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没时间、没钱、没运气:尼泊尔农村达利特妇女获得产前护理的障碍。

No time, no money, no luck: Barriers to prenatal care among dalit women in rural Nepal.

作者信息

Sharma Gautam Dipa, Hearn Gesine

机构信息

Department of Sociology Social Work and Criminology, Idaho State University , Pocatello , Idaho , USA.

出版信息

Health Care Women Int. 2019;40(7-9):914-930. doi: 10.1080/07399332.2019.1597366. Epub 2019 Apr 16.

Abstract

In Nepal, a large gap exists between non- and women in regard to maternal mortality and prenatal care. Especially rural are far behind non- in utilizing prenatal care. We explored rural women's prenatal practices and barriers to accessing prenatal care. Interviews revealed that lack of cultural and economic capital, unequal domestic and economic burden, and gender and caste discrimination impact the use of prenatal care. The use of prenatal care might be improved by informing women about free services and incentives, better access and transportation, and heightened sensitivity to the situation of these women.

摘要

在尼泊尔,非贫困妇女与贫困妇女在孕产妇死亡率和产前护理方面存在巨大差距。尤其是农村贫困妇女在利用产前护理方面远远落后于非贫困妇女。我们探讨了农村贫困妇女的产前做法以及获得产前护理的障碍。访谈显示,缺乏文化和经济资本、不平等的家庭和经济负担以及性别和种姓歧视影响了产前护理的使用。通过告知妇女免费服务和激励措施、改善就医条件和交通以及提高对这些妇女状况的敏感度,产前护理的使用情况可能会得到改善。

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