埃塞俄比亚机构交付服务利用的预测因素:一个总体审查
Kasiye Shiferaw1, Getahun Tiruye2, Habtamu Bekele3
1College of Health and Medical Sciences, School of Midwifery, Haramaya University, Harar, Ethiopia. sifkas.gem2@gmail.com.
BMC pregnancy and childbirth
|March 22, 2025
概括
埃塞俄比亚的母亲健康仍然是一个挑战,只有24%的妇女使用机构分娩服务. 影响这一点的关键因素包括妇女的教育,对母亲健康的积极态度,农村居住,接近设施和产前护理 (ANC) 后续.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 改善孕产妇健康是全球优先事项,但包括埃塞俄比亚在内的许多撒哈拉以南非洲国家仍在努力实现可持续发展目标.
- 产妇死亡率仍然很高,主要是由于可预防的劳动和分娩并发症.
- 埃塞俄比亚机构交付服务的低利用率与各种因素有关,现有文献显示出对预测因素的分歧.
研究的目的:
- 进行总体审查,以确定埃塞俄比亚机构交付服务利用的聚合预测因素.
- 综合来自系统审查和元分析 (SRMA) 关于影响埃塞俄比亚机构交付因素的研究的证据.
主要方法:
- 对SRMA研究进行了对多个数据库 (PubMed,科学网,Embase,CINAHL,Scopus,谷歌学者,Cochrane) 的全面搜索.
- 选择的SRMA研究经过了严格的评估,使用两个独立审查员的多次系统审查评估工具进行了严格的评估.
- 采用随机效应元分析模型汇集估计,使用I2和Egger测试评估异质性和偏差风险.
主要成果:
- 总体审查发现,埃塞俄比亚的机构交付服务利用率为24% (95%CI: 14-34).
- 机构分娩服务利用的重要预测因素包括妇女的教育 (OR=3.54),对母亲和儿童健康 (MCH) 服务的积极态度 (OR=2.20),农村居住地 (OR=3.29),接近卫生设施 (OR=3.48),以及至少一个产前护理 (ANC) 随访 (OR=3.62).
结论:
- 在埃塞俄比亚,使用机构分娩服务的孕妇比例很低.
- 加强设施分娩需要专注于妇女教育,为MCH服务态度量身定制的干预措施,支持农村社区,改善医疗保健准入,并促进ANC跟进.
- 这些干预措施对于降低孕产妇和新生儿死亡率以及实现可持续发展目标3.1和3.2至关重要.
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