Association Between Socio-economic Factors and Practices of Postnatal Care Among Women of Childbearing Age in Northwestern Cambodia

국문 초록 (Abstract)

연구목적: 캄보디아 서북부의 바탐방, 뽀삿, 파일린 지역은 사회기반시설이 부족하고 지역간 큰 격차가 존재한다. 또한 양질의 의료서비스 공급 부족으로 모성보건지표도 낮다. 본 연구는 한국국제보건의료재단(KOFIH)이 수행하 는 캄보디아 모자보건 사업의 대상인 3개 지역에서의 산후조리실천에 영향을 미치는 요인을 파악하고자 하였다. 연구의 중요성: 본 연구는 캄보디아 서북부지역의 가임기 여성의 사회경제적 특성과 산후 건강관리의 관련성을 이해하기 위한 의미 있는 연구이다. 연구방법론: 최근 2년 내 임신 경험이 있는 가임기 여성 705명을 대상으로 조사를 실시하였다. 사회인구학적 특성과 산후 건강관리와 관련된 변수의 연관성 파악을 위해 카이제곱 분석을 실시하였다. 산후 건강관리 실천에 영향을 미치는 요인을 파악하기 위해 다중 로지스틱 회귀분석을 적용하였다. 연구결과: 세 지역 모두 10~29세의 비율이 가장 높았다. 사회경제적 특성에 따른 산후 건강관리 실천은 지역, 연령, 남편의 직업, 교통수단, 주거여건에 따라 차이가 있었다. 다중 로지스틱 회귀분석 결과, 파일린 지역의 산후 건강관리 실천율은 바탐방보다 2.12배 높았고(p=0.004), 주거여건이 좋은 여성은 열악한 여성보다 산후 건강관리 실천율이 1.61배 높았다(p=0.003). 결론 및 시사점: 캄보디아 서북부 지역의 산후 건강관리 실천율 개선을 위해서 보건의료 접근성 확대를 위한 물리적 인프라 지원, 사회적 자본 확충, 산후 건강관리 중요성에 대한 교육 기회 확대 등 지역간 격차를 줄이는 노력이 필요할 것으로 생각된다.

다국어 초록 (Multilingual Abstract)

Purpose: Lack of social infrastructure and large regional gaps exist in Cambodia and in particular, Battambang, Pursat, and Pailin in the northwest area. Maternal and Child Health indicators are also low due to insufficient supply of quality health care services. The purpose of this study is to identify factors affecting postnatal care (PNC) practice in three target provinces of the Cambodian 2nd Integrated Maternal and Child Healthcare Project supported by Korea Foundation for International Healthcare (KOFIH). Originality: This is a valuable study to understand the relevance of PNC practice to socio-economic levels of childbearing aged women in Northwestern Cambodia. Methodology: A comprehensive survey was conducted on 705 women of childbearing age in the project area who had experience in pregnancy within the last two years. Chi-square analyses were performed to identify the relationships between socio-economic characteristics and variables related to PNC. Multiple logistic regression analyses were conducted to identify factors affecting PNC practice. Result: The proportion of 10-29 years old was the highest in all three regions. The behavior of PNC according to socio-economic characteristics was significantly different by region, age, husband’s job, transportation like motorcycles, and residential conditions like water pump, electricity. In the results of multiple logistic regression analyses, the PNC practice rate in Pailin was 2.12 times higher than that of Battambang (p=0.004), and women with good residential conditions had 1.61 times higher practice than that of women with poor residential conditions for PNC (p=0.003). Conclusions and Implication: PNC is the care necessary for the mother and her newborn baby after delivery. We found that women have the different practice rates of PNC according to their regions and living conditions. Therefore, in order to improve PNC practice rates, the government should make efforts to reduce the gap between regions such as supporting physical infrastructure to expand accessibility, increasing social capital, and expanding educational opportunities for the importance of PNC.

목차 (Table of Contents)

• Ⅰ. Introduction Ⅱ. Methods Ⅲ. Result Ⅳ. Conclusion and Suggestions

참고문헌 (Reference)

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