埃塞俄比亚使用孕产妇保健服务的社会经济和地理公平:基于社区的跨部门研究
Zewditu Denu1,2, Atkure Defar3,4, Lars Persson3
1Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. zewditudenuabdissa@gmail.com.
BMC health services research
|April 26, 2025
概括
埃塞俄比亚的孕产妇卫生服务覆盖率低且不公平,最贫穷的妇女和东部/南部地区的孕产妇接受的产前护理访问和熟练的分娩服务较少. 需要有针对性的干预措施来实现全民健康覆盖.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 生殖健康 生殖健康
背景情况:
- 解决生殖,孕产妇,新生儿和儿童健康服务方面的差异对于实现全民健康覆盖至关重要.
- 持续的社会和地理差异挑战了孕产妇保健服务的覆盖率和利用率.
- 需要证明存在不平等,以确保在全民医疗覆盖框架内获得和利用公平.
研究的目的:
- 衡量埃塞俄比亚产前护理和熟练分娩服务的覆盖范围和有效覆盖范围的社会经济和地理公平性.
主要方法:
- 埃塞俄比亚行动绩效监测数据 (2019-2020) 的二次分析,来自2714名分娩后妇女和462家卫生机构.
- 使用设备和产前护理访问和熟练分娩人员的度指数来衡量不平等.
- 使用莫兰的I,Getis-OrdGi统计和Kriging插入进行地理变异的分析.
主要成果:
- 覆盖率低:40%使用了四次或更多的产前护理访问,12%获得了优质的产前护理,54%使用了熟练的分娩服务,7%获得了优质的分娩护理.
- 显著的公平差距:最贫困和最贫困妇女之间的绝对公平差距为产前护理访问的43个百分点和熟练分娩的65个百分点.
- 地理差异:在埃塞俄比亚中部和北部使用率较高,在该国东部和南部使用率较低.
结论:
- 产前护理和熟练分娩服务的覆盖率低且不公平,不成比例地影响最贫穷的妇女.
- 服务覆盖范围在埃塞俄比亚存在显著的地理差异.
- 为服务不足的人口和地区提供有针对性的干预措施对于实现全民健康覆盖目标至关重要.
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