在低收入和中等收入国家使用清洁配送套件:系统性审查和元分析
Natnael Atnafu Gebeyehu1, Yibeltal Assefa Atalay2, Kirubel Dagnaw Tegegne3
1School of Midwifery, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia. jossyatnafu2020@gmail.com.
BMC pregnancy and childbirth
|November 28, 2024
概括
清洁分娩套件 (CDK) 对于健康的分娩至关重要,但低收入和中等收入国家的数据很少. 这项研究估计CDK在这些地区的使用率为54%,突显了改善医疗保健策略的需要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 清洁分娩套件 (CDK) 对于改善分娩结果至关重要.
- 在低收入和中等收入国家 (LMICs) 中CDK利用的代表性数据有限.
- 本研究通过估计LMIC中CDK使用的总体流行率来解决数据缺口.
研究的目的:
- 确定在低收入和中等收入国家使用的清洁配送套件的整体比例.
- 确定影响这些地区使用CDK的因素.
主要方法:
- 在主要的科学数据库 (Science Direct,Scopus,Google Scholar,EMBASE,PubMed) 中进行了全面的文献审查.
- 使用Microsoft Excel进行数据提取,使用STATA进行统计分析.
- 使用I平方统计数据评估异质性,使用DOI Plots评估出版偏差. 根据样本大小,出版年份和研究设计进行了子组分析.
主要成果:
- 十二项研究,包括19889名参与者,符合纳入标准.
- 在LMICs中,使用清洁交付套件的综合比例为54% (95% CI: 31.60, 76.82).
- 根据研究设计 (截面:54.29%,队列:72.37%),样本大小 (<500:60.28%,>500:45.75%) 和出版年份 (2010年后:62.53%,2010年之前:48.25%) 的不同,CDK的使用有所不同.
结论:
- 据估计,在低收入和中等收入国家使用清洁配送套件的总体比例为54%.
- 医疗保健系统需要实施有针对性的战略,以加强CDK的采用和利用.
- 进一步的研究可能会探索具体的干预措施,以改善LMIC中CDK的访问和一致使用.
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