在喀麦隆的产妇医疗连续的有效覆盖的不平等:从服务联系到投入调整覆盖的级联分析
Moussa Souaibou1, Arsène Brunelle Sandie2, Aluisio J D Barros3
1National Institute of Statistics, Rue 3025, Quartier du Lac, P.O Box 134, Yaounde, Cameroon. souaiboumoussa@gmail.com.
BMC health services research
|September 9, 2025
概括
喀麦隆 - 喀麦隆 - 喀麦隆
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 喀麦隆的孕产妇医疗 (MHC) 面临着撒哈拉以南非洲共同的挑战,其特点是高孕产妇死亡率和不公平的有效覆盖率 (EC).
- 持续的MHC利用差异凸显了护理连续性中的结构性障碍.
研究的目的:
- 通过有效的覆盖层级分析量化产妇医疗保健的地理和社会经济差异.
- 为改善喀麦隆孕产妇保健提供以公平为中心的战略提供信息.
主要方法:
- 利用了2018年喀麦隆人口和健康调查和2015年紧急产科和新生儿护理评估的数据.
- 应用有效覆盖层级分析,包括服务联系,连续性和产前护理 (ANC) 和产后和产后护理 (IPC) 的输入调整覆盖.
- 评估不平等使用绝对和相对措施,考虑服务准备.
主要成果:
- 在ANC (86.3%至14.4%) 和IPC (51.4%至31.4%) 两种输入调整覆盖面的显著下降.
- 当计算服务准备时,相对不平等加剧,ANC的财富基础RII增加了122%.
- 边缘化人口面临复杂的排斥,由于有限的访问和劣质的质量,尽管缩小绝对差距.
结论:
- 喀麦隆的孕产妇医疗保健差异是由系统性资源和质量差距驱动的.
- 将绝对和相对不平等指标纳入政策是拆除结构性偏见的关键.
- 持续护理策略对于预防可避免的孕产妇死亡率至关重要.
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