尼日利亚东南部阿南布拉州农村妇女孕产妇保健服务利用的社会人口学决定因素
Socio-demographic determinants of maternal health-care service utilization among rural women in anambra state, South East Nigeria.
作者信息
Emelumadu Of, Ukegbu Au, Ezeama Nn, Kanu Oo, Ifeadike Co, Onyeonoro Uu
机构信息
Department of Community Medicine, Nnamdi Azikiwe University, Nnewi, Anambra, Nigeria.
Department of Community Medicine, Federal Medical Center, Umuahia, Nigeria.
出版信息
Ann Med Health Sci Res. 2014 May;4(3):374-82. doi: 10.4103/2141-9248.133463.
BACKGROUND
Although, antenatal care (ANC) attendance in sub Saharan Africa is high, however this does not always translate into quality ANC care service utilization.
AIM
This study therefore is aimed at exploring pattern of maternal health (MH) services utilization and the socio-demographic factors influencing it in Anambra State, South East Nigeria.
SUBJECTS AND METHODS
A total of 310 women of reproductive age with a previous history of gestation attending ANC services between September, 2007 and August, 2008 in selected Primary Health Centers in Anambra State were studied. Responses were elicited from the study participants using a pre-tested, semi-structured interviewer-administered questionnaire. Data collected were analyzed using Statistical Package for Social Sciences (SPSS) version 17 (SPSS Inc, Chicago Illinois, USA). Association between socio-demographic characteristics and pattern of utilization of ANC and delivery services was measured using χ(2)-test, Regression analysis was done to identify factors associated with utilization of MH services. P < 0.05 was assumed to be significant.
RESULTS
Use of health facility was 293 (97.0%) and 277 (92,7%) out 302 women for ANC and delivery services respectively. Most women attended their first ANC consultation during the preceding pregnancy was after the first trimester and about 31% (94/298) of them had <4 ANC visits prior to delivery. Socio-demographic factors were found to be significantly associated with places where MH care services are accessed. Parity was found to be associated with timing of ANC booking and number of ANC attendance (χ(2) = 9.49, P = 0.05). Odds of utilizing formal health facility for MH services were found to be significantly associated with increasing age (P < 0.01) and educational status of mothers (P < 0.001).
CONCLUSIONS
The study revealed high maternal service utilization and 10% fetal loss, hence the need to address the gaps of late ANC booking and low ANC visits.
背景
尽管撒哈拉以南非洲地区的产前保健（ANC）就诊率很高，但这并不总能转化为高质量的产前保健服务利用。
目的
因此，本研究旨在探讨尼日利亚东南部阿南布拉州孕产妇保健（MH）服务的利用模式及其影响因素。
对象与方法
对2007年9月至2008年8月期间在阿南布拉州选定的初级卫生中心接受产前保健服务且有妊娠史的310名育龄妇女进行了研究。通过使用预先测试的、半结构化的访谈式问卷从研究参与者中获取回答。收集的数据使用社会科学统计软件包（SPSS）第17版（SPSS公司，美国伊利诺伊州芝加哥）进行分析。使用χ²检验测量社会人口学特征与产前保健和分娩服务利用模式之间的关联，进行回归分析以确定与孕产妇保健服务利用相关的因素。P<0.05被认为具有统计学意义。
结果
在302名妇女中，分别有293名（97.0%）和277名（92.7%）使用了卫生设施进行产前保健和分娩服务。大多数妇女在前次妊娠期间首次进行产前保健咨询是在孕中期之后，并且其中约31%（94/298）在分娩前的产前保健就诊次数少于4次。发现社会人口学因素与获得孕产妇保健服务的地点显著相关。发现产次与产前保健登记时间和产前保健就诊次数相关（χ² = 9.49，P = 0.05）。发现使用正规卫生设施进行孕产妇保健服务的几率与母亲年龄的增加（P<0.01）和教育程度（P<0.001）显著相关。
结论
该研究显示孕产妇服务利用率高且胎儿损失率为10%，因此需要解决产前保健登记晚和产前保健就诊次数少的问题。
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