International Institute for Population Sciences (IIPS), Deonar, Mumbai, India.
J Biosoc Sci. 2012 Jan;44(1):1-26. doi: 10.1017/S0021932011000472. Epub 2011 Sep 21.
This study explores the prevalence and factors associated with the utilization of maternal and child health care services among married adolescent women in India using the third round of the National Family Health Survey (2005-06). The findings suggest that the utilization of maternal and child health care services among adolescent women is far from satisfactory in India. A little over 10% of adolescent women utilized antenatal care, about 50% utilized safe delivery services and about 41% of the children of adolescent women received full immunization. Large differences by urban-rural residence, educational attainment, religion, economic status and region were evident. Both gross effect and fixed effect binary logit models yielded statistically significant socioeconomic and demographic factors. Women's education, wealth quintile and region are the most important determinants for the utilization of maternal and child health care services. Health care programmes should focus more on educating adolescents, providing financial support, creating awareness and counselling households with married adolescent women. Moreover, there should be substantial financial assistance for the provision of delivery and child care for married women below the age of 19 years.
本研究利用印度第三次全国家庭健康调查（2005-06 年）的数据，探讨了已婚青少年女性利用母婴保健服务的流行情况及其相关因素。研究结果表明，印度青少年女性利用母婴保健服务的情况远不能令人满意。只有略多于 10%的青少年女性接受了产前护理，约 50%的青少年女性使用了安全分娩服务，约 41%的青少年女性的孩子接受了完全免疫接种。城乡居住、教育程度、宗教信仰、经济状况和地区的差异很大。总体效应和固定效应二元逻辑模型都得出了具有统计学意义的社会经济和人口统计学因素。妇女的教育、财富五分位数和地区是利用母婴保健服务的最重要决定因素。卫生保健方案应更加注重对青少年进行教育，提供财政支持，提高认识并为已婚青少年女性家庭提供咨询。此外，应为 19 岁以下已婚妇女提供分娩和儿童保健方面的大量财政援助。
