尼泊尔产前护理服务利用中的不平等:来自全国代表性的尼泊尔多指标集群调查2014年和2019年的证据
Suman Sapkota1,2, Amrita Gyawali3, Bipin Thapa1
1Department of Child and Adolescent Health and Maternal Care, School of Public Health, Capital Medical University, Beijing, 100069, China.
BMC public health
|May 9, 2025
概括
财富,种姓和省份显著影响尼泊尔的产前护理 (ANC) 获得. 尽管有所改善,但差距仍然存在,富裕的,有优势的妇女比边缘化群体接受更多的ANC访问.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 孕产妇和儿童的健康
背景情况:
- 产前护理 (ANC) 对母亲和新生儿健康至关重要.
- 社会经济因素显著影响ANC服务利用率.
- 了解ANC访问的差异对于有针对性的干预至关重要.
研究的目的:
- 评估尼泊尔妇女在ANC服务利用中的财富,种姓/种族和省级差异.
- 分析2014年至2019年间使用ANC的趋势.
- 为了衡量与财富相关的不平等在ANC的访问.
主要方法:
- 利用了2014年和2019年尼泊尔多指标集群调查 (MICS) 的数据.
- 采用多变量逻辑和负二项式回归模型.
- 使用度曲线和指数评估与财富相关的不平等.
主要成果:
- 增加了ANC访问完成率,从60.6% (2014) 增加到77.8% (2019).
- 在最高财富五分位数中的女性,接受ANC推访问的可能性高出五倍以上.
- 在各省 (卡纳利,马德什) 和种姓/族群 (达利特人,弱势人民族) 之间观察到显著的差异.
结论:
- 在尼泊尔使用ANC服务的持续的与财富相关的不平等.
- 来自更高社会经济和地理优势背景的女性使用ANC的比例更高.
- 有针对性的努力对于解决边缘化妇女的平等差距至关重要.
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