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国家健康保险政策下的免费产妇保健方案对加纳与产妇有关的健康结果的影响

Abstract in Chinese第11-17页
Abstract in English第17-24页
List of Abberviations第28-31页
Chapter -1 Introduction第31-36页
    1.1 Statement第31-32页
    1.2 Study Objectives第32页
    1.3 Conceptual Framework第32-34页
    1.4 Organization of the Dissertation第34-36页
Chapter -2 Literature Review第36-46页
    2.1 Maternal Mortality Ratio第36-40页
    2.2 Historical Antecedence to Maternal Health Policies第40-41页
    2.3 Human Rights Movements and other Advocates for Maternal Health第41-43页
    2.4 Momentum of Maternal Health in sub-Saharan Africa第43-44页
    2.5 Maternal Health Services in Ghana第44-46页
Chapter -3 Profile of Ghana and Study Districts第46-57页
    3.1 Geography第46页
    3.2 Economy第46-47页
    3.3 Population第47-48页
    3.4 Culture第48-49页
    3.5 Kintampo North Municipality第49-53页
        3.5.1 Population第50页
        3.5.2 Fertility第50-51页
        3.5.3 Literacy and Education第51页
        3.5.4 Employment Status第51-52页
        3.5.5 Marital Status第52页
        3.5.6 Religion第52页
        3.5.7 Health Sector第52-53页
    3.6 Kintampo South District第53-57页
        3.6.1 Poulation第54页
        3.6.2 Fertility第54页
        3.6.3 Marital Status第54-55页
        3.6.4 Religious Affiliation第55页
        3.6.5 Literacy and Education第55页
        3.6.6 Occupation第55页
        3.6.7 Health Infrastructure第55-57页
Chapter -4 Maternal Healthcare Service Delivery System in Ghana第57-65页
    4.1 Health Facilities and National Health System第59-60页
    4.2 Health Professionals第60-61页
    4.3 Maternal Healthcare Providers第61-62页
    4.4 Maternal Care第62-65页
        4.4.1 Antenatal Care第62-63页
        4.4.2 Delivery Care第63页
        4.4.3 Postnatal Care第63-65页
Chapter -5 Background to the Free Maternal Healthcare Programme第65-81页
    5.1 Introduction of National Health Insurance Policy第65页
    5.2 Advent of Free Maternal Healthcare Programme第65-81页
        5.2.1 Benefit Package of the Programme第65-66页
        5.2.2 Financing Free Maternal Healthcare Programme in Ghana第66-70页
        5.2.3 Cost of Implementing/Running Maternal Healthcare Programme第70-74页
        5.2.4 Impact of Free Maternal Healthcare Policy on Skilled Delivery in Ghana第74-79页
        5.2.5 Sustainability of the Free Maternal Healthcare Programme第79-81页
Chapter -6 Methodology第81-86页
    6.1 Study Design第81页
    6.2 Study Population第81页
    6.3 Sampling Procedure第81-82页
    6.4 Sample Size Determination第82页
    6.5 Qualitative Method (Key Informant Interview, Focus Group Discussion andReview of Records)第82-83页
    6.6 Quantitative Survey (Household Interview)第83页
    6.7 Pilot Survey第83页
    6.8 Data Entry and Analysis第83-84页
    6.9 Ethical Consideration第84-86页
Chapter -7 Results第86-104页
    7.1 Social-Demographic Characteristics of Respondents第86-89页
        7.1.1 Place of Residence第86页
        7.1.2 Age of Respondents第86页
        7.1.3 Marital Status第86-87页
        7.1.4 Education第87页
        7.1.5 Occupation第87页
        7.1.6 Religion第87-88页
        7.1.7 Logistic Regression Analysis of the Association between BackgroundVariable and Enrolment on the National Health Insurance Scheme第88-89页
    7.2 Cost of Implementing Free Maternal Health Programme in the Two Districts第89-91页
    7.3 Free Maternal Healthcare Services Utilisation Analysis第91-97页
        7.3.1 Association between NHIS Status and ANC Attendance第91页
        7.3.2 National Health Insurance Status and Weighing of Women第91-92页
        7.3.3 National Health Insurance Status and Blood Pressure Measurement第92页
        7.3.4 National Health Insurance Status and Tetanus Injection第92-93页
        7.3.5 National Health Insurance Status and Given of Malaria Drugs第93页
        7.3.6 Labour and Delivery第93页
        7.3.7 National Health Insurance Status and Place of Delivery第93-94页
        7.3.8 National Health Insurance Status and Reasons for Choosing Place of Delivery第94-95页
        7.3.9 Health Insurance Enrolment and Home Delivery第95-96页
        7.3.10 Health Insurance Enrolment and Postnatal Care第96页
        7.3.11 Health Insurance Enrolment and Number of Days Women Went for PostnatalCare After Delivery第96-97页
        7.3.12 NHIS And Category of Health Worker Attended to Women During PNC第97页
    7.4 Impact of Free Maternal Healthcare on Skilled Delivery第97-104页
        7.4.1 Univariate and Multi-variate Regression Analysis第97-98页
        7.4.2 Descriptive Statistics of ANC Services第98-99页
        7.4.3 Labour and Delivery第99-100页
        7.4.4 Descriptive Statistics for Postnatal Care第100页
        7.4.5 Multivariate and Univariate Analysis第100-102页
        7.4.6 Labour and Delivery第102-103页
        7.4.7 Postnatal Care第103-104页
Chapter -8 Discussions第104-114页
    8.1 Demographic Characteristics of Respondents第104页
    8.2 Cost of Implementing Free Maternal Care Under the NHIS第104-106页
    8.3 Impact on Skilled Delivery第106-109页
    8.4 Sustainability of the Programme第109-111页
    8.5 Challenges and Appropriate Interventions第111-113页
    8.6 Limitations of the Study第113-114页
Chapter -9 Conclusion and Recommendation第114-116页
References第116-125页
Acknowledgement第125-126页
Publications第126-127页
Appendices第127-141页
    Appendix 1 Household Questionnaire第127-134页
    Appendix 2第134-135页
    Appendix 3第135-137页
    Appendix 4第137-139页
    Appendix 5第139-141页
学位论文评阅及答辩情况表第141页

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