"南印度产前妇女的护理途径 - 一个连续的解释性混合方法研究"
Veneza Zareen Lyngdoh Jarain1, Jayalakshmy Ramakrishnan1, Vanessa Ravel1
1Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
产前妇女使用各种医疗保健设施进行产前护理 (ANC),私人设施承担最高的自费支出 (OOPE). 改善初级卫生中心 (PHC) 对于降低成本和提高孕妇获得ANC的机会至关重要.
科学领域:
- 公共卫生 公共卫生
- 获得医疗保健 获得医疗保健 获得医疗保健
- 孕产妇健康 孕产妇健康
背景情况:
- 缺乏有效的产前护理 (ANC) 对孕产妇死亡率做出了重大贡献.
- 产前妇女通过ANC的各种途径进行导航,包括初级卫生中心 (PHC),私人诊所和三级设施.
- 选择受到感知质量,成本,近距离和文化因素的影响.
研究的目的:
- 确定产前妇女寻求ANC的途径.
- 确定为ANC偏好特定医疗保健设施的原因.
- 评估与ANC访问相关的自费支出 (OOPE).
主要方法:
- 这是一项混合方法研究,涉及印度南部303名产前妇女.
- 通过关于人口统计,ANC使用情况,设施选择原因和成本的问卷收集数据.
- 深度采访探讨了ANC服务利用的促进者和障碍.
主要成果:
- 大多数妇女 (279/303) 登记在卫生健康中心,但7.9%没有,理由是缺乏设施或意识.
- 与PHC (INR 100) 相比,私人设施的OOPE中位数 (INR 1400) 是最高的.
结论:
- 卫生保健中心需要紧急干预,以提高利用率.
- 减少OOPE的策略对于改善ANC的可访问性和可负担性至关重要.
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