Bharati Susmita, Pal Manoranjan, Bharati Premananda
Sociological Research Unit, Indian Statistical Institute, 203 B.T. Road, Kolkata 700108, India.
Int J Qual Health Care. 2007 Aug;19(4):244-9. doi: 10.1093/intqhc/mzm022. Epub 2007 Jun 14.
The study area is the Birbhum district of the State of West Bengal in India. It is one of the backward districts in India.
The paper investigates the existing pattern of obstetric health care practices and the factors associated with the utilization of such care.
The present analysis includes 495 adult married women of both rural and urban areas of nine Blocks of Birbhum district. Besides performing chi2 tests to see the association of the relevant individual and household characteristics, logistic regression was also carried out to measure the effect of these characteristics on the use of obstetric health care.
In Birbhum district of West Bengal 65 percent mothers go to doctors for antenatal check-up during their pregnancy, but only 26 percent mothers deliver their babies in institutions and 30 percent mothers get the help of professional health assistants during delivery. Educated women have emphasized role in the practice of obstetric health care. Husband's education and the standard of living of the family also have some effect on the practice of antenatal check up, place of delivery and assistance of health professional. While most of the family background variables have significant effect on the practice of antenatal check up, these variables do not have much effect on the choice of delivery or seeking assistance of health professionals. Contrary to the popular belief the working status of women does not have favourable influence on the obstetric health care practices. In developing countries like India, it is the poverty, which compels the women to take jobs-that too in low paid jobs especially in rural backward areas.
The status of literacy of mothers and standard of living of the family are of prime importance in improving the obstetric health care practices.
研究区域为印度西孟加拉邦的比尔布姆区。它是印度较为落后的地区之一。
本文调查了产科保健实践的现有模式以及与这种保健利用相关的因素。
本分析纳入了比尔布姆区九个街区城乡地区的495名成年已婚妇女。除了进行卡方检验以观察相关个人和家庭特征的关联外，还进行了逻辑回归以衡量这些特征对产科保健利用的影响。
在西孟加拉邦的比尔布姆区，65%的母亲在孕期会去看医生进行产前检查，但只有26%的母亲在医疗机构分娩，30%的母亲在分娩时得到专业保健助理的帮助。受过教育的女性在产科保健实践中发挥着重要作用。丈夫的教育程度和家庭生活水平对产前检查、分娩地点和专业保健人员的帮助也有一定影响。虽然大多数家庭背景变量对产前检查实践有显著影响，但这些变量对分娩选择或寻求专业保健人员帮助的影响不大。与普遍看法相反，女性的工作状况对产科保健实践没有积极影响。在印度这样的发展中国家，是贫困迫使女性去工作——而且往往是低薪工作，尤其是在农村落后地区。
母亲的识字状况和家庭生活水平对改善产科保健实践至关重要。
