贝宁和坦桑尼亚的产前护理服务2021/2022:一个股权分析研究
Walter Ochieng1, Anna Munsey2, Alen Kinyina3
1Office of the Director, Global Health Center, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
BMJ public health
|June 17, 2024
概括
在坦桑尼亚和贝宁,产前护理 (ANC) 的获取和质量因富裕和教育而异. 降低贝宁的用户费用和改善坦桑尼亚的员工培训可以提高公平的孕产妇医疗保健.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 孕产妇健康 孕产妇健康
背景情况:
- 产前护理 (ANC) 对产妇和新生儿健康结果至关重要.
- 由于社会经济,文化和后勤障碍,ANC获取的不平等现象仍然存在.
- 了解ANC差异的驱动因素是政策干预的关键.
研究的目的:
- 分析ANC在坦桑尼亚的Geita和贝宁的Atlantique提供服务的股权.
- 确定导致ANC获得和护理质量 (QoC) 差异的因素.
- 评估政府资助ANC的自付费用和福利影响.
主要方法:
- 在Geita (免费服务) 和Atlantique (用户费用) 的公共设施中对ANC服务的股权分析.
- 家庭调查收集了ANC联系人,QoC和等待时间的数据.
- 统计方法包括不平等指数,度指数和Oaxaca-Blinder分解.
主要成果:
- 这两个国家的客户收到的ANC联系人数少于推的数量.
- 更富有和更受过教育的人始终有更多的ANC联系人.
- 根据Geita的社会经济地位,护理质量有很大差异,但在Atlantique却没有;用户费用和运输是主要的成本障碍.
结论:
- 在两国,ANC访问的显著不平等有利于更富裕,受过教育的人口.
- 降低Atlantique的用户费用和加强Geita的员工培训/资源可以提高ANC的股权.
- 社区卫生服务可以帮助缓解获得产前护理的障碍.
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