Women's health facility choices for antenatal, delivery, and postnatal care in Eastern Visayas, Philippines.

IF 2.4 Q2 OBSTETRICS & GYNECOLOGY
Frontiers in global women's health Pub Date : 2025-07-24 eCollection Date: 2025-01-01 DOI:10.3389/fgwh.2025.1575896
Ahreum Choi, Heunghee Kim, Sherlyn Mae P Provido, Hee Sun Kim, Romil Jeffrey Juson, Diana Lucas, Heyeon Ji, Jihwan Jeon, Yunhee Kang
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引用次数: 0

Abstract

Background: This study aims to identify socioeconomic factors associated with the choice of antenatal care (ANC) facilities and to analyze trends in the utilization of health facilities for delivery and postnatal care (PNC) based on the type of ANC facility in Eastern Visayas, Philippines.

Methods: This secondary data analysis uses baseline and one-year follow-up survey data from a quasi-experimental study conducted in September 2023 and 2024. Data from 1,414 women with information on maternal health facility utilization was analyzed. ANC facilities were categorized into four groups: Barangay Health Station (BHS), Rural Health Unit (RHU), hospital/clinic and others. Multinomial logistic regressions were applied, adjusting for socio-economic status and Barangay location, to examine associations between socio-economic factors and ANC facility choice, as well as trends in delivery and PNC facility utilization based on ANC facility type.

Results: Among 1,414 postpartum mothers, 35.6% received ANC at BHS, 34.1% at RHU, 32.7% at hospital/clinic, and 0.6% did not receive ANC. Most deliveries (83.3%) and PNC (61.4%) services occurred in hospital/clinic settings. Mothers who received ANC at a hospital/clinic were more likely to have higher education (aRRR = 7.04, 95% CI: 3.97, 12.50) and be wealthier (aRRR = 2.00, 95% CI: 1.09, 3.69) compared to those who received ANC at BHS. Mothers receiving ANC at RHU (aRRR = 0.52, 95% CI: 0.34, 0.79) or hospital/clinic (aRRR = 0.55, 95% CI: 0.38, 0.78) were less likely to be single with a partner compared to those receiving ANC at BHS. Mothers who received ANC at hospital/clinic were more likely to deliver at a hospital/clinic (aRRR = 8.49, 95% CI: 3.56, 20.26) than at a RHU/BHS, and to receive PNC at a hospital/clinic (aRRR = 2.07, 95% CI: 1.32, 3.24) instead of at a BHS, compared to those receiving ANC at BHS. Mothers receiving ANC at RHU were more likely to also receive PNC at an RHU (aRRR = 16.13, 95% CI: 7.80, 33.36) compared to those receiving ANC at BHS.

Conclusions: Socioeconomic disparities are associated with ANC facility choice, which in turn affects subsequent decisions regarding facilities for delivery and PNC in Eastern Visayas. As such, facility selection should be guided by healthcare needs rather than socioeconomic status.

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菲律宾东米沙鄢群岛妇女在产前、分娩和产后护理方面的保健设施选择。
背景:本研究旨在确定与产前护理(ANC)设施选择相关的社会经济因素,并根据菲律宾东米沙鄢群岛(Eastern Visayas)的ANC设施类型,分析利用卫生设施进行分娩和产后护理(PNC)的趋势。方法:本二次数据分析采用了一项于2023年9月和2024年9月进行的准实验研究的基线和一年随访调查数据。分析了1 414名妇女提供的关于利用产妇保健设施的资料。国民保健服务中心的设施分为四类:村卫生站、农村卫生所、医院/诊所和其他。采用多项逻辑回归,调整社会经济状况和巴兰盖村的地理位置,以检验社会经济因素与ANC设施选择之间的关系,以及基于ANC设施类型的交付和PNC设施利用趋势。结果:1414名产后母亲中,在BHS接受ANC的占35.6%,在RHU接受34.1%,在医院/诊所接受32.7%,0.6%未接受ANC。大多数分娩(83.3%)和PNC(61.4%)服务发生在医院/诊所环境中。与在BHS接受ANC的母亲相比,在医院/诊所接受ANC的母亲更有可能受过高等教育(aRRR = 7.04, 95% CI: 3.97, 12.50),更富有(aRRR = 2.00, 95% CI: 1.09, 3.69)。在RHU (aRRR = 0.52, 95% CI: 0.34, 0.79)或医院/诊所(aRRR = 0.55, 95% CI: 0.38, 0.78)接受ANC的母亲与在BHS接受ANC的母亲相比,单身的可能性更小。在医院/诊所接受ANC的母亲比在RHU/BHS更有可能在医院/诊所分娩(aRRR = 8.49, 95% CI: 3.56, 20.26),与在BHS接受ANC的母亲相比,在医院/诊所接受PNC的可能性更大(aRRR = 2.07, 95% CI: 1.32, 3.24)。与在BHS接受ANC的母亲相比,在RHU接受ANC的母亲更有可能在RHU接受PNC (aRRR = 16.13, 95% CI: 7.80, 33.36)。结论:社会经济差异与分娩设施选择有关,这反过来又影响了东米沙鄢群岛分娩设施和分娩设施的后续决策。因此,应根据医疗需求而不是社会经济地位来选择设施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.70
自引率
0.00%
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审稿时长
13 weeks
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