巴基斯坦的紧急产科护理：通过改善基本紧急产科护理设施、服务及可及性降低孕产妇死亡率的潜力。
Emergency obstetric care in Pakistan: potential for reduced maternal mortality through improved basic EmOC facilities, services, and access.
作者信息
Ali M, Hotta M, Kuroiwa C, Ushijima H
机构信息
Department of Health Policy and Planning, Institute of International Health, The University of Tokyo, 7-3-1 Hongo, Bunkyo-Ku, Tokyo 113-0033, Japan.
出版信息
Int J Gynaecol Obstet. 2005 Oct;91(1):105-12. doi: 10.1016/j.ijgo.2005.03.034.
OBJECTIVE
To ascertain and compare compliance with UN emergency obstetric care (EmOC) recommendations by public health care centers in Pakistan's Punjab and Northwest Frontier Province (NWFP) provinces.
METHOD
Cross-sectional data were collected from July through September 2003 using UN process indicators. From each province, 30% of districts (n=19); were randomly selected; all public health facilities providing EmOC services (n=170) were included.
RESULTS
The study found that out of 170 facilities only 22 were providing basic and 37 comprehensive EmOC services in the areas studied. Only 5.7% of births occurred in EmOC health facilities. Met need was 9% and 0.5% of women gave birth by cesarean section. The case fatality rate was a low 0.7%, probably due to poor record keeping. Access and several indicators were better in NWFP than in Punjab.
CONCLUSION
Almost all indicators were below UN recommendations. Health policy makers and planners must take immediate, appropriate measures at district and hospital levels to reduce maternal mortality.
目的
确定并比较巴基斯坦旁遮普省和西北边境省的公共卫生保健中心对联合国紧急产科护理（EmOC）建议的遵守情况。
方法
2003年7月至9月期间，使用联合国过程指标收集横断面数据。从每个省份中随机抽取30%的地区（n = 19）；纳入所有提供EmOC服务的公共卫生设施（n = 170）。
结果
研究发现，在所研究的地区，170个设施中只有22个提供基本EmOC服务，37个提供全面EmOC服务。只有5.7%的分娩在提供EmOC服务的卫生设施中进行。满足需求率为9%，0.5%的妇女通过剖宫产分娩。病死率低至0.7%，可能是由于记录保存不佳。西北边境省在可及性和若干指标方面比旁遮普省更好。
结论
几乎所有指标均低于联合国建议。卫生政策制定者和规划者必须在地区和医院层面立即采取适当措施，以降低孕产妇死亡率。
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