评估印度的普遍产妇健康服务覆盖率及其决定因素:一个多中心的横截面研究
Shantanu Sharma1, Aditya Bhardwaj1, Kanishtha Arora1
1Department of Reproductive Maternal Child and Adolescent Health, MAMTA Health Institute for Mother and Child, B-5, Greater Kailash Enclave II, Greater Kailash, New Delhi, India.
印度普遍的孕产妇健康覆盖率受到社会经济因素的阻碍. 边缘化妇女在获得优质产前护理,产后护理和儿童免疫服务方面面临重大障碍.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 健康 公平 卫生 公平
背景情况:
- 全民孕产妇健康保险 (UHC) 旨在为孕妇和哺乳期妇女提供优质的医疗保健,而无需经济困难.
- 获得优质产前护理 (ANC),产后护理 (PNC) 和儿童免疫接种是UHC的关键组成部分.
- 印度的边缘化人口在获得基本的孕产妇健康服务方面经常面临差异.
研究的目的:
- 评估印度孕产妇健康服务的UHC.
- 在边缘化人口中确定质量ANC,PNC和儿童免疫的决定因素.
- 了解社会人口统计学因素对孕产妇获得医疗保健的影响.
主要方法:
- 在印度五个州进行了一项基于社区的横截面研究.
- 质量ANC和PNC得分是使用经过验证的指标计算的.
- 使用逻辑或通用线性回归模型来分析变量之间的关联.
主要成果:
- 分析了12976名孕妇和18061名哺乳母亲的数据.
- 文盲,贫困线以下和农村妇女的ANC和PNC分数质量较低.
- 边缘化妇女的儿童免疫接种几率降低,PNC分数质量较低.
结论:
- 包括种姓,教育,居住和经济地位在内的社会人口统计因素显著影响母亲获得医疗保健.
- 需要基于社区的干预措施来应对边缘化群体在医疗服务采用方面的挑战.
- 有针对性的战略对于改善印度孕产妇健康的UHC至关重要.
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