| Autor: |
Renzo Guinto, Joseph D Tucker, Carine Ronsmans, Meredith Labarda, Wenjie Shan, Allan Ulitin, Jana Deborah Mier-Alpaño, Jose Rene Bagani Cruz, Katerina N Abiertas |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
BMJ Public Health, Vol 2, Iss 2 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2753-4294 |
| DOI: |
10.1136/bmjph-2024-001419 |
| Popis: |
Background Remote islands have limited access to institutional obstetric care, and these challenges are further exacerbated by climatic threats. A Health Service Boat Project was implemented in rural Philippines to provide free boats for pregnant people to deliver at facilities and facilitate prenatal outreach.Objective To evaluate the impact of the boat project on institutional delivery rates and to explore the underlying mechanism.Methods A sequential mixed-methods study was conducted in Zumarraga Municipality, Philippines. In the quantitative component, we analysed the data from nationally representative household surveys and governmental data to assess the institutional delivery rate before and after the boat project started in 2012. Linear difference-in-difference regression analysis was used to test the intervention effects of the boat project on institutional delivery. Weather information obtained from the Philippine Atmospheric, Geophysical and Astronomical Services Administration was used to compare the institutional delivery rate between cyclone-affected and non-cyclone-affected periods. In the qualitative component, we conducted two focus group discussions and two semistructured interviews to explore how the boat service may have improved the institutional delivery rate.Results The institutional delivery rate significantly increased the year after the boat project started (B=0.38, p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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