Kenea Dinke, Jisha Hunduma
Oromia Labor and Social Affairs Agency, Addis Ababa, Oromia, Ethiopia.
Health Science College, Jimma University, Jimma, Oromia, Ethiopia.
Int J Nurs Pract. 2017 Feb;23(1). doi: 10.1111/ijn.12510. Epub 2017 Jan 15.
Low delivery care utilization continues to be a public health problem that significantly contributes to maternal morbidity and mortality, especially in developing countries like Ethiopia. The aim of the study is to determine the extent of urban-rural disparity of delivery care utilization and its determinants. A community-based cross-sectional quantitative study supplemented with qualitative data was conducted from February 15 to March 10, 2014. Data were collected from eligible woman using interviewer-guided semistructured questionnaires and focus group discussions. Logistic regression analysis with 95% confidence interval and p-value less than 5% was used to identify potential determinant variables. From 567 women, institutional delivery care was attended by 45.9% (260) respondents of whom 69.3% were urban and 21.3% were rural. Mass media and antenatal care attendance were the major determinants in urban respondents, whereas children ever born, partners' occupation, women's autonomy, and pregnancy-related health problems were statistically significant associations in rural women. The need for maternal health care is not met to the required level. There is a significant disparity in delivery care attendance among urban and rural women of the study area. Women's empowerment and awareness creation should be extensively worked on through mass media and posters or health information.
低分娩护理利用率仍是一个公共卫生问题，对孕产妇发病率和死亡率有重大影响，在埃塞俄比亚等发展中国家尤为如此。本研究的目的是确定分娩护理利用的城乡差距程度及其决定因素。2014年2月15日至3月10日进行了一项基于社区的横断面定量研究，并辅以定性数据。通过访谈员指导的半结构化问卷和焦点小组讨论收集符合条件女性的数据。使用95%置信区间和p值小于5%的逻辑回归分析来确定潜在的决定因素变量。在567名女性中，45.9%（260名）受访者接受了机构分娩护理，其中69.3%为城市居民，21.3%为农村居民。大众媒体和产前护理参与是城市受访者的主要决定因素，而既往生育子女数、伴侣职业、女性自主权和与妊娠相关的健康问题在农村女性中具有统计学意义。孕产妇保健需求未达到所需水平。研究区域的城乡女性在分娩护理参与方面存在显著差距。应通过大众媒体、海报或健康信息广泛开展妇女赋权和提高认识工作。
