埃塞俄比亚产前护理质量的评估:利用服务提供评估数据进行基于设施的研究
Addisu Alehegn Alemu1,2, Alec Welsh3,4, Theodros Getachew5,6
1College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
PloS one
|January 17, 2025
概括
埃塞俄比亚的产前护理 (ANC) 质量低于最佳水平,区域和设施类型的差异很大. 改善ANC需要早期启动,使用附近设施,并进行标准化的提供者培训.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 医疗保健质量评估 医疗保健质量评估
背景情况:
- 在低收入和中等收入国家,产前护理 (ANC) 覆盖率有所增加.
- 仅仅增加ANC覆盖范围并不能保证改善母亲和新生儿健康结果.
- ANC服务的质量和全面性对于有效性至关重要.
研究的目的:
- 评估埃塞俄比亚产前护理 (ANC) 服务的质量.
- 确定与提供ANC质量相关的因素.
主要方法:
- 在2021-2022年埃塞俄比亚服务提供评估调查中利用了2,042名孕妇和1,158家医疗保健机构的数据.
- 评估了ANC的24个组件,以生成总质量得分 (0-24).
- 采用多重通用波桑回归模型来分析影响因素.
主要成果:
- 平均ANC质量评分为11 (SD:3.8),表明质量不足于最佳.
- 血压测量是常见的 (79.5%),而乳腺癌查是罕见的 (3.3%).
- 在阿姆哈拉和南方国家地区观察到更高的ANC质量,以及由女性医疗保健工作者提供. 农村设施,诊所,卫生站的质量下降,在第一次访问时怀孕年龄较晚,以及非附近设施.
结论:
- 埃塞俄比亚产前护理 (ANC) 的整体质量低于最佳标准.
- 提高ANC质量的策略包括鼓励早期启动和使用当地设施.
- 标准化的提供者培训,监督,持续教育和资源可用性是必不可少的.
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