在尼日利亚北部两个州对一组产前护理干预的评估:准实验性研究
William Douglas Evans1, Jeffrey Bartlett Bingenheimer1, Taiseer Zaman1
1Milken Institute School of Public Health, The George Washington University, Washington, DC, United States of America.
PloS one
|October 8, 2025
概括
在尼日利亚,集体产前护理 (gANC) 显著增加了设施分娩率. 参加五次或更多次gANC会议的女性在卫生机构分娩的可能性是其两倍,证明了gANC的存在.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 医疗保健提供系统
背景情况:
- 在低收入和中等收入国家 (LMIC),集体产前护理 (gANC) 为传统产前护理 (ANC) 提供了一个结构化的替代方案.
- 尼日利亚部分地区的高ANC非利用率凸显了对创新的孕产妇医疗保健模式的需求.
- gANC计划旨在改善母婴保健的利用率和结果.
研究的目的:
- 评估组产前护理 (gANC) 参与对尼日利亚设施交付率的因果关系.
- 评估参加的gANC会议数量对在医疗机构分娩的概率的影响.
主要方法:
- 尼日利亚卡杜纳州和卡诺州的纵向队列研究.
- 多变量分析和倾向匹配技术,包括逆概率权重.
- 数据收集了超过18个月的数据,跨越了3个时间点.
主要成果:
- 在gANC计划中观察到高的保留率和出席率.
- 在gANC会议出席率和设施交付之间存在强烈的积极关联.
- 参加五次或更多次gANC会议的妇女在卫生机构分娩的可能性大约是两倍.
结论:
- gANC计划具有可扩展性,并显示了尼日利亚符合条件的妇女的高度参与.
- 增加设施分娩利用率与之前的gANC研究是一致的.
- 未来的研究应该专注于优化计划的影响和对母婴健康结果的可持续性.
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