用户报告尼日利亚护理来源自主管理药物流产的质量
Laura E Jacobson1,2, Ruvani T Jayaweera2, Ijeoma Egwuatu3
1Oregon Health & Science University-Portland State Univerity (OHSU-PSU) School of Public Health, Portland, Oregon, USA jacobsonlaura@gmail.com.
BMJ sexual & reproductive health
|December 30, 2025
概括
评估了尼日利亚的自我管理堕胎护理质量. 安全堕胎热线提供了比专有专利药品供应商更高质量的护理,尽管负担能力仍然是热线用户的担忧.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 医疗保健质量评估 医疗保健质量评估
背景情况:
- 自主流产 (SMA) 是生殖保健的关键组成部分,特别是在资源有限的环境中.
- 获得安全堕胎信息和服务对于母亲的健康和福祉至关重要.
- 了解不同来源提供的护理质量对于改善获得和结果至关重要.
研究的目的:
- 为了比较用户报告的安全堕胎热线和尼日利亚农村专利药品供应商 (PPMVs) 之间的自主堕胎 (SMA) 护理质量.
- 确定影响SMA总质量得分,堕胎准入和信息提供的因素.
- 为提高尼日利亚不同社区中堕胎护理质量的战略提供信息.
主要方法:
- 利用退出调查和30天的随访数据从SMA用户访问热线和PPMV在尼日利亚.
- 开发并应用堕胎护理质量工具 (ACQTool) 来评估六个领域的17个质量指标.
- 采用双变量和多变量回归分析来比较护理来源并确定相关因素.
主要成果:
- 热线用户报告的护理质量高于PPMV用户,特别是在决策和信息提供领域 (p<0.001).
- 热线用户的平均总质量得分明显高,并且更有可能为并发症做好准备 (aOR=3.23).
- 然而,与PPMV用户相比,热线用户报告负担得起的堕胎护理的可能性较低 (aOR=0.10).
结论:
- 安全堕胎热线和PPMV都在尼日利亚提供高质量的堕胎护理,但特定领域需要改进.
- 提高热线用户的负担能力,加强PPMV用户的决策和信息支持是关键建议.
- 这些发现强调了需要量身定制的干预措施来优化SMA在不同服务交付模式的质量.
关键词:
堕胎,诱导的堕胎,诱导的堕胎
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