在尼泊尔的母婴健康 (MCH) 服务中分解不平等
Shreezal G C1, Naveen Adhikari2
1Central Department of Economics, Tribhuvan University, Kirtipur, 44600, Kathmandu, Nepal. shreezalgc@gmail.com.
BMC public health
|May 29, 2023
概括
尼泊尔的母婴健康 (MCH) 服务显示出严重的不平等,有利于富裕,受过教育和城市妇女. 政策干预应侧重于改善教育,就业和医疗保健准入,以减少这些差异.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 人口统计学 人口统计学
背景情况:
- 尼泊尔的母婴健康 (MCH) 服务利用率呈现出显著的差异,城市妇女和来自富裕五分之一的妇女比农村和贫穷的同行更频繁地获得服务.
- 社会经济因素导致人们无法平等地获得基本的MCH服务,影响发展中国家弱势人口的健康结果.
研究的目的:
- 检查和分解各种社会经济因素对尼泊尔MCH服务不平等的贡献.
- 使用分解方法分析2011年至2016年间MCH服务不平等的变化.
主要方法:
- 度曲线和指数用于估计尼泊尔关键结果 (ANC访问,产后检查,SBA交付) 的MCH服务不平等.
- 应用了Oaxaca-blinder分解来量化2011年至2016年间的不平等差异,考虑到母亲的特征.
主要成果:
- 在MCH服务中的不平等在2011年和2016年都很普遍,但在研究期间显示下降趋势.
- 导致MCH服务不平等的关键因素包括财富指数,妇女的识字率,居住地,就业状况和接近卫生设施.
结论:
- 在尼泊尔,社会经济地位较高的妇女不成比例地获得MCH服务.
- 政策建议包括通过教育和就业赋予妇女权力,改善医疗保健基础设施和可访问性,以减轻MCH服务不平等.
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