Geographic influences on sexual and reproductive health service utilization in rural Mozambique.

Geographic influences on sexual and reproductive health service utilization in rural Mozambique.
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DOI:
10.1016/j.apgeog.2011.07.009
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发表时间:
2012-03
期刊:
影响因子:
4.9
通讯作者:
Hayford, Sarah R.
Hayford, Sarah R.
中科院分区:
地球科学2区
文献类型:
--
作者:
Yao, Jing;Murray, Alan T.;Agadjanian, Victor;Hayford, Sarah R.

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艾滋病毒/艾滋病的流行仍然是全球的一个重大公共卫生问题,在撒哈拉以南非洲尤其令人关切。性健康和生殖健康(SRH)服务的利用可对艾滋病毒的预防、传播和治疗产生重大影响。SRH服务的利用可能取决于个人特征,如教育和经济状况,但也取决于卫生保健设施的位置和可获得性。利用基于人口的调查数据,本研究应用探索性空间分析技术研究了莫桑比克南部农村已婚妇女SRH服务利用的空间模式。在使用服务的人群中发现了集群,空间关联也是如此,这表明卫生服务的利用存在显著的空间差异。这些发现为当前和未来的卫生保健计划规划和配置提供了有价值的见解。
The HIV/AIDS epidemic remains a major public health issue across the globe, and it is of particular concern in sub-Saharan Africa. Utilization of sexual and reproductive health (SRH) services can significantly impact HIV prevention, transmission, and treatment. SRH service utilization may be determined by individual characteristics, such as education and economic status, but also by the location and accessibility of health care facilities. Using population-based survey data, this study applies exploratory spatial analysis techniques to examine spatial patterns of SRH service utilization among rural married women in southern Mozambique. Clustering among those using services is found as are spatial associations, indicating significant spatial variability in the utilization of health services. The findings provide valuable insights for current and future health care program planning and configuration.
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