影响巴布亚新几内亚孕产妇医疗利用的因素:安德森的行为模型
1School of Public Health, Chongqing Medical University, Chongqing, China.
BMC women's health
|October 21, 2023
概括
在巴布亚新几内亚,孕产妇医疗保健服务的利用受到财富和获得权等促进因素的影响,其次是教育和平等. 优先考虑这些因素可以改善母亲的健康状况.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 巴布亚新几内亚 (PNG) 的孕产妇死亡率在西太平洋地区最高,阻碍了SDG 3的实现.
- 孕产妇医疗服务 (MHS),包括产前护理 (ANC),熟练分娩护理 (SBA) 和产后护理 (PNC),对于减少PNG的孕产妇死亡率至关重要.
- 确保新几内亚妇女获得和使用基本的MHS存在重大挑战.
研究的目的:
- 评估新几内亚妇女中产前护理 (ANC),熟练分娩护理 (SBA) 和产后护理 (PNC) 服务的普及率.
- 确定影响使用ANC,SBA和PNC服务的关键决定因素.
- 了解对MHS利用的倾向性,支持性和需求因素的相对重要性.
主要方法:
- 利用了2016-2018年巴布亚新几内亚人口和健康调查的数据.
- 包括5248名生育年龄妇女在分析样本中.
- 采用了奇平方测试,多变量逻辑回归和主导分析来确定MHS利用的决定因素.
主要成果:
- 对于ANC,SBA和PNC服务的流行率分别为52.3%,58.7%和26.6%.
- 在使用MHS的关键决定因素包括妇女的就业,教育,媒体曝光,距离卫生设施的距离,家庭财富,地区,居住和平等.
- 使用ANC,SBA和PNC服务主要是由启用因素驱动的,其次是倾向因素和需求因素.
结论:
- 促成因素 (媒体曝光,与设施的距离,财富,地区,居住地) 显著影响MHS使用率,而不是诱导因素 (工作,教育) 或需求因素 (平价).
- 新几内亚的孕产妇健康计划和政策应优先加强促进因素.
- 建议包括改善交通,卫生基础设施,增加妇女的教育和职业培训,特别是在高地,Momase地区和农村地区.
更多相关视频
06:39Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
3.1K
12:17The 4-vessel Sampling Approach to Integrative Studies of Human Placental Physiology In Vivo
Published on: August 2, 2017
10.7K
相关概念视频
Models of Health Promotion and Illness Prevention I
2.0K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.0K
Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
Factors Affecting Illness
4.2K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.2K
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
Dimensions of Health and Illness
7.4K
The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
7.4K
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
