Spatial analysis of skilled birth attendant utilization in Ghana.
Spatial analysis of skilled birth attendant utilization in Ghana.
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DOI：
10.5539/gjhs.v6n4p117
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发表时间：
2014-04-13
期刊：
影响因子：
--
通讯作者：
Cromley EK
中科院分区：
文献类型：
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作者：
Asamoah BO;Agardh A;Cromley EK
在大多数资源匮乏的地区，特别是在撒哈拉以南非洲地区，孕产妇死亡率是一个主要的健康问题。在加纳，尽管 2005 年向所有在公共卫生机构寻求护理的妇女提供免费孕产妇保健服务，但孕产妇死亡率仍然很高，由熟练保健专业人员接生的分娩率仍然很低。本研究旨在探讨加纳不同社会经济背景的妇女在分娩期间不使用熟练助产士的风险的地理模式。根据 2008 年加纳人口和健康调查 (GDHS) 的数据，使用全球和地理加权优势比 (GWOR) 来研究低社会经济地位（低教育和低收入）与不使用熟练助产士之间的空间变化关系。低教育和低收入与不使用熟练助产士相关。 GWOR 显示了不使用熟练助产士与低教育程度（Log GWOR 范围为 0.75 至 9.26）或低收入（Log GWOR 范围为 1.11 至 6.34）之间的关联程度存在南北空间差异，北部的值较高。在加纳，低社会经济地位与不使用熟练助产士之间的关系因地域而异。需要有效的政府和非政府干预措施来解决这些区域不平等问题。
Maternal mortality is a major health problem in most resource-poor settings, especially in sub-Saharan Africa. In Ghana, maternal mortality remains high and births attended by skilled health professionals are still low despite the introduction, in 2005, of free maternal health care for all women seeking care in public health facilities. This study aimed to explore geographical patterns in the risk of not utilizing a skilled birth attendant during childbirth in women of different socioeconomic backgrounds in Ghana. Global and Geographically Weighted Odds Ratios (GWORs) were used to examine the spatially varying relationships between low socioeconomic status (low education and low income) and non-utilization of skilled birth attendants based on data from the Ghana Demographic and Health Survey (GDHS) 2008. Low education and low income were associated with non-use of skilled birth attendants. The GWORs revealed a north-south spatial variation in the magnitude of the association between non-use of skilled birth attendants and low education (Log GWOR ranged from 0.75 to 9.26) or low income (Log GWOR ranged from 1.11 to 6.34) with higher values in the north. The relationship between low socioeconomic status and the non-use of skilled birth attendants in Ghana is geographically variable. Effective governmental and non-governmental interventions are needed to address these regional inequalities.