与尼日利亚产前护理相关的社会经济因素
Temitope Ilori1,2, Boluwatife A Adewale3, Taiwo A Obembe4,5
1Department of Community Medicine, College of Medicine, University of Ibadan, Nigeria.
African journal of reproductive health
|August 16, 2023
概括
仅靠财政自主,尼日利亚的产前护理 (ANC) 使用率并没有显著增加. 教育和财富等因素对改善获得基本孕产妇医疗保健服务的机会更为关键.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 社会学 社会学 社会学
背景情况:
- 关于尼日利亚的财务自主,负担能力和获得产前护理 (ANC) 之间的相互作用的理解有限.
- 财务自主是女性寻求医疗保健行为的关键决定因素,但其对ANC利用的具体影响仍未得到充分研究.
研究的目的:
- 评估尼日利亚妇女的财务自主性与她们使用产前护理 (ANC) 服务之间的关系.
- 确定与尼日利亚妇女财务自主和ANC利用相关的关键社会人口预测因素.
主要方法:
- 利用了来自2018年尼日利亚人口与健康调查 (NDHS) 的数据,对36个州和FCT的42,000个家庭进行了调查.
- 使用描述性统计和双变量和多变量逻辑回归分析来评估关联.
- 检查了15-49岁女性的财务自主程度 (没有,部分,完全) 和ANC出席率.
主要成果:
- 只有4.9%的女性报告说,她们有完全的财务自主权,而63.1%的女性没有财务自主权.
- 城市居住,高等教育水平和财富指数增加是财务自主性的重要预测因素.
- 虽然职业和居住类型影响了ANC的使用,但完全的财务自主性 (OR = 1.03;95%CI: 0.87 - 1.22) 并没有显著提高ANC服务的使用率.
结论:
- 仅仅是财务自主性并不是尼日利亚产前护理利用的重要驱动因素.
- 提高妇女的教育水平和实施财富创造计划对于提高ANC服务利用率至关重要.
- 政策干预应侧重于更广泛的社会经济赋权,而不是仅仅关注财务决策权,以改善孕产妇获得医疗保健的机会.
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