Pennsylvania State University, Economics, 3000 lvyside, Altoona, PA 16601, USA.
Soc Sci Med. 2010 Dec;71(11):1973-80. doi: 10.1016/j.socscimed.2010.09.020. Epub 2010 Sep 29.
Using a sample of 1359 Nigerian households from the 2003 Demographic and Health Surveys, this article investigates the contribution of improved maternal information about access to community health services toward the reduction of child stunting and undernourishment. The analysis shows that family wealth and region-specific knowledge about community health care access positively affects child nutrition status measured by height-for-age and weight-for-age. However, these nutrition gains can be reinforced or tempered by differences in mother's education and/or her access to community health services. These findings suggest that interventions which enhance public knowledge about availability and access to health care could strengthen more general development-oriented child nutrition-enhancing interventions, such as poverty reduction or growth in health services infrastructure.
本文利用 2003 年人口与健康调查中 1359 户尼日利亚家庭的样本,研究了提高产妇对获得社区卫生服务信息的程度对降低儿童发育迟缓率和营养不足发生率的贡献。分析结果表明,家庭财富和特定区域对获得社区卫生保健知识的了解程度正向影响以身高-年龄和体重-年龄衡量的儿童营养状况。然而,母亲的教育程度和/或她获得社区卫生服务的途径的差异会对这些营养收益产生加强或削弱的影响。这些发现表明,加强公众对医疗保健的供应和获取的了解的干预措施可能会加强更普遍的以发展为导向的儿童营养增强干预措施,如减少贫困或增加卫生服务基础设施。