在低收入和中等收入国家使用孕产妇保健服务的连续性:多层次分析
Abdul Baten1, Raaj Kishore Biswas2, Evie Kendal3
1School of Health Sciences, Department of Biomedical, Health and Exercise Sciences, Swinburne University of Technology, Melbourne, Victoria, Australia; Department of Statistics, Jagannath University, Dhaka, 1100, Bangladesh.
在低收入国家,从怀孕到产后的孕妇医疗保健服务使用率下降. 改善产前护理和针对弱势妇女的干预措施是提高获得和完成率的关键.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 生殖健康 生殖健康
背景情况:
- 产妇保健服务 (MHS) 的连续性确保从怀孕到产后的综合护理.
- 在MHS的连续性可以将新生儿,围产儿和孕产妇死亡率降低高达15%.
研究的目的:
- 估计低收入和中等收入国家 (LMICs) 中MHS连续使用的流行率和国家差异.
- 调查在LMIC中MHS连续利用的决定因素.
主要方法:
- 多层次模型被用来分析35个LMIC的246,272名15-49岁妇女的数据.
- 数据来源于人口和健康调查.
主要成果:
- 只有36.7%的妇女利用了MHS连续性的全部 (产前护理,熟练的分娩服务和产后护理).
- 连续使用MHS与高等教育,财富,城市居住,接近设施,就业,决策权力和媒体曝光有关.
- 由熟练提供者 (ANC4+SP) 进行至少四次产前护理访问的女性,使用熟练分娩服务 (SBA) 和产后护理 (PNC) 的几率明显更高.
结论:
- 从产前期到产后阶段,使用孕产妇医疗保健服务的比例显著下降.
- 提高产前护理质量和为弱势妇女实施有针对性的干预措施至关重要.
- 增加医疗提供者密度和采用成功的干预策略对于改善MHS可访问性和完成率至关重要,以实现可持续发展目标 (SDGs).
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