索马里产前护理利用情况,2020年索马里人口健康调查
Yusuf Hared Abdi1,2, Yakub Burhan Abdullahi3, Mohamed Sharif Abdi3
1Faculty of Health Sciences and Tropical Medicine, Somali National University, Mogadishu, Somalia. yusuf.hared@st.snu.edu.so.
仅有7%的索马里妇女获得足够的产前护理 (ANC) 访问,这突出了孕产妇医疗保健的严重缺口. 有针对性的干预措施对于改善孕产妇健康状况至关重要,特别是在游牧和农村人口中.
科学领域:
- 全球健康 全球健康
- 孕产妇健康 孕产妇健康
- 人口统计学 人口统计学
背景情况:
- 索马里面临着非常高的孕产妇死亡率 (2020年621/100,000活产).
- 冲突,人道主义危机和健康基础设施薄弱加剧了孕产妇健康的挑战.
- 产前护理 (ANC) 是减少产妇死亡的重要干预措施.
研究的目的:
- 评估索马里产前护理的使用情况.
- 确定与不充分的产前护理 (ANC) 访问相关的因素.
主要方法:
- 使用2020年索马里人口与健康调查 (SDHS) 数据进行的横截面研究.
- 包括3375名年龄在14-45岁的妇女,在过去五年中生下了活产.
- 使用加权二元逻辑回归分析了产前护理利用率 (≥4次访问),考虑了母亲,家庭和地理因素.
主要成果:
- 只有7.0%的妇女满足了世卫组织建议的四次或更多的产前护理 (ANC) 访问.
- 与城市妇女相比,游牧 (90%的几率较低) 和农村 (70%的几率较低) 的妇女获得足够的ANC的机会要少得多.
- 区域差异很明显,下朱巴和努加尔的利用率更高,托格迪尔的利用率更低.
结论:
- 索马里的产前护理 (ANC) 使用率极低,只有7%的孕妇接受了推的最低访问量.
- 在城市,农村和游牧人口之间存在ANC访问的显著差异.
- 迫切需要以公平为重点的政策和干预措施来解决孕产妇健康服务缺口.
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