基于LiST分析的贵州省农村地区5岁以下儿童健康干预效果预测

目的 了解当前贵州农村地区儿童健康干预现状,遴选出有效干预并提出现阶段儿童保健的优先干预,为相关决策提供循证信息。 方法 收集整理机构统计及入户调查数据,采用the Lives Saved Tool(LiST)软件,以2008年作为基线年,对2008-2015年与5岁以下儿童死亡率下降有直接和间接关系的妇幼干预效果进行测算和拟合。 结果 有效降低新生儿死亡率的干预依次为:母乳喂养、住院分娩和治疗性干预;有效降低1~59个月儿童死亡人数的干预依次为:母乳喂养、预防性措施、疫苗接种和治疗性措施。 结论 1)有效的儿童健康干预集中在改善环境及卫生习惯、加强乡级医疗机构分娩医疗质量、推广口服补液盐(ORS)治疗及补Zn常规处理;扩大肺炎球菌疫苗、轮状病毒疫苗和流感嗜血杆菌疫苗的接种率将大幅度降低儿童死亡数;2)根据LiST模拟出的重点干预项目有侧重点地加强基层现有妇幼卫生保健,有利于明确未来地区妇幼卫生资源的分配方向,为后续研究提供借鉴。

Health intervention effect prediction of children aged <5 years old in the rural areas in Guizhou based on the LiST.

Objective To understand the current children's health situation of rural areas in Guizhou,select effective interventions and provid priority interventions of children's health. Method To analyze relevant informations of children aged <5 years old in rural areas of Guizhou by SPSS 16.0,then measure direct and indirect intervention effects from 2008 to 2015 which made on the mortality of children aged <5 years old by the Lives Saved Tool (LiST). Results Effective interventions reducing the mortality neonatal:breastfeeding,hospital delivery and curative;1~59 months:breastfeeding,preventive,vaccines and curative. Conclusions 1)The effective interventions focus on improving the environment and health habits,strengthening the medical quality of medical institutions,the promotion of ORS and Zn,put pneumococcal,rotavirus,Hib vaccines into the state planning immune.2) According to LiST,to strengthen grass-roots existing maternal and child health care selectively which may be more conducive to clarify future direction of the maternal and child health in the allocation of resources,to provide reference for the follow-up studies.