Institute for Health Metrics and Evaluation, University of Washington, 2301 5th Ave, Seattle, WA, 98121, USA.
Global Health. 2018 Apr 25;14(1):42. doi: 10.1186/s12992-018-0354-9.
The effect of the ongoing war in Yemen on maternal and child health (MCH) has not been comprehensively assessed. Providing a situational analysis at the governorate level is critical to assist in planning a response and allocating resources.
We used multiple national- and governorate-level data sources to provide estimates of 12 relevant MCH indicators in 2016 around child vaccination, and child and maternal nutritional status, and the change in these estimates for the period 2013-2016 based on shock variables including change in gross domestic product, burden of airstrikes per 1000 population, change in access to untreated water sources and unimproved toilets, and change in wheat flour prices. We also used findings from the Global Burden of Disease 2016 study.
Vaccine coverage decreased for all antigens between 2013 and 2016 among children 12-23 months. The largest decrease, 36·4% for first-dose measles vaccine, was in Aden. Among children under the age of five, incidence of diarrhea was at 7·0 (5·5-8·9) episodes per person-year. The prevalence of moderate and severe child anemia ranged from 50·9% (24·9-73·1) in Sana'a City to 97·8% (94·1-99·2) in Shabwah in 2016. Prevalence of underweight among women of reproductive age ranged from 15·3% (8·1-24·6) in Sana'a city to 32·1% (24·1-39·7) in Hajjah, with a national average of 24·6% (18·7-31·5).
The war and siege on Yemen has had a devastating impact on the health of women and children. Urgent efforts to secure food, essential medicines, antibiotics, deworming medicine, and hygiene kits, and cold chains for immunization are needed. Yemen is in dire need of clean water and proper sanitation to reduce the spread of disease, especially diarrhea.
也门持续不断的战争对母婴健康（MCH）的影响尚未得到全面评估。在省长一级提供现状分析对于协助规划应对措施和分配资源至关重要。
我们使用多个国家和省长一级的数据来源，提供了 2016 年围绕儿童疫苗接种以及儿童和产妇营养状况的 12 项相关母婴健康指标的估计值，并根据包括国内生产总值变化、每 1000 人空袭负担变化、未处理水源和未改善卫生设施获取情况变化以及小麦面粉价格变化等冲击变量，提供了 2013 年至 2016 年期间这些估计值的变化情况。我们还利用了 2016 年全球疾病负担研究的结果。
2013 年至 2016 年期间，12-23 个月儿童的所有抗原疫苗覆盖率均下降。在亚丁，首剂麻疹疫苗覆盖率降幅最大，为 36.4%。五岁以下儿童的腹泻发病率为人年 7.0（5.5-8.9）例。2016 年，中度和重度儿童贫血患病率范围从萨那市的 50.9%（24.9-73.1）到夏布瓦的 97.8%（94.1-99.2）。育龄妇女体重不足的患病率范围从萨那市的 15.3%（8.1-24.6）到哈杰的 32.1%（24.1-39.7），全国平均为 24.6%（18.7-31.5）。
也门的战争和围困对妇女和儿童的健康造成了毁灭性影响。需要紧急努力确保提供食物、基本药物、抗生素、驱虫药和卫生包以及免疫冷链。也门急需清洁水和适当的卫生设施，以减少疾病传播，特别是腹泻。
