绘制非洲卫生服务覆盖率不平等的地图:一个范围审查
Humphrey Cyprian Karamagi1, Doris Osei Afriyie2,3, Ali Ben Charif4
1World Health Organization Regional Office for Africa, Brazzaville, Congo karamagih@gmail.com.
BMJ open
|November 24, 2024
概括
本次审查揭示了非洲各个社会群体在医疗服务方面的重大不平等,突出了需要更广泛的公平评估的需要. 解决这些差异对于实现全民健康覆盖 (UHC) 至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在非洲,医疗服务覆盖率的不平等仍然存在.
- 为了全面了解这些差异,需要检查多个社会分层.
研究的目的:
- 巩固关于非洲卫生服务覆盖率不平等的证据.
- 提供对不平等维度的整体理解,使用全方位健康覆盖 (UHC) 的综合分层.
主要方法:
- 根据乔安娜·布里格斯研究所"证据综合手册"进行了范围审查.
- 在多个数据库中搜索了关于非洲生殖,孕产妇,新生儿和儿童健康 (RMNCH),传染病和非传染病 (2005-2022) 的不平等现象的实证研究.
- 数据被提取并以叙事方式合成,将发现与 PROGRESS-Plus 分层器进行映射,并将定量结果分类为"支持股权","反股权"或"平等".
主要成果:
- 包括178项研究,其中大多数是在过去5年发表的.
- 社会经济地位,年龄,教育程度和居住地是最常被评估的不平等分层因素.
- 在各种分层和服务中发现了显著的不平等,随着时间的推移出现了不一致的趋势.
结论:
- 需要检查服务覆盖范围的公平性,超越传统的社会群体和各种健康状况.
- 使用多样化的研究方法对于识别差异和护理障碍至关重要.
- 解决知识差距将支持未来的研究和卫生系统改革,以实现UHC目标.
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