2015年至2021年印度孕产妇卫生服务利用趋势和决定因素
Wapangjungla Longchar1, Prakash Babu Kodali1, Sibasis Hense2
1Department of Public Health and Community Medicine, Central University of Kerala, Tejaswini Hills, Periya, Kasaragod, Kerala, 671320, India.
印度的孕产妇卫生服务利用率有所改善,但差距仍然存在. 完成护理连续性的关键因素包括年龄,教育,财富和医疗保险.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 母亲健康的护理连续 (CoC) 包括常规产前护理 (ANC),机构分娩 (ID) 和产后服务 (PNC).
- 了解COC的利用模式和决定因素对于改善印度孕产妇健康状况至关重要.
研究的目的:
- 调查印度在CoC路径上的产妇健康服务利用的分布,趋势,学和决定因素.
- 分析NFHS-4和NFHS-5数据集 (2015-2021) 之间的COC利用变化.
主要方法:
- 利用二进制后勤回归来检查CoC利用和预测变量之间的关联.
- 分析了2015-2021年国家家庭健康调查 (NFHS-4和NFHS-5) 的数据.
主要成果:
- 在NFHS-5中,完整的CoC利用率增加到50%,比NFHS-4上升了11.3%的点.
- 在完全产前护理 (ANC) 吸收方面 (41.5%) 观察到最大的中断率.
- 完成CoC的更高几率与25-34岁的女性有关,高等教育,城市居住,更富裕的家庭和医疗保险.
结论:
- 虽然取得了进展,但加强公共卫生系统和解决政府孕产妇健康计划中的瓶对于提高印度的COC至关重要.
- 需要具体的,多部门战略来促进孕产妇保健服务的普及,特别是在高度重点的国家.
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