尼泊尔机构交付服务利用的决定因素
Bipin Thapa1, Anita Karki2, Suman Sapkota3
1Department of Research and Development, Dhulikhel Hospital-Kathmandu University Hospital, Kavre, Nepal.
PloS one
|September 21, 2023
概括
尼泊尔的机构分娩对马德什省,农村地区和较贫穷家庭的妇女来说不太可能. 教育和更多的产前护理访问增加了基于设施的分娩的可能性.
科学领域:
- 全球健康 全球健康
- 孕产妇和新生儿的健康
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 孕产妇死亡率仍然是一个重大的全球卫生挑战.
- 机构分娩是一种经过验证的干预措施,可以减少母亲和新生儿的风险.
- 了解机构分娩的决定因素是提高母亲和新生儿安全的关键.
研究的目的:
- 评估与尼泊尔机构交付相关的上下文和个人因素.
- 确定影响妇女分娩地点的预测因素.
- 通过以设施为基础的护理,为提高母亲和新生儿安全的策略提供信息.
主要方法:
- 利用了2019年尼泊尔多重指标调查的数据.
- 包括在调查前两年分娩的1932名妇女.
- 采用多层物流回归分析来确定重要的预测因素.
主要成果:
- 马德什省,农村地区和弱势种族群体的妇女不太可能在机构中分娩.
- 较贫困的妇女 (最贫困和第二富裕的五分之一) 的机构分娩率明显较低.
- 正式教育和增加产前护理 (ANC) 访问与更高的机构分娩的可能性有关.
结论:
- 实现全民医疗保健的努力需要政府持续投资.
- 针对农村地区,贫困家庭和弱势群体的文盲妇女的有针对性的干预措施至关重要.
- 建议扩大对最贫困家庭的产妇福利计划,以促进机构分娩.
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