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在乌干达的难民定居点提供堕胎后护理的可用性和准备:一个信号功能分析分析

Bonnie Wandera¹, Stephanie Andrea Küng², Caitlin Rich²

¹SRMNCAH, African Population and Health Research Center, Nairobi, Kenya bwandera@aphrc.org.

BMJ global health

|January 14, 2026

概括

在乌干达的难民营中,堕胎后护理 (PAC) 的可用性很高,但由于库存不足,准备能力较低. 在大多数定居点的难民妇女和女孩无法获得全面的PAC服务.

科学领域:

公共卫生公共卫生
生殖健康生殖健康
人道主义医学人道主义医学

背景情况:

不安全的堕胎导致非洲10%的可预防的孕产妇死亡.
像乌干达这样的难民环境加剧了妇女和女孩的脆弱性.
这项研究评估了乌干达难民营的堕胎后护理 (PAC) 服务.

研究的目的:

评估乌干达难民营中PAC医疗设施的可用性和准备情况.
识别差距和改善难民PAC服务的机会.

主要方法:

在2023年3月,在所有乌干达难民定居点进行横截面研究.
卫生设施调查使用结构化采访来评估基本和全面的PAC.
可用性定义为过去6个月的信号功能提供;准备状态包括服务和设备的可用性.

主要成果:

102个设施提供了PAC,大多数在定居点内 (89.2%).
基本的PAC可用性为73.5%,准备率为51.0%. 全方位的PAC可用性为75.0%,准备率为37.5% (在8个转诊设施中).
只有3个定居点有设施,在边境内提供全面的PAC.

结论:

高水平的PAC信号功能可用性与由于库存缺口而导致的整体准备性低.
在10/13定居点的难民妇女和女孩仅限于获得全面的PAC.
需要改善设备和商品供应链,以有效地提供PAC.

关键词:

提供医疗保健服务.医疗服务的可访问性医疗服务的可访问性孕产妇健康孕产妇健康产科产科产科产科产科全民医疗保健是一项普遍的医疗保健.

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