Hernandez Julio C, Moser Christine M
University of Turabo, Gurabo, Puerto Rico.
Western Michigan University, Kalamazoo, MI USA.
Afr J Reprod Health. 2013 Dec;17(4):118-29.
This paper explores the effect of risk and socioeconomic factors on maternal mortality at the community level in Madagascar using a unique, nationwide panel of communes (i.e., counties). Previous work in this area uses individual or cross-country data to study maternal mortality, however, studying maternal mortality at the community level is imperative because this is the level at which most policy is implemented. The results show that longer travel time from the community to the hospital leads to a high level of maternal mortality. The findings suggest that improvement to transportation systems and access to hospitals with surgery rooms are needed to deal with obstetric complications and reduce maternal mortality.
本文利用马达加斯加全国独一无二的公社(即县)面板数据,探讨了风险和社会经济因素对社区层面孕产妇死亡率的影响。该领域以往的研究使用的是个体数据或跨国数据来研究孕产妇死亡率,然而,在社区层面研究孕产妇死亡率势在必行,因为这是大多数政策实施的层面。结果表明,从社区到医院的较长出行时间会导致较高的孕产妇死亡率。研究结果表明,需要改善交通系统并增加配备手术室的医院的可及性,以应对产科并发症并降低孕产妇死亡率。