中国孕产妇贫血的机构能力和实践。

IF 2.8 2区 医学 Q3 NUTRITION & DIETETICS
Lijun Liu, Jiangli Di, Xiaona Huang, Yuning Yang, Anuradha Narayan, Sidi Chen
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引用次数: 0

摘要

在中国,近几十年来制定并实施了一系列预防和治疗贫血的措施。这些措施为在中国实施规范的孕产妇贫血防治服务提供了监管依据。然而,对于卫生专业人员是否采用这些干预措施、卫生设施是否有能力筛查缺铁和贫血,以及孕妇和哺乳期妇女是否遵守这些措施,人们知之甚少。因此,本研究探讨了提供的孕产妇贫血预防和控制服务之间的一致性,并为潜在的政策和计划修订和更新提供了证据。一项横断面调查于2019年11月至2020年1月期间进行。本次调查共选取了中国东、中、西部6个省份的11个县。在调查站点中,共有42家卫生机构参与调查,共有201名卫生服务提供者和1714名PLW参与调查并完成问卷调查。这项研究的结果表明,在接受调查的三分之一的卫生设施中提供含有30和60毫克铁的铁补充剂。所有产科医生报告说,在接受产前保健(ANC)服务的孕妇中要求进行Hb检测,87.6%的孕妇要求进行铁蛋白检测。产科医生在乡级医疗机构进行铁蛋白检测的比例(79.4%)明显低于省级医疗机构(100%)、地级医疗机构(87.5%)和县级医疗机构(87.1%)(p
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Institutional Capacity and Practices for Maternal Anemia in China.

In China, a range of anemia prevention and treatment measures have been developed and implemented in recent decades. These measures provide a regulatory basis for implementing standardized maternal anemia prevention and treatment services in China. However, little is known about the adoption of these interventions by health professionals, the capacity of health facilities to screen for iron deficiency and anemia, or the level of compliance among pregnant and lactating women (PLW). Thus, this study explored the alignment between maternal anemia prevention and control services provided and generated evidence for potential policy and program revisions and updates. A cross-sectional survey was conducted between November 2019 and January 2020. A total of 11 counties from 6 provinces across eastern, central and western regions of China were selected for the survey. In the surveyed sites, a total of 42 health institutions were enrolled in the survey, and a total of 201 health providers and 1714 PLW were enrolled in the suervey and completed the questionnaires. The results of this study showed that iron supplements containing 30 and 60 mg of iron were available in one third of the health facilities surveyed. All obstetricians reported ordering the Hb test for pregnant women receiving antenatal care (ANC) services, and 87.6% ordered the ferritin test. The proportion of obstetricians who ordered the ferritin test at the township level facilities (79.4%) was significantly lower than that at the provincial (100%), prefectural (87.5%) and county (87.1%) level facilities (p < 0.05). Around 89.6% and 90.5% of obstetricians prescribed iron to pregnant women when they were diagnosed with anemia and ID, respectively. 41.3% of obstetricians advised women to take preventive iron throughout their pregnancy. The proportion of obstetricians from township level hospitals that advised women to take preventative iron throughout their pregnancy (61.5%) was significantly lower than that from provincial facilities (23.5%) (p < 0.05). A total of 95.2% and 47.9% of PLW reported receiving the Hb test and the serum ferritin test during their pregnancy, respectively. There are some barriers and bottlenecks in the effective implementation of anemia intervention measures for pregnant women in China. Therefore, to achieve international and national targets on further reducing maternal anemia prevalence, comprehensive actions need to be taken.

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来源期刊
Maternal and Child Nutrition
Maternal and Child Nutrition 医学-小儿科
CiteScore
7.70
自引率
8.80%
发文量
144
审稿时长
6-12 weeks
期刊介绍: Maternal & Child Nutrition addresses fundamental aspects of nutrition and its outcomes in women and their children, both in early and later life, and keeps its audience fully informed about new initiatives, the latest research findings and innovative ways of responding to changes in public attitudes and policy. Drawing from global sources, the Journal provides an invaluable source of up to date information for health professionals, academics and service users with interests in maternal and child nutrition. Its scope includes pre-conception, antenatal and postnatal maternal nutrition, women''s nutrition throughout their reproductive years, and fetal, neonatal, infant, child and adolescent nutrition and their effects throughout life.
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