加纳围产死亡率的预测因素和流行:系统性审查和元分析
Damien Punguyire1, Munawar Harun Koray2, Gilbert Abotisem Abiiro3,4
1Upper West Regional Health Directorate, Ghana Health Service, Wa, Upper West Region, Ghana.
BMC public health
|October 3, 2025
概括
加纳面临高产前死亡率,阻碍了可持续发展目标3. 这一综述发现,综合出生率为44.8/1000例,受母亲年龄,健康状况和医疗保健准入等因素的影响.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 流行病学 流行病学
背景情况:
- 加纳报告高产期死亡率,危及2030年可持续发展目标3目标.
- 本综述解决了了解加纳围产死亡率的关键需求.
研究的目的:
- 确定加纳围产期死亡率的综合流行率.
- 通过安德森的医疗保健利用框架来确定围产死亡率的关键预测因素.
主要方法:
- 在PubMed,科学网,Scopus和CINAHL (2010-2024) 进行了系统的文献搜索.
- 进行了元分析,包括随机效应建模和元回归,以综合30项符合条件的研究的数据.
- 分析的重点是影响医疗保健利用的预处理,支持和需求因素.
主要成果:
- 加纳的综合产周死亡率为每1000例出生44.8 (95% CI:15.4-74.2),观察到大量的异质性.
- 发现的关键预测因素包括先进的孕产妇年龄,先前存在的健康状况,质量不佳的产前护理 (ANC),获得医疗保健和环境暴露.
- 在包括的30篇文章中,截面研究是最常见的设计.
结论:
- 加纳的围产死亡率是由于因素的复杂相互作用造成的,包括医疗保健的获取和质量.
- 文献中存在很大的差距,特别是在农村的案例和控制研究以及社会经济因素和政策的影响方面.
- 未来的研究应该采用整体方法,考虑加纳多样化的社会和地理背景,以有效地减少围产死亡率.
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