Factors associated with maternal mortality in Kazakhstan: a pre- and during-pandemic comparison

Frontiers in Public Health, Journal Year: 2024, Volume and Issue: 12

Published: June 3, 2024

Introduction The maternal mortality indicator serves as a crucial reflection of 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, effectively reduce enhance health. global healthcare landscape has been significantly reshaped by COVID-19 pandemic, pressing disparities stalling progress toward achieving Sustainable Development Goals, particularly reduction. Methods This study investigates determinants Kazakhstan from 2019 2020 trends 17 regions 2000 2020, employing data extracted national statistical reports. Stepwise linear regression analysis utilized explore ratios relation socioeconomic factors service indicators. Results ratio nearly tripled 13.7 36.5 per 100,000 live births 2020. A remarkable decrease was observed until around 2015 with rates spiked Significant associated include antenatal care coverage number primary units. Additionally, such secondary education enrollment cases domestic violence against women emerged predictors MMR. Moreover, impact pandemic evident shift coefficients for certain predictors, our case. In MMR continued reported violence. Conclusion Despite Kazakhstan’s efforts commitment reduction, poses alarming challenges. Addressing these challenges strengthening mitigate remains imperative advancing health outcomes Kazakhstan.

Language: Английский

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Health policy implications for cardiovascular disease, type 2 diabetes mellitus, and stroke in Central Asia: a decadal forecast of their impact on women of reproductive age

Frontiers in Public Health, Journal Year: 2024, Volume and Issue: 12

Published: Aug. 22, 2024

Introduction Cardiovascular disease, type 2 diabetes, and stroke are significant global health concerns. However, gaps persist in understanding the impact of these disorders on women reproductive age Central Asia. This study aimed to analyze policies implemented Asian countries address healthcare needs this demographic forecast future trends prevalence rates. Methodology We forecasted rates, years life lost, lived with disability, disability-adjusted for cardiovascular using publicly available data. Two data sources were utilized: policy documents issued by governments Kazakhstan, Kyrgyzstan, Uzbekistan, Tajikistan, Turkmenistan, from Institute Health Metrics Evaluation. Forecasting models, including ARIMA, employed predict until 2030. Results The results indicate an anticipated increase disease 1856.55 2020 2007.07 2029 a subtle Kyrgyzstan 2492.22 2558.69 over 10 years, similar other countries. Conclusion analysis revealed lack specific focus addressing stroke, or diabetes outside contexts pregnancy childbirth. Understanding is crucial informing targeted interventions resource allocation mitigate diseases women’s

Language: Английский

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SARS-CoV-2 infection during pregnancy and the risk of adverse maternal outcomes in the Republic of Georgia: a national birth registry-based cohort study

BMC Pregnancy and Childbirth, Journal Year: 2024, Volume and Issue: 24(1)

Published: Feb. 22, 2024

Abstract Background Georgia experienced an increase in maternal deaths (MD) during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, which warrants further investigation. This study aimed to assess associations between timing of SARS-CoV-2 infection pregnancy and MD, post-delivery intensive care unit (ICU) admission, caesarean section (CS) delivery. Methods We performed a national birth registry-based cohort pregnant women who had completed 22 weeks gestation delivered February 28, 2020, August 31, 2022. The data were linked disease 2019 (COVID-19) testing, vital, immunization registries. Pregnant classified into three groups: confirmed from conception through 31 days before delivery; within 30 or at negative for without any test results (reference group). Multivariable logistic regression was used calculate adjusted odds ratios (aORs) 95% confidence intervals (CIs). Results Among 111,493 women, 16,751 pregnancy, 7,332 fully vaccinated against COVID-19 Compared reference group, those with delivery increased MD (aOR: 43.11, CI, 21.99–84.55), ICU admission 5.20, 4.05–6.67), CS 1.11, 1.03–1.20). Conclusions considerably higher risk slightly Additionally, highlighted that most not COVID-19. These findings should alert stakeholders adherence public health preventive measures needs be improved.

Language: Английский

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SARS-CoV-2 infection during pregnancy and the risk of adverse maternal outcomes in the Republic of Georgia: a national birth registry-based cohort study

Research Square (Research Square), Journal Year: 2023, Volume and Issue: unknown

Published: May 4, 2023

Abstract Importance Georgia experienced an increase in maternal mortality (MM) during the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) pandemic, which warrants further investigation. Objective This study aimed to assess associations between SARS-CoV-2 infection pregnancy and MM, post-delivery intensive care unit (ICU) admission, caesarean section (CS) delivery. Methods We performed a national birth registry-based cohort including pregnant women who delivered February 28, 2020 August 31, 2022. Data was linked with disease (COVID-19) testing, vital, immunization registries. Pregnant were classified into three groups: confirmed from conception through 31 days before delivery, 30 or at negative for without any test results (reference group). Multivariable logistic regression used calculate adjusted odds ratios (aOR) 95% confidence intervals (CIs). Results Among 111,278 women, 16,661 had pregnancy; 7,304 fully vaccinated against COVID-19. Compared reference group, those delivery increased of MM (aOR: 45.5, CI, 23.1–89.3), ICU admission 5.62, 4.37–7.22), CS 1.12, 1.03–1.21). Conclusions Hence, conferred alarmingly higher risk admission. Additionally, highlight that most not These findings should signal stakeholders adherence public health preventive measures needs be improved.

Language: Английский

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The Relationship Between Religious Faith and Trust in Science in the Context of Mandatory Vaccination Against COVID-19: Experience of Kazakhstan

Public Integrity, Journal Year: 2023, Volume and Issue: 26(5), P. 539 - 549

Published: Aug. 31, 2023

AbstractThis article investigates the covariation of belief and science credibility in Kazakhstan context COVID-19 vaccination. The research methodology is based on a multi-country analysis indicators from global database vaccinations, covariance was estimated case Kazakhstan. According to survey, 33.5% respondents changed their opinions favor vaccination 29.6% those surveyed affirmed commitment Furthermore, 58.8% believe that this only an effective way protect themselves COVID-19. Some main reasons for refusing get vaccine include contraindications (14.1%), fear possible severe consequences (4.5%), lack confidence vaccines medicine general (4.5%). Less than 1 percent all cited religious beliefs as reason unwillingness vaccinated.Keywords: BeliefsCOVID-19 pandemichealth care systemlack trust health professionalssurvey Authors' contributionsConceptualization, E.O.; methodology, A.S.; software, K.S.; validation, A.S., E.O., O.A., formal analysis, O.A.; investigation, resources, A.S. data curation, writing–original draft preparation, writing–review editing, visualization, O.A. supervision, project administration, funding acquisition, K.S.Disclosure statementNo potential conflict interest reported by author(s).Availability materialData will be available corresponding author upon request.

Language: Английский

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