在尼泊尔,在哪里投资新生儿生存计划? 通过扩大关键干预措施的规模,使用Lives Saved Tool进行了一个建模研究
Geha Nath Khanal1,2, Nisha Giri3, Deepak Jha4
1Nepal Public Health Association, Lalitpur, Nepal.
PloS one
|December 4, 2025
概括
在尼泊尔实施35项关键干预措施,到2035年可以挽救8,000多名新生儿的生命. 优先考虑新生儿复苏和败血症管理对于降低新生儿死亡率至关重要.
科学领域:
- 公共卫生 公共卫生
- 新生儿生存率 新生儿生存率
- 孕产妇和儿童的健康
背景情况:
- 新生儿死亡率仍然是尼泊尔的一个重大公共卫生挑战,新生儿死亡率 (NMR) 为每1000名活产婴儿中有21名.
- 世界卫生组织 (WHO) 建议扩大基本的新生儿护理干预措施,以改善结果.
- 尼泊尔的"每一个新生儿行动计划" (NENAP) 确定了35项关键干预措施,以监测和改善新生儿的生存率.
研究的目的:
- 估计到2035年实现NENAP干预覆盖目标对尼泊尔新生儿存活率的潜在影响.
- 确定优先干预措施,以加快实现NENAP目标的进展.
- 通过有针对性的干预覆盖,预测降低新生儿死亡率 (NMR).
主要方法:
- 使用"拯救生命工具" (LiST) 来建模干预覆盖范围的影响.
- 使用人口和健康调查 (DHS) 和多指标集群调查 (MICS) 建立了2025年的基线数据.
- 在没有调查数据的文献中使用代理估计.
主要成果:
- 到2035年实现目标覆盖率,估计可以挽救8,126名新生儿的生命,将NMR减少到每1000名活产婴儿中14名.
- 新生儿复苏,促进母乳养和治疗败血症和早产导致超过70%的生命被挽救.
- 预计早产 (26.9%),败血症 (17.9%) 和腹 (16.1%) 的死亡人数将大幅减少.
结论:
- 优先考虑新生儿复苏,母乳养和新生儿败血症和早产症的管理对于尼泊尔加速实现NENAP目标的进展至关重要.
- 虽然干预措施可以将NMR减少到14,但这还不足以达到NENAP的目标,即到2035年每1000名活产婴儿中有11名.
- 加强特殊新生儿护理单位 (SNCU) 和实施全面的卫生系统改革对于实现NENAP目标和改善对小和生病新生儿的护理至关重要.
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