印度北方邦阿拉哈巴德地区农村妇女分娩地点的变化趋势

Amit Singh, V. K. Kumra
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摘要

分娩护理对孕产妇和产前保健都至关重要。提高熟练助产服务是安全孕产和儿童生存的中心目标。本研究的主要目的是确定交货地点是否随时间而变化。并评估影响北方邦阿拉哈巴德农村地区妇女选择分娩地点的社会经济和人口因素。本研究采用有目的随机抽样的方法在20个村庄进行。为此,2015年7月至2016年6月期间对800名年龄在15-49岁之间的女性进行了调查。研究结果表明,51.3%的分娩是在保健机构进行的,只有48.7%的分娩是在家中进行的。所有完成高等中等教育的妇女在分娩时(最后一次分娩时)都优先选择保健机构。影响分娩地点选择的主要因素是受教育程度、结婚年龄、生活水平低。有一个遥远的医疗中心,缺乏交通和经济限制是选择在家分娩的其他主要原因。报告的结论是,在保健机构分娩的趋势显著增加,但社会经济地位较低的妇女之间存在很大差异。
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Changing Trends on the Place of Delivery among Rural Women’s of Allahabad District in Uttar Pradesh, India
Delivery care is crucial for both maternal and prenatal health. Increasing skilled attendance at birth is a central goal of safe motherhood and child survival. The main aim of this study is to identify whether place of delivery is changing over time. And also to assess the socio-economic and demographic factors influencing women's decision for choice of place of delivery in rural areas of Allahabad district of Uttar Pradesh. This study is conducted in 20 selected villages by using purposive random sampling. For this purpose 800 women belonging to age group of 15-49 years were surveyed during July 2015-June 2016. The result of the study shows that 51.3 per cent of deliveries have been taken place at health care institutions and only 48.7 per cent of deliveries took place at home. All women who had completed higher secondary education were preferred health care institutions for their delivery (during last birth). The key factors influencing choice of place of delivery is education, age at marriage, low standard living condition. Having a distant health center, lack of transportation and financial constraints are the other main reasons for choosing a home delivery. It concludes that trend of delivery at health institution is remarkably increased but there is found strong differentials in low socio-economic status of women.
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