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布基纳法索医疗机构提供产科急症和新生儿保健服务的能力和准备指数的时间趋势分析。

Temporal trends analysis of emergency obstetric and newborn care availability and readiness index of healthcare facilities in Burkina Faso.

机构信息

District Sanitaire de Banfora, Direction Régionale de la Santé des Cascades, Banfora, Burkina Faso.

Centre de Recherche en Epidémiologie, Biostatistiques et Recherche clinique, Ecole de Santé Publique - Université Libre de Bruxelles, Bruxelles, Belgique.

出版信息

BMC Health Serv Res. 2024 Oct 29;24(1):1295. doi: 10.1186/s12913-024-11818-y.

DOI:10.1186/s12913-024-11818-y
PMID:39468587
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11520863/
Abstract

BACKGROUND

Ensuring healthcare services are equipped to offer; emergency obstetric and newborn care (EmONC) is crucial for improving the quality of maternal and newborn care in low- and middle-income countries. We assessed the temporal trends of the availability and readiness of the healthcare system to provide EmONC in Burkina Faso.

METHODS

We analyzed the data from three national health facilities surveys, conducted in 2014, 2016 and 2018, using the WHO Service Availability and Readiness Assessment tool. We performed multivariable linear regression models to examine the trends.

RESULTS

Between 2014 and 2018, the percentage of healthcare facilities providing delivery service and blood transfusion significantly decreased (88.1% to 75.4% for delivery services and 67.3% to 50.2% for blood transfusion, p < 0.001). The readiness index of healthcare facilities to provide basic EmONC showed a negative trend according to public healthcare, primary healthcare, and Centre-Nord, Centre-sud, Hauts-Bassins, Nord, Plateau Central and Sud-ouest health regions.

CONCLUSIONS

We observed multiple indications of a decline in the readiness of healthcare services to offer EmONC in Burkina Faso from 2014 to 2018. As such, bolstering the capabilities of health facilities to deliver EmONC is essential for hastening the decrease in maternal mortality.

摘要

背景

确保医疗保健服务能够提供紧急产科和新生儿护理（EmONC）对于改善中低收入国家的母婴保健质量至关重要。我们评估了布基纳法索医疗保健系统提供 EmONC 的能力和准备情况的时间趋势。

方法

我们使用世界卫生组织服务提供和准备情况评估工具，分析了 2014 年、2016 年和 2018 年进行的三次国家卫生设施调查的数据。我们进行了多变量线性回归模型来检查趋势。

结果

2014 年至 2018 年间，提供分娩服务和输血服务的医疗保健设施比例显著下降（分娩服务从 88.1%降至 75.4%，输血服务从 67.3%降至 50.2%，均<0.001）。根据公共医疗、初级医疗保健以及 Centre-Nord、Centre-sud、Hauts-Bassins、Nord、Plateau Central 和 Sud-ouest 卫生区，医疗保健设施提供基本 EmONC 的准备指数呈负向趋势。

结论

我们观察到，2014 年至 2018 年间，布基纳法索医疗保健服务提供 EmONC 的准备情况出现了多个下降迹象。因此，加强卫生设施提供 EmONC 的能力对于加快降低孕产妇死亡率至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/986a/11520863/623a5f22819d/12913_2024_11818_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/986a/11520863/ba4c736f7c73/12913_2024_11818_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/986a/11520863/6ceacdbef64b/12913_2024_11818_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/986a/11520863/8488cd027b85/12913_2024_11818_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/986a/11520863/623a5f22819d/12913_2024_11818_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/986a/11520863/ba4c736f7c73/12913_2024_11818_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/986a/11520863/6ceacdbef64b/12913_2024_11818_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/986a/11520863/8488cd027b85/12913_2024_11818_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/986a/11520863/623a5f22819d/12913_2024_11818_Fig4_HTML.jpg

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