埃塞俄比亚孕产妇死亡监测和应对系统的实施情况:来自国家一级系统评估证据
Neamin Tesfay1, Alemu Zenebe1, Zewdnesh Dejene1
1Ethiopian Public Health Institute, Centre of Public Health Emergency Management, Addis Ababa, Ethiopia.
PloS one
|December 3, 2024
概括
埃塞俄比亚的孕产妇死亡监测和应对 (MDSR) 系统的实施不足以达到最佳水平,核心功能被评为不起作用. 加强社区参与和监测对于改善孕产妇健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 孕产妇健康 孕产妇健康
背景情况:
- 2014年,产妇死亡监测和应对 (MDSR) 被整合到埃塞俄比亚现有的综合疾病监测和应对 (IDSR) 系统中.
- 尽管MDSR系统在政策信息化方面具有价值,但其实施状态尚未在国家范围内进行评估.
研究的目的:
- 对埃塞俄比亚的孕产妇死亡监测和应对 (MDSR) 系统进行国家级评估.
- 评估卫生设施中MDSR系统实施的水平和状态.
主要方法:
- 2020年进行了一项全国横截面研究,涉及629个卫生设施,采用多阶段采样方法.
- 一个经过修改的WHO/CDC工具评估了系统组件 (结构,核心,支持,属性),得分基于埃塞俄比亚公共卫生研究所的指标.
- 产妇死亡监测和响应绩效指数 (MDSRPI) 是使用五个绩效指标计算的.
主要成果:
- 对MDSR实施的整体准备度得分为44.9%,表明系统功能不佳.
- 核心功能 (20.0%) 和辅助功能 (38.4%) 分别被评为不起作用和功能较差.
- 与奥罗米亚,阿姆哈拉和SNNPR相比,提格雷地区的准备程度 (54.8%) 显著更高. 二级设施的得分高于初级设施.
结论:
- 埃塞俄比亚国家MDSR系统的实施程度不够理想,区域差异很大.
- 关键的挑战包括代表性低,完整性和社区参与.
- 建议改善社区监督,增强所有系统组件,并整合数据源以提高性能.
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