基于社区的孕产妇和产周死亡监测和应对:从人道主义背景中对实施现实进行比较的案例研究
Meighan Mary1,2,3, Hannah Tappis4,5,6, Elaine Scudder7
1International Health Department, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, USA. mmary1@jhu.edu.
BMC public health
|October 2, 2025
概括
在危机环境中实施基于社区的孕产妇和产周死亡监测和应对 (CB-MPDSR) 对孕产妇健康至关重要. 挑战包括资源和信任,需要为人道主义努力提供适应的指导.
科学领域:
- 全球健康 全球健康
- 公共卫生 公共卫生
- 人道主义医学 人道主义医学
背景情况:
- 在受危机影响的环境中实施基于社区的母婴死亡监测和应对 (CB-MPDSR) 对于改善母婴健康至关重要.
- 了解影响CB-MPDSR在各种人道主义环境中的实施因素对于有效的规划至关重要.
研究的目的:
- 在四个不同的人道主义环境中评估CB-MPDSR方法的实施情况.
- 确定影响CB-MPDSR的采用,透和忠实性的因素.
主要方法:
- 在考克斯巴扎尔,乌干达,南苏丹和也门地区使用了比较的定性案例研究设计.
- 方法包括范围审查和39次关键告密者采访.
- 进行了主题内容分析,以了解实施动态和交叉学习.
主要成果:
- 采用CB-MPDSR有很大的差异,在乌干达和考克斯巴扎尔建立了完善的系统,在也门是被动报告,在南苏丹是混合策略.
- 财务,人力资源和社会文化因素,特别是围产期死亡,造成了重大限制.
- 社区参与提高了透明度,但对人道主义卫生系统的信任仍然是一个挑战.
结论:
- CB-MPDSR提供了对危机环境中影响死亡率的系统和文化因素的关键见解.
- 需要进一步的研究和操作指导,以有效地适应CB-MPDSR在人道主义环境中的多样化和流动人口.
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