Nhận xét thực trạng bệnh lý sản phụ khoa của nhân viên làm nhiệm vụ gìn giữ hòa bình tại Phái bộ UNMISS Nam Sudan

The increasing participation of women in United Nations peacekeeping missions highlights the critical need to understand and address their specific health challenges, particularly in austere environments like South Sudan. Female peacekeepers deployed to such demanding settings often face unique gynecological morbidities exacerbated by difficult living and working conditions, yet these issues are often under-researched. This study aims to investigate the characteristics and spectrum of gynecological diseases among female peacekeeping personnel in the Unity sector of the United Nations Mission in South Sudan (UNMISS). By shedding light on these specific health profiles, this research provides vital insights for enhancing medical support and reproductive health strategies within humanitarian and military deployments.

Medical professionals in military and humanitarian organizations, public health researchers, policymakers in peacekeeping missions, and specialists in obstetrics and gynecology.

This retrospective descriptive study analyzed the gynecological health of 149 female peacekeepers who received care at the Vietnamese Level-2 Field Hospital in South Sudan between May 2021 and June 2025. The research found that the overall gynecological examination rate was 2.07%, with the 30-39 age group constituting the largest cohort (63.08%) and African patients representing a majority (75.84%). The spectrum of morbidities was diverse, predominantly featuring pregnancy-related conditions (44.97%), genital tract diseases (38.26%), and tumors (12.75%). Distinct patterns were observed across age groups: younger peacekeepers (20-29) primarily presented with pregnancy-related issues, while those aged 30-39 showed a higher prevalence of genital tract diseases. Furthermore, ethnic disparities were noted, with Asian patients having a significantly higher prevalence of genital tract diseases (OR=7.205) and African patients experiencing higher rates of pregnancy-related conditions (OR=23.021). These findings underscore the critical need for tailored healthcare interventions within peacekeeping missions. The study's implications are significant for improving reproductive health education, implementing targeted screening programs for conditions like uterine fibroids, and enhancing overall medical support for female personnel in austere field hospital settings. By detailing the unique obstetrics and gynecology challenges faced by peacekeepers in South Sudan, this research offers valuable insights for developing more effective health strategies and policies to safeguard the well-being of women serving in UN missions globally.