Effects of the physical accessibility of maternal health services on their use in rural Haiti
Effects of the physical accessibility of maternal health services on their use in rural Haiti
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DOI：
10.1080/00324720600895934
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发表时间：
2006-11-01
影响因子：
2.4
通讯作者：
Calixte, Marie Guirlene
中科院分区：
文献类型：
--
作者：
Gage, Anastasia L.;Calixte, Marie Guirlene
对2000年人口和健康调查数据的分析表明，在海地农村，产前和分娩护理服务的利用率很低。在调整个人层面的因素后，恶劣的道路状况显着降低了及时接受产前护理和四次或更多产前护理就诊的可能性，而5公里范围内的健康中心的可用性显着增加了每种结果的可能性。山区地形和离最近医院的距离大大降低了由受过训练的医务人员接生和住院分娩的可能性，如果附近有提供产前护理的保健工作者，则可能性会增加。邻里贫穷降低了安全分娩护理的可能性。调查结果表明，改善孕产妇保健服务的利用，除其他外，需要改善服务的提供和道路条件，并减少贫困。
An analysis of data from the 2000 Demographic and Health Survey shows that little use is made of antenatal and delivery-care services in rural Haiti. After adjusting for individual-level factors, poor road conditions significantly reduce the likelihood of timely receipt of antenatal care and of four or more antenatal care visits, while the availability of a health centre within 5 kilometres significantly increases the odds of each outcome. The odds of being attended at delivery by trained medical personnel and of institutional delivery are significantly reduced by mountainous terrain and distance from the nearest hospital, and are increased if a health worker providing antenatal care is present in the neighbourhood. Neighbourhood poverty reduces the likelihood of safe delivery care. The findings suggest that improving the use made of maternal healthcare services would require, among other things, improvement of the availability of services and road conditions, and the reduction of poverty.