在尼日利亚西北部的吉加瓦州,基本的紧急产科和新生儿护理的地理空间分布,可访问性和利用
Zaharaddeen Shuaibu Babandi1,2, Suleiman Usman2, Bilkisu Gulma Abubakar3
1Department of Community Medicine, Ahmadu Bello University Zaria, Nigeria.
概括
吉川州的基本紧急产科和新生儿护理 (BEmONC) 服务在地理上是可访问的,但利用率仍然很低. 提高认识和运输是减少孕产妇死亡率的关键.
科学领域:
- 公共卫生 公共卫生
- 地理信息系统 (GIS) 是指地理信息系统.
- 孕产妇健康 孕产妇健康
背景情况:
- 高产妇死亡率仍然是一个关键问题,特别是在发展中国家.
- 基本紧急产科和新生儿护理 (BEmONC) 服务的可用性和利用对于降低孕产妇发病率和死亡率至关重要.
研究的目的:
- 确定BEMONC服务在吉川州的地理空间分布.
- 评估吉川州妇女在BEmONC服务的可访问性和使用情况.
主要方法:
- 一项横截面研究采用了世卫组织的"30×7"集群采样和两阶段采样.
- 全球定位系统 (GPS) 用于收集15个初级医疗保健设施 (PHCF) 和630个家庭的地理坐标.
- 数据分析使用了IBM SPSS版本25和Arc GIS版本10.6.
主要成果:
- 在BEmONC的设施中,LGA的分布分散,其中71.9%的受访者在5公里半径内.
- 只有27%的受访者在产科并发症时使用BEmONC服务.
- 居住在5公里范围内,以及使用自行车,汽车或三轮车进行交通是BEmONC利用的重要预测因素.
结论:
- 尽管物理可访问性很好,但吉川州的BEmONC服务利用率很差.
- 距离和运输方式对BEmONC服务的利用有很大影响.
- 吉川州政府应加强宣传活动,实施紧急运输计划,以提高BEMONC的利用率.
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