Women's position within the household as a determinant of maternal health care use in Nepal
Women's position within the household as a determinant of maternal health care use in Nepal
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DOI：
10.1363/3201706
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发表时间：
2006-03-01
期刊：
影响因子：
--
通讯作者：
Salway, S
中科院分区：
文献类型：
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作者：
Furuta, M;Salway, S
背景：虽然两性不平等经常被认为是改善尼泊尔产妇保健的一个障碍，但很少有人注意了解社会文化因素如何影响保健核心的使用。特别是，如何一个女人的位置在她的家庭可能会影响到接受医疗保健值得进一步调查。对2001年尼泊尔人口和健康调查中15-49岁已婚妇女的数据进行了分析，以探讨妇女在家庭中地位的三个方面-决策、就业和对收入的影响，以及配偶对计划生育的讨论。Logistic回归模型评估了这些变量的关系，收到熟练的产前和分娩core.RESULTS：很少有妇女报告参与家庭决策，甚至更少有任何控制自己的收入。然而，一半以上的妇女报告说，她们与丈夫讨论计划生育问题，而且在这些妇女地位指标方面，各分组之间存在着显著差异。虽然所有指标之间的关联并不一致，但配偶对计划生育的讨论与接受熟练产前和分娩护理的可能性增加有关（比值比分别为1.4和1.3）。妇女的中等教育也与更多地使用卫生保健（5.1-5.6）。结论：性别不平等限制了妇女获得熟练的卫生核心在尼泊尔。改善沟通和加强妇女影响力的干预措施值得继续支持。妇女教育与保健服务的使用密切相关，这突出表明需要努力提高女孩的入学率，改变对熟练产妇保健服务价值的看法。国际计划生育展望，2006年。
CONTEXT: Although gender inequality is often cited as a barrier to improving maternal health in Nepal, little attention has been directed at understanding how sociocultural factors may influence the use of health core. In particular, how a woman's position within her household may affect the receipt of health care deserves further investigation.METHODS. Data on ever-married women aged 15-49 from the 2001 Nepal Demographic and Health Survey were analyzed to explore three dimensions of women's position within their household-decision making, employment and influence over earnings, and spousal discussion of family planning. Logistic regression models assessed the relationship of these variables to receipt of skilled antenatal and delivery core.RESULTS: Few women reported participation in household decision making, and even fewer had any control over their own earnings. However, more than half reported discussing family planning with their husbands, and there were significant differences among subgroups in these indicators of women's position. Though associations were not consistent across all indicators, spousal discussion of family planning was linked to an increased likelihood of receiving skilled antenatal and delivery care (odds ratios, 1.4 and 1.3, respectively). Women's secondary education was also strongly associated with the greater use of health care (5.1-5.6).CONCLUSIONS: Gender inequality constrains women's access to skilled health core in Nepal. Interventions to improve communication and strengthen women's influence deserve continued support. The strong association of women's education with health care use highlights the need for efforts to increase girls' schooling and alter perceptions of the value of skilled maternal health care. International Family Planning Perspectives, 2006.