怀孕期间疟疾预防服务的障碍:乌干达西部农村地区的多方法研究
Rachel A Clubine Horowitz1, Herbert Ngelese2, Emmanuel Baguma2
1Department of Public Health, Davidson College, Davidson, NC, 28035, USA. rachel.clubinehorowitz@gwmail.gwu.edu.
BMC public health
|October 1, 2025
概括
孕期疟疾 (MiP) 在乌干达农村地区不成比例地影响年轻的首次母亲. 预防障碍包括延迟检测,对治疗的恐惧和后勤挑战.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 孕产妇健康 孕产妇健康
背景情况:
- 孕期疟疾 (MiP) 在流行地区对母亲和婴儿造成重大不良后果.
- 诸如间歇性妊娠预防治疗 (IPTp) 等干预措施是有效的,但未得到充分利用.
- 了解与MiP相关的因素对于改善预防服务的采用至关重要.
研究的目的:
- 在孕妇第一次产前检查时确定与MiP相关的因素.
- 探索社区和医疗保健提供者对MiP的看法.
- 发现利用可用的MiP预防服务的障碍.
主要方法:
- 在产前诊所使用快速诊断测试 (RDTs) 对1644名怀孕妇女进行查,以检测Plasmodium falciparum疟疾.
- 收集人口统计和临床数据,以评估与疟疾的关联.
- 与孕妇进行了焦点小组讨论,并采访了助产士,以探索人们的看法和障碍.
主要成果:
- 13.5%的孕妇的疟疾检测结果呈阳性.
- 初级妊娠状态和较年轻的母亲年龄与疟疾阳性显著相关.
- 确定了障碍:延迟怀孕/MiP测试,对化疗预防的恐惧,财务/运输问题,诊所运营,低床位网的使用,知识差距和配偶态度.
结论:
- 乌干达西部农村地区的年轻,初怀孕的妇女面临着MiP的最高风险.
- 推迟妊娠测试和产前护理启动的地理障碍需要进一步调查.
- 将服务分散到社区可能会提高预防服务的利用率.
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