| Summary: | 碩士 === 國立臺灣大學 === 公共衛生學研究所 === 84 === The purpose of this study is to examine the prenatal care
utilization in Taiwan and it''''s determinants. This is a
cross sectional study,and data for the analysis came from KAP
VII by TPIFP. Major findings are: 1.97.5% of the pregnant
women attend prenatal care,and 91.6% were adequate. 90.6% of
them had lab test for blood and 84.4% for urine. Education,
knowledge, family''''s facilities, and insurance are found to
be significant determinants of the use. Older(>=35) age and
aborigines are less likely to receive prenatal care.
Primipara and urban residents receive prenatal care more adequ-
ately. 2.Utrsonography is received by 94.6% women who have
prenatal care, HBsAg screening, 90%; Rubella
antibody exam,14.1%;amniocentesis, 1.5%; CVS, 1.8%. The
determinants vary with the care item. 3.Set the sites of
prenatal care into 4 catagories: the health stations and group
practice centers, public hospitals, private hospitals, and
private clinics. The private sectors account for over 70%
usage. 4.The utilization rates of several prenatal care
items are significantly higher in latter years. 5.The women
who have a spontaneous abortion or stillbirth mostly (96.5%)
have had the same experience before. These results suggest that
current program strategies need to ensureaccess to prenatal
care for the underuse subgroups (such as aaborigines),and to
integrate the private sectors into public health service
networks.
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