孕产妇死亡率估计方法:范围审查和适合在人道主义环境中使用的评估
Blake Erhardt-Ohren1, Sandra I McCoy2, Dennis M Feehan3
1Bixby Center for Population, Health and Sustainability, School of Public Health, University of California, Berkeley, Berkeley, USA. berhardt-ohren@berkeley.edu.
Conflict and health
|December 20, 2024
概括
估计难民环境中的孕产妇死亡率是具有挑战性的. 基于医院和社区的方法最适合这些人群.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 生殖健康 生殖健康
背景情况:
- 孕产妇死亡率是可持续发展目标的一个关键指标.
- 在全球范围内,每两分钟就会发生可预防的孕产妇死亡.
- 在难民和国内流离失所者 (IDP) 环境中估计孕产妇死亡率缺乏可靠的方法.
研究的目的:
- 确定和评估估计难民和境内流离失所者环境中的孕产妇死亡率的方法.
- 评估现有的适应方法在人道主义环境中的适应性.
- 确定最好的方法来估计由于流离失所人口中堕胎并发症的孕产妇死亡率.
主要方法:
- 对124篇关于估计产妇死亡率方法的出版物进行了范围审查.
- 根据11个标准评估了9种方法,包括数据来源,成本和实施时间.
- 方法根据其适用于难民和国内流离失所者营的适用性进行排名,得分高达44分.
主要成果:
- 报告员产妇死亡/产妇死亡随访审查 (MADE-IN/MADE-FOR),医院或机构和社区信息员的方法取得了最高的分数 (33.5,33.5和32.5).
- 这些排名最高的方法的特点是成本低,实施时间短,样本小,数字化容易.
- 这些领先的方法不需要任何统计培训.
结论:
- 没有单一的方法是完美的估计在人道主义环境中产妇死亡率;妥协是必要的.
- 基于MADE-IN/MADE-FOR,基于医院和基于社区的方法显示出适应难民和境内流离失所者营地的限制的希望.
- 进一步开发适应的方法对于改善危机影响人口的孕产妇死亡率估计至关重要.
关键词:
堕胎 堕胎 堕胎捕获重新捕获的捕获估计 估计 估计强迫流离失所的人.产妇死亡率 产妇死亡率测量方法 测量方法多个系统估计估计.拉莫斯 (Ramos) 的意思是拉莫斯.难民是一个难民.生殖年龄死亡率调查.终止怀孕的方法 终止怀孕的方法更多相关视频
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