坦桑尼亚家庭关于在医疗机构分娩的决策：证据
Household decision-making about delivery in health facilities: evidence from Tanzania.
作者信息
Danforth E J, Kruk M E, Rockers P C, Mbaruku G, Galea S
机构信息
Department of Anthropology, University of South Florida, 4202 E. Fowler Avenue, Tampa, Florida 33620, USA.
出版信息
J Health Popul Nutr. 2009 Oct;27(5):696-703. doi: 10.3329/jhpn.v27i5.3781.
Abstract
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.
摘要
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。
相似文献
1
Household decision-making about delivery in health facilities: evidence from Tanzania.坦桑尼亚家庭关于在医疗机构分娩的决策：证据
J Health Popul Nutr. 2009 Oct;27(5):696-703. doi: 10.3329/jhpn.v27i5.3781.
2
Birth preparedness and place of birth in Tandahimba district, Tanzania: what women prepare for birth, where they go to deliver, and why.坦桑尼亚坦达欣巴区的分娩准备与分娩地点：女性为分娩做的准备、她们前往何处分娩以及原因。
BMC Pregnancy Childbirth. 2016 Jul 16;16(1):165. doi: 10.1186/s12884-016-0945-5.
3
When, where and who? Accessing health facility delivery care from the perspective of women and men in Tanzania: a qualitative study.何时、何地以及何人？从坦桑尼亚男性和女性的角度看获得医疗机构分娩护理的情况：一项定性研究。
BMC Health Serv Res. 2018 Jul 18;18(1):564. doi: 10.1186/s12913-018-3357-6.
4
Factors influencing adoption of facility-assisted delivery - a qualitative study of women and other stakeholders in a Maasai community in Ngorongoro District, Tanzania.影响设施辅助分娩采用的因素——坦桑尼亚恩戈罗恩戈罗区马赛社区妇女和其他利益攸关方的定性研究。
BMC Pregnancy Childbirth. 2020 Feb 12;20(1):100. doi: 10.1186/s12884-020-2728-2.
5
Understanding the preference for homebirth; an exploration of key barriers to facility delivery in rural Tanzania.了解对家庭分娩的偏好；探索坦桑尼亚农村地区选择医疗机构分娩的主要障碍。
Reprod Health. 2017 Oct 17;14(1):132. doi: 10.1186/s12978-017-0397-z.
6
Using the theory of planned behavior to explain birth in health facility intention among expecting couples in a rural setting Rukwa Tanzania: a cross-sectional survey.利用计划行为理论解释坦桑尼亚鲁夸农村地区预期夫妇在医疗机构分娩的意图：一项横断面调查。
Reprod Health. 2020 Jan 13;17(1):2. doi: 10.1186/s12978-020-0851-1.
7
Dissatisfaction with traditional birth attendants in rural Tanzania.坦桑尼亚农村地区对传统助产士的不满。
Int J Gynaecol Obstet. 2009 Oct;107(1):8-11. doi: 10.1016/j.ijgo.2009.05.008. Epub 2009 Jul 4.
8
Health facility or home delivery? Factors influencing the choice of delivery place among mothers living in rural communities of Eritrea.医疗机构分娩还是在家分娩？影响厄立特里亚农村社区母亲分娩地点选择的因素。
J Health Popul Nutr. 2018 Oct 22;37(1):22. doi: 10.1186/s41043-018-0153-1.
9
Maternal healthcare services use in Mwanza Region, Tanzania: a cross-sectional baseline survey.坦桑尼亚姆万扎地区的孕产妇医疗服务利用情况：一项横断面基线调查。
BMC Pregnancy Childbirth. 2019 Dec 5;19(1):474. doi: 10.1186/s12884-019-2653-4.
10
A strategy to increase the number of deliveries with skilled birth attendants in Kenya.肯尼亚增加熟练接生员接生数量的策略。
Int J Gynaecol Obstet. 2013 Feb;120(2):152-5. doi: 10.1016/j.ijgo.2012.09.013. Epub 2012 Nov 26.
引用本文的文献
1
Associated factors for the utilization of institutional delivery services in Nepal: Findings from the Nepal Demographic Health Survey, 2022.尼泊尔机构分娩服务利用的相关因素：2022年尼泊尔人口与健康调查结果
PLoS One. 2025 May 8;20(5):e0322309. doi: 10.1371/journal.pone.0322309. eCollection 2025.
2
Barriers and enablers to postnatal care utilization in the Oshana region of Namibia: A qualitative study.纳米比亚奥沙纳地区产后护理利用的障碍与促进因素：一项定性研究
Eur J Obstet Gynecol Reprod Biol X. 2025 Mar 24;26:100385. doi: 10.1016/j.eurox.2025.100385. eCollection 2025 Jun.
3
"An obedient wife never says "no" to her virtual god." High fertility conceptions and barriers to contraceptive use among mothers of Southern Pakistan: a qualitative study.“顺从的妻子从不拒绝她的‘虚拟上帝’。”巴基斯坦南部母亲的高生育率观念及避孕使用障碍：一项定性研究。
BMC Public Health. 2024 Aug 8;24(1):2157. doi: 10.1186/s12889-024-19484-9.
4
Effect of male partners' involvement and support on reproductive, maternal and child health and well-being in East Africa: A scoping review.男性伴侣的参与和支持对东非生殖、孕产妇和儿童健康及福祉的影响：一项范围综述
Health Sci Rep. 2024 Jul 29;7(8):e2269. doi: 10.1002/hsr2.2269. eCollection 2024 Aug.
5
Increasing health facility childbirth in Ghana: the role of network and community norms.增加加纳医疗机构分娩数量：网络和社区规范的作用。
BMC Pregnancy Childbirth. 2023 Apr 19;23(1):265. doi: 10.1186/s12884-023-05513-9.
6
Prevalence, progress, and social inequalities of home deliveries in Ghana from 2006 to 2018: insights from the multiple indicator cluster surveys.2006 年至 2018 年加纳家庭分娩的流行率、进展和社会不平等：多指标类集调查的见解。
BMC Pregnancy Childbirth. 2021 Jul 21;21(1):518. doi: 10.1186/s12884-021-03989-x.
7
Predictors of institutional delivery service utilization among women of reproductive age in Senegal: a population-based study.塞内加尔育龄妇女机构分娩服务利用的预测因素：一项基于人群的研究。
Arch Public Health. 2021 Jan 11;79(1):5. doi: 10.1186/s13690-020-00520-0.
8
Evaluation of a health promotion intervention associated with birthing centres in rural Nepal.评价尼泊尔农村地区与生育中心相关的健康促进干预措施。
PLoS One. 2020 May 22;15(5):e0233607. doi: 10.1371/journal.pone.0233607. eCollection 2020.
9
Determinants of Home Delivery among Women Aged 15-24 Years in Tanzania.坦桑尼亚15至24岁女性在家分娩的决定因素。
Int J MCH AIDS. 2020;9(2):191-199. doi: 10.21106/ijma.361. Epub 2020 Apr 23.
10
Why do women deliver where they had not planned to go? A qualitative study from peri-urban Nairobi Kenya.为什么有些妇女会在原本没有计划的地方分娩？肯尼亚内罗毕近郊的一项定性研究。
BMC Pregnancy Childbirth. 2020 Jan 13;20(1):30. doi: 10.1186/s12884-019-2695-7.
本文引用的文献
1
Factors influencing health care-seeking behaviours among Mayan women in Guatemala.影响危地马拉玛雅妇女就医行为的因素。
Midwifery. 2009 Aug;25(4):411-21. doi: 10.1016/j.midw.2007.07.011. Epub 2007 Dec 3.
2
Couples' reports of women's autonomy and health-care use in Nepal.尼泊尔夫妻对女性自主权及医疗保健使用情况的报告。
Stud Fam Plann. 2007 Mar;38(1):35-46. doi: 10.1111/j.1728-4465.2007.00114.x.
3
Going to scale with professional skilled care.借助专业的技术护理实现规模化发展。
Lancet. 2006 Oct 14;368(9544):1377-86. doi: 10.1016/S0140-6736(06)69382-3.
4
Maternal mortality: who, when, where, and why.孕产妇死亡率：何人、何时、何地以及为何。
Lancet. 2006 Sep 30;368(9542):1189-200. doi: 10.1016/S0140-6736(06)69380-X.
5
The impact of including husbands in antenatal health education services on maternal health practices in urban Nepal: results from a randomized controlled trial.尼泊尔城市地区将丈夫纳入产前健康教育服务对孕产妇健康行为的影响：一项随机对照试验的结果
Health Educ Res. 2007 Apr;22(2):166-76. doi: 10.1093/her/cyl060. Epub 2006 Jul 19.
6
Factors associated with the use of maternity services in Enugu, southeastern Nigeria.尼日利亚东南部埃努古地区与产妇服务利用相关的因素。
Soc Sci Med. 2006 Oct;63(7):1870-78. doi: 10.1016/j.socscimed.2006.04.019.
7
Women's position within the household as a determinant of maternal health care use in Nepal.尼泊尔妇女在家庭中的地位作为孕产妇保健利用的一个决定因素。
Int Fam Plan Perspect. 2006 Mar;32(1):17-27. doi: 10.1363/3201706.
8
Determinants of skilled birth attendance in rural Cambodia.柬埔寨农村地区熟练助产服务的决定因素。
Trop Med Int Health. 2006 Feb;11(2):238-51. doi: 10.1111/j.1365-3156.2005.01547.x.
9
Barriers to and attitudes towards promoting husbands' involvement in maternal health in Katmandu, Nepal.尼泊尔加德满都在促进丈夫参与孕产妇保健方面存在的障碍及态度
Soc Sci Med. 2006 Jun;62(11):2798-809. doi: 10.1016/j.socscimed.2005.11.013. Epub 2005 Dec 20.
10
Can women's autonomy impede male involvement in pregnancy health in Katmandu, Nepal?在尼泊尔加德满都，女性自主权会阻碍男性参与孕期保健吗？
Soc Sci Med. 2005 Nov;61(9):1993-2006. doi: 10.1016/j.socscimed.2005.04.006.
Zotero 插件