Bayou Yibeltal T, Mashalla Yohana S, Thupayagale-Tshweneagae Gloria
Department of Health Studies, University of South Africa, Pretoria, South Africa.
BMC Pregnancy Childbirth. 2016 Jun 15;16(1):142. doi: 10.1186/s12884-016-0930-z.
There are recent efforts made to eliminate inequalities in the utilisation of basic health care services. More emphasis is given for improvement of health in developing countries including maternal and child health. However, disparities for the fast-growing population of urban poor are masked by the urban averages. The aim of this paper is to report on the findings of antenatal care adequacy among slum residents in Addis Ababa, Ethiopia.
This was a quantitative and cross-sectional community based study design which employed a stratified two-stage cluster sampling technique to determine the sample. Data was collected using structured questionnaire administered to 870 women aged 15-49 years. Weighted 'backward selection' logistic regression models were employed to identify predictors of adequacy of antenatal care.
Majority of slum residents did not have adequate antenatal care services with only 50.3, 20.2 and 11.0 % of the slum resident women initiated antenatal care early, received adequate antenatal care service contents and had overall adequate antenatal care services respectively. Educational status and place of ANC visits were important determinant factors for adequacy of ANC in the study area. Women with secondary and above educational status were 2.7 times more likely to receive overall adequate care compared to those with no formal education. Similarly, clients of private healthcare facilities were 2.2 times respectively more likely to receive overall adequate antenatal care compared to those clients of public healthcare facilities.
In order to improve ANC adequacy in the study area, the policy-making, planning, and implementation processes should address the poor adequacy of ANC among the disadvantaged groups in particular and the slum residents in general.
近期人们致力于消除基本医疗服务利用方面的不平等现象。在包括孕产妇和儿童健康在内的发展中国家，对改善健康给予了更多重视。然而，城市贫困人口快速增长所带来的差异被城市平均水平所掩盖。本文旨在报告埃塞俄比亚亚的斯亚贝巴贫民窟居民产前保健充足性的调查结果。
这是一项基于社区的定量横断面研究设计，采用分层两阶段整群抽样技术来确定样本。通过向870名年龄在15 - 49岁的女性发放结构化问卷收集数据。采用加权“向后选择”逻辑回归模型来确定产前保健充足性的预测因素。
大多数贫民窟居民没有获得充足的产前保健服务，只有50.3%、20.2%和11.0%的贫民窟居民女性分别早早开始产前保健、接受了充足的产前保健服务内容并获得了总体充足的产前保健服务。教育程度和产前检查地点是研究区域产前保健充足性的重要决定因素。与未接受过正规教育的女性相比，受过中等及以上教育的女性获得总体充足保健的可能性高出2.7倍。同样，与公共医疗设施的客户相比，私立医疗设施的客户获得总体充足产前保健的可能性分别高出2.2倍。
为了提高研究区域的产前保健充足性，政策制定、规划和实施过程应特别关注弱势群体尤其是贫民窟居民产前保健不足的问题。
