Getachew Fikreselassie, Kassa Getachew Mullu, Ayana Mulatu, Amsalu Endawoke
Ethiopian Public Health Institute, Ethiopia.
College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Pan Afr Med J. 2017 May 11;27:32. doi: 10.11604/pamj.2017.27.32.10274. eCollection 2017.
in Ethiopia, 20,000 women die each year from complications related to pregnancy and childbirth with much more maternal morbidity occurring for each maternal death. Good knowledge of women related with direct causes of maternal mortality is important in reducing maternal morbidity and mortality. Therefore, the aim of this study was to assess knowledge of direct obstetric causes of maternal mortality and associated factors among reproductive age of women in Aneded woreda, Northwest Ethiopia.
A community-based cross-sectional study was conducted using multi-stage sampling followed by simple random sampling technique. The study was conducted in Aneded woreda, Northwest Ethiopia. A total of 844 reproductive age women were included in the study. Pre-tested semi-structured questionnaire was used to collect the data. Data was collected through face-to-face interviews by 12 data collectors. Data was cleaned, coded and entered into Epi-data, then exported and analyzed using SPSS software. Bivariate and multivariable logistic regression analysis were computed to identify factors related to knowledge of obstetric causes of maternal mortality. The crude and adjusted odds ratios together with their corresponding 95% confidence intervals (CI) were computed. A P-value less than 0.05 was used to declare statistical significance.
This study found that almost half (49.6%) of respondents have good knowledge level towards obstetric causes of maternal mortality. Significant variables associated with knowledge towards obstetric causes of maternal mortality were; being government employee (AOR=3.6, 95% CI=1.4-8.9), respondents who had additional monthly income from family members (AOR=1.54, 95% CI=1.04-2.27), respondents who attended primary school and above (AOR=1.6, 95% CI=1.13-2.25), distance of health facility in which the time it took less than 20 minutes (AOR=2.25, 95% CI(1.24-4.09), 20-39minutes (AOR=3.06, 95% CI=1.66-5.64), 40-60 minutes (AOR=2.38, 95% CI=1.52-5.26), and previous history of prolonged labor (AOR=1.4, 95% CI=1.04 -2.03) were the significant variables.
This study indicated that the reproductive age women in the study area had poor knowledge towards about obstetric causes of maternal mortality. Therefore, to improve maternal knowledge and thereby reduce maternal death, the identified significant factors should be addressed through maternal and child health services. Designing appropriate strategies including the provision of targeted information, education, and communication is important.
在埃塞俄比亚，每年有20000名妇女死于与妊娠和分娩相关的并发症，每例孕产妇死亡都会伴随更多的孕产妇发病情况。了解与孕产妇死亡直接原因相关的妇女情况对于降低孕产妇发病率和死亡率至关重要。因此，本研究的目的是评估埃塞俄比亚西北部阿内德德沃雷达区育龄妇女对孕产妇死亡直接产科原因及相关因素的认知情况。
采用多阶段抽样后接简单随机抽样技术进行基于社区的横断面研究。研究在埃塞俄比亚西北部的阿内德德沃雷达区开展。共有844名育龄妇女纳入研究。使用经过预测试的半结构化问卷收集数据。由12名数据收集员通过面对面访谈收集数据。数据进行清理、编码并录入Epi - data，然后导出并使用SPSS软件进行分析。计算二元和多变量逻辑回归分析以确定与孕产妇死亡产科原因认知相关的因素。计算粗比值比和调整后的比值比及其相应的95%置信区间（CI）。P值小于0.05被用于判定统计学显著性。
本研究发现，几乎一半（49.6%）的受访者对孕产妇死亡的产科原因有良好的认知水平。与孕产妇死亡产科原因认知相关的显著变量有：政府雇员（调整后比值比=3.6，95%置信区间=1.4 - 8.9）、有家庭成员额外月收入的受访者（调整后比值比=1.54，95%置信区间=1.04 - 2.27）、上过小学及以上的受访者（调整后比值比=1.6，95%置信区间=1.13 - 2.25）、距离卫生设施时间少于20分钟（调整后比值比=2.25，95%置信区间（1.24 - 4.09））、20 - 39分钟（调整后比值比=3.06，95%置信区间=1.66 - 5.64）、40 - 60分钟（调整后比值比=2.38，95%置信区间=1.52 - 5.26）以及既往有产程延长史（调整后比值比=1.4，95%置信区间=1.04 - 2.03）的受访者。
本研究表明，研究地区的育龄妇女对孕产妇死亡的产科原因认知较差。因此，为提高孕产妇认知从而降低孕产妇死亡，应通过母婴健康服务解决已确定的显著因素。设计包括提供针对性信息、教育和宣传在内的适当策略很重要。
