Department of Obstetrics/Gynaecology, College of Medicine, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Health Policy Plan. 2011 Sep;26(5):423-8. doi: 10.1093/heapol/czq073. Epub 2010 Nov 18.
The attitude of pregnant women to a new antenatal care model with four antenatal visits (focused antenatal care) is examined using a cross-sectional survey in Enugu, Nigeria. Only 20.3% of the parturients desired a change to the new model. Parturients who defaulted from antenatal care three or more times, those dissatisfied with their current antenatal care, senior civil servants and parturients who received secondary school education or less most commonly desired a change to the new model (P < 0.05). Default from antenatal care and dissatisfaction with current antenatal care were most predictive of the desire for change in multiple logistic regression analysis. The most common reasons for desiring the change were convenience (65.1%) and cost considerations (24.1%). Reasons given for the rejection of the new model were: fear of inadequate learning during antenatal care (45.7%), the suspicion that four visits were inadequate for familiarization with care providers (12.9%), the need for early detection of disease (6.7%) and social satisfaction from antenatal visits (6.7%). These concerns are amenable to change by health education and social mobilization.
采用横断面调查方法，在尼日利亚埃努古检查了孕妇对四次产前访视（重点产前护理）新产前护理模式的态度。只有 20.3%的产妇希望改变新模式。经常不参加产前检查三次或以上、对现有产前护理不满意、公务员和接受中学或以下教育的产妇最希望改变新模式（P<0.05）。在多变量逻辑回归分析中，不参加产前护理和对现有产前护理不满意是最能预测改变意愿的因素。希望改变的最常见原因是方便（65.1%）和成本考虑（24.1%）。拒绝新模式的原因是：担心产前护理期间学习不足（45.7%）、怀疑四次就诊不足以熟悉医护人员（12.9%）、需要早期发现疾病（6.7%）和产前检查带来的社会满足感（6.7%）。这些担忧可以通过健康教育和社会动员来改变。
