PDF(Pubmed)
Abstract：
UNASSIGNED: The maternal mortality indicator serves as a crucial reflection of a nation\'s overall healthcare, economic, and social standing. It is necessary to identify the variations in its impacts across diverse populations, especially those at higher risk, to effectively reduce maternal mortality and enhance maternal health. The global healthcare landscape has been significantly reshaped by the COVID-19 pandemic, pressing disparities and stalling progress toward achieving Sustainable Development Goals, particularly in maternal mortality reduction.
UNASSIGNED: This study investigates the determinants of maternal mortality in Kazakhstan from 2019 to 2020 and maternal mortality trends in 17 regions from 2000 to 2020, employing data extracted from national statistical reports. Stepwise linear regression analysis is utilized to explore trends in maternal mortality ratios in relation to socioeconomic factors and healthcare service indicators.
UNASSIGNED: The national maternal mortality ratio in Kazakhstan nearly tripled from 13.7 in 2019 to 36.5 per 100,000 live births in 2020. A remarkable decrease was observed from 2000 until around 2015 with rates spiked by 2020. Significant factors associated with maternal mortality include antenatal care coverage and the number of primary healthcare units. Additionally, socioeconomic factors such as secondary education enrollment and cases of domestic violence against women emerged as predictors of MMR. Moreover, the impact of the pandemic was evident in the shift of coefficients for certain predictors, such as antenatal care coverage in our case. In 2020, predictors of MMR continued to include secondary education enrollment and reported cases of domestic violence.
UNASSIGNED: Despite Kazakhstan\'s efforts and commitment toward achieving Sustainable Development Goals, particularly in maternal mortality reduction, the impact of the COVID-19 pandemic poses alarming challenges. Addressing these challenges and strengthening efforts to mitigate maternal mortality remains imperative for advancing maternal health outcomes in Kazakhstan.
UNASSIGNED: This study investigates the determinants of maternal mortality in Kazakhstan from 2019 to 2020 and maternal mortality trends in 17 regions from 2000 to 2020, employing data extracted from national statistical reports. Stepwise linear regression analysis is utilized to explore trends in maternal mortality ratios in relation to socioeconomic factors and healthcare service indicators.
UNASSIGNED: The national maternal mortality ratio in Kazakhstan nearly tripled from 13.7 in 2019 to 36.5 per 100,000 live births in 2020. A remarkable decrease was observed from 2000 until around 2015 with rates spiked by 2020. Significant factors associated with maternal mortality include antenatal care coverage and the number of primary healthcare units. Additionally, socioeconomic factors such as secondary education enrollment and cases of domestic violence against women emerged as predictors of MMR. Moreover, the impact of the pandemic was evident in the shift of coefficients for certain predictors, such as antenatal care coverage in our case. In 2020, predictors of MMR continued to include secondary education enrollment and reported cases of domestic violence.
UNASSIGNED: Despite Kazakhstan\'s efforts and commitment toward achieving Sustainable Development Goals, particularly in maternal mortality reduction, the impact of the COVID-19 pandemic poses alarming challenges. Addressing these challenges and strengthening efforts to mitigate maternal mortality remains imperative for advancing maternal health outcomes in Kazakhstan.
摘要：
孕产妇死亡率指标是一个国家整体医疗保健的重要反映，经济,和社会地位。有必要确定其影响在不同人群中的变化，尤其是那些风险较高的人，有效降低孕产妇死亡率，增强孕产妇健康。COVID-19大流行极大地重塑了全球医疗保健格局，在实现可持续发展目标方面存在紧迫的差距和停滞不前的进展，尤其是降低孕产妇死亡率。
■本研究采用从国家统计报告中提取的数据，调查了哈萨克斯坦2019年至2020年孕产妇死亡率的决定因素和2000年至2020年17个地区的孕产妇死亡率趋势。逐步线性回归分析用于探索与社会经济因素和医疗保健服务指标相关的孕产妇死亡率趋势。
■哈萨克斯坦的全国孕产妇死亡率几乎增加了两倍，从2019年的13.7增加到2020年的36.5/10万活产。从2000年到2015年左右观察到显著下降，到2020年比率飙升。与孕产妇死亡率相关的重要因素包括产前护理覆盖率和初级保健单位的数量。此外,中等教育入学率和针对妇女的家庭暴力案件等社会经济因素成为MMR的预测因素。此外，大流行的影响在某些预测因子的系数变化中很明显，例如我们案例中的产前护理保险。2020年，MMR的预测因素继续包括中等教育入学率和报告的家庭暴力案件。
■尽管哈萨克斯坦为实现可持续发展目标做出了努力和承诺，特别是在降低孕产妇死亡率方面，COVID-19大流行的影响带来了令人震惊的挑战。应对这些挑战并加强努力降低孕产妇死亡率仍然是哈萨克斯坦推进孕产妇健康成果的当务之急。
■本研究采用从国家统计报告中提取的数据，调查了哈萨克斯坦2019年至2020年孕产妇死亡率的决定因素和2000年至2020年17个地区的孕产妇死亡率趋势。逐步线性回归分析用于探索与社会经济因素和医疗保健服务指标相关的孕产妇死亡率趋势。
■哈萨克斯坦的全国孕产妇死亡率几乎增加了两倍，从2019年的13.7增加到2020年的36.5/10万活产。从2000年到2015年左右观察到显著下降，到2020年比率飙升。与孕产妇死亡率相关的重要因素包括产前护理覆盖率和初级保健单位的数量。此外,中等教育入学率和针对妇女的家庭暴力案件等社会经济因素成为MMR的预测因素。此外，大流行的影响在某些预测因子的系数变化中很明显，例如我们案例中的产前护理保险。2020年，MMR的预测因素继续包括中等教育入学率和报告的家庭暴力案件。
■尽管哈萨克斯坦为实现可持续发展目标做出了努力和承诺，特别是在降低孕产妇死亡率方面，COVID-19大流行的影响带来了令人震惊的挑战。应对这些挑战并加强努力降低孕产妇死亡率仍然是哈萨克斯坦推进孕产妇健康成果的当务之急。
