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塞内加尔洛加地区改善产妇健康项目的效果。

The Effects of the Maternal Health Improvement Project in the Louga Region of Senegal.

机构信息

Plan International Senegal, Louga 21121, Senegal.

Plan International Korea, Seongnam 13494, Korea.

出版信息

Int J Environ Res Public Health. 2021 Dec 30;19(1):396. doi: 10.3390/ijerph19010396.

Abstract

Maternal mortality remains a major global health challenge in sub-Saharan Africa. Senegal is one of the countries in the region that lagged behind in reaching the Millennium Development Goal 5, the deadline of which passed in 2015. The objective of this study was to assess the effects of information, education, and communication (IEC) activities conducted in Louga, Senegal. Community groups and facilitators conducted IEC campaigns, home visits, and various awareness-raising activities. This study used secondary data as part of the baseline and mid-term evaluations. Participants included women and men who had one or more children under five years of age. It was found that the level of awareness of at least three danger signs of pregnancy recognised by men significantly increased, and husbands/partners more frequently accompanied their wives during antenatal care in 2019 than in 2018. Women's empowerment improved significantly in terms of women making their own health decisions, joining community decision-making associations or groups, and using contraception. This project indicates that policies and programs are needed to increase men's involvement and empower women to further women's reproductive health to achieve the Sustainable Development Goal 3 and reduce maternal mortality in Senegal.

摘要

孕产妇死亡仍然是撒哈拉以南非洲地区的一个主要全球卫生挑战。塞内加尔是该地区未能实现千年发展目标 5 的国家之一,该目标的最后期限已于 2015 年过去。本研究的目的是评估在塞内加尔卢加开展的信息、教育和通信(IEC)活动的效果。社区团体和促进者开展了 IEC 运动、家访和各种提高认识活动。本研究使用了作为基线和中期评估一部分的二手数据。参与者包括有一个或多个五岁以下儿童的妇女和男子。研究发现,男子至少认识到三种妊娠危险迹象的意识水平显著提高,丈夫/伴侣在 2019 年比 2018 年更频繁地陪同妻子进行产前保健。妇女在做出自己的健康决策、加入社区决策协会或团体以及使用避孕措施方面的权能显著提高。该项目表明,需要制定政策和方案,增加男子的参与,并赋予妇女权力,以进一步促进妇女的生殖健康,实现可持续发展目标 3 并降低塞内加尔的孕产妇死亡率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0594/8745013/c205a0f9daef/ijerph-19-00396-g001.jpg

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