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印度母婴产后护理覆盖的决定因素:基于全国代表性调查的证据。

Determinants of postnatal care coverage among mothers and new-borns in India: Evidence from a nationally representative survey.

机构信息

Department of Community Medicine, ESIC Medical College & PGIMSR, Chennai, Tamil Nadu, India.

Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.

出版信息

Int J Health Plann Manage. 2021 Jul;36(4):1276-1286. doi: 10.1002/hpm.3179. Epub 2021 Apr 17.

Abstract

Despite efforts taken by the Government of India, still mothers and new-borns are excluded from the postnatal care services, especially during the critical first 24 h after delivery. Hence, we have done this study to find the determinants of postnatal care for mothers and new-borns in India. We have analysed the NFHS-4 data gathered from Demographic Health Survey programme. Stratification and clustering in the sample design was accounted using svyset command. Point estimates were reported as proportions with 95% Confidence Interval (CI). In total, 190,797 women who had at least one live birth were included. About 25.2% and 27.1% of the new-born received post-natal care within 24 and 48 h of delivery. The proportion of women who received post-natal care within 24 and 48 h after delivery was 63.4% and 65.2% respectively. Higher socioeconomic status, women living in Southern region, utilization of proper antenatal and intranatal care, and Caesarian mode of delivery had significantly higher postnatal care coverage among mothers and new-borns. This finding informs the policy makers regarding the status of postnatal care coverage, that can be incorporated to identify target populations for further strengthening of service delivery.

摘要

尽管印度政府已经做出了努力,但仍有母亲和新生儿无法获得产后护理服务,尤其是在分娩后关键的 24 小时内。因此,我们进行了这项研究,以了解印度母亲和新生儿获得产后护理的决定因素。我们分析了来自人口健康调查计划的 NFHS-4 数据。在样本设计中使用 svyset 命令对分层和聚类进行了处理。点估计以比例和 95%置信区间(CI)报告。总共纳入了 190797 名至少有一次活产的妇女。大约 25.2%和 27.1%的新生儿在分娩后 24 小时和 48 小时内接受了产后护理。分娩后 24 小时和 48 小时内接受产后护理的妇女比例分别为 63.4%和 65.2%。较高的社会经济地位、生活在南部地区的妇女、适当的产前和产时护理的利用以及剖腹产分娩方式,显著提高了母亲和新生儿的产后护理覆盖率。这一发现为政策制定者提供了有关产后护理覆盖状况的信息,这可以用来确定目标人群,以进一步加强服务提供。

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