产妇和新生儿护理连续使用的空间模式及其与妇女赋权的相关性
Getiye Dejenu Kibret1,2, Daniel Demant3,4, Angela Dawson3
1Department of Public Health, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia. dgetiye@gmail.com.
在埃塞俄比亚,产妇和新生儿卫生服务的持续护理 (CoC) 仍然处于极低水平,女性赋权与改善服务利用的空间相关性呈现出积极的关系. 政策必须优先考虑妇女的赋权和持续的服务参与.
科学领域:
- 孕产妇和儿童的健康
- 公共卫生 公共卫生
- 人口统计学 人口统计学
背景情况:
- 孕产妇健康的护理连续性 (CoC) 确保在产前,产后和产后期间的生殖健康护理的连续性.
- CoC是母亲和新生儿健康结果的关键指标.
- 赋予妇女权力对于改善获得和利用孕产妇和新生儿卫生服务至关重要.
研究的目的:
- 调查母亲和新生儿健康的护理连续 (CoC) 服务利用的空间分布.
- 分析在埃塞俄比亚使用CoC与妇女赋权之间的相关性.
主要方法:
- 2011年和2016年埃塞俄比亚人口和健康调查 (EDHS) 数据的分析.
- 包括15-49岁的妇女在过去五年内生育活产.
- 通过修改的共同覆盖指数 (CoCI) 来衡量CoC,并通过SWPER指数来衡量妇女赋权.
- 应用Getis-Ord-Gi*空间分析来识别集群和相关性.
主要成果:
- 完全连续护理 (CoC) 的利用率极低:在2011年为0%,在2016年为2.5%.
- 2016年,基本的COC服务 (ANC,SBA,PNC) 的使用率为6.9%;在2011年,没有一个公司同时使用这三种服务.
- 在阿姆哈拉,阿法尔和索马里地区观察到最低的CoC服务使用率.
- 在使用CoC和妇女赋权领域之间发现了积极的空间相关性.
结论:
- 在埃塞俄比亚,母亲和新生儿医疗服务的利用率,包括产前护理访问,熟练的分娩服务和产后护理,都很低.
- 妇女赋权领域与护理连续 (CoC) 服务利用有积极的空间相关性.
- 充分利用每一次孕产妇健康遭遇,并优先考虑政府对妇女赋权的政策,对于改善持续使用CoC服务至关重要.
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