埃塞俄比亚西南部卡法地区农村行政区卫生服务扩展项目清洁安全分娩服务包的利用情况及相关因素
Utilization of clean and safe delivery service package of health services extension program and associated factors in rural kebeles of Kafa Zone, Southwest Ethiopia.
作者信息
Bayou Negalign Berhanu, Gacho Yohannes Haile Michael
机构信息
College of Public Health & Medical Sciences, Department of Health Services Management, Jimma University, Jimma, Ethiopia.
出版信息
Ethiop J Health Sci. 2013 Jul;23(2):79-89.
BACKGROUND
In Ethiopia, 94% of births take place at home unattended by trained persons. The government introduced an innovative strategy, Health Services Extension Program in 2003. Clean and safe delivery service is a component of maternal and child healthcare package of the program. However, little is known about the status of uptake of the service. This study thus aimed to assess utilization of clean and safe delivery service and associated factors in rural kebeles of Kafa Zone, Ethiopia.
METHODS
A community based cross sectional survey was conducted in rural kebeles of Kefa Zone from January 21(st) to February 25(th), 2009 using a sample of 229 mothers. Kafa Zone is located 465 kilometres away from Addis Ababa to southwest of Ethiopia. Data were collected using a structured questionnaire and analyzed using SPSS for windows version 16. OR and 95% CI were calculated. P< 0.05 was considered statistically significant.
RESULTS
Utilization of clean and safe delivery service was 43(19%). Women with formal schooling and those who knew at least two danger signs of pregnancy and labor were more likely to use the service than their counterparts; (AOR=5.8, 95% CI=2.1, 16) and (AOR=3.0, 95% CI=2.2, 10.6), respectively. Of 108(47.8%) mothers who had at least one antenatal care visit, 36(33.3%), were not advised about danger signs. Women who had at least one ANC visit and those who were advised about the danger signs of pregnancy and labor appeared to be more likely to use the service than their counterparts; (AOR=6.1, 95% CI=1.9, 21.3), and (AOR=5.4, 95%CI= 1.4, 21.7), respectively.
CONCLUSION
Utilization of the service is low and was determined by women's educational status, history of abortion, knowledge of danger signs and antenatal care attendance. Educating women and improving their knowledge about danger signs of pregnancy and labor is recommended. Health extension workers should consider antenatal care visits as opportunities for this purpose.
背景
在埃塞俄比亚，94%的分娩在家中进行，且无专业人员照料。2003年，该国政府推出了一项创新战略——卫生服务扩展计划。清洁安全的分娩服务是该计划母婴保健套餐的一个组成部分。然而，对于这项服务的使用情况知之甚少。因此，本研究旨在评估埃塞俄比亚卡法地区农村行政区清洁安全分娩服务的利用情况及相关因素。
方法
2009年1月21日至2月25日，在卡法地区的农村行政区对229名母亲进行了一项基于社区的横断面调查。卡法地区位于埃塞俄比亚西南部，距离亚的斯亚贝巴465公里。使用结构化问卷收集数据，并使用SPSS for windows 16版本进行分析。计算比值比（OR）和95%置信区间（CI）。P<0.05被认为具有统计学意义。
结果
清洁安全分娩服务的利用率为43例（19%）。接受过正规教育的女性以及至少知晓两种妊娠和分娩危险信号的女性比其他女性更有可能使用这项服务；比值比分别为（AOR=5.8，95%CI=2.1，16）和（AOR=3.0，95%CI=2.2，10.6）。在108名（47.8%）至少进行过一次产前检查的母亲中，有36名（33.3%）未被告知危险信号。至少进行过一次产前检查的女性以及被告知妊娠和分娩危险信号的女性似乎比其他女性更有可能使用这项服务；比值比分别为（AOR=6.1，95%CI=1.9，21.3）和（AOR=5.4，95%CI=1.4, 21.7）。
结论
这项服务的利用率较低，其受到女性教育程度、流产史、对危险信号的了解以及产前检查次数的影响。建议对女性进行教育并提高她们对妊娠和分娩危险信号的认识。卫生推广工作者应将产前检查视为实现这一目标的契机。
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