多维贫困对马拉维产前护理服务利用的影响
Amanda Grace Chatata1, Gowokani Chijere Chirwa2,3
1Economics Department, University of Malawi, P.O. box 280, Zomba, Malawi. amandachatata@gmail.com.
Health economics review
|January 4, 2025
概括
多维贫困严重阻碍了马拉维妇女使用产前护理 (ANC). 解决非货币贫困问题对于改善获得孕产妇卫生服务的机会至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 社会学 社会学 社会学
背景情况:
- 贫困,特别是多维贫困,是低收入和中等收入国家基本孕产妇医疗保健服务的重要障碍.
- 由于金融和非货币因素的结合,贫困妇女对产前护理 (ANC) 服务的利用不足,包括对教育,医疗保健和基础设施的限制.
- 现有的研究往往侧重于货币贫困,需要更深入地了解多维贫困如何影响获得医疗保健并导致健康不平等.
研究的目的:
- 评估多维贫困对马拉维产前护理 (ANC) 使用的影响.
- 调查非货币剥夺和妇女获得ANC服务的时间和时间之间的关系.
主要方法:
- 多维贫困是用牛津贫困和人类发展倡议 (OPHI) 的福斯特-阿基尔方法来衡量的.
- 来自2015-16马拉维人口健康调查 (DHS) 的数据分析了15-49岁的妇女,她们在五年内分娩.
- 使用倾向分数匹配 (PSM) 技术来减轻分析中的选择偏差.
主要成果:
- 52%的女性表明充分利用ANC的服务.
- 在ANC使用率和多维贫困 (B = 0.52;P < 0.008) 之间发现了显著的负相关性,这表明较贫穷的妇女使用这些服务的可能性较低.
- 多维贫困妇女在推的第一季度 (B = 0.26;P < 0.04) 内参加ANC访问的可能性也较低.
结论:
- 多维贫困显著降低了妇女在马拉维使用基本产前护理服务的可能性.
- 可持续的减贫计划和提高对生殖健康的认识对于改善孕产妇健康结果至关重要.
- 解决贫困的非货币维度对于减少医疗保健不平等和改善孕产妇获得医疗保健服务至关重要.
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