Frankenberg E
RAND, Santa Monica, CA 90407, USA.
Health Transit Rev. 1995 Oct;5(2):143-63.
This paper examines the impact of access to health facilities and personnel on infant and child mortality in Indonesia. Demographic and Health Survey data are combined with village-level censuses of infrastructure collected by the Central Bureau of Statistics. Because the village-level data are available from two points in time, it is possible to analyse the effects on mortality risks within the village of changes in access to health care. Factors about villages that might affect both access to health care and mortality risks are held constant. Adding a maternity clinic to a village decreases the odds of infant mortality by almost 15 per cent, in comparison to the risk before the clinic was added. An additional doctor reduces the odds by about 1.7 per cent.
本文考察了医疗设施和人员可及性对印度尼西亚婴幼儿死亡率的影响。人口与健康调查数据与中央统计局收集的村级基础设施普查数据相结合。由于村级数据可从两个时间点获取,因此能够分析医疗可及性变化对村内死亡风险的影响。那些可能同时影响医疗可及性和死亡风险的村庄因素保持不变。与增设诊所前的风险相比,在村庄增设一家产科诊所可使婴儿死亡率降低近15%。增加一名医生可使死亡率降低约1.7%。