Women's Use of Private and Government Health Facilities for Childbirth in Nairobi's. Informal Settlements
Women's Use of Private and Government Health Facilities for Childbirth in Nairobi's. Informal Settlements
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DOI：
10.1111/j.1728-4465.2009.00185.x
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发表时间：
2009-03-01
影响因子：
2.1
通讯作者：
Mills, Samuel
中科院分区：
文献类型：
--
作者：
Bazant, Eva S.;Koenig, Michael A.;Mills, Samuel
私营部门在增加发展中国家穷人使用产妇保健服务方面的作用日益受到重视，但关于城市贫民窟的数据很少。使用2006年收集的来自肯尼亚内罗毕两个非正规住区的1,926名母亲的家庭调查数据，我们描述并研究了与妇女使用私人和政府卫生设施分娩相关的因素。在定居点的私人设施分娩的妇女多于在政府设施分娩的妇女，三分之一的妇女在家中分娩或在传统助产士的帮助下分娩。在多变量模型中，妇女的教育程度，种族群体和家庭财富与机构分娩，特别是在政府医院。较贫困住区的居民比较富裕住区的居民更有可能在私人设施中分娩。在城市地区，应加强政府和私营部门的孕产妇保健服务，并努力向在家分娩的妇女提供服务。
The private sector's role in increasing the use of maternal health care for the poor in developing countries has received increasing attention, yet few data exist for urban slums. Using household-survey data from 1,926 mothers in two informal settlements in Nairobi, Kenya, collected in 2006, we describe and examine the factors associated with women's use of private and government health facilities for childbirth. More women gave birth at private facilities located in the settlements than at government facilities, and one-third of the women gave birth at home or with the assistance of a traditional birth attendant. In multivariate models, women's education, ethnic group, and household wealth were associated with institutional deliveries, especially in government hospitals. Residents in the more disadvantaged settlement were more likely than those in the better-off settlement to give birth in private facilities. In urban areas, maternal health services in both the government and private sectors should be strengthened, and efforts made to reach out to women who give birth at home.