Hodgkin D
Institute for Health Policy, Heller Graduate School, Brandeis University, Waltham, MA 02254, USA.
Health Econ. 1996 Jul-Aug;5(4):333-40. doi: 10.1002/(SICI)1099-1050(199607)5:4<333::AID-HEC202>3.0.CO;2-K.
Data from a household survey were used to analyse the distribution of newborn deliveries in a rural area of Kenya. It was found that 52% of deliveries occurred at home or with traditional birth attendants. Using regression techniques, the most significant predictors of choosing an informal delivery setting are the household's distance from the nearest maternity bed and whether a household member has insurance. The results suggest that travel time is an important barrier to access. Therefore, quality improvements at existing facilities may not result in greater use of modern sector delivery, particularly if improvements are partially offset by user fees.
一项家庭调查的数据被用于分析肯尼亚一个农村地区新生儿分娩的分布情况。结果发现，52%的分娩是在家中或由传统接生员协助进行的。运用回归技术分析得出，选择非正规分娩场所的最重要预测因素是家庭与最近产床的距离以及家庭成员是否拥有保险。结果表明，出行时间是获得医疗服务的一个重要障碍。因此，现有设施质量的改善可能不会导致更多地使用现代医疗部门的分娩服务，特别是如果改善措施部分被用户费用抵消的话。
