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有条件现金转移如何促进住院分娩,也能影响产后避孕:来自印度拉贾斯坦邦的证据。

How conditional cash transfers to promote institutional delivery can also influence postpartum contraception: evidence from Rajasthan, India.

机构信息

Population Council, New Delhi, India.

出版信息

Int J Gynaecol Obstet. 2013 Nov;123 Suppl 1:e43-6. doi: 10.1016/j.ijgo.2013.08.003. Epub 2013 Aug 8.

DOI:10.1016/j.ijgo.2013.08.003
PMID:24008308
Abstract

OBJECTIVE

To examine the association between the receipt of benefits from a conditional cash transfer (CCT) scheme-Janani Suraksha Yojana (JSY)-and postpartum contraceptive use in Rajasthan, India.

METHODS

Data from 2920 women who had delivered in the year preceding the interview were used. Univariate and multivariate analyses were used.

RESULTS

Adoption of postpartum contraception was limited among study participants. Even so, women who had experienced the benefits of JSY were more likely than those who had not to have received postpartum contraceptive counseling (odds ratio [OR] 1.66; 95% confidence interval [CI], 1.38-2.00) and to have adopted contraception within 3 months of delivery (OR, 1.31; 95% CI, 1.02-1.68).

CONCLUSION

The present findings make a case for special efforts to use the increased opportunity women experience to interact with the health system as a result of CCTs for promoting maternal and newborn health practices, including postpartum contraception.

摘要

目的

探讨印度拉贾斯坦邦接受现金转移支付条件计划(简称为 JSY)与产后避孕措施使用之间的关联。

方法

使用了在访谈前一年分娩的 2920 名妇女的数据。采用单变量和多变量分析。

结果

研究参与者中产后避孕措施的采用率有限。即便如此,经历过 JSY 福利的女性比没有经历过 JSY 福利的女性更有可能接受产后避孕咨询(优势比 [OR] 1.66;95%置信区间 [CI],1.38-2.00),并且更有可能在分娩后 3 个月内采用避孕措施(OR,1.31;95% CI,1.02-1.68)。

结论

本研究结果表明,应特别努力利用妇女因现金转移支付而增加的与卫生系统互动的机会,促进产妇和新生儿健康实践,包括产后避孕措施。

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