Federal Ministry of Health, Addis Ababa, Ethiopia; Centre for Women's Health Research, School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Newcastle,Australia.
Centre for Women's Health Research, School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Newcastle,Australia.
Pregnancy Hypertens. 2022 Aug;29:64-71. doi: 10.1016/j.preghy.2022.06.006. Epub 2022 Jul 2.
This study aimed to analyse national health facility burden of preeclampsia/eclampsia and its regional distribution in Ethiopia. This evidence is an important aspect to work towards reducing maternal and newborn complications.
This study uses data from the 2016 Emergency Obstetrics and Newborn Care (EmONC) survey which national census of public and private health facilities that provided delivery services. Cross-tabulation of variables was conducted based on region, location, types of health facility, and the management authority of health facilities. Spatial analysis was conducted to investigate spatial regional distribution of preeclampsia/eclampsia.
A total of 3804 health facilities were included in the survey. Nationally, preeclampsia/eclampsia contributes to 5.9% of all maternal complications and 10.5% of maternal deaths. While 82% of total deliveries were reported from health centres, hospitals and specialised centres reported nearly 10 times more cases of PE/E (23 per 1000 deliveries) than health centres (2.4 per l000 deliveries). The highest number of preeclampsia/eclampsia cases were reported in Addis Ababa and the Harari region where there were 32 and 24 cases per 1000 deliveries, respectively. A substantial proportion of direct obstetrics complications due to preeclampsia/eclampsia were reported from Afar, Somali, Harari and the Benishangul Gumuz regions (19.9%, 18.0%, 12.8%. 11.5%, respectively).
Preeclampsia/eclampsia contributed to a high proportion of maternal complications and death. Disproportionally, the highest burden of preeclampsia/eclampsia was reported in developing regions of Ethiopia. These region's health facilities'effort on case detection, reporting and evidence generation should be strengthened to inform policy especially those located in rural location.
本研究旨在分析埃塞俄比亚全国范围内子痫前期/子痫的卫生机构负担及其区域分布。这一证据是减少孕产妇和新生儿并发症的重要方面。
本研究使用了 2016 年紧急产科和新生儿护理（EmONC）调查的数据，该调查对提供分娩服务的公立和私立卫生机构进行了全国普查。根据地区、地点、卫生机构类型和卫生机构管理当局对变量进行了交叉制表。进行了空间分析，以调查子痫前期/子痫的空间区域分布。
共有 3804 个卫生机构被纳入调查。全国范围内，子痫前期/子痫导致 5.9%的产妇并发症和 10.5%的产妇死亡。虽然 82%的分娩都在卫生中心报告，但医院和专门中心报告的子痫前期/子痫病例几乎是卫生中心的 10 倍（每 1000 例分娩 23 例），而卫生中心为 2.4 例。在亚的斯亚贝巴和哈拉里地区，子痫前期/子痫的病例数最高，分别为每 1000 例分娩 32 例和 24 例。由于子痫前期/子痫导致的直接产科并发症，在阿法尔、索马里、哈拉里和本尚古勒-古姆祖鲁地区报告的比例较高（分别为 19.9%、18.0%、12.8%和 11.5%）。
子痫前期/子痫导致了很高比例的产妇并发症和死亡。不成比例的是，埃塞俄比亚发展中地区报告的子痫前期/子痫负担最高。这些地区的卫生机构应加强病例发现、报告和证据生成的工作，为政策提供信息，特别是那些位于农村地区的卫生机构。
