College of Nursing Science, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea.
Int J Environ Res Public Health. 2019 Aug 14;16(16):2909. doi: 10.3390/ijerph16162909.
Despite worldwide efforts, maternal and child mortality remains a major health problem in many developing countries. Cambodia's maternal mortality rate has decreased over recent years through government efforts and support from various international development cooperation agencies. The purpose of this study was to investigate the factors that affected the accessibility of Cambodia's maternal healthcare services. Data from maternal health service surveys conducted in Battambang, Cambodia in 2012 and 2015 were compared and analyzed. Multiple regression analysis was conducted to identify factors related to the accessibility of integrated maternal healthcare service. The travel time to health centers was found to be related to distance from the health center (ß = 0.031, < 0.001), travel time during the rainy season (ß = 0.166, < 0.001), and travel cost (ß = 0.001, < 0.001), with an explanatory power of 27% (R = 0.274). Based on these findings, future research and policy should focus on improving accessibility to effective maternal and child healthcare services, to reduce maternal and child mortality. This study is intended to contribute to developing a multi-directional and integrated strategy for access to maternal health services in developing countries.
尽管全球各国都在努力，但孕产妇和儿童死亡率仍然是许多发展中国家面临的主要健康问题。柬埔寨通过政府努力和各国际发展合作机构的支持，近年来降低了孕产妇死亡率。本研究旨在调查影响柬埔寨孕产妇获得医疗保健服务的因素。对 2012 年和 2015 年在柬埔寨马德望省进行的孕产妇健康服务调查的数据进行了比较和分析。采用多元回归分析确定与综合孕产妇保健服务可及性相关的因素。研究发现，前往保健中心的时间与保健中心的距离（β=0.031，<0.001）、雨季的旅行时间（β=0.166，<0.001）和旅行费用（β=0.001，<0.001）有关，解释能力为 27%（R=0.274）。基于这些发现，未来的研究和政策应重点关注改善有效孕产妇和儿童保健服务的可及性，以降低孕产妇和儿童死亡率。本研究旨在为发展中国家获取孕产妇健康服务制定多方位、综合性战略做出贡献。
