优化印尼孕产妇健康服务的利用:对2018年风险的横截面研究
Ni Ketut Aryastami1, Rofingatul Mubasyiroh2
1Research Center for Public Health and Nutrition, National Research and Innovation Agency Republic of Indonesia, Cibinong, Indonesia aryastami@gmail.com.
在印度尼西亚,最佳的孕产妇健康服务利用率并不普遍,但医疗保险和较低的平等性等因素改善了结果. 农村的母亲和东部地区的母亲显示出更好的使用率.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 孕产妇健康 孕产妇健康
背景情况:
- 产妇健康服务 (MHS) 对于降低产妇和婴儿死亡率至关重要.
- 了解影响最佳MHS利用的因素对于改善印度尼西亚的医疗保健准入和结果至关重要.
研究的目的:
- 分析2015年至2018年期间印度尼西亚对孕产妇健康服务的最佳利用情况.
- 确定与最佳MHS利用相关的人口和社会经济因素.
主要方法:
- 一项使用2018年基本健康研究 (Riskesdas) 数据的国家横截面研究.
- 这项研究分析了70878名在数据收集前5年内活产的母亲的数据.
- 开发了一个评分系统,以衡量产妇健康服务的最佳利用率.
主要成果:
- 总体而言,孕产妇医疗服务的利用率低于最佳水平,在卫生机构分娩的母亲获得了83.3%的服务.
- 在医疗机构分娩的母亲中,最佳护理利用率显著更高 (ORa=3.15).
- 积极与最佳MHS利用相关的因素包括更好的教育,医疗保险,更好的设施准入和更低的平价.
结论:
- 最佳的孕产妇医疗服务利用受健康保险和较低的平等影响,而不仅仅是免费服务.
- 农村地区和印度尼西亚东部地区的母亲表现出更具保护性和最佳使用MHS.
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