的高整体覆盖率掩盖了城市内部显著的不平等.
- 贫困和最近移民的妇女面临着不利条件,部分原因是冲突和安全问题.
- 重新定义健康计划以准这些弱势群体对于公平至关重要.
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