Department of Public Health, School of Medicine, International University of Health and Welfare, 4-3 Kozunomori, Narita City, Chiba, 286-8686, Japan.
Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.
BMC Pregnancy Childbirth. 2020 Oct 15;20(1):622. doi: 10.1186/s12884-020-03309-9.
Each day, approximately 810 women die during pregnancy and childbirth and 94% of the deaths take place in low and middle income countries. Only 45% of the births in South Asia are attended by skilled professionals, which is lower than that in other Asian regions. Antenatal and postnatal care received from skilled providers can help prevent maternal and neonatal mortality by identifying pregnancy-related complications. Women's empowerment is considered to be a significant determinant of maternal health care outcomes; however, studies on the contextual influences of different dimensions of empowerment in Nepal are relatively limited. Therefore, this study analyzed nationwide survey data to examine the influence of women's economic empowerment, sociocultural empowerment, familial/interpersonal empowerment and media and information technology empowerment on accessing skilled delivery services among the married women in Nepal.
This study examined the influence of women's empowerment on skilled delivery services among married women (n = 4400) aged 15-49 years using data from the 2016 Nepal Demographic and Health Survey. Descriptive analysis and binary logistic regression analysis were employed to analyze the data.
Significant associations were found between women's media and information technology empowerment, economic empowerment and sociocultural empowerment and access to skilled birth attendants. Specifically, the education of women, their occupation, owning a bank account, media exposure, and internet use were significantly associated with the use of skilled birth attendants.
Focusing on women's access to media and information technology, economic enhancement and education may increase the use of skilled birth attendants in Nepal.
每天约有 810 名妇女在妊娠和分娩期间死亡，其中 94%发生在中低收入国家。南亚只有 45%的分娩由熟练专业人员接生，低于亚洲其他地区。接受熟练提供者提供的产前和产后护理可以通过识别与妊娠相关的并发症来帮助预防母婴死亡。妇女赋权被认为是母婴保健结果的重要决定因素；然而，在尼泊尔，关于不同赋权维度的背景影响的研究相对有限。因此，本研究分析了全国范围的调查数据，以检验妇女在尼泊尔经济赋权、社会文化赋权、家庭/人际关系赋权以及媒体和信息通信技术赋权对获得熟练分娩服务的影响。
本研究使用 2016 年尼泊尔人口与健康调查的数据，调查了 15-49 岁已婚妇女（n=4400）中妇女赋权对熟练分娩服务的影响。采用描述性分析和二元逻辑回归分析对数据进行分析。
发现妇女媒体和信息通信技术赋权、经济赋权和社会文化赋权与获得熟练分娩服务之间存在显著关联。具体而言，妇女的教育、职业、拥有银行账户、媒体接触和互联网使用与熟练分娩服务的使用显著相关。
关注妇女获取媒体和信息通信技术、经济增长和教育的机会可能会增加尼泊尔熟练分娩服务的使用。
