埃塞俄比亚基本新生儿护理实践中的基于财富的公平:一项横截面研究
Tadesse Guadu Delele1, Lars Åke Persson2,3, Kassahun Alemu Gelaye4
1Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
PloS one
|December 5, 2025
概括
埃塞俄比亚基本的新生儿护理实践显示出基于财富的不平等,特别是家庭分娩. 设施分娩通常在这些关键的新生儿健康实践中具有更高的覆盖率和更少的社会经济差异.
科学领域:
- 孕产妇和儿童的健康
- 健康 公平 研究 健康 公平 研究
- 全球健康 全球健康
背景情况:
- 全球范围内,基本的新生儿护理实践对于婴儿生存至关重要.
- 埃塞俄比亚面临着公平获得这些实践的挑战,特别是关于出生地点的挑战.
- 社会经济地位和基于分娩地点的新生儿护理之间的联系需要进一步调查.
研究的目的:
- 评估埃塞俄比亚基本新生儿护理 (ENC) 实践中的基于财富的公平.
- 为了比较基于设施和家庭交付之间的ENC股权.
- 确定具有重大社会经济差异的特定ENC实践.
主要方法:
- 利用了2019-2020年埃塞俄比亚行动绩效监测调查 (n=2,493名新生儿) 的数据.
- 家庭财富五分位数是使用资产所有权的主要组成部分分析来确定的.
- 分析了基于财富的股权,使用设备,股权差距,股权比率和设施和家庭分娩的度指数.
主要成果:
- 设施分娩显示,基本新生儿护理实践的覆盖率更高,不平等程度最小.
- 对于家庭分娩,在皮肤与皮肤的照顾和延迟洗方面观察到不平等,有利于较不贫穷的家庭.
- 延迟洗和适当的带护理在富裕家庭中更为普遍,而皮肤对皮肤的护理和延迟洗在家庭分娩中更有利于富裕群体.
结论:
- 设施分娩与更高的基本新生儿护理实践覆盖率有关.
- 在家庭分娩方面,在皮肤与皮肤之间的护理和延迟洗方面存在显著的社会经济不平等.
- 战略必须侧重于改善设施内新生儿护理的公平性,促进设施分娩,同时加强埃塞俄比亚的家庭新生儿护理实践.
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