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确定全球人口政策的生殖健康指标:一项范围综述

Identifying the reproductive health indicators for population policies worldwide: a scoping review.

作者信息

Taheri Mahshid, Mohamadi Efat, Mostafavi Hakimeh, Olyaeemanesh Alireza, Takian Amirhossein

机构信息

Midwifery Office, Ministry of Health and Medical Education (MoHME), Tehran, Iran.

Health Equity Research Center, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Reprod Health. 2025 Jun 19;22(1):102. doi: 10.1186/s12978-025-02000-6.

Abstract

INTRODUCTION

The Sustainable Development Goals (SDGs) emphasize the critical need to reduce maternal and infant mortality and improve maternal health, which necessitates access to high-quality reproductive health (RH) services. By developing a comprehensive list of indicators, this study aims to support evidence-based decision-making and policy adjustments that respond to national and international reproductive health needs.

METHODS

This is a scoping review from 2000 until 2020 in the international databases including PubMed/Medline, Scopus, Cochrane, WHO website, and ProQuest. We included studies that had abstracts, English language, and involved indicators related to reproductive health indicators. The selected articles were reviewed by two members of the team and then approved by the corresponding author. After collecting the primary indicators and removing duplications, the thematic classification of indicators was done.

RESULTS

We found 2026 studies from three databases and excluded 301 duplicates. After reviewing the abstract, 250 and by reading the full text, 23 studies were included. Most studies were about reproductive health indicators that are indirectly practical in the measurement of reproductive health policies. Most of the studies were systematic reviews. The most frequent indicator among the included studies was the total fertility rate.

CONCLUSION

Effective monitoring of childbearing encouragement programs and reproductive health policies requires a multi-level approach, encompassing indicators that can be applied from health-center to national levels. This review has categorized existing indicators to provide a structured framework for evaluating population policies. The selected indicators from this review can serve as a guideline for policymakers to create customized monitoring systems that address the specific needs of their countries.

摘要

引言

可持续发展目标(SDGs)强调了降低孕产妇和婴儿死亡率以及改善孕产妇健康的迫切需求,这就需要获得高质量的生殖健康(RH)服务。通过制定一份全面的指标清单,本研究旨在支持基于证据的决策制定以及针对国家和国际生殖健康需求的政策调整。

方法

这是一项对2000年至2020年期间国际数据库(包括PubMed/Medline、Scopus、Cochrane、世界卫生组织网站和ProQuest)进行的范围综述。我们纳入了有摘要、英文撰写且涉及与生殖健康指标相关的研究。所选文章由团队的两名成员进行评审,然后由通讯作者批准。在收集主要指标并去除重复项之后,对指标进行了主题分类。

结果

我们从三个数据库中找到了2026项研究,并排除了301项重复项。在审阅摘要后,有250项研究进入筛选,通过阅读全文,最终纳入了23项研究。大多数研究是关于生殖健康指标的,这些指标在衡量生殖健康政策方面具有间接的实用性。大多数研究是系统综述。纳入研究中最常见的指标是总生育率。

结论

对生育鼓励计划和生殖健康政策进行有效监测需要采取多层次方法,包括从健康中心到国家层面都可应用的指标。本综述对现有指标进行了分类,以提供一个评估人口政策的结构化框架。本次综述所选指标可作为政策制定者创建满足本国特定需求的定制化监测系统的指导方针。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88dc/12178009/17524bb7e360/12978_2025_2000_Fig1_HTML.jpg

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