母婴医疗覆盖率和趋势:乌干达的难民和非难民地区
Rogers Nsubuga1,2, Rornald Muhumuza Kananura3,4, Ronald Wasswa3
1Center of Excellence for Maternal, Newborn and Child Health, Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda. rnsubuga@idi.co.ug.
Conflict and health
|March 12, 2026
概括
乌干达难民接待区的母婴健康 (MCH) 覆盖率略高. 增加政府卫生融资和改善卫生系统绩效是实现普遍MCH改进的关键驱动力.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 孕产妇和儿童的健康
背景情况:
- 乌干达庞大的难民人口给地区卫生系统带来了压力.
- 接纳难民的地区获得了有针对性的投资,但其对MCH覆盖范围的影响尚不清楚.
- 本研究研究了难民接待区和非难民接待区之间的MCH服务覆盖率差异.
研究的目的:
- 为了比较MCH覆盖范围和难民接待 (RH) 与乌干达非难民接待 (非RH) 地区的趋势.
- 探索政府卫生融资和卫生系统绩效对MCH覆盖率的影响.
- 评估RH状态对特定MCH指标的影响.
主要方法:
- 来自乌干达地区卫生信息系统的常规MCH数据 (2020-2023) 的回顾性分析.
- 包括地区级政府初级医疗保健 (PHC) 支出数据.
- 计算综合覆盖率指数 (CCI) 和卫生系统绩效z-score;使用混合效应模型.
主要成果:
- 卫生区的MCH覆盖率略高 (ANC1期,ANC4,机构分娩,PNC,麻疹疫苗接种,CCI).
- 在RH和难民占主导地位的地区,政府支出显著增加.
- 调整后的模型显示,RH地区的ANC4覆盖率更高,MCH覆盖率/CCI与政府支出和卫生系统绩效之间的积极关联.
结论:
- 常规设施数据显示,RH地区的MCH覆盖率始终较高.
- 公共卫生状况对ANC4覆盖率产生了积极的影响,而整体的地区MCH覆盖率取决于政府投资和卫生系统的表现.
- 增加医疗保健中心的融资对于乌干达的普遍地区级MCH改善至关重要.
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