| ObjectivesFor introducing the gender view to the maternal and newborn healthcare, especially bringing the quantitative investigation to the gender-analysis frame, this research is a part of "Research on gender-related issues in maternal and newborn healthcare", sub-topic of The Fifth Cycle of China/UNFPA Reproductive Health and Family Planning (RH/FP) Project. Thus, we can see healthcare behavior and its influence factors comprehensively.MethodsInvestigate the target women in village of An'xian, using the designed questionnaire and outline for interview. We build theoretical model in maternal and newborn healthcare behavior primarily, referring to the Harvard Frame and Moser's Frame. Further, conduct empirical research using the structure equation model (SEM), in other words, confirm or modify the theoretical model based on surveying data.ResultsThe socioeconomic status of women in An'xian is lower than men. It shows most women work in agriculture, employmental rate of women in non- agriculture is low, 90.3% women's highest educational degree in survey are junior middle school or below, women's private income in last year are few than men's, and they have no consciousness that the actions such as voting for election are their own rights, so their enthusiasm to politics participating is few. Three-generation family occupies most in village, only 20.3 % of families' Economic level before marriage, husbands are prior than those of wives. In household daily life, women's status almost rose to equal or higher than men's, but as something important in family is concerned, men still grasped the power of decision making. The score of the items those measure the women's gender consciousness is low, especially on the equality of sex and the attitude on men's leading. On the view of birth, village women recognized gynopathic occurrence is related to men's health. They master the knowledge of health during menstrual period well, but were lack of recognition on high risk symptom in duration of pregnancy. 91% of surveyed women has carried on the prenatal examination, majority of those who has not done regard the prenatal examination as disease diagnosis. The survey tell us the birthrate in non-hospitalization was high to 29.75 %. Women in duration of pregnancy generally will strengthen bodies nutrition, lessen working load. Although the rate of breast feeding reached on 94.5 %, the time when first breast feeding is late after birth. In the utilization of child health service, 15% of women didn't carry their illed child to hospital. Towns Health centers are the first choice when their child was illed, frequency is 46.25 % .The results also show induced abortion rate is higher who didn't adopt contraception than who did. Finally, we get the gender view model in maternal and newborn healthcare through SEM, that is the factors including socioeconomic status, status in family, and concern from husband have effect on the maternal and newborn healthcare behavior and utilization, the ones including gender consciousness and self-health care consciousness have the indirect effect.ConclusionVillage women's gender consciousness and self-health care consciousness or knowledge has effect on the health behavior indirectly. It's an important link for maternal and newborn health service in villages to improve socioeconomic status, status in family, gender consciousness of women. The critical measures are improving women's educational level, employment rate in non-agricultural career, increasing women's private income, and developing various kinds of projects under gender view to strengthen women self-awareness, then maternal and newborn healthcare will be promoted. |
PDF Full Text Request