在卫生设施数据中,按县的孕产妇死亡率和死产率的趋势,肯尼亚,2011-2022年
Rose Muthee1, Martin Mutua2, Helen Kiarie3
1Ministry of Health, Nairobi, Kenya. mutheewanjiru@gmail.com.
BMC pregnancy and childbirth
|September 11, 2025
概括
肯尼亚的卫生机构数据显示,孕产妇死亡率和死产率正在下降,但报告的完整性各不相同. 这些信息对于监测和改善全国各地的孕产妇护理质量至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 来自卫生机构的孕产妇死亡和死产报告对于监测护理质量至关重要.
- 设施数据可以提高对孕产妇死亡率和死产率的人口一级估计.
- 对数据质量的担忧在历史上限制了基于设施的数据的使用.
研究的目的:
- 评估肯尼亚机构产妇死亡率和死产率的地方趋势.
- 评估设施数据对改善基于人口的死亡率估计的有用性.
主要方法:
- 分析来自肯尼亚47个县的卫生部常规数据 (2011-2022年).
- 数据质量评估包括报告的一致性,可信度比率以及与交付覆盖范围和社会经济因素的比较.
- 评估不同情景下机构和人口死亡率估计之间的一致性.
主要成果:
- 机构活产覆盖率大幅上升,到2022年达到87.8%.
- 大多数县,包括肯尼亚全国,从2011年到2022年,机构产妇死亡率和死产率有所下降.
- 发现报告产妇死亡情况不完整,特别是在较不发达的国家,影响了人口死亡率估计.
结论:
- 卫生机构的数据对于监测国家和地方的孕产妇死亡率和死产率至关重要.
- 设施数据可以为基于人口的死亡率估计提供信息,尽管完整性需要系统评估.
- 持续评估报告的完整性至关重要,以充分利用设施数据来监测死亡率.
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