Ettarh Remare R, Kimani James
a Faculty of Medicine, University of British Columbia , Vancouver , British Columbia , Canada.
b Population Council , Nairobi , Kenya.
Health Care Women Int. 2016;37(2):237-49. doi: 10.1080/07399332.2014.908194. Epub 2014 Jun 11.
We sought to determine the spatial variation in the use of skilled providers during deliveries across Kenya and the relationship between distance to health facilities and the use of skilled delivery. We found that women who resided 5 km or less from the nearest health facility were more likely to use skilled care at delivery than women residing at greater distances, although the pattern of choice of health facility level for delivery differed at this distance. Outreach maternity services are urgently required in counties with remote communities in order to improve access to skilled attendants during deliveries in these areas.
我们试图确定肯尼亚各地分娩期间熟练医护人员使用情况的空间差异，以及与医疗机构的距离和熟练分娩服务使用之间的关系。我们发现，居住在距离最近医疗机构5公里或更近的妇女在分娩时比居住在更远距离的妇女更有可能使用熟练护理服务，尽管在这个距离上选择分娩医疗机构级别的模式有所不同。为了改善偏远社区所在县分娩时获得熟练医护人员的机会，迫切需要开展外展孕产妇服务。
