COVID-19封锁对母亲健康移动支付的影响:回归不连续性分析
Samuel Knauss1,2, Gracia Andriamiadana3, Roxane Leitheiser1
1Global Digital Last Mile Health Research Lab, Charité Center for Global Health, Charité - Universitätsmedizin Berlin, Germany, Berlin, Germany.
JMIR public health and surveillance
|July 30, 2024
概括
由于COVID-19的封锁,马达加斯加医疗服务的移动货币使用大幅减少,影响了储蓄和支付. 更年轻的女性经历了更长的康复时间,突出了数字卫生服务获取的差异.
科学领域:
- 数字卫生服务数字卫生服务
- 卫生经济学 卫生经济学
- 孕产妇健康 孕产妇健康
背景情况:
- 随着COVID-19的流行,人们开始采用数字金融服务来进行非接触式支付和援助.
- 疫情对低收入和中等收入国家健康数字金融服务的影响尚不清楚.
研究的目的:
- 评估最初的COVID-19封锁对移动孕产妇健康钱包使用的影响.
- 分析封锁对数字卫生服务利用的年龄相关差异影响.
主要方法:
- 对马达加斯加3416名妇女的819,840人日数据的回归不连续性分析.
- 分析医疗机构的储蓄,支付和电子券使用情况.
- 修改Poisson回归以估计数字金融交易上的锁定效应大小.
主要成果:
- 封锁使移动现金储蓄减少了58.5%,支付减少了45.8%,优惠券使用减少了49.6%.
- 优惠券使用恢复,但储蓄和支付并没有达到封锁前的水平.
- 30岁以上的女性比年轻女性 (<25岁) 恢复得更快,这些女性没有恢复到基线值.
结论:
- 由于COVID-19的封锁,医疗部门的移动货币使用严重减少,影响了基本服务.
- 在封锁期间,可以利用数字健康服务来维持对护理的准入,特别是对孕产妇健康的护理.
- 可能需要有针对性的干预措施来解决与年龄相关的数字卫生服务获取和恢复方面的差异.
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