改善在低收入和中等收入国家获得紧急产科护理的机会
1Faculty of Health Sciences, Department of Obstetrics and Gynaecology, University of the Witwatersrand, Johannesburg, South Africa; Department of Obstetrics and Gynaecology, Charlote Maxeke Johannesburg Academic Hospital, Gauteng Department of Health, Johannesburg, South Africa.
Best practice & research. Clinical obstetrics & gynaecology
|December 12, 2024
概括
尽管产妇死亡率有所下降,但仍然存在,每天有800人因妊娠并发症死亡,主要是在低收入和中等收入国家 (LMICs). 投资紧急产科护理 (EmOC) 对于降低死亡率和实现可持续发展目标至关重要.
科学领域:
- 全球健康 全球健康
- 产科和妇科 产科和妇科
- 公共卫生政策 公共卫生政策
背景情况:
- 孕产妇死亡率仍然是一个重大的全球卫生挑战,在2000年至2020年期间,每天约有800人死于与怀孕有关的并发症.
- 低收入和中等收入国家 (LMICs),特别是撒哈拉以南非洲 (SSA),承受着最大的负担,面临着高达40分之一的母亲死亡率的终身风险.
- 尽管全球健康状况下降,但仍需要采取紧急干预措施,以解决孕产妇健康状况持续差异的问题.
研究的目的:
- 分析阻碍LMICs获得紧急产科护理 (EmOC) 的多方面的障碍.
- 提出基于证据的解决方案,以改善EMOC的可访问性和减少孕产妇死亡率.
- 为实现与孕产妇健康相关的可持续发展目标 (SDGs) 的政策和实践提供信息.
主要方法:
- 利用Thaddeus和Maine已经建立的三次延迟模型,系统地检查对EmOC的障碍.
- 在寻求和接受产科护理的不同阶段对障碍进行定性分析.
- 综合了有关LMICs的EmOC挑战的现有文献和数据.
主要成果:
- 识别了在识别产科紧急情况,寻求护理和获得及时和适当的EMOC干预方面存在的重大延迟.
- 突出系统性问题,包括医疗保健基础设施不足,劳动力短缺,财务限制和社会文化因素作为关键障碍.
- 揭示了在LMICs内EmOC访问的显著地理和社会经济差异.
结论:
- 紧急产科护理 (EmOC) 是减少全球孕产妇死亡率的最有效策略.
- 通过有针对性的干预措施解决发现的延迟对于改善孕产妇存活率至关重要.
- 对EMOC基础设施,医疗保健劳动力和卫生系统加强的战略投资对于LMICs实现全球孕产妇健康目标至关重要.
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