Association Between Sociodemographic Characteristics and Assisted Childbirth by Qualified Personnel in Madagascar.

Journal of Family and Reproductive Health Pub Date : 2024-12-01 DOI:10.18502/jfrh.v18i4.17427

Hery Sylvestre Bemanana

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引用次数: 0

Abstract

Objective: This study aims to analyze the association between the likelihood of giving birth in a healthcare facility and various sociodemographic characteristics in Madagascar.

Materials and methods: This study utilized data from the 2021 Madagascar Demographic and Health Survey which included a representative sample of women of reproductive age (15-49 years). The sociodemographic variables analyzed included age, birth order, education level, region residence and economic status with the place of delivery being the primary dependent variable. Data analysis was conducted using R software. A chi-square test was applied to assess associations between variables, with a significance threshold set at 5%.

Results: The prevalence of institutional childbirth services usage in Madagascar was 37.4% (35.1-39.7). The results showed that women under 20 years had an assistance rate of 36.7% (33.9-39.4), while the rate for primiparas reached 49.9% (48.5-51.3). Prenatal visits, mother's age, birth order, region, residence, education level, and economic quintile significantly influenced access to care, with p-values < 0.0001. Only 17.5% (15.6-19.4) of women in the lowest quintile received qualified assistance at childbirth.

Conclusion: The results highlight the impact of age, birth order, residence, education level, region and socioeconomic status on access to childbirth services, necessitating a multisectoral approach to improve equity.

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社会人口学特征与马达加斯加合格人员辅助分娩的关系

目的：本研究旨在分析马达加斯加在医疗机构分娩的可能性与各种社会人口特征之间的关系。材料和方法：本研究利用了2021年马达加斯加人口与健康调查的数据，其中包括育龄妇女（15-49岁）的代表性样本。分析的社会人口学变量包括年龄、出生顺序、受教育程度、居住地区和经济状况，以出生地点为主要因变量。使用R软件进行数据分析。采用卡方检验评估变量之间的相关性，显著性阈值设为5%。结果：马达加斯加机构分娩服务使用率为37.4%（35.1- 39.7%）。结果显示，20岁以下妇女助产率为36.7%(33.9 ~ 39.4)，初产妇助产率为49.9%（48.5 ~ 51.3）。产前检查、母亲年龄、出生顺序、地区、居住地、教育程度和经济五分位数显著影响护理可及性，p值< 0.0001。在最低五分之一的妇女中，只有17.5%（15.6- 19.4%）在分娩时获得了合格的援助。结论：研究结果突出了年龄、出生顺序、居住地、受教育程度、地区和社会经济地位对分娩服务可及性的影响，需要采取多部门的方法来提高公平性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Family and Reproductive Health

自引率

0.00%

发文量

审稿时长

5 weeks

期刊介绍： The Journal of Family & Reproductive Health (JFRH) is the quarterly official journal of Vali–e–Asr Reproductive Health Research Center. This journal features fulllength, peerreviewed papers reporting original research, clinical case histories, review articles, as well as opinions and debates on topical issues. Papers published cover the scientific and medical aspects of reproductive physiology and pathology including genetics, endocrinology, andrology, embryology, gynecologic urology, fetomaternal medicine, oncology, infectious disease, public health, nutrition, surgery, menopause, family planning, infertility, psychiatry–psychology, demographic modeling, perinatalogy–neonatolgy ethics and social issues, and pharmacotherapy. A high scientific and editorial standard is maintained throughout the journal along with a regular rate of publication. All published articles will become the property of the JFRH. The editor and publisher accept no responsibility for the statements expressed by the authors here in. Also they do not guarantee, warrant or endorse any product or service advertised in the journal.