埃塞俄比亚吉马区Shebe Sombo worreda分娩母亲的产后护理服务利用及相关因素

Chemir Fantaye, G. Melkamu, Sinaga Makeda
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引用次数: 9

摘要

背景:产后护理是母亲和新生儿生存的关键时期。但是,产后护理仍然被忽视;发展中国家的卫生保健提供者和决策者对这方面的关注和努力很少。产后护理服务的使用率仍然很低,产妇死亡率很高。然而,对产后护理服务利用及其相关因素的研究在研究环境中缺乏。因此,本研究的目的是评估2018年在埃塞俄比亚西南部奥罗米亚地区吉马区Shabe sombo woreda分娩的母亲的产后护理服务利用情况及其相关因素。方法:采用以社区为基础的横断面研究设计,对吉马地区的沙贝松坡进行调查。采用简单随机抽样方法,共纳入564名研究对象。数据收集时间为2018年3月1日至4月1日。数据输入Epi数据3.1版本,导出到SPSS 23.0版本进行分析。采用双变量和多变量logistic回归分析预测产后护理服务利用的相关因素。结果:研究发现,PNC服务利用率为58.5%。多变量logistic回归分析显示,年龄较小(调整优势比(AOR) = 2.243, (95% CI: 1.066, 4.721)、产前保健访视(AOR = 9.36, 95% CI: 5.605, 15.618)、妊娠期出现产科并发症(AOR = 2.3373, 95% CI: 1.095, 5.142)、了解PNC信息(AOR = 9.946, 95% CI: 6.009, 16.460)、预约PNC随访(AOR = 2.114, 95% CI: 1.289, 3.466)的母亲更有可能利用产后护理服务。结论:虽然研究结果表明,与国内其他研究相比,产后护理服务的利用率很高,但与埃塞俄比亚产后护理服务利用率的国家目标相差甚远。应加强在社区和设施一级主动提供信息、教育、咨询和交流。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Postnatal Care Service Utilization and Associated Factors among Mothers Who Delivered in Shebe Sombo Woreda, Jimma Zone, Ethiopia
Background: Postnatal care is a critical period for both mothers and newborns survival. But, post-natal care is yet neglected; little attention and an effort have been paid by health care providers and policy makers in developing countries. Post-natal care service utilization is still low and maternal mortality rate is high. However, studies on postnatal care service utilization and associated factors are lacking in the study setting. Therefore, the aim of this study is to assess postnatal care service utilization and associated factors among mothers who delivered in Shabe sombo woreda, Jimma zone, Oromiya region, South West Ethiopia, 2018. Methods: A community based cross-sectional study design was conducted in Shabe sombo woreda, Jimma zone. A total of 564 study participants were included in the study using simple random sampling technique. Data was collected from March 1 April 1, 2018. Data was entered into Epi data version 3.1 and exported into SPSS version 23.0 for analysis. Bivariate and multivariable logistic regression analysis was made in order to predict factors associated with postnatal care (PNC) service utilization. Result: The study revealed that the magnitude of PNC service utilizations is 58.5%. Multivariable logistic regression analysis showed that, mothers with younger age (adjusted odds ratio (AOR) = 2.243, (95% CI: 1.066, 4.721), having antenatal care visit (AOR = 9.36, 95% CI: 5.605, 15.618), experiencing obstetric complication during pregnancy (AOR = 2.3373, 95% CI: 1.095, 5.142), who had information about PNC (AOR = 9.946, 95% CI: 6.009, 16.460) and appointed for PNC follow-up (AOR = 2.114, 95% CI: 1.289, 3.466) were more likely to utilize postnatal care services. Conclusion: Though the finding showed that postnatal care service utilization was high when compared to other studies done in country, it was a lot behind from the national target of postnatal care service utilization in Ethiopia. The initiative of provision of information, education, counseling and communication both at the community and facility level should be strengthened.
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