超越物理可访问性,绕过提供剖腹产的卫生设施:达喀尔贫民窟妇女的见解
El Hadji Malick Sylla1, Ndeye Awa Fall2, Winfred Dotse-Gborgbortsi3
1West Africa Regional Office, African Population and Health Research Center (APHRC), Dakar, Senegal msylla@aphrc.org.
BMJ open
|March 23, 2025
概括
达喀尔的妇女在达喀尔
科学领域:
- 全球健康 全球健康
- 地理分析 地理分析
- 孕产妇健康 孕产妇健康
背景情况:
- 贫民窟人口在获得医疗保健方面面临着独特的挑战.
- 综合急诊产科护理 (CEmONC) 对母亲的生存至关重要.
研究的目的:
- 评估CEmONC服务在达喀尔贫民区的妇女的地理可用性.
- 确定影响使用这些服务的因素.
主要方法:
- 剖腹产护理利用率的横截面地理分析.
- 在达喀尔的城市贫民窟地区进行的研究.
- 包括763名在2022年7月至12月期间接受剖腹产的妇女.
主要成果:
- 大多数女性住在距离提供剖腹产服务的设施不到5分钟的路程之内.
- 然而,44.3%的人绕过了附近的设施,医疗转诊是主要原因.
- 绕过的其他原因包括寻求更高质量的护理和社交网络的影响.
结论:
- 尽管地理位置很好,但在达喀尔的贫民窟,绕过CEmONC设施是常见的.
- 医疗转诊和对护理质量的认知显著影响绕行决策.
- 提高当地卫生中心的质量对于改善获得产科护理的机会至关重要.
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