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在埃博拉后的背景下,与熟练分娩相关的趋势和因素:国土安全部几内亚2018年
Madeleine Toure1, Fanta Barry1, Tiany Sidibe1
1Center for Research in Reproductive Health in Guinea (CERREGUI), Conakry, Guinea.
Journal of public health in Africa
|February 19, 2025
概括
几内亚的熟练分娩率从2016年的61%下降到2018年的50%,强调需要加强埃博拉后的孕产妇健康干预措施. 教育和地理位置等因素影响了熟练分娩的结果.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 流行病学 流行病学
背景情况:
- 2013-2015年埃博拉疫情严重影响了几内亚的孕产妇医疗保健利用率.
- 埃博拉后期的熟练分娩率需要进一步的文件.
研究的目的:
- 分析2016年至2018年几内亚15-49岁妇女熟练分娩的趋势.
- 在埃博拉后的背景下,确定与熟练分娩出勤相关的因素.
主要方法:
- 在几内亚,分析了3018名年龄在15-49岁的妇女在2016-2018年间生育的数据.
- 利用简单的二进制物流回归来识别相关因素.
- 设置显著程度为 5%.
主要成果:
- 总体而言,熟练分娩的出席率为57.3%.
- 观察到下降趋势:2016年61%,2017年59%,2018年50% (p=0.003) 的情况.
- 与熟练分娩相关的因素包括更高的产前护理访问,而较低的教育,农村居住,较低的财富指数和特定的配偶职业与出席率的减少有关.
结论:
- 在几内亚,熟练分娩的比例在2016年至2018年之间呈现下降趋势.
- 必须加强加强孕产妇卫生系统加强干预措施,重点是农村地区的提供者保留和社区卫生工作者能力建设.
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