パキスタンにおける産婦人保健サービスへのアクセスにおける機会の不平等の評価:定量的な試み
Jawad Rahim Afridi1, Sajjad Ahmad Jan2, Muhamad Farhan Asif3,4
1Department of Economics, University of Peshawar, Peshawar, Pakistan. jrafridi67@gmail.com.
BMC health services research
|September 2, 2025
まとめ
パキスタンでは 住居や富などの要因によって 妊産婦の医療へのアクセスの格差が続いているのです 女性の教育と自律性は,母親の健康を向上させるための標的型介入の必要性を強調します.
科学分野:
- 公衆衛生
- 健康に関する公平性
- 人口統計
背景:
- 妊産婦保健サービス (MHCS) は,持続可能な開発目標 (SDGs) の達成に不可欠です.
- MHCSへのアクセスの持続的な不平等は,母親の健康への悪影響と関連しています.
- これらの不平等の要因を理解することは 政策開発に不可欠です
研究 の 目的:
- パキスタンの MHCS アクセスにおける機会の不平等を評価する.
- 状況と努力がこれらの不平等に与える影響を評価する.
- MHCSの利用に影響を与える重要な決定要因を特定する.
主な方法:
- パキスタン 人口健康調査 (2012年-13年および2017年-18年) のデータを活用した.
- 人間の機会指数 (HOI) とシェープリー分解を用いた.
- MHCS アクセスの決定要因を検証するために,物流回帰分析を適用した.
主要な成果:
- 産前ケアと熟練した出産担当者が増えたが,産後ケアが著しく減少した.
- 居住地,地域,世帯の富といった状況要因が 格差の主な要因でした
- 女性の教育,メディアへの露出,そして健康に関する意思決定の自律性は,MHCSへのアクセスに好ましい影響を及ぼしました.
結論:
- MHCSへのアクセスには地域と都市と農村の格差が大きい.
- 女性のエンパワーメントと社会経済的な決定因子に対処する標的型の介入が必要である.
- 産後ケアと母親の健康状態の改善に 政策的注意が必要である.
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