索马里兰出生后缺失的新生儿护理必需品的空间分布和决定因素:SDHS的空间和多层次分析
Hana Mahdi Dahir1, Ayan Husein Korse1, Farduus Ibraahim Mohamed2
1School of Postgraduate Studies and Research (SPGSR), Amoud University, Borama, Somaliland.
索马里兰87%的新生儿基本护理 (ENC) 缺乏,空间差异很大. 基于设施的分娩和更高的社会经济地位与更好的ENC实践有关,改善新生儿生存率.
科学领域:
- 全球健康 全球健康
- 孕产妇和儿童的健康
- 空间流行病学 空间流行病学
背景情况:
- 新生儿死亡率是一个关键的全球卫生挑战,特别是在低收入和中等收入国家.
- 低于最佳的新生儿基本护理 (ENC) 实践对新生儿不良结果有显著的贡献.
- 关于索马里兰等地区ENC差距的空间变化和决定因素的证据有限.
研究的目的:
- 分析索马里兰缺失基本新生儿护理 (ENC) 的空间模式.
- 确定与不充分的ENC相关的个人和社区层面的决定因素.
- 为改善新生儿健康结果提供有针对性的干预信息.
主要方法:
- 基于2020年索马里兰人口和健康调查 (SDHS) 数据的社区横截面研究.
- 包括2,314名在调查前五年分娩的母亲.
- 空间分析 (莫兰的I,Getis-OrdGi) 和多层次的后勤回归以确定与缺失ENC相关的因素.
主要成果:
- 缺失基本新生儿护理的高患病率 (87%) 被观察到.
- 发现了缺失的ENC的显著空间聚类,东部地区有热点,西部地区有冷点.
- 设施交付 (AOR=6.17),更高的财富五分位数 (AOR=2.16-2.28),和平均出生大小 (AOR=0.46) 与获得ENC.的可能性增加有关.
结论:
- 索马里兰存在大量未满足的基本新生儿护理 (ENC) 需求,其特点是空间不平等.
- 交付地点和社会经济地位是影响ENC覆盖范围的关键决定因素.
- 促进设施分娩,解决财富差距和加强卫生系统的有针对性的干预措施对于增强ENC和改善新生儿存活率至关重要.
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