2001 年至 2017-2018 年期间贝宁孕妇熟练助产服务利用趋势，以及到 2030 年的预测。

Trends in the utilisation of skilled birth attendance among pregnant women in Benin, from 2001 to 2017-2018, and projections to 2030.

机构信息

Regional Public Health Institute, University of Abomey-Calavi, BP 384 - Road of slaves, Ouidah, Benin.

University Hospital of Mother-Child Lagune of Cotonou, Cotonou, 01 BP 107, Bénin.

出版信息

BMC Public Health. 2023 May 12;23(1):874. doi: 10.1186/s12889-023-15460-x.

DOI:10.1186/s12889-023-15460-x

PMID:37173698

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10176774/

Abstract

BACKGROUND

Skilled birth attendance during childbirth is known to promote better pregnancy outcomes as well as contribute to maternal and newborn survival. The study aimed to analyse the progress in the use of skilled birth attendance by pregnant women over the last two decades (2001 to 2017-2018) in Benin, and then to make projections to 2030.

METHODS

A secondary analysis was made using Benin's Demographic and Health Survey (DHS) databases. The study population were i) women of 15-49 years of age who were successfully surveyed and usually resided in the households visited during DHS-II, DHS-III, DHS-IV and DHS-V, ii) and had had at least one live birth in the five years preceding each of these surveys. For each DHS, the corresponding proportion of births attended by skilled health personnel was determined. The study then generated the Annual Percent Change (APC) between each survey and globally, and projections were made to 2030.

RESULTS

Nationally, the percentage of women who gave birth attended by skilled health personnel was 67.39% in 2001, 76.10% in 2006, 80.87% in 2011-2012, and 79.12% in 2017-2018; this represents an APC = 0.98% between 2001 and 2017-2018. If the historical rate of progression is maintained, it is expected that by 2030, 89.35% of pregnant women will be using skilled birth attendance services.

CONCLUSION

Efforts are needed to understand the drivers of skilled birth attendance among pregnant women to adopt appropriate strategies.

摘要

背景

分娩时熟练的接生人员能够促进更好的妊娠结局，并有助于母婴和新生儿的生存。本研究旨在分析贝宁过去二十年（2001 年至 2017-2018 年）孕妇使用熟练接生人员的进展情况，然后对 2030 年进行预测。

方法

使用贝宁的人口与健康调查（DHS）数据库进行二次分析。研究人群为：i）在 DHS-II、DHS-III、DHS-IV 和 DHS-V 调查中成功调查且通常居住在被访家庭中的 15-49 岁女性；ii）在这些调查之前的五年内至少有一次活产。对于每个 DHS，确定由熟练卫生人员接生的分娩比例。然后，研究计算了每次调查之间以及全球的年平均变化百分比（APC），并对 2030 年进行了预测。

结果

在全国范围内，2001 年、2006 年、2011-2012 年和 2017-2018 年由熟练卫生人员接生的妇女比例分别为 67.39%、76.10%、80.87%和 79.12%；这代表 2001 年至 2017-2018 年的 APC 为 0.98%。如果保持历史发展速度，预计到 2030 年，89.35%的孕妇将使用熟练接生服务。