印度尼西亚产前护理覆盖率不完整的城乡差异:一个横截面研究
Haerawati Idris1, Rinda Nurul Karimah2, Anni Yulianti2
1PhD, Department of Health Policy and Administration, Faculty of Public Health, Sriwijaya University, Indralaya, Ogan Ilir, South Sumatera, Indonesia.
概括
在印度尼西亚农村地区,不完整的产前护理更为常见,与教育和医疗保健接入有关. 解决这些差异是改善所有母亲健康结果的关键.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 健康差异 在健康上的差异
背景情况:
- 印度尼西亚面临着高的孕产妇死亡率 (249/100,000活产,2016-2020年).
- 定期的产前护理 (ANC) 对于减少孕产妇死亡率至关重要.
- 在ANC覆盖范围的城乡差异需要调查.
研究的目的:
- 分析印度尼西亚不完全的产前护理覆盖率的城乡差异.
- 在城市和农村环境中确定与不完整的ANC相关的因素.
主要方法:
- 使用2018年印尼基本健康研究数据进行的横截面研究.
- 包括64,399名年龄在15-49岁之间的女性 (26,792名城市女性,37,607名农村女性).
- 采用了单变量,双变量 (基平方) 和多变量 (逻辑回归) 分析.
主要成果:
- 在农村 (26.4%) 和城市 (18.2%) 地区,不完整的ANC更高.
- 农村因素:教育,缺乏保险,家庭ANC,高平价,旅行时间,怀孕史和并发症.
- 城市因素:教育,家庭ANC,旅行时间,高平价,怀孕的愿望.
结论:
- 不完整的ANC在印度尼西亚农村地区更为普遍,这是由于社会人口结构和医疗保健准入因素造成的.
- 需要有针对性的干预措施来解决ANC的城乡差异.
- 加强医疗保险,改善医疗设施的准入,促进ANC教育对于改善孕产妇健康结果至关重要.
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