Danforth E J, Kruk M E, Rockers P C, Mbaruku G, Galea S
Department of Anthropology, University of South Florida, 4202 E. Fowler Avenue, Tampa, Florida 33620, USA.
J Health Popul Nutr. 2009 Oct;27(5):696-703. doi: 10.3329/jhpn.v27i5.3781.
This study investigated how partners' perceptions of the healthcare system influence decisions about delivery-location in low-resource settings. A multistage population-representative sample was used in Kasulu district, Tanzania, to identify women who had given birth in the last five years and their partners. Of 826 couples in analysis, 506 (61.3%) of the women delivered in the home. In multivariate analysis, factors associated with delivery in a health facility were agreement of partners on the importance of delivering in a health facility and agreement that skills of doctors are better than those of traditional birth attendants. When partners disagreed, the opinion of the woman was more influential in determining delivery-location. Agreement of partners regarding perceptions about the healthcare system appeared to be an important driver of decisions about delivery-location. These findings suggest that both partners should be included in the decision-making process regarding delivery to raise rates of delivery at facility.
本研究调查了在资源匮乏地区，伴侣对医疗保健系统的看法如何影响分娩地点的决策。在坦桑尼亚的卡苏卢区，采用了多阶段人口代表性样本，以确定过去五年内分娩的妇女及其伴侣。在分析的826对夫妇中，506名（61.3%）妇女在家中分娩。在多变量分析中，与在医疗机构分娩相关的因素包括伴侣双方就医疗机构分娩的重要性达成一致，以及认可医生的技能优于传统助产士。当伴侣双方意见不一致时，女性的意见在决定分娩地点方面更具影响力。伴侣双方就医疗保健系统的看法达成一致似乎是分娩地点决策的一个重要驱动因素。这些发现表明，在分娩决策过程中应纳入伴侣双方，以提高在医疗机构分娩的比例。
