在撒哈拉以南非洲国家继续使用孕产妇医疗保健:积极偏差方法
Samrawit Mihret Fetene1,2, Melaku Birhanu Alemu1,3, Elsa Awoke Fentie4,5
1Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Ethiopia.
PloS one
|June 25, 2025
概括
撒哈拉以南非洲的贫困母亲可以通过克服社会经济劣势来实现孕产妇医疗保健的完整连续性. 关键因素包括就业,合作伙伴教育和医疗保健决策自主性,突出改善孕产妇健康覆盖的途径.
科学领域:
- 全球健康 全球健康
- 孕产妇健康 孕产妇健康
- 撒哈拉以南非洲地区.
背景情况:
- 孕产妇健康对可持续发展目标至关重要 3.1.
- 许多非洲母亲无法获得持续的护理,特别是那些没有受过教育和贫穷的母亲.
- 积极偏差者是服务不足的母亲,他们成功获得了更好的孕产妇医疗保健,但证据有限.
研究的目的:
- 检查撒哈拉以南非洲国家的服务不足的母亲中医疗保健利用连续性的决定因素.
- 识别与母亲医疗保健获得的积极偏差相关的因素.
主要方法:
- 利用了来自15个撒哈拉以南非洲国家的人口和健康调查.
- 应用了正偏差方法来识别32,778名服务不足的母亲.
- 进行了多层混合效应二元物流回归分析,以确定重要因素.
主要成果:
- 整体连续护理利用率为13.8%.
- 积极偏差与母亲的就业,受过教育的丈夫,1-3个孩子,妊娠终止史,医疗保健决策自主性和没有接入障碍有关.
- 调整的几率比率 (AOR) 和95%置信区间 (CI) 用于确定重要的决定因素.
结论:
- 撒哈拉以南非洲地区的一小部分欠缺服务的母亲,尽管处于社会经济不利地位,但仍然实现了完全连续的孕产妇医疗保健.
- 母亲就业,伴侣教育,较小的家庭规模,早孕终止,决策自主性和缺乏进入障碍是关键的推动因素.
- 积极偏差方法为改善孕产妇健康覆盖率和缩小公平差距的干预提供了有价值的见解.
相关概念视频
01:26Methods Of Healthcare Delivery System
3.5K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.5K
01:30Primary Healthcare Services
1.5K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.5K
01:30Community Based Intervention
97
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
97
01:26Levels of Health Promotion and Illness Prevention
13.3K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
13.3K
01:11Secondary Healthcare System
1.6K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.6K
01:25Models of Health Promotion and Illness Prevention I
2.2K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.2K