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什么因素影响她们的分娩地点?加纳农村地区妇女分娩地点的决定因素。

What Influences Where They Give Birth? Determinants of Place of Delivery among Women in Rural Ghana.

作者信息

Dickson Kwamena Sekyi, Adde Kenneth Setorwu, Amu Hubert

机构信息

Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.

出版信息

Int J Reprod Med. 2016;2016:7203980. doi: 10.1155/2016/7203980. Epub 2016 Dec 22.

Abstract

. There is a paucity of empirical literature in Ghana on rural areas and their utilisation of health facilities. The study examined the effects of the sociodemographics of rural women on place of delivery in the country. . The paper made use of data from the 2014 Ghana Demographic and Health Survey. Women from rural areas who had given birth within five years prior to the survey were included in the analysis. Descriptive analyses and binary logistic regression were used to analyse the data. . Wealth, maternal education, ecological zone, getting money for treatment, ethnicity, partner's education, parity, and distance to a health facility were found as the determinants of place of delivery among women in rural Ghana. Women in the richest wealth quintile were three times (OR = 3.04, 95% CI = 0.35-26.4) more likely to deliver at a health facility than the poorest women. . It behoves the relevant stakeholders including the Ghana Health Service and the Ministry of Health to pay attention to the wealth status, maternal education, ecological zone, ethnicity, partner's education, parity, and distance in their planning regarding delivery care in rural Ghana.

摘要

加纳关于农村地区及其对卫生设施利用情况的实证文献匮乏。该研究考察了农村妇女的社会人口统计学特征对该国分娩地点的影响。本文利用了2014年加纳人口与健康调查的数据。分析纳入了在调查前五年内分娩的农村地区妇女。采用描述性分析和二元逻辑回归对数据进行分析。研究发现,财富、母亲教育程度、生态区域、获得治疗费用、种族、伴侣教育程度、胎次以及与卫生设施的距离是加纳农村地区妇女分娩地点的决定因素。最富有的五分之一财富阶层中的妇女在卫生设施分娩的可能性是最贫困妇女的三倍(比值比=3.04,95%置信区间=0.35-26.4)。加纳卫生服务局和卫生部等相关利益攸关方在规划加纳农村地区的分娩护理时,应当关注财富状况、母亲教育程度、生态区域、种族、伴侣教育程度、胎次以及距离等因素。

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