确定乌干达米托马区穆塔拉第三医疗中心就诊孕妇利用产前护理服务的频率和影响因素

Byaruhanga Aloysious Gonz
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摘要

产前保健(ANC)在降低孕产妇死亡率方面发挥着关键作用。这项调查旨在了解前往穆塔拉第三保健中心产前保健诊所就诊的孕妇中使用产前保健服务的普遍程度和影响因素。这项研究对 200 名孕妇进行了横断面分析,采用访谈问卷的方式评估产前护理服务利用率的决定因素。数据分析使用了社会科学统计软件包。通过将实际产前护理就诊率(2022 年 7 月中旬至 2022 年 8 月中旬)与预计每月产前护理就诊率(300)进行比较,确定了流行率。得出的就诊率为 66.67%,低于全球建议的 80% 的覆盖率,被归类为不充分。人口统计结果显示,大多数人(57.5%)是农民,47.5%的伴侣受过初等教育。令人担忧的是,62.5%的人对寻求产前保健的适当时机缺乏了解。得出的主要结论是,产前检查的就诊率明显偏低,加上孕妇对产前检查的认识不足,以及社会经济地位普遍较低。建议包括:穆塔拉第三医疗中心的医护人员为孕妇量身定制关于产前检查服务的教育计划;米托马地区卫生官员开展公众宣传活动,强调产前检查的益处;政府制定战略,改善医疗中心服务对象的生活;建议开展一项研究,专门评估穆塔拉第三医疗中心的孕产妇死亡率。关键词产前护理、孕妇、孕产妇死亡率、医护人员。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Determining the Frequency and Influential Factors Impacting Antenatal Care Service Utilization Among Pregnant Women in Attendance at Mutara Health Centre III, Mitooma District, Uganda
Antenatal care (ANC) plays a pivotal role in curbing maternal mortality rates. This investigation sought to gauge the prevalence of and factors influencing antenatal care service utilization among pregnant women visiting Mutara Health Centre III's antenatal care clinic. The study involved 200 pregnant women in a cross-sectional analysis, employing an interview questionnaire to assess ANC service utilization determinants. Statistical Package for Social Sciences software was utilized for data analysis. The prevalence was determined by comparing the actual ANC attendance (from mid-July 2022 to mid-August 2022) against the projected monthly ANC attendance (300). The resulting attendance rate of 66.67% was categorized as inadequate, falling below the globally recommended coverage of 80%. Demographic findings revealed that the majority (57.5%) were peasants, while 47.5% of their partners had primary education. Alarmingly, 62.5% lacked knowledge regarding the appropriate timing for seeking ANC. Key conclusions drawn were that the attendance rate for ANC was notably low, coupled with inadequate knowledge among pregnant women about ANC and a prevalence of low socioeconomic status. Recommendations included tailored education programs for expectant mothers on ANC services by healthcare personnel at Mutara Health Centre III, public awareness campaigns by the Mitooma district health officer emphasizing the benefits of ANC attendance, governmental strategies to improve the livelihoods of those served by the health center, and a proposed study to assess maternal mortality prevalence specifically at Mutara Health Centre III. Keywords: Antenatal care, Pregnant women, maternal mortality, Healthcare workers.
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