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尼泊尔的孕产妇死亡率:通过人口普查数据识别高风险群体

Monna Kurvinen1, Sharad Sharma2, Keshab Deuba3,4,5

  • 1Public Health and Environment Research Center (PERC), Lalitpur, Nepal.

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尼泊尔的孕产妇死亡是可以预防的,并且与社会和地理不平等有关. 大多数死亡发生在分娩后,不成比例地影响农村地区的贫困妇女,突出需要有针对性的干预措施.

关键词:
低收入和中等收入国家.产妇死亡率 产妇死亡率产妇死亡率 产妇死亡率尼泊尔 尼泊尔 尼泊尔 尼泊尔 尼泊尔

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科学领域:

  • 公共卫生 公共卫生
  • 人口统计学 人口统计学
  • 社会学 社会学 社会学

背景情况:

  • 尼泊尔面临着高的孕产妇死亡率尽管可预防性,标志着显著的社会和地理差异.
  • 有限的分类国家数据阻碍了对教育,收入和居住地等因素如何影响孕产妇死亡风险的理解.
  • 现有的研究表明,需要探索社会决定因素和产妇死亡的时间,以进行有效的干预.

研究的目的:

  • 检查尼泊尔孕产妇死亡的社会决定因素和时间.
  • 确定孕产妇死亡率高风险群体,为有针对性的干预提供信息.
  • 分析国家数据,以代表性地了解孕产妇死亡率模式.

主要方法:

  • 一项横截面描述性研究利用了来自尼泊尔2021年全国人口和住房普查的微数据.
  • 一个分层的,基于概率的抽样设计确保了全国代表性,通过家庭报告识别了15-49岁女性的死亡.
  • 收集的数据包括社会人口统计学特征,家庭财富,种族,居住地以及死亡原因/时间 (怀孕,分娩,产后).

主要成果:

  • 在15-49岁的女性中,1386例死亡中,54例 (3,9%) 是孕产妇死亡,74.6%发生在分娩后.
  • 产妇死亡集中在卢宾尼省,郊区/农村地区和塔赖地区,近一半发生在贫困家庭中.
  • 非传染性疾病是导致总体死亡的主要原因 (49.9%);大多数产妇死亡涉及20-34岁的妇女.

结论:

  • 尼泊尔的孕产妇死亡率受到社会和地理不平等的影响,贫困妇女,农村/郊区居民和特定省份的风险增加.
  • 产后期是孕产妇死亡率高风险的关键阶段.
  • 加强产前护理,培养熟练分娩人员,实施公平,具体的干预措施对于减少可预防的孕产妇死亡至关重要.