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孕产妇保健设施的利用与农村妇女的福祉:迈向可持续发展目标的实现

Utilization of maternal health facilities and rural women's well-being: towards the attainment of sustainable development goals.

作者信息

Adejoorin Mobolaji Victoria, Salman Kabir Kayode, Adenegan Kemisola Omorinre, Obi-Egbedi Ogheneruemu, Dairo Magbagbeola David, Omotayo Abiodun Olusola

机构信息

Department of Agricultural Economics, University of Ibadan, Ibadan, Nigeria.

Department of Epidemiology, University of Ibadan, Ibadan, Nigeria.

出版信息

Health Econ Rev. 2024 Jun 13;14(1):40. doi: 10.1186/s13561-024-00515-5.

DOI:10.1186/s13561-024-00515-5
PMID:38869682
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11170892/
Abstract

BACKGROUND

The sustenance of any household is tied to the well-being of the mother's health before, during, and after pregnancy. Maternal health care has continued a downward slope, increasing maternal mortality in rural communities in Nigeria. Presently, few empirical findings connect maternal healthcare facilities' use to mothers' well-being in Nigeria. Using maternal health facilities and the well-being of rural women is crucial in achieving the United Nations' Sustainable Development Goals 1, 2, and 3 (No poverty, zero hunger, good health, and well-being).

OBJECTIVE

The objective of the study was to examine the level of maternal healthcare utilization and its effect on mothers' well-being status among mothers in rural Nigeria.

METHODS

In this study, secondary data extracted from the Nigeria's 2018 National Demographic Health Survey was used. Data was analyzed with Multiple correspondence analysis, Fuzzy set analysis, and Extended ordered logit model.

RESULTS

Women in rural Nigeria were moderate users of maternal health care services and had moderate well-being indices (0.54 ± 0.2, 0.424 ± 0.2, respectively). Mothers' moderate well-being status was increased by using maternal health care facilities, having a larger household, and having mothers who worked exclusively in agriculture.

CONCLUSION

We concluded that mothers in rural Nigeria use maternal healthcare facilities moderately, and their well-being level was improved using maternal healthcare facilities. Therefore, Nigeria's Ministry of Health should raise awareness about the vitality of mothers using health care services before, during, and after pregnancy. In order to promote greater female participation in full-scale agricultural production, it is imperative for the Nigerian government to allocate substantial resources in the form of subsidies and incentives. The Nigerian government should source these resources from various channels, including expanded development cooperation. Additionally, policymakers should focus on designing developmental programmes specifically tailored for rural households and the health sector.

摘要

背景

任何家庭的生计都与母亲在怀孕前、怀孕期间和产后的健康状况息息相关。孕产妇保健状况持续下滑,导致尼日利亚农村社区的孕产妇死亡率上升。目前,在尼日利亚,很少有实证研究结果将孕产妇保健设施的使用与母亲的健康状况联系起来。利用孕产妇保健设施并改善农村妇女的健康状况对于实现联合国可持续发展目标1、2和3(消除贫困、零饥饿、良好健康和福祉)至关重要。

目的

本研究的目的是调查尼日利亚农村地区母亲的孕产妇保健利用水平及其对母亲健康状况的影响。

方法

本研究使用了从尼日利亚2018年全国人口健康调查中提取的二手数据。采用多重对应分析、模糊集分析和扩展有序logit模型对数据进行分析。

结果

尼日利亚农村妇女对孕产妇保健服务的使用程度中等,健康状况指数也处于中等水平(分别为0.54±0.2、0.424±0.2)。使用孕产妇保健设施、家庭规模较大以及母亲专门从事农业工作,会提高母亲的中等健康状况。

结论

我们得出的结论是,尼日利亚农村地区的母亲适度使用孕产妇保健设施,并且使用这些设施能提高她们的健康水平。因此,尼日利亚卫生部应提高人们对母亲在怀孕前、怀孕期间和产后使用保健服务重要性的认识。为了促进更多女性全面参与农业生产,尼日利亚政府必须以补贴和激励措施的形式分配大量资源。尼日利亚政府应从包括扩大发展合作在内的各种渠道获取这些资源。此外,政策制定者应专注于设计专门针对农村家庭和卫生部门的发展计划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0619/11170892/214ecb3f5e99/13561_2024_515_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0619/11170892/814d6a8080e0/13561_2024_515_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0619/11170892/f243f7a50a32/13561_2024_515_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0619/11170892/214ecb3f5e99/13561_2024_515_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0619/11170892/814d6a8080e0/13561_2024_515_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0619/11170892/f243f7a50a32/13561_2024_515_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0619/11170892/214ecb3f5e99/13561_2024_515_Fig3_HTML.jpg

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