Journal of Global Health最新文献

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Improving death notification and registration: A pilot project in Lagos state, Nigeria. 改进死亡通知和登记:尼日利亚拉各斯州的试点项目。
IF 4.5 3区 医学
Journal of Global Health Pub Date : 2024-10-18 DOI: 10.7189/jogh.14.03036
Samuel Keshinro, Nnamdi Orah
{"title":"Improving death notification and registration: A pilot project in Lagos state, Nigeria.","authors":"Samuel Keshinro, Nnamdi Orah","doi":"10.7189/jogh.14.03036","DOIUrl":"10.7189/jogh.14.03036","url":null,"abstract":"","PeriodicalId":48734,"journal":{"name":"Journal of Global Health","volume":"14 ","pages":"03036"},"PeriodicalIF":4.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intersectional analysis of social determinants of health and their association with mortality in patients with multimorbidity. 对多病症患者健康的社会决定因素及其与死亡率的关系进行交叉分析。
IF 4.5 3区 医学
Journal of Global Health Pub Date : 2024-10-18 DOI: 10.7189/jogh.14.04229
Aida Moreno-Juste, Clara Laguna-Berna, Beatriz Poblador-Plou, Amaia Calderón-Larrañaga, Julián Librero, Cristina Lozano-Hernández, Alejandro Santos-Mejías, Marcos Castillo-Jimena, Antonio Gimeno-Miguel, Luis A Gimeno-Feliú
{"title":"Intersectional analysis of social determinants of health and their association with mortality in patients with multimorbidity.","authors":"Aida Moreno-Juste, Clara Laguna-Berna, Beatriz Poblador-Plou, Amaia Calderón-Larrañaga, Julián Librero, Cristina Lozano-Hernández, Alejandro Santos-Mejías, Marcos Castillo-Jimena, Antonio Gimeno-Miguel, Luis A Gimeno-Feliú","doi":"10.7189/jogh.14.04229","DOIUrl":"https://doi.org/10.7189/jogh.14.04229","url":null,"abstract":"","PeriodicalId":48734,"journal":{"name":"Journal of Global Health","volume":"14 ","pages":"04229"},"PeriodicalIF":4.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Revolutionising multi-sectoral nutrition policy: Insights from the Ethiopian National Information Platform for Nutrition (NiPN) approach. 革新多部门营养政策:埃塞俄比亚国家营养信息平台(NiPN)方法的启示。
IF 4.5 3区 医学
Journal of Global Health Pub Date : 2024-10-18 DOI: 10.7189/jogh.14.03041
Taddese Alemu Zerfu, Amare Abera Tareke, Tirsit Genye, Melaku Bayable, Anbissa Muleta, Zekarias Getu, Tarekegn Negese, Hiwot Darsene, Bedassa Tessema, Dejen Tesfaw Molla, Yoseph Halala, Frezer Zewdu, Sisay Sinamo, Daniel Tsegaye, Ingo Neu, Manzura Mirsaidova, Archana Sarkar, Masresha Tessema, Aregash Samuel Hafebo
{"title":"Revolutionising multi-sectoral nutrition policy: Insights from the Ethiopian National Information Platform for Nutrition (NiPN) approach.","authors":"Taddese Alemu Zerfu, Amare Abera Tareke, Tirsit Genye, Melaku Bayable, Anbissa Muleta, Zekarias Getu, Tarekegn Negese, Hiwot Darsene, Bedassa Tessema, Dejen Tesfaw Molla, Yoseph Halala, Frezer Zewdu, Sisay Sinamo, Daniel Tsegaye, Ingo Neu, Manzura Mirsaidova, Archana Sarkar, Masresha Tessema, Aregash Samuel Hafebo","doi":"10.7189/jogh.14.03041","DOIUrl":"https://doi.org/10.7189/jogh.14.03041","url":null,"abstract":"","PeriodicalId":48734,"journal":{"name":"Journal of Global Health","volume":"14 ","pages":"03041"},"PeriodicalIF":4.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11489884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-term effects of COVID-19 infection on bone mineral density. COVID-19 感染对骨矿物质密度的长期影响。
IF 4.5 3区 医学
Journal of Global Health Pub Date : 2024-10-18 DOI: 10.7189/jogh.14.05029
Zhan Wang, Zilong Li, Yechao Shen, Shengjun Qian, Mengling Tang, Jiaming He, Haoda Lu, Ning Zhang
{"title":"Long-term effects of COVID-19 infection on bone mineral density.","authors":"Zhan Wang, Zilong Li, Yechao Shen, Shengjun Qian, Mengling Tang, Jiaming He, Haoda Lu, Ning Zhang","doi":"10.7189/jogh.14.05029","DOIUrl":"https://doi.org/10.7189/jogh.14.05029","url":null,"abstract":"<p><strong>Background: </strong>In this study, we aimed to identify bone mineral density (BMD) trajectories of hospitalised patients with coronavirus disease 2019 (COVID-19) and to determine the prognostic role of the trajectory groups.</p><p><strong>Methods: </strong>This is a retrospective study of hospitalised patients with COVID-19 treated in our hospital from November 2022 to February 2023. BMD was manually measured from the thoracic 12 (T12) and lumbar one (L1) vertebra using chest computed tomography images. We constructed group trajectory models using group-based trajectory modelling. We performed the logistic regression analysis to associate the BMD trajectory pattern with clinical outcomes.</p><p><strong>Results: </strong>This study included 1767 patients. The mean follow-up time after discharge was 181.5 days (standard deviation (SD) = 9.7). There were 1137 (64.3%) male patients, and more than 80% of patients were aged >60 years. We successfully identified three latent BMD trajectories to reveal the dynamic effects of COVID-19 infection on bone health in patients, namely, the early low-normal decline group, the average, and the early high-rapid decline group. All groups demonstrated consistent overall declining trends. A significant association was observed between BMD trajectory pattern (T12 or L1) and baseline characteristics of sex, age, and penetrating keratoplasty (P < 0.05). Our study showed that the BMD trajectories were significantly associated with mortality. Furthermore, we found that these trajectories were also associated with the length of hospital stay.</p><p><strong>Conclusions: </strong>This study provided evidence for the COVID-19 process to bone health, as well as evidence on strengthening bone health management before and after COVID-19 infection. BMD trajectories may help manage bone health and guide treatment in patients with COVID-19.</p>","PeriodicalId":48734,"journal":{"name":"Journal of Global Health","volume":"14 ","pages":"05029"},"PeriodicalIF":4.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142486098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Barriers to global engagement for African researchers: A position paper from the Alliance for Medical Research in Africa (AMedRA). 非洲研究人员参与全球活动的障碍:非洲医学研究联盟 (AMedRA) 的立场文件。
IF 4.5 3区 医学
Journal of Global Health Pub Date : 2024-10-18 DOI: 10.7189/jogh.14.03042
Bamba Gaye, Nzechukwu Michael Isiozor, Gurbinder Singh, Ngone Diaba Gaye, Mame Madjiguene Ka, Daouda Seck, Khadidiatou Gueye, David Lagoro Kitara, Camille Lassale, Anne Malick, Mor Diaw, Sidy M Seck, Abdourahmane Sow, Magaye Gaye, Abdou Salam Fall, Aïda Diongue, Ibrahima Seck, Jamal Belkhadir, Issa Wone, Serigne Magueye Gueye, Papa Salif Sow, Jamal Eddine Kohen, Dorothea Vogelsang, Maïmouna Ndour Mbaye, Elisabeth Alice Liyong, André Pascal Kengne, Roberta Lamptey, Ndeye Marième Sougou, Eugène Sobngwi, Awa Ba, John Tukakira, Thiess Lorenz, Elise G Kabore, Malaizyo Gabriel Muzumala, Ahmed Olanrewaju, Lamin Es Jaiteh, Lucrèce M Delicat-Loembet, Aimée Olivat Rakoto Alson, Khadim Niang, Ciira Wa Maina, Ernest Mwebaze, Joyce Nabende, Dina Machuve, Prestone Adie, Fatoumata Hanne, Roger Tine, Marième Sougou, Kouassi Gustave Koffi, Lameck Luwanda, Elisabeth Lilian Pia Sattler, Demeke Mekonnen, Fatma Ebeid, Jean Paul Enama, Mohamadi Zeba, Fernand Guedou, Pascal Mbelesso, Jennifer Carter, Bakary Coulibaly, Mohamed Lamine Drame, Alain Mouanga, Pierre Marie Preux, Philippe Lacroix, Mouhamadou Diagana, Didier Koumavi Ekouevi, Dismand Houinato, Adama Faye, Vivien Wambugu, Jean Kamaté, Mathias Lalika, Elaine Nsoesie, Boni Maxime Ale, Ibrahima Socé Fall, Abdoulaye Samb, Léon Tshilolo, Modou Jobe
{"title":"Barriers to global engagement for African researchers: A position paper from the Alliance for Medical Research in Africa (AMedRA).","authors":"Bamba Gaye, Nzechukwu Michael Isiozor, Gurbinder Singh, Ngone Diaba Gaye, Mame Madjiguene Ka, Daouda Seck, Khadidiatou Gueye, David Lagoro Kitara, Camille Lassale, Anne Malick, Mor Diaw, Sidy M Seck, Abdourahmane Sow, Magaye Gaye, Abdou Salam Fall, Aïda Diongue, Ibrahima Seck, Jamal Belkhadir, Issa Wone, Serigne Magueye Gueye, Papa Salif Sow, Jamal Eddine Kohen, Dorothea Vogelsang, Maïmouna Ndour Mbaye, Elisabeth Alice Liyong, André Pascal Kengne, Roberta Lamptey, Ndeye Marième Sougou, Eugène Sobngwi, Awa Ba, John Tukakira, Thiess Lorenz, Elise G Kabore, Malaizyo Gabriel Muzumala, Ahmed Olanrewaju, Lamin Es Jaiteh, Lucrèce M Delicat-Loembet, Aimée Olivat Rakoto Alson, Khadim Niang, Ciira Wa Maina, Ernest Mwebaze, Joyce Nabende, Dina Machuve, Prestone Adie, Fatoumata Hanne, Roger Tine, Marième Sougou, Kouassi Gustave Koffi, Lameck Luwanda, Elisabeth Lilian Pia Sattler, Demeke Mekonnen, Fatma Ebeid, Jean Paul Enama, Mohamadi Zeba, Fernand Guedou, Pascal Mbelesso, Jennifer Carter, Bakary Coulibaly, Mohamed Lamine Drame, Alain Mouanga, Pierre Marie Preux, Philippe Lacroix, Mouhamadou Diagana, Didier Koumavi Ekouevi, Dismand Houinato, Adama Faye, Vivien Wambugu, Jean Kamaté, Mathias Lalika, Elaine Nsoesie, Boni Maxime Ale, Ibrahima Socé Fall, Abdoulaye Samb, Léon Tshilolo, Modou Jobe","doi":"10.7189/jogh.14.03042","DOIUrl":"10.7189/jogh.14.03042","url":null,"abstract":"","PeriodicalId":48734,"journal":{"name":"Journal of Global Health","volume":"14 ","pages":"03042"},"PeriodicalIF":4.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142486097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Opioid use in Latin America: Chronicle of a death foretold? 拉丁美洲阿片类药物的使用:预示死亡的纪事?
IF 4.5 3区 医学
Journal of Global Health Pub Date : 2024-10-18 DOI: 10.7189/jogh.14.03040
Paula J León, Fernando R Altermatt, Eduardo A Vega, María F Elgueta, Javiera Léniz
{"title":"Opioid use in Latin America: Chronicle of a death foretold?","authors":"Paula J León, Fernando R Altermatt, Eduardo A Vega, María F Elgueta, Javiera Léniz","doi":"10.7189/jogh.14.03040","DOIUrl":"https://doi.org/10.7189/jogh.14.03040","url":null,"abstract":"","PeriodicalId":48734,"journal":{"name":"Journal of Global Health","volume":"14 ","pages":"03040"},"PeriodicalIF":4.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Climate-responsive telemedicine: Innovative strategy for enhancing healthcare in the face of climate change. 适应气候的远程医疗:面对气候变化加强医疗保健的创新战略。
IF 4.5 3区 医学
Journal of Global Health Pub Date : 2024-10-18 DOI: 10.7189/jogh.14.03043
Muhammad Fawad, Saif Ullah, Xiaolin Xu
{"title":"Climate-responsive telemedicine: Innovative strategy for enhancing healthcare in the face of climate change.","authors":"Muhammad Fawad, Saif Ullah, Xiaolin Xu","doi":"10.7189/jogh.14.03043","DOIUrl":"https://doi.org/10.7189/jogh.14.03043","url":null,"abstract":"","PeriodicalId":48734,"journal":{"name":"Journal of Global Health","volume":"14 ","pages":"03043"},"PeriodicalIF":4.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Utilisation and associated socio-demographic factors related to the maternal continuum of care in sub-Saharan Africa: A systematic review and meta-analysis. 撒哈拉以南非洲孕产妇持续护理的使用情况及相关社会人口因素:系统回顾和荟萃分析。
IF 4.5 3区 医学
Journal of Global Health Pub Date : 2024-10-18 DOI: 10.7189/jogh.14.04180
Getachew Mullu Kassa, Frezer Abebe Dulume, Robera Olana Fite, Kassahun Alemu, Alemayehu Worku, Lisanu Taddesse, Delayehu Bekele, Getachew Tolera, Grace J Chan, Alemnesh H Mirkuzie
{"title":"Utilisation and associated socio-demographic factors related to the maternal continuum of care in sub-Saharan Africa: A systematic review and meta-analysis.","authors":"Getachew Mullu Kassa, Frezer Abebe Dulume, Robera Olana Fite, Kassahun Alemu, Alemayehu Worku, Lisanu Taddesse, Delayehu Bekele, Getachew Tolera, Grace J Chan, Alemnesh H Mirkuzie","doi":"10.7189/jogh.14.04180","DOIUrl":"10.7189/jogh.14.04180","url":null,"abstract":"<p><strong>Background: </strong>Maternal continuum of care (MCC) is the utilisation of maternal health care services, including 4+ antenatal care (ANC) visits, skilled birth attendants (SBAs), and postnatal care (PNC). This systematic review and meta-analysis assessed the pooled proportion of MCC utilisation among women in sub-Saharan Africa (SSA) and its association with selected sociodemographic factors.</p><p><strong>Methods: </strong>We identified keywords and MeSH terms related to the condition (MCC), the context (SSA), and population (women with history of childbirth) to search for published or unpublished observational studies. We used the Joanna Briggs Institute tool to extract data and the Newcastle Ottawa Scale for quality assessment. Meta-analysis was used to compute pooled estimates (MCC utilisation and odds ratio (OR) associates) with 95% confidence intervals (CI) using Stata 17.</p><p><strong>Results: </strong>Of 45 402 studies identified, we included 23 involving 320 353 women. The pooled estimate of MCC utilisation across SSA was 18.72% (95% CI = 14.51, 22.93), showing a significant increase (P < 0.05) from 2015 to 2022. Southern Africa had the highest MCC utilisation (38%; 95% CI = 36.59, 39.41), while East Africa had the lowest (17.5%; 95% CI = 12.22, 22.75). Maternal continuum of care utilisation was associated with maternal age 25-34 years (pooled odds ratio (POR) = 1.27), urban residence (POR = 2.69), richer/richest wealth status (POR = 1.68), as well as higher level of education and employment (POR = 1.32).</p><p><strong>Conclusions: </strong>MCC utilisation in SSA remains low, with significant variation across the sub-regions and sociodemographic strata. Context-specific interventions targeting identified factors are essential to enhance MCC utilisation in SSA.</p><p><strong>Registration: </strong>PROSPERO: CRD42021272708.</p>","PeriodicalId":48734,"journal":{"name":"Journal of Global Health","volume":"14 ","pages":"04180"},"PeriodicalIF":4.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of different types of abortions with neonatal outcomes in subsequent pregnancy. 不同类型人工流产与后续妊娠新生儿结局的关系。
IF 4.5 3区 医学
Journal of Global Health Pub Date : 2024-10-18 DOI: 10.7189/jogh.14.04216
Hanxiang Sun, Xiujuan Su, Jing Mao, Ruru Zhao, Qinxin Shen, Chang Zou, Yuanyuan Yang, Qiaoling Du
{"title":"Association of different types of abortions with neonatal outcomes in subsequent pregnancy.","authors":"Hanxiang Sun, Xiujuan Su, Jing Mao, Ruru Zhao, Qinxin Shen, Chang Zou, Yuanyuan Yang, Qiaoling Du","doi":"10.7189/jogh.14.04216","DOIUrl":"https://doi.org/10.7189/jogh.14.04216","url":null,"abstract":"<p><strong>Background: </strong>Abortion is an important issue that concerns all women. It holds great significance to investigate the correlation between various types of abortion histories and the neonatal outcomes of subsequent pregnancies.</p><p><strong>Methods: </strong>This retrospective cohort study included pregnant women who gave birth to singleton live-born in Shanghai First Maternity and Infant Hospital from 2016 to 2020 (n = 75 773). Women with a history of abortion, including spontaneous abortion (SAB) and induced abortion (IA), were included in the exposed group, and the remaining were included in the unexposed group. The main outcomes were birthweight and preterm birth in the subsequent pregnancy. Logistic regression models were used to estimate odds ratios (ORs) and 95% confidence intervals (95% CIs) for the association of maternal abortion history with birthweight and risk of preterm birth in subsequent pregnancy.</p><p><strong>Results: </strong>Women who have experienced SAB history had an increased risk of delivering very low birth weight (VLBW) and preterm birth children, with (OR = 1.63, 95% CI = 1.15-2.32; OR = 1.38, 95% CI = 1.07-1.79). However, women with a history of IA were at greater risk of macrosomia (OR = 1.16; 95% CI = 1.06-1.27). We also observed that the likelihood of delivering a VLBW baby was heightened by the number of SAB occurrences (OR = 0.87, 95% CI = 0.54-1.38; OR = 1.84, 95% CI = 1.01-3.36, OR = 5.71, 95% CI = 3.21-10.15).</p><p><strong>Conclusions: </strong>Our study indicates that pregnant women with a history of SAB are at an increased risk of delivering VLBW infants and experiencing preterm labour. The risk is positively associated with the number of SABs. Conversely, women with a history of IA are more likely to deliver macrosomic infants.</p>","PeriodicalId":48734,"journal":{"name":"Journal of Global Health","volume":"14 ","pages":"04216"},"PeriodicalIF":4.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trends in the quality of antenatal care in India: Patterns of change across 36 states and union territories, 1999-2021. 印度产前护理质量趋势:1999-2021 年 36 个邦和中央直辖区的变化模式。
IF 4.5 3区 医学
Journal of Global Health Pub Date : 2024-10-18 DOI: 10.7189/jogh.14.04188
Hwa-Young Lee, Akhil Kumar, Anoop Jain, Rockli Kim, S V Subramanian
{"title":"Trends in the quality of antenatal care in India: Patterns of change across 36 states and union territories, 1999-2021.","authors":"Hwa-Young Lee, Akhil Kumar, Anoop Jain, Rockli Kim, S V Subramanian","doi":"10.7189/jogh.14.04188","DOIUrl":"10.7189/jogh.14.04188","url":null,"abstract":"<p><strong>Background: </strong>Antenatal care (ANC) quality is important to maternal and neonatal mortality. However, trends in the quality of ANC received by pregnant women in India have been understudied. This paper seeks to fill this gap by examining the long-term patterns nationwide and the state-specific prevalence of inadequate ANC quality received by pregnant women in India.</p><p><strong>Methods: </strong>We utilised data from four National Family Health Surveys (NFHS) conducted in 1999 (NFHS-2), 2006 (NFHS-3), 2016 (NFHS-4), and 2021 (NFHS-5) across India's 36 states/union territories (UTs). The sample includes mothers who had given birth within three years (NFHS-2) and five years (NFHS-3, NHFS-4, and NFHS-5) before each survey. We define inadequate ANC quality as not completing seven essential ANC services (weight measurement, blood pressure measurement, urine sampling, blood sampling, provision of iron supplements, provision of tetanus vaccination, and ultrasound scans) during pregnancy. We calculated the standardised absolute change to quantify the change in the share of women receiving inadequate quality ANC nationally and by each state/UT. Additionally, we estimated the population headcount of mothers who received inadequate-quality ANC in 2021 and identified the socioeconomic correlates associated with inadequate ANC quality.</p><p><strong>Results: </strong>The prevalence of inadequate ANC quality substantially declined between 1999-2021, from 84.8% (95% confidence interval (CI) = 84.1-85.5) to 28.8% (95% CI = 28.5-29.2). However, between-state inequality in ANC quality has increased over this time. We identified a weak correlation between prevalence and population headcounts in 2021. Socioeconomically disadvantaged groups exhibited a higher prevalence of inadequate quality of ANC than less disadvantaged groups.</p><p><strong>Conclusions: </strong>The proportion of pregnant women receiving inadequate ANC quality has decreased over time throughout India. However, multi-faceted efforts at national and state levels are necessary to enhance the effectiveness of existing policies. Additionally, innovative and targeted approaches are required to ensure the timely and equitable provision of high-quality ANC.</p>","PeriodicalId":48734,"journal":{"name":"Journal of Global Health","volume":"14 ","pages":"04188"},"PeriodicalIF":4.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142486099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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