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越南三个农村地区妇女报告的产前护理程序和信息。

Antenatal care procedures and information reported by women in three rural areas of Vietnam.

作者信息

Trinh Lieu Thi Thuy, Dibley Michael John, Byles Julie

机构信息

Center for Health Services and Workforce Research, Sydney West Area Health Service, Cumberland Hospital, Parramatta BC, NSW, Australia.

出版信息

Southeast Asian J Trop Med Public Health. 2007 Sep;38(5):927-35.

Abstract

The objective was to identify factors related to antenatal care (ANC) procedures and information reported by women in Long An, Ben Tre, and Quang Ngai Provinces. Cross-sectional surveys were conducted. Women who had ANC during a previous pregnancy were asked if they had received any of 13 procedures and information. The Donabedian quality of health model was used to select potential related factors. Data from 857 women were available for analyses. Only 24% of the women reported ten items or more. The mean number of items reported was seven. Factors related to reporting fewer items were living in Quang Ngai (OR = 0.3, 95% Cl = 0.2-0.6), having ANC at private facilities (OR = 0.4, 95% Cl = 0.2-0.7), having ANC delivered by nurses or assistant doctors (OR = 0.6, 95% Cl = 0.3-0.9), and unplanned pregnancy (OR = 0.5, 95% Cl = 0.3-0.9). Factors related to reporting more items were being housewives (OR = 1.7, 95% Cl = 1.0-2.8), consumption of iron/folate tablets (OR = 4.2, 95% Cl = 2.2-8.2), more use of ANC services (OR = 2.1, 95% Cl = 1.4-3.2 for sufficient utilization and OR = 3.8, 95% Cl = 2.1-7.0 for sufficient plus), more perceived helpfulness of ANC (OR = 3.0, 95% Cl = 1.9-4.8) and high satisfaction with ANC received (OR = 1.6, 95% Cl = 1.0-2.6). The most effective interventions would be to improve the quality of health facilities and of ANC providers, and to educate women to make sufficient number of ANC visits and to seek ANC from qualified ANC providers.

摘要

目的是确定与前江省、槟椥省和广义省妇女报告的产前护理(ANC)程序及信息相关的因素。开展了横断面调查。询问曾在前次孕期接受过ANC的妇女是否接受过13项程序及信息中的任何一项。采用多纳贝迪安健康质量模型来选择潜在相关因素。857名妇女的数据可供分析。只有24%的妇女报告了10项或更多项目。报告项目的平均数为7项。报告项目较少的相关因素包括居住在广义省(比值比[OR]=0.3,95%可信区间[Cl]=0.2 - 0.6)、在私立机构接受ANC(OR = 0.4,95% Cl = 0.2 - 0.7)、由护士或助理医生提供ANC(OR = 0.6,95% Cl = 0.3 - 0.9)以及意外怀孕(OR = 0.5,95% Cl = 0.3 - 0.9)。报告项目较多的相关因素包括家庭主妇身份(OR = 1.7,95% Cl = 1.0 - 2.8)、服用铁/叶酸片(OR = 4.2,95% Cl = 2.2 - 8.2)、更多地使用ANC服务(充分利用时OR = 2.1,95% Cl = 1.4 - 3.2;充分加量利用时OR = 3.8,95% Cl = 2.1 - 7.0)、更多地感知到ANC的帮助作用(OR = 3.0,95% Cl = 1.9 - 4.8)以及对所接受的ANC高度满意(OR = 1.6,95% Cl = 1.0 - 2.6)。最有效的干预措施将是提高卫生设施和ANC提供者的质量,并教育妇女进行足够次数的ANC就诊,并从合格的ANC提供者处寻求服务。

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