法律变化和关于未满足避孕需求的证据,菲律宾
Miguel Antonio Garcia Estrada1, Kent Jason Go Cheng2, Rutcher Madera Lacaza3
1Department of Public Administration and Policy, University of Georgia, Athens, United States of America (USA).
菲律宾的负责任家长和生殖健康法减少了女性未得到满足的避孕需求. 然而,财富五分位数之间的差异仍然存在,这表明持续存在的获取挑战.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 卫生政策 卫生政策
背景情况:
- 责任家长和生殖健康 (RPRH) 法律于2012年在菲律宾颁布.
- 直到2017年才实现了RPRH法律的全面实施.
- 了解RPRH法对避孕需求的影响对于公共卫生倡议至关重要.
研究的目的:
- 调查RPRH法与菲律宾妇女未得到满足的避孕需求之间的关系.
- 在法律实施后,分析不同财富五分位数中未满足的避孕需求的趋势.
- 评估法律在解决生殖健康差异方面的有效性.
主要方法:
- 利用了2013年,2017年和2022年菲律宾人口和健康调查的数据 (n=14,053,21,835和24,253分别).
- 员工调查加权后勤回归以估计变量与未满足的避孕需求之间的关联.
- 计算了不同财富五分位数中未满足需求的概率.
主要成果:
- 在2013年至2022年期间,观察到女性未满足避孕需求的加权比例大幅下降,特别是在最低财富五分位数 (18.4%至10.6%) 中.
- 在所有财富五分位数中,未满足需求的概率下降,而最低五分位数 (0.146至0.088) 的下降幅度最大.
- 在整个研究期间,女性在最低和最高财富五分位数之间仍然存在持续的未满足需求差距.
结论:
- 菲律宾的RPRH法有助于大幅减少菲律宾未满足的避孕需求.
- 尽管总体情况有所改善,但在获得避孕的社会经济差异仍然存在.
- 需要进一步的有针对性的干预措施,以消除生殖健康服务中基于财富的差距.
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