covid-19期间孕产妇死亡决定因素和卫生服务提供:有什么区别?

Moch Jazil Ainul Yaqin, Danik Iga Prasiska, Nur Aini Fatah
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引用次数: 0

摘要

背景:2019冠状病毒病大流行给印度尼西亚卫生系统的服务提供带来了新的挑战。孕产妇保健服务也不例外,因为在2019冠状病毒病大流行期间,产前计划外家访减少是孕产妇保健服务中断的主要问题。在过去几十年里,印度尼西亚采取了一系列保健战略,以降低产妇死亡率。Nganjuk是强制降低孕产妇死亡率的县之一,成功地将孕产妇死亡率从2010年的每10万例活产212例降至2018年的每10万例活产57例。随着COVID-19的出现,卫生系统的能力和可及性再次受到动摇。目的:本研究旨在分析COVID-19大流行前和大流行期间孕产妇死亡的决定因素。方法:这类研究是非反应性研究,使用来自Nganjuk地区卫生办事处孕产妇死亡率报告的二手数据。采用社会科学统计软件包(SPSS) 26.0版本的卡方检验进行分析。结果:新冠肺炎大流行期间孕产妇死亡率显著上升(85.29%)。产妇死亡的决定因素,如母亲的年龄(p<0.00)、怀孕次数(p<0.00)、死亡时间(p=0.02)、医疗转诊(p=0.01)和死亡原因(p<0.00)在COVID-19期间显著增加。结论:2019冠状病毒病大流行是Nganjuk县孕产妇死亡人数增加的原因之一。这项研究对制定和执行降低产妇死亡率的政策时确定优先事项具有影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
MATERNAL DEATH DETERMINANT AND HEALTH SERVICE DELIVERY DURING COVID-19: WHAT'S THE DIFFERENCE?
Background: The COVID-19 pandemic has provided a new challenge for the delivery of health system in Indonesia. Maternal health services were no exception, as the reduction in antenatal unscheduled home visits were the main issues found in maternal health service disruption during the COVID-19 pandemic. In the last few decades, Indonesia has adopted a range of health strategies to reduce maternal mortality rates. Nganjuk is one of the regencies that enforce the reduction of maternal mortality, which successfully reducing maternal mortality rates from 212 per 100.000 live births in 2010 to 57 per 100.000 live births in 2018. With the emergence of COVID-19, the health system’s capacity and access are once again being shaken. Purpose: This research aimed to analyze the determinants of maternal death before the COVID-19 pandemic situation and during the COVID-19 pandemic. Method: This type of research is non-reactive research using secondary data from maternal mortality reports, Nganjuk Regional Health Office. Analysis was carried out with a chi-Square test using Statistical Package for the Social Sciences (SPSS) version 26.0. Results: A significant increase in maternal deaths (85.29%) was observed during the COVID-19 pandemic. Determinants of maternal death, such as the age of the mother (p<0.00), number of pregnancies (p<0.00), period of death (p=0.02), healthcare referral (p=0.01), and cause of death (p<0.00) showed a significant increase during COVID-19. Conclusion: COVID-19 pandemic contributed to the increase in maternal deaths in Nganjuk Regency. This study has implications for the priority setting in policy development and implementation at reducing maternal mortality.
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