Inequality in Access to Health Care in Cambodia: Socioeconomically Disadvantaged Women Giving Birth at Home Assisted by Unskilled Birth Attendants
Inequality in Access to Health Care in Cambodia: Socioeconomically Disadvantaged Women Giving Birth at Home Assisted by Unskilled Birth Attendants
复制标题
DOI：
10.1177/1010539511428351
复制
发表时间：
2015-03-01
影响因子：
2.5
通讯作者：
Them, Rathnita
中科院分区：
文献类型：
--
作者：
Hong, Rathavuth;Them, Rathnita
柬埔寨在努力为所有人提供保健服务方面面临重大挑战。虽然柬埔寨的卫生和保健有了显著改善，但每10名妇女中仍有6名在家中分娩，由不熟练的助产士协助。这种做法与较高的产妇和婴儿死亡率有关。本文分析了2005年柬埔寨人口与健康调查数据，以研究社会经济不平等与由非熟练助产士协助在家分娩之间的关系。显然，较贫穷家庭的婴儿在家中由不熟练的助产士接生的可能性比较富裕家庭的婴儿大得多。此外，由不熟练的助产士在家中接生的情况与未受过教育、居住在农村、是农民的母亲以及出生顺序较高的子女有关。分析结果表明，社会经济不平等仍然是造成柬埔寨健康状况不佳的一个主要因素。
Cambodia faces major challenges in its effort to provide access to health care for all. Although there is a sharp improvement in health and health care in Cambodia, 6 in 10 women still deliver at home assisted by unskilled birth attendants. This practice is associated with higher maternal and infant deaths. This article analyzes the 2005 Cambodia Demographic and Health Survey data to examine the relationship between socioeconomic inequality and deliveries at home assisted by unskilled birth attendants. It is evident that babies in poorer households are significantly more likely to be delivered at home by an unskilled birth attendant than those in wealthier households. Moreover, delivery at home by an unskilled attendant is associated with mothers who have no education, live in a rural residence, and are farmers, and with higher birth order children. Results from this analysis demonstrate that socioeconomic inequality is still a major factor contributing to ill health in Cambodia.