边缘单身外移者的留守妻子对产前服务利用的感知和预测因素——来自印度的经验证据

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2025-05-12 DOI:10.1016/j.cegh.2025.102062

Fahad Afzal , Arindam Das , Rupinder Sahota

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引用次数: 0

摘要

背景：虽然印度的公共保健设施免费提供产前保健服务，但由于服务质量差距，比哈尔邦的产前保健使用率很低。本研究从居住在城市低社会经济环境中没有丈夫的留守妻子（LBWs）的角度考察了这些差距。研究还旨在确定在政府保健中心有效利用非裔美国人服务的预测因素，以及信息来源对对非裔美国人服务的看法的影响。方法对居住在印度巴特那地区两个行政街区的低社会经济区域的165名受访者进行了横断面调查。有效利用是一个二元变量，基于产前检查、铁叶酸消耗、机构分娩和破伤风疫苗接种。回归分析用于评估ANC服务利用的预测因子。采用方差分析（ANOVA）分析信息来源对ANC服务感知的影响。结果“人力资源”（AOR = 3.35, R2 = 0.80）、“咨询服务”（AOR = 2.41）和“基础设施和设备条件”（AOR = 1.76）是预测政府卫生中心ANC服务有效利用的最重要方面。信息来源对知觉的影响不显著(p >；0.05)。本研究揭示了政府中心ANC服务未充分利用、认知和机会的原因。它还为政策制定者提供了在印度表现不佳的邦发展孕产妇保健的重要见解，最终有助于增强妇女的健康权能。

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Perception and predictors of antenatal services utilization by left-behind wives of marginal solo outmigrants-empirical evidence from India

Background

Although antenatal care (ANC) services are offered free of charge at public healthcare facilities in India, Bihar state has a low ANC utilization rate due to service quality gaps. This study examines these gaps from the perspective of Left-Behind Wives (LBWs) residing in urban low socioeconomic environments in the absence of husbands. The research also aims to identify the predictors for efficient use of ANC services at government health centres and the effect of source of information on perception towards ANC services.

Method

A cross-sectional survey was carried out to capture responses from 165 respondents residing in low socioeconomic regions of two administrative blocks of the Patna district of India. Effective utilization was measured as a binary variable, based on antenatal check-ups, iron-folic acid consumption, institutional delivery, and tetanus vaccination. Regression analysis was used to assess the predictors of utilization of ANC services. Analysis of Variance (ANOVA) was used to analyze the effect of source of information on perception towards ANC services.

Results

The most significant aspect that predicts the efficient use of ANC services at government health centres was ‘human resource’ (AOR = 3.35, R² = 0.80), followed by ‘counselling service’ (AOR = 2.41) and ‘infrastructure and equipment condition’ (AOR = 1.76). There was no significant effect of source of information on perception (p > 0.05).

Conclusion

This study reveals reasons for underutilization, perception, and opportunities related to ANC services at government centres. It also provides vital insights for policymakers for the development of maternal healthcare in underperforming states of India, ultimately contributing to the health empowerment of LBWs.

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.