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菲律宾母婴健康二十年进展:公平视角

Twenty Years of Progress on Maternal and Child Health in the Philippines: An Equity Lens.

作者信息

Bredenkamp Caryn, Buisman Leander R

机构信息

1 The World Bank, Washington DC, USA.

2 Institute of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.

出版信息

Asia Pac J Public Health. 2017 Jul;29(5):367-376. doi: 10.1177/1010539517715367.

Abstract

This article assesses trends and inequalities in maternal and child health in the Philippines between 1993 and 2013, using 6 national household surveys, and also compares the Philippines' performance to 15 other Asia-Pacific countries. Thirteen indicators of child health outcomes and maternal and child health interventions are examined. Two measures of inequality are used: the absolute difference between the poorest and wealthiest quintile, and the concentration index. Coverage of all indicators has improved, both on average and among the poorest quintile; however, increases are very small for child health interventions (especially immunization coverage). By the first measure of inequality, all indicators show narrowing inequalities. By the second measure, inequality has fallen only for maternal health interventions. Compared with other 15 other developing Asia-Pacific countries, the Philippines performs among the best on the child health outcomes examined and above average on maternal health interventions (except family planning), but only at or below average on child health interventions.

摘要

本文利用6次全国家庭调查评估了1993年至2013年间菲律宾母婴健康的趋势和不平等状况,并将菲律宾的表现与其他15个亚太国家进行了比较。研究考察了13项儿童健康结果指标以及母婴健康干预措施。使用了两种不平等衡量方法:最贫困和最富裕五分之一人群之间的绝对差异以及集中指数。所有指标的覆盖率在总体上以及最贫困五分之一人群中均有所提高;然而,儿童健康干预措施(尤其是免疫接种覆盖率)的增幅非常小。按照第一种不平等衡量方法,所有指标显示不平等状况在缩小。按照第二种衡量方法,不平等状况仅在孕产妇健康干预措施方面有所下降。与其他15个亚太发展中国家相比,菲律宾在所考察的儿童健康结果方面表现最佳,在孕产妇健康干预措施(计划生育除外)方面高于平均水平,但在儿童健康干预措施方面仅处于或低于平均水平。

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