在分娩,避孕和生病儿童服务之间,护理和部门使用的动态
Lindsay M Mallick1,2,3, Nicole Bellows1, Rebecca Husband4
1Avenir Health, Glastonbury, Connecticut, United States of America.
PLOS global public health
|May 7, 2025
概括
政府必须了解人们如何在公共和私人医疗保健部门之间进行计划生育和母婴健康的流动. 出生时的护理或避孕的缺口增加了患病儿童的风险,突出了需要更好的跨部门合作的需要.
科学领域:
- 全球健康 全球健康
- 卫生系统研究 卫生系统研究
- 公共卫生政策 公共卫生政策
背景情况:
- 低收入和中等收入国家的混合卫生系统涉及公共和私人提供者.
- 政策往往忽视了个人如何在计划生育 (FP) 和孕产妇,新生儿和儿童健康 (MNCH) 的这些领域进行导航.
研究的目的:
- 描述新生儿妇女的服务和部门使用情况,FP需求,和生病的孩子.
- 分析分娩护理部门,避孕药使用和生病儿童护理部门之间的关联,包括部门切换动态.
主要方法:
- 使用来自八个国家的人口和健康调查数据 (2014-2021) 进行的横截面研究.
- 多变量后勤回归用于评估部门使用和错过的护理机会.
主要成果:
- 为医疗保健而切换部门是常见的,但并不总是与错过的生病儿童护理有关.
- 在四个国家,私营部门在出生时的使用预测了更低的避孕药的使用率.
- 无法获得出生护理或避孕措施显著增加了错过生病儿童护理的几率,特别是在马拉维 (AOR 2.5).
结论:
- 卫生系统治理需要考虑公共和私营部门.
- 加强跨部门合作和护理连续性对于改善健康结果至关重要.
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