将群体产前护理整合到常规服务中:在坦桑尼亚Geita进行基于登记册的队列研究
Augustino Hellar1, Raymond Bandio2, Edwin Ernest3
1Prime Health Initiative Tanzania (PHIT), Mbezi Beach, P.O Box 60011, Kinondoni, Dar-Es-Salaam, Tanzania. Augustino.Hellar@phit.or.tz.
BMC global and public health
|February 1, 2026
概括
坦桑尼亚的组产前护理 (G-ANC) 显示出高出席率和基本干预措施的采用,导致更好的出生结果. 集成到公共系统是可行的,尽管建议提前启动.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 卫生系统研究 卫生系统研究
背景情况:
- 组产前护理 (G-ANC) 集成临床评估,健康教育和同行支持.
- 证据支持G-ANC在试点环境中的有效性,但在低资源环境中的常规公共卫生系统中的可行性不明.
研究的目的:
- 评估集团产前护理 (G-ANC) 整合到常规公共卫生系统中的可行性和影响.
- 评估G-ANC与低资源环境中的产前护理出席率,干预采用率和分娩结果的关联.
主要方法:
- 坦桑尼亚Geita地区的基于注册表的观察队列研究 (2023年1月至2024年11月).
- 招募的孕妇 (妊娠年龄≥20周) 进入G-ANC队列.
- 使用常规ANC,劳动,分娩和队列记录;使用描述统计和通用线性混合模型 (GLMM) 分析数据.
主要成果:
- 93.9%的患者完成了4次以上的ANC检查,76.1%的患者接受了IPTp3+,92.6%的患者接受了铁酸盐补充剂.
- 完成≥4次ANC访问与显著降低出生不良结果的几率相关 (aOR=0.122).
- 第一个三个月的发育率很低 (8.5%),与出生结果没有显著的关联.
结论:
- 在日常环境中整合G-ANC显示出高ANC出席率,干预吸收率和积极的出生结果.
- 在公共系统中实现整合是可行的,但为了更早地启动并与世卫组织指南保持一致,需要进行调整.
- 建议对成本,可行性,可扩展性和长期影响进行进一步的研究.
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