十年来,在三个孤立的冈比亚村庄的母婴死亡率的变化
Lancet (London, England)
|October 20, 1984
概括
冈比亚农村地区的持续医疗服务显著降低了儿童死亡率. 医疗保健专业人员的24小时可用性是这些公共卫生改善的最关键因素.
科学领域:
- 全球健康 全球健康
- 公共卫生干预措施 公共卫生干预措施
- 孕产妇和儿童的健康
背景情况:
- 在三个冈比亚农村村实施了为期10年的医疗服务计划.
- 这个倡议与MRC Dunn营养部门的一般营养研究计划并行.
- 甘比亚农村地区现有的孕产妇和儿童死亡率被用作基线进行比较.
研究的目的:
- 评估持续医疗服务对冈比亚农村死亡率的影响.
- 确定导致观察到的健康改善的关键因素.
主要方法:
- 一个长达十年的医生和助产士24小时提供医疗护理.
- 持续监测围产,婴儿和儿童 (1-4岁) 死亡率.
- 在研究社区内追踪孕产妇死亡率.
主要成果:
- 观察到儿童死亡率大幅降低.
- 产前死亡率从每1000例出生109.6下降到每1000例出生45.5
- 婴儿死亡率从每1000个活产婴儿的148.5个下降到24.5个.
- 1至4岁儿童的死亡率从每千人109.1下降到每千人13.3下降.
- 在研究之前的8年里,没有发生与怀孕相关的孕产妇死亡,而预期的死亡人数为16.
- 发现的最重要因素是医疗保健专业人员的立即可用性.
结论:
- 持续的,可访问的医疗保健是减少资源有限的环境中儿童和孕产妇死亡率的高度有效的干预措施.
- 医生和助产士24小时的可用性被证明是改善社区健康结果的最关键因素.
- 这项研究强调了持续获得医疗保健对农村地区公共卫生指标的深刻影响.
关键词:
非洲 非洲 非洲在撒哈拉以南的非洲.生育率 生育率 的意思死亡原因 死亡原因儿童死亡率 - - 变化.提供医疗保健服务.人口结构因素 人口结构因素发展中国家 发展中国家讲英语的非洲.测量生育能力的方法胎儿死亡 胎儿死亡冈比亚 冈比亚 是一个国家.卫生健康 卫生健康 卫生健康卫生工作人员 卫生工作人员卫生服务 卫生服务 卫生服务婴儿死亡率 婴儿死亡率孕产妇死亡率 - - 变化测量方法 测量方法医学 医学 医学 医学 医学死亡率 死亡率 死亡率新生儿死亡率 新生儿死亡率人口人口的人口人口.人口特征 人口特征人口动态 人口动态农村卫生服务 农村卫生服务农村人口 农村人口西非 非洲 西非 非洲相关概念视频
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