Abota Tafesse Lamaro, Atenafu Niguse Tadele
Department of Nursing, Mizan-Tepi University, Mizan, Ethiopia.
School of Allied Health, Addis Ababa University, Addis Ababa, Ethiopia.
Ethiop J Health Sci. 2018 May;28(3):267-276. doi: 10.4314/ejhs.v28i3.4.
In Ethiopia, maternal health service utilization is very low, especially postnatal care (PNC). The percentage of mothers who receive care within two days of childbirth has shown little progress, from 2.4% in 2000 to 13% in 2014. However, it is very far below the expected level as compared to other sub-Saharan regions. Therefore, the aim of this study was to assess PNC services utilization and its associated factors among married women in Benchi-Maji Zone, Southwest Ethiopia.
A cross-sectional study was conducted from June 15 to August 15, 2015. A total of 801 married women was sampled from randomly selected districts in the zone. Semi-structured questionnaire was used to collect, data and informed consent was obtained from participants. The collected data were entered into the computer using Epi-data version 3.0, and then exported to SPSS Windows version 20.0 for analysis. Logistic regression was used to identify important predictors of PNC utilization.
Out of 765 participants, 392(51.24%) of married women who attended PNC in this study. Out of them, more than two-third 305(77.8%) attended mainly to immunize their baby. The vast majority, 251(86.3%), of respondents mentioned lack of information as a main reason for not following PNC, and of them, the majority mentioned that they were appointed to come after 45 days for Family Planning(FP). In comparison with house wives, farmer women were less likely (AOR 0.3, 95 % CI 0.2-0.7) to attend for PNC. Awareness of problems during postnatal period showed the strongest association in which those who knew the problems were about nine times (AOR 8.7 95 % CI 5.6-13.4) more likely to attend PNC. Similarly, married women who followed antenatal care (ANC) were more likely (AOR 2.2 95 % CI 1.1-4.6) to attend PNC in comparison with those who did not attend ANC at all.
Residence, ANC follow-up, maternal occupation, awareness about problems of postnatal period had effects on use of PNC. In light of this study, providing deep counselling about PNC at the time of ANC visit and discharge after delivery is strongly recommended. Furthermore, targeting more of rural married women may increase PNC utilization.
在埃塞俄比亚，孕产妇保健服务的利用率非常低，尤其是产后护理（PNC）。在分娩后两天内接受护理的母亲比例进展甚微，从2000年的2.4%升至2014年的13%。然而，与撒哈拉以南的其他地区相比，这一比例仍远低于预期水平。因此，本研究旨在评估埃塞俄比亚西南部本奇-马吉地区已婚妇女的产后护理服务利用率及其相关因素。
于2015年6月15日至8月15日进行了一项横断面研究。从该地区随机选取的地区中抽取了801名已婚妇女作为样本。使用半结构化问卷收集数据，并获得了参与者的知情同意。收集到的数据使用Epi-data 3.0版本录入计算机，然后导出到SPSS Windows 20.0版本进行分析。使用逻辑回归来确定产后护理利用率的重要预测因素。
在765名参与者中，本研究中有392名（51.24%）已婚妇女接受了产后护理。其中，超过三分之二，即305名（77.8%）主要是为了给婴儿接种疫苗。绝大多数，即251名（86.3%）受访者提到缺乏信息是未接受产后护理的主要原因，其中大多数人提到他们被安排在45天后再来进行计划生育（FP）。与家庭主妇相比，从事农业的妇女接受产后护理的可能性较小（调整后比值比[AOR]为0.3，95%置信区间[CI]为0.2 - 0.7）。对产后问题的认知显示出最强的关联，即那些了解这些问题的人接受产后护理的可能性大约是其他人的九倍（AOR为8.7，95%CI为5.6 - 13.4）。同样，与完全没有接受产前护理（ANC）的妇女相比，接受过产前护理的已婚妇女接受产后护理的可能性更大（AOR为2.2，95%CI为1.1 - 4.6）。
居住地、产前护理随访、母亲职业、对产后问题的认知对产后护理的使用有影响。根据本研究，强烈建议在产前护理就诊时以及分娩后出院时提供关于产后护理的深入咨询。此外，针对更多农村已婚妇女可能会提高产后护理的利用率。
