产前护理的分配和利用不足,床上护理网络破坏了贝宁孕妇的保护:一项前性实地研究
Gilles Cottrell1, Armel Djènontin2,3, Christophe Soares2,3
1Université Paris Cité, IRD, MERIT, Paris, F-75006, France. gilles.cottrell@ird.fr.
BMC public health
|July 23, 2025
概括
尽管拥有,分发和使用长效杀虫网 (LLINs) 的比例很高,但在贝宁,孕妇使用的长效杀虫网很低. 许多网被损坏或失去了有效性,减少了怀孕期间的疟疾保护.
科学领域:
- 公共卫生 公共卫生
- 预防疟疾 预防疟疾
- 昆虫学 昆虫学是一门学科.
背景情况:
- 世界卫生组织 (WHO) 建议在撒哈拉以南非洲 (SSA) 的孕妇使用长效杀虫网 (LLIN),以预防疟疾.
- 通常在第一个产前护理 (ANC) 访问期间分发LLIN.
研究的目的:
- 这项研究评估了在首次访问贝宁的ANC期间提供给孕妇的LLIN的分配和利用率.
- 该研究还评估了LLINs在分发后的物理完整性和生物有效性.
主要方法:
- 数据来自贝宁的14个健康中心 (公共/私人,城市/农村).
- 孕妇在第一次ANC访问时被录取,并通过家庭访问进行跟踪.
- 在第二次家庭访问后收集LLIN,以评估身体完整性和生物有效性.
- 千平方测试比较了区域,城市/农村环境和卫生中心类型的指标.
主要成果:
- 在第一次ANC访问之前,观察到高的LLIN所有权 (94%) 和使用率 (93%).
- 只有63%的孕妇在第一次ANC访问时接受了LLIN,只有11%的孕妇安装了LLIN.
- 在怀孕期间,72%的LLIN被损坏或失去了生物有效性.
结论:
- 在第一次 ANC 访问贝宁期间,LLIN 的分发不足.
- 低安装率和高损害率的LLIN导致孕妇的疟疾保护不足最佳.
- 需要改进的策略,以确保在SSA的孕妇中有效地使用LLIN.
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