کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5122267 1487141 2016 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Spousal violence and receipt of skilled maternity care during and after pregnancy in Nepal
ترجمه فارسی عنوان
خشونت خانوادگی و دریافت مراقبت های مادرانه در طول و بعد از حاملگی در نپال
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی


- Around a third of women in a Nepalese national survey experienced spousal violence.
- Spousal violence was associated with not receiving skilled maternity care.
- These associations disappeared after controlling for sociodemographic characteristics.
- The relationship between skilled maternity care and social context was complex.

Objectivesa substantial number of Nepali women experience spousal violence, which affects their health in many ways, including during and after pregnancy. This study aimed to examine associations between women's experiences of spousal violence and their receipt of skilled maternity care, using two indicators: (1) receiving skilled maternity care across a continuum from pregnancy to the early postnatal period and (2) receiving any skilled maternity care in pregnancy, childbirth, or postpartum.Methodsdata were analysed for married women aged 15-49 from the 2011 Nepal Demographic and Health Survey. Data were included on women who completed an interview on spousal violence as part of the survey and had given birth within the five years preceding the survey (weighted n=1375). Logistic regression models were developed for analyses.Resultsthe proportion of women who received skilled maternity care across the pregnancy continuum and those who received any skilled maternity care was 24.1% and 53.7%, respectively. Logistic regression analyses showed that spousal violence was statistically significantly associated with receiving low levels of skilled maternity care, after adjusting for accessibility of health care. However, after controlling for women's sociodemographic backgrounds (age, number of children born, educational level, husband's education level, husband's occupation, region of residence, urban/rural residence, wealth index), these significant associations disappeared. Better-educated women, women whose husbands were professionals or skilled workers and women from well-off households were more likely to receive skilled maternity care either across the pregnancy continuum or at recommended points during or after pregnancy.Conclusionspousal violence and low uptake of skilled maternity care are deeply embedded in a society in which gender inequality prevails. Factors affecting the receipt of skilled maternity care are multidimensional; simply expanding geographical access to maternity services may not be sufficient to ensure that all women receive skilled maternity care.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Midwifery - Volume 43, December 2016, Pages 7-13
نویسندگان
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