Tebekaw Yibeltal, James Mashalla Yohana, Thupayagale-Tshweneagae Gloria
Department of Health Studies, University of South Africa, Pretoria, South Africa.
Obstet Gynecol Int. 2015;2015:439748. doi: 10.1155/2015/439748. Epub 2015 Aug 30.
The main aim of this study was to examine factors determining women's preference for places to give birth in Addis Ababa, Ethiopia. A quantitative and cross-sectional community based study design was employed. Data was collected using structured questionnaire administered to 901 women aged 15-49 years through a stratified two-stage cluster sampling technique. Multinomial logistic regression model was employed to identify predictors of delivery care. More than three-fourth of slum women gave birth at public healthcare facilities compared to slightly more than half of the nonslum residents. Education, wealth quintile, the age of respondent, number of children, pregnancy intention, and cohabitation showed net effect on women's preference for places to give birth. Despite the high number of ANC attendances, still many pregnant women especially among slum residents chose to deliver at home. Most respondents delivered in public healthcare institutions despite the general doubts about the quality of services in these institutions. Future studies should examine motivating factors for continued deliveries at home and whether there is real significant difference between the quality of maternal care service offered at public and private health facilities.
本研究的主要目的是调查决定埃塞俄比亚亚的斯亚贝巴妇女分娩地点偏好的因素。采用了基于社区的定量横断面研究设计。通过分层两阶段整群抽样技术,使用结构化问卷对901名年龄在15至49岁的妇女进行数据收集。采用多项逻辑回归模型来确定分娩护理的预测因素。与略多于一半的非贫民窟居民相比,超过四分之三的贫民窟妇女在公共医疗机构分娩。教育程度、财富五分位数、受访者年龄、子女数量、怀孕意愿和同居情况对妇女的分娩地点偏好有净影响。尽管产前检查就诊人数众多,但仍有许多孕妇,尤其是贫民窟居民选择在家分娩。尽管人们普遍对这些机构的服务质量表示怀疑,但大多数受访者仍在公共医疗机构分娩。未来的研究应调查在家中继续分娩的动机因素,以及公共和私立卫生设施提供的孕产妇护理服务质量之间是否存在真正的显著差异。