The Utilization and determinants of Prenatal care in Taiwan

• Main Authors: Mei-Huey Lee, 李美慧
• Other Authors: Tung Liang Chiang
• Format: Others
• Language: zh-TW
• Published: 1996
• Online Access: http://ndltd.ncl.edu.tw/handle/50166446800270166333

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.