埃塞俄比亚基本新生儿护理实践中的地理公平:一个横截面研究
Tadesse Guadu Delele1,2,3, Lars Åke Persson4,5, Joanna Schellenberg4
1Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. tadeguade2@gmail.com.
BMC pediatrics
|April 9, 2025
概括
埃塞俄比亚基本的新生儿护理实践显示出地理上的不平等,特别是在延迟洗和免疫接种方面. 改善设施分娩和产后咨询对于平等获得基本新生儿护理至关重要.
科学领域:
- 公共卫生 公共卫生
- 新生儿护理 新生儿护理
- 健康 公平 卫生 公平
背景情况:
- 基本新生儿护理 (ENC) 涵盖了所有新生儿的重要实践.
- 在埃塞俄比亚,对ENC访问的地理公平性缺乏研究.
- 关于ENC实践的地理差异的证据很少.
研究的目的:
- 评估在埃塞俄比亚选择的WHO推的ENC实践的地理分布和公平性.
- 分析在卫生机构与在家出生的新生儿的ENC实践.
- 为了识别最初的皮肤照顾,延迟洗,带护理,开始母乳养和早期免疫 (BCG,脊髓灰质炎) 的地理差异.
主要方法:
- 对2,493名新生儿 (2019-2020年) 的横截面调查数据的分析.
- 利用全球莫兰的I和本地Getis-OrdGi*统计数据进行空间分析.
- 采用Kriging插值来预测ENC实践的国家覆盖范围.
主要成果:
- 在医疗机构和中部,北部和南部地区,ENC的做法更为普遍.
- 在延迟洗 (设施/家庭),适当的带护理 (设施) 和第一次免疫接种 (设施/家庭) 中发现了地理不平等.
- 在初始皮肤对皮肤护理和及时开始母乳养方面没有发现显著的地理不平等.
结论:
- 在卫生设施和特定地区 (中部,北部) 观察到更高的ENC覆盖率.
- 在延迟游泳和早期免疫接种方面,仍然存在显著的地理不平等.
- 建议包括加强设施交付,确保疫苗的可用性,改善整个产前期的孕产妇咨询,以实现ENC的地理公平.
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