在尼泊尔西部剖析产前护理不平等:来自社区的队列研究的见解
Vishnu Khanal1, Sangita Bista2, Shiva Raj Mishra3
1Nepal Development Society, Bharatpur, Chitwan, Nepal. Khanal.vishnu@gmail.com.
BMC pregnancy and childbirth
|July 17, 2023
概括
尽管尼泊尔的产前护理 (ANC) 出勤率很高,但许多母亲迟迟开始护理,并获得低于最佳质量的服务. 需要为处境不利的妇女提供量身定制的支持,以改善孕产妇健康状况.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 产前护理 (ANC) 对于母亲和胎儿的健康至关重要.
- 了解ANC的质量和时间对于推进尼泊尔的孕产妇健康至关重要.
- 这项研究考察了尼泊尔西部的关键ANC服务利用率和相关因素.
研究的目的:
- 调查接受关键产前护理 (ANC) 服务的母亲比例.
- 确定与ANC使用不足,晚期启动和低于最佳质量的相关因素.
- 为改善尼泊尔孕产妇医疗保健的战略提供信息.
主要方法:
- 基于社区的队列研究,涉及735名母亲,在分娩后30天内接受采访.
- 对ANC服务结果的评估:<3次访问 (未充分利用),晚期启动 (≥4个月) 和低于最佳质量 (<8个指标).
- 分析使用频率分布对结果和多重后勤回归对相关因素.
主要成果:
- 超过一半 (55.21%) 的母亲迟迟开始ANC;三分之一 (33.8%) 接受了低于最佳质量的护理.
- 教育水平较低,农村居住和家庭服务与利用不足,晚期启动和低于最佳的ANC有关.
- 来自贫困背景的母亲迟迟开始ANC,而Madhesi妇女则得到了不够优的护理.
结论:
- 尽管出席率很高,但很大一部分母亲经历了晚期ANC启动和低于最佳的护理质量.
- 针对性的ANC服务对于马德西族族群和社会经济地位较低,教育程度较低的妇女来说是必要的.
- 解决这些差异对于减少孕产妇保健方面的不平等以及改善孕产妇整体健康状况至关重要.
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