The role of home-based records in the establishment of a continuum of care for mothers, newborns, and children in Indonesia.
The role of home-based records in the establishment of a continuum of care for mothers, newborns, and children in Indonesia.
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DOI：
10.3402/gha.v6i0.20429
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发表时间：
2013-05-06
影响因子：
2.6
通讯作者：
Kosen S
中科院分区：
文献类型：
--
作者：
Osaki K;Hattori T;Kosen S
在孕产妇、新生儿和儿童保健服务的连续提供过程中提供适当的沿着护理是发展中国家的一项挑战。为了改善这一状况，印度尼西亚在1990年代推出了妇幼保健手册，作为一种综合形式的平行家庭记录。本研究的目的是确定家庭为基础的记录分娩前和分娩后的作用，特别是在妇幼保健手册（MCHHB）被广泛推广的省份，通过检查他们的关联与MNCH服务摄取。这是一项使用全国代表性数据集的横断面研究，即1997年、2002-2003年和2007年的印度尼西亚人口与健康调查（IDHS）。IDHS确定了受访者在分娩前后对家庭记录的所有权。多变量逻辑回归被用来检查记录所有权和服务利用率之间的关联，在国家数据和数据从两个省，西苏门答腊和北苏拉威西，在那里的产前和产后记录的所有权作为代理MCHHB所有权。1997年至2007年，产前和产后记录所有权有所增加。2007年的省级数据显示，拥有手册与由受过培训的人员协助分娩[校正比值比（aOR）：2.12，95%置信区间（CI）：1.05-4.25]，接受孕产妇护理（aOR：3.92，95% CI：2.35-6.52），完成了12剂儿童疫苗接种，用于7种疾病（aOR：4.86，95%CI：2.37-9.95），以及在分娩前后进行过免疫接种（aOR：5.40，95% CI：2.28-12.76），而国家数据显示，与拥有一个记录或没有记录相比，服务利用率与拥有两个记录有关。我们的研究结果表明，产前和产后的家庭为基础的记录使用可能是有效的，以确保服务的利用率。此外，由于该手册是一个有效的家庭为基础的记录，用于整个儿童的生活课程，它可以是一个有效的工具，促进连续的MNCH护理在印度尼西亚。
The provision of appropriate care along the continuum of maternal, newborn, and child health (MNCH) service delivery is a challenge in developing countries. To improve this, in the 1990s, Indonesia introduced the maternal and child health (MCH) handbook, as an integrated form of parallel home-based records. This study aimed to identify the roles of home-based records both before and after childbirth, especially in provinces where the MCH handbook (MCHHB) was extensively promoted, by examining their association with MNCH service uptake. This was a cross-sectional study using nationally representative data sets, the Indonesia Demographic and Health Surveys (IDHSs) from 1997, 2002–2003, and 2007. The IDHS identifies respondents’ ownership of home-based records before and after childbirth. Multivariate logistic regression was used to examine associations between record ownership and service utilisation in national data and data from two provinces, West Sumatra and North Sulawesi, where ownership of pre- and post-natal records served as a proxy for MCHHB ownership. Pre- and post-natal record ownership increased from 1997 to 2007. Provincial data from 2007 showed that handbook ownership was associated with having delivery assisted by trained personnel [adjusted odds ratio (aOR): 2.12, 95% confidence interval (CI): 1.05–4.25], receiving maternal care (aOR: 3.92, 95% CI: 2.35–6.52), completing 12 doses of child immunisation for seven diseases (aOR: 4.86, 95% CI: 2.37–9.95), and having immunisation before and after childbirth (aOR: 5.40, 95% CI: 2.28–12.76), whereas national data showed that service utilisation was associated with ownership of both records compared with owning a single record or none. Our results suggest that pre- and post-natal home-based record use may be effective for ensuring service utilisation. In addition, since the handbook is an efficient home-based record for use throughout children's life courses, it could be an effective tool for promoting the continuum of MNCH care in Indonesia.
影响因子：
3.8
作者：
Hagiwara, Akiko;Ueyama, Mika;Sawada, Yasuyuki
通讯作者：
Sawada, Yasuyuki
DOI：
10.1016/s1573-4471(07)04061-2
发表时间：
2008-01-01
期刊：
HANDBOOK OF DEVELOPMENT ECONOMICS, VOL 4
影响因子：
--
作者：
Duflo, Esther;Glennerster, Rachel;Kremer, Michael
通讯作者：
Kremer, Michael
DOI：
10.1016/j.trstmh.2009.03.011
发表时间：
2009-08-01
影响因子：
2.2
作者：
Osaki, K.;Hattori, T.;Singgih, Budihardja
通讯作者：
Singgih, Budihardja