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Healthy mothers, healthy children: does maternal demand for antenatal care matter for child health in Nepal?

机译：健康的母亲，健康的孩子：产妇对产前保健的需求对尼泊尔的孩子健康有影响吗？

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Nepal's Safe Motherhood Programme has failed to deliver expected gains in maternal and child health. Nepalese mothers and their children continue to dispense with (or be denied) antenatal care, experience high maternal mortality rates and suffer chronic malnutrition. We address the correlates and consequences of antenatal care utilization in Nepal by applying two-stage least squares, binomial logit and Heckman selection bias estimates to data drawn from the Nepal Health and Demographic Surveys of 1996 and 2001. Results indicate that maternal education, even at low levels, significantly increases the use of antenatal care; paternal education plays a more important role in the use of routine antenatal care than the conventional wisdom suggests; and when mothers use routine professional antenatal care and maintain good health their children tend to stay healthy through infancy and early childhood. Since health-seeking behaviour is circumscribed by patriarchal gender norms in Nepal, health policies should not only focus on female education and women's status, but also involve husbands in the process of maternal care utilization.
机译：尼泊尔的“安全孕产计划”未能实现母婴健康方面的预期成果。尼泊尔母亲及其子女继续免除（或被拒绝）产前护理，孕产妇死亡率高，并长期营养不良。我们通过将两阶段最小二乘，二项式对数和Heckman选择偏倚估计值应用于根据1996年和2001年尼泊尔卫生和人口调查得出的数据，来解决尼泊尔产前护理利用的相关性和后果。结果表明，即使在低水平，大大增加了产前保健的使用;与常规观点相比，在常规的产前保健中，父亲教育的作用更为重要。当母亲使用常规的专业产前护理并保持良好的健康时，他们的孩子往往会在婴儿期和幼儿期保持健康。由于尼泊尔的重男轻女规范限制了寻求健康的行为，因此卫生政策不仅应侧重于女性教育和妇女地位，而且还应让丈夫参与利用孕产妇的过程。

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