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巴基斯坦婴幼儿死亡率及其决定因素:综述。

Infant & Child Mortality in Pakistan and its Determinants: A Review.

机构信息

Faculty of Medicine, Dow University of Health Sciences, Karachi, Pakistan.

Kabul University of Medical Sciences, Kabul, Afghanistan.

出版信息

Inquiry. 2023 Jan-Dec;60:469580231167024. doi: 10.1177/00469580231167024.

Abstract

Over the years, several developing countries have been suffering from high infant and child mortality rates, however, according to the recent statistics, Pakistan falls high on the list. Our narrative review of copious research on this topic highlights that several factors, such as complications associated with premature births, high prevalence of birth defects, lack of vaccination, unsafe deliveries, poor breastfeeding practices, complications during delivery, sudden infant death syndrome (SIDS), poor socioeconomic conditions, and a struggling healthcare system, have influenced these rates. Bearing in mind the urgency of addressing the increased infant and child mortality rate in Pakistan, multiple steps must be taken in order to prevent unnecessary deaths. An effective initiative could be spreading awareness and education among women, as a lack of education among women has been indirectly linked to increased child mortality in Pakistan across many researches conducted on the issue. Furthermore, the government should invest in healthcare by hiring more physicians and providing better supplies and improving infrastructure, especially in underdeveloped areas, to decrease child mortality due to lack of clean water and poor hygiene. Lastly, telemedicine should be made common in order to provide easy access to women who cannot visit the hospital.

摘要

多年来,一些发展中国家一直饱受婴儿和儿童死亡率高的困扰,但根据最近的统计数据,巴基斯坦的情况较为严重。我们对大量相关研究进行了综述,发现早产相关并发症、高发出生缺陷、缺乏疫苗接种、不安全分娩、母乳喂养方法不当、分娩过程中的并发症、婴儿猝死综合征(SIDS)、较差的社会经济条件和不完善的医疗保健系统等多个因素都对这些数据产生了影响。考虑到解决巴基斯坦婴儿和儿童死亡率上升问题的紧迫性,必须采取多项措施来预防不必要的死亡。一个有效的举措可以是在妇女中普及意识和教育,因为许多关于这个问题的研究都间接表明,巴基斯坦妇女受教育程度低是导致儿童死亡率上升的一个原因。此外,政府应该通过雇佣更多的医生和提供更好的供应品以及改善基础设施(特别是在欠发达地区)来投资医疗保健,以减少因缺乏清洁水和卫生条件差而导致的儿童死亡。最后,应该普及远程医疗,以便为无法前往医院的妇女提供便捷的医疗服务。

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