埃塞俄比亚的孕产妇死亡率 (2015-2025):最近证据和决定因素的系统审查
Merga Abdissa Aga1, Ding-Geng Chen2,3
1Department of Statistics, Salale University, Fiche, Ethiopia. mergabdisa3@gmail.com.
BMC public health
|December 30, 2025
概括
埃塞俄比亚的孕产妇死亡率仍然很高,每10万活产婴儿中有366.6例死亡,主要原因是出血,高血压疾病和败血症. 解决延迟护理,不平等和卫生系统差距对于减少可预防的孕产妇死亡至关重要.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 生殖健康 生殖健康
背景情况:
- 尽管政策改革和医疗保健覆盖率有所改善,孕产妇死亡率仍然是埃塞俄比亚的重大公共卫生挑战.
- 埃塞俄比亚的孕产妇死亡率 (MMR) 继续超过国家和全球目标,表明需要进一步干预.
- 本系统性审查涉及过去十年 (2015-2025) 埃塞俄比亚孕产妇死亡率的关键问题.
研究的目的:
- 系统地审查和综合2015-2025年埃塞俄比亚孕产妇死亡率的证据.
- 描述埃塞俄比亚产妇死亡的规模,决定因素和区域差异.
- 确定持续存在的挑战,并为减少孕产妇死亡率的未来优先事项提供信息.
主要方法:
- 在主要数据库 (PubMed,Scopus,Web of Science,Embase,Cochrane,AJOL) 和灰色文献 (世卫组织,联合国儿童基金会,埃塞俄比亚卫生部) 中进行了系统的文献搜索.
- 包括2015年1月至2025年9月期间以英语出版的研究,遵守PRISMA 2020指南.
- 进行了数据提取和质量评估 (JBI,NOS),由于方法异质,采用了叙事综合方法.
主要成果:
- 在所有埃塞俄比亚地区的61项研究中,估计每10万活产婴儿中有366.6例死亡的母婴死亡率 (MMR).
- 产妇死亡的主要原因是产科出血 (29.6%),高血压疾病 (22.1%),败血症 (14.8%),受阻分娩 (11.3%),不安全堕胎 (8.5%).
- 关键决定因素包括延迟决策 (意识,社会文化因素),延迟获取 (距离,运输,成本) 和延迟护理 (卫生系统短缺,转诊不足),由社会经济不平等,不充分的产前护理,农村居住和母亲教育水平低而加剧.
结论:
- 埃塞俄比亚的孕产妇死亡率仍然不可接受地高,并且在很大程度上是可以预防的,这是由于持续的不平等,服务质量差以及卫生系统的缺陷.
- 实现可持续发展目标 (SDG) 3.1 (到2030年MMR<70) 的进展不均,需要加强推系统,公平的资源分配和以质量为中心的干预措施.
- 有针对性的区域战略,加强紧急产科和新生儿护理 (EmONC) 准备,以及先进的研究方法对于实现可持续发展目标至关重要.
更多相关视频
03:35Determining Gender-Based Differences in Retinal and Choroidal Thickness in Underweight Individuals via Swept-Source Optical Coherence Tomography
Published on: December 1, 2023
579
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
12.5K
相关概念视频
Pathophysiology of Diabetes
3.1K
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
3.1K
Regression Toward the Mean
6.8K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.8K
Applications of Life Tables
309
Life tables are versatile across various fields, providing a quantitative basis for analyzing mortality and survival rates. Whether used by demographers, actuaries, epidemiologists, or sociologists, life tables offer valuable insights into the dynamics of life and death, facilitating informed decisions in public health, insurance, conservation, and beyond. Their broad applicability highlights the interconnectedness of demographic data with practical outcomes in everyday life and strategic...
309
Meiosis vs. Mitosis
69.1K
Cell division is necessary for growth and reproduction in organisms. Mitosis aids cell growth and development by dividing somatic cells. In contrast, meiosis causes the division of germ cells and plays an essential role in sexual reproduction. Due to their unique functional requirements, mitosis and meiosis differ from each other in multiple aspects.
Before the start of mitosis and meiosis I, the cell synthesizes DNA, resulting in two homologous copies of each chromosome. DNA synthesis is...
Before the start of mitosis and meiosis I, the cell synthesizes DNA, resulting in two homologous copies of each chromosome. DNA synthesis is...
69.1K
