Falkingham Jane
Department of Social Statistics, University of Southampton, Highfield, Southampton SO17 1BJ England.
Stud Fam Plann. 2003 Mar;34(1):32-43. doi: 10.1111/j.1728-4465.2003.00032.x.
Using recently available survey data for Tajikistan, this study explores changes in the pattern of maternal health care during the last decade and the extent to which inequalities in access to that care have emerged. In particular, the links between poverty and women's educational status and the use of maternal health-care services are investigated. The survey findings demonstrate a significant decline in the use of maternal health-care services in Tajikistan since the country gained independence from the Soviet Union in 1991. They show changes in the location of delivery and the person providing assistance, with a clear shift away from giving birth in a medical facility toward giving birth at home. More than two-fifths of all women who gave birth in the year prior to the survey delivered their baby at home. Women from the poorest quintile are three times more likely than women from the richest quintile to undergo a home delivery without a trained assistant.
利用最近获得的塔吉克斯坦调查数据，本研究探讨了过去十年中孕产妇保健模式的变化，以及在获得这种保健服务方面出现不平等的程度。特别是，研究了贫困与妇女教育状况以及孕产妇保健服务利用之间的联系。调查结果表明，自1991年塔吉克斯坦从苏联独立以来，该国孕产妇保健服务的使用率显著下降。结果显示了分娩地点和提供协助人员的变化，明显从在医疗机构分娩转向在家分娩。在调查前一年分娩的所有妇女中，超过五分之二在家中分娩。最贫困五分之一人口中的妇女在家中分娩且没有受过训练的助手的可能性是最富裕五分之一人口中妇女的三倍。
