| 冯晨阳,赖颖斯,李瑞雪,郝元涛.孟加拉国1999－2018年女性生殖健康状况变化趋势[J].中华流行病学杂志,2020,41(4):599-604 |
| 孟加拉国1999－2018年女性生殖健康状况变化趋势 |
| Trends of female reproductive health status in Bangladesh from 1999 to 2018 |
| 收稿日期:2019-12-03 出版日期:2020-04-24 |
| DOI：10.3760/cma.j.cn112338-20191203-00852 |
| 中文关键词: 女性生殖健康 可持续发展目标 孟加拉国 |
| 英文关键词: Female reproductive health Sustainable development goals Bangladesh |
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| 中文摘要: |
| 目的 分析孟加拉国女性生殖健康相关指标1999-2018年变化趋势,评估是否能达成2030年可持续发展目标(SDGs)。方法 数据来源于孟加拉国人口健康调查及孕产妇死亡率和卫生保健调查数据库,分析和比较1999-2018年生殖健康相关的SDGs指标的变化趋势,计算其年均变化速度;采用发展指数,评价各指标实现可持续发展目标的难度。结果 孕产妇死亡率从2001-2016年呈现先增长后平缓的趋势;1999-2018年,生殖卫生保健服务覆盖率、对自己医疗保健有决定权的女性比例总体上均为增长趋势,有未满足避孕需求的比例、认为伴侣暴力是正当的女性比例、早婚率、早育率呈现不同程度的下降。产前保健覆盖率、医疗机构分娩率、由专业接生人员接生的比例、产后访视率发展指数<1,孕产妇死亡率发展指数接近1,其他指标均>1。结论 孟加拉国各生殖健康相关SDGs指标从1999-2018年均取得不同程度的进展,但对于大部分指标,现在年均变化速度还低于达成2030年的既定目标所需速度,需要在未来几年加快进展。 |
| 英文摘要: |
| Objective To analyze the changes of relevant indicators in reproductive health status among Bangladeshi women from 1999 to 2018 and to assess whether the 2030 Sustainable Development Goals (SDGs) can be achieved. Methods Data were obtained from both the Bangladesh Demographic and Health as well as from the Maternal Mortality and Health Care Surveys. The trends of SDGs indicators related to reproductive health from 1999 to 2018 were analyzed and compared, and the average annual rate of change was calculated. Development index was used to assess the difficulty of achieving the SDGs. Results The maternal mortality rate increased first and then leveled off from 2001 to 2016. From 1999 to 2018, the coverage of reproductive health care services and the proportion of women who had the right to make the decision on their own health care service, were generally increasing. Proportion of the following areas as:"contraceptive needs, women who consider that partner violence is justified, the rate of early marriage, and the rate of early childbearing etc.", were declining at various degrees. Development index of the antenatal care coverage, rate of delivery in medical facilities, percentage of live births attended by medically trained providers and the rate of postnatal care etc., were less than 1. The development indices of the maternal mortality rates were close to 1, while all the other indicators were greater than 1. Conclusions The reproductive health-related SDGs indicators in Bangladesh appeared somehow degrees of progress from 1999 to 2018. However, for most indicators, the average annual rate of change was still lower than the expected to achieve the 2030 target which called for acceleration in the next few years. |
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