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本尚古勒-古马兹地区产前护理服务利用的决定因素:基于人口与健康调查的研究。

Determinants of utilization of antenatal care services in Benishangul Gumuz Region, Western Ethiopia: a study based on demographic and health survey.

机构信息

College of Social Science and Humanities, Debre Berhan University, Debre Berhan, Ethiopia.

Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

出版信息

BMC Pregnancy Childbirth. 2019 Apr 3;19(1):115. doi: 10.1186/s12884-019-2259-x.

Abstract

BACKGROUND

Utilization of antenatal care (ANC) in Ethiopia was low. There was also a variation of this underutilization of ANC service from region to region in the country. Therefore, this study aimed at providing a comprehensive analysis on socio-economic and demographic determinants of utilizing ANC services in Benishangul Gumuz Region.

METHODS

The study was conducted based on the 2011 Ethiopian Demographic and Health Survey. Data analyzed were taken from 674 mothers in Benishangul Gumuz Region who had at least one child in the 5 years before the survey was undertaken. Binary logistic regression model was used to analyze the data. Variables with a p-value< 0.25 in bivariable analysis were considered for the final model. In the final multivariable model, a variable was declared as significantly associated with ANC utilization for p-value< 0.05. Adjusted odds ratio with its respective 95% confidence interval was reported to show the strength of association.

RESULTS

The results of the study showed that educational level, place of residence, ethnicity, and household's wealth were determinants of ANC utilization in the region at 5% level of significance.

CONCLUSION

Lower educational level, difference of ethnicity, lower wealth status and rural residence of women were determinants on ANC utilization. Providing awareness creation on ANC visits for rural women during health care services provision, at community meeting, at working place and at any social association were recommended. In addition, creating conducive environment in entrepreneurial activities for poor women would improve ANC utilization. Lastly, further researches were recommended to study the effect of various traditional, cultural and other related practices on utilization of ANC services among ethnic groups in the region.

摘要

背景

在埃塞俄比亚,产前护理(ANC)的利用率较低。在该国,不同地区的 ANC 服务也存在利用率不足的情况。因此,本研究旨在全面分析本尚古勒-古姆兹地区社会经济和人口统计学因素对利用 ANC 服务的影响。

方法

本研究基于 2011 年埃塞俄比亚人口与健康调查。分析的数据来自本尚古勒-古姆兹地区的 674 位母亲,这些母亲在调查进行前的 5 年内至少有一个孩子。采用二元逻辑回归模型分析数据。在单变量分析中 p 值<0.25 的变量被认为与最终模型相关。在最终的多变量模型中,p 值<0.05 的变量被认为与 ANC 利用显著相关。报告调整后的优势比及其相应的 95%置信区间,以显示关联的强度。

结果

研究结果表明,教育水平、居住地、族裔和家庭财富是该地区 ANC 利用的决定因素,在 5%的水平上具有统计学意义。

结论

教育程度较低、族裔差异、较低的财富状况和农村妇女的居住地点是 ANC 利用的决定因素。建议在提供医疗保健服务、社区会议、工作场所和任何社会协会时,为农村妇女开展关于 ANC 就诊的宣传教育。此外,为贫困妇女创造有利的创业环境将提高 ANC 的利用率。最后,建议进行进一步的研究,以研究该地区各民族中各种传统、文化和其他相关做法对 ANC 服务利用的影响。

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