Quality of Prenatal Care and Associated Factors among Pregnant Women at Public Health Facilities of Wogera District, Northwest Ethiopia.

IF 3.2 Q1 OBSTETRICS & GYNECOLOGY
Journal of Pregnancy Pub Date : 2020-01-29 eCollection Date: 2020-01-01 DOI:10.1155/2020/9592124
Asrat Kassaw, Ayal Debie, Demiss Mulatu Geberu
{"title":"Quality of Prenatal Care and Associated Factors among Pregnant Women at Public Health Facilities of Wogera District, Northwest Ethiopia.","authors":"Asrat Kassaw,&nbsp;Ayal Debie,&nbsp;Demiss Mulatu Geberu","doi":"10.1155/2020/9592124","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Prenatal care refers to services a pregnant woman receives during pregnancy to ensure a healthy outcome for herself and her newborn. However, only limited studies have so far been done to assess the quality of prenatal care in the study area. Thus, this study is aimed at assessing the quality of prenatal care and associated factors at public health facilities in Wogera district, northwest Ethiopia.</p><p><strong>Methods: </strong>An institution-based cross-sectional study was conducted in Wogera district from March to April 2019. A total of 465 pregnant women were interviewed using a semi-structured interviewer-administered questionnaire; consecutive sampling was used to select the participants. The binary logistic regression analysis model was fitted to identify the potential predictor variables. Variables with <0.2 <i>p</i> values were fitted into the multivariable logistic regression analysis model; <0.05 <i>p</i> values and an adjusted odds ratio (AOR) with a 95% confidence interval (CI) were used to declare factors associated with the quality of prenatal care.</p><p><strong>Results: </strong>The overall quality of prenatal care was 32.7% (95% CI: 28.1, 37.2). Four or more prenatal care visits (AOR = 2.3; 95% CI: 1.2, 4.7), high maternal education (AOR = 2.9; 95% CI: 1.03, 7.93), over USD 175.5 monthly household income (AOR = 2.8; 95% CI: 1.1, 7.8), and the availability of maternity waiting areas (AOR = 2.4; 95% CI: 1.2, 5.0) were positively associated with the quality of the care.</p><p><strong>Conclusion: </strong>The overall quality of prenatal care in this study was low. Therefore, promoting focused prenatal care and increasing infrastructure, encouraging maternal education, and compensating for the healthcare costs for women with low household income might enhance the quality of the care.</p>","PeriodicalId":47062,"journal":{"name":"Journal of Pregnancy","volume":"2020 ","pages":"9592124"},"PeriodicalIF":3.2000,"publicationDate":"2020-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/9592124","citationCount":"27","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pregnancy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/2020/9592124","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2020/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 27

Abstract

Background: Prenatal care refers to services a pregnant woman receives during pregnancy to ensure a healthy outcome for herself and her newborn. However, only limited studies have so far been done to assess the quality of prenatal care in the study area. Thus, this study is aimed at assessing the quality of prenatal care and associated factors at public health facilities in Wogera district, northwest Ethiopia.

Methods: An institution-based cross-sectional study was conducted in Wogera district from March to April 2019. A total of 465 pregnant women were interviewed using a semi-structured interviewer-administered questionnaire; consecutive sampling was used to select the participants. The binary logistic regression analysis model was fitted to identify the potential predictor variables. Variables with <0.2 p values were fitted into the multivariable logistic regression analysis model; <0.05 p values and an adjusted odds ratio (AOR) with a 95% confidence interval (CI) were used to declare factors associated with the quality of prenatal care.

Results: The overall quality of prenatal care was 32.7% (95% CI: 28.1, 37.2). Four or more prenatal care visits (AOR = 2.3; 95% CI: 1.2, 4.7), high maternal education (AOR = 2.9; 95% CI: 1.03, 7.93), over USD 175.5 monthly household income (AOR = 2.8; 95% CI: 1.1, 7.8), and the availability of maternity waiting areas (AOR = 2.4; 95% CI: 1.2, 5.0) were positively associated with the quality of the care.

Conclusion: The overall quality of prenatal care in this study was low. Therefore, promoting focused prenatal care and increasing infrastructure, encouraging maternal education, and compensating for the healthcare costs for women with low household income might enhance the quality of the care.

Abstract Image

埃塞俄比亚西北部沃格拉区公共卫生机构孕妇产前护理质量及相关因素
背景:产前护理是指孕妇在怀孕期间为确保自己和新生儿的健康结果而接受的服务。然而,到目前为止,只有有限的研究已经做了评估产前护理的质量在研究地区。因此,本研究旨在评估埃塞俄比亚西北部Wogera地区公共卫生设施的产前护理质量及其相关因素。方法:2019年3 - 4月在Wogera地区进行了一项基于机构的横断面研究。采用半结构化访谈问卷,共采访了465名孕妇;采用连续抽样的方法选择研究对象。拟合二元logistic回归分析模型以确定潜在的预测变量。将具有p值的变量拟合到多变量logistic回归分析模型中;使用p值和校正优势比(AOR)(95%置信区间(CI))来宣布与产前护理质量相关的因素。结果:产前护理总体质量为32.7% (95% CI: 28.1, 37.2)。4次及以上产前护理(AOR = 2.3;95% CI: 1.2, 4.7),高母亲教育程度(AOR = 2.9;95%置信区间:1.03,7.93),家庭月收入超过175.5美元(AOR = 2.8;95% CI: 1.1, 7.8),以及产妇候诊区的可用性(AOR = 2.4;95% CI: 1.2, 5.0)与护理质量呈正相关。结论:本研究的整体产前护理质量较低。因此,促进重点产前护理和增加基础设施、鼓励产妇教育和补偿家庭收入低的妇女的保健费用,可能会提高护理质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Journal of Pregnancy
Journal of Pregnancy OBSTETRICS & GYNECOLOGY-
CiteScore
6.10
自引率
0.00%
发文量
15
审稿时长
14 weeks
期刊介绍: Journal of Pregnancy is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to all aspects of pregnancy and childbirth. The journal welcomes submissions on breastfeeding, labor, maternal health and the biomedical aspects of pregnancy.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信