用户免费政策显著改善了在埃塞俄比亚西北部巴希尔达尔市对孕产妇健康服务利用的遵守:一个比较的跨部门研究
Demlie Mekonnen Marye1, Desta Debalkie Atnafu1,2, Melesse Belayneh1
1Department of Health System Management and Health Economics, School of Public Health, Bahir Dar University, Bahir Dar, Ethiopia.
ClinicoEconomics and outcomes research : CEOR
|December 18, 2023
概括
埃塞俄比亚的免费使用费政策显著提高了对孕产妇健康服务的坚持. 这一政策,特别是通过第三方融资,可以改善服务不足地区妇女的机会.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 孕产妇健康 孕产妇健康
背景情况:
- 全球努力优先考虑熟练的分娩人员,以减少孕产妇和新生儿死亡率.
- 用户免费政策是实现全民医疗覆盖的关键.
- 关于豁免产妇服务对埃塞俄比亚使用遵守的影响的证据有限.
研究的目的:
- 评估埃塞俄比亚免费费用政策对遵守孕产妇卫生服务使用率的影响.
- 确定孕产妇卫生服务使用率的预测因素.
主要方法:
- 一项以社区为基础的,比较的横截面研究在巴希尔达尔市进行,涉及497名妇女.
- 通过面对面采访收集数据,并使用双变量和多变量后勤回归分析数据.
- 倾向性得分匹配被用来衡量免费政策对遵守政策的影响.
主要成果:
- 总体而言,对使用孕产妇保健服务的坚持是54.2%.
- 与遵守相关的关键因素包括妊娠并发症,教育水平,早期产前护理 (ANC) 预订,妇女的自主权,用户费免除和平等.
- 免费使用费证明了显著的积极效果,增加了22.7%的遵守率.
结论:
- 使用费免除政策显著提高了对孕产妇健康服务的坚持.
- 促进免费政策,可能通过第三方融资,可以改善埃塞俄比亚环境中的孕产妇卫生服务利用率.
- 针对具有特定特征的母亲 (更高的怀孕率,没有并发症,更少的自主权,更低的教育程度) 可以最大限度地影响政策.
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