Chernet Ayele Gebeyehu, Dumga Kassahun Trueha, Cherie Kebadu Tadesse
Statistics Department, College of Natural and Computational Sciences, Wolkite University, Wolkite, Ethiopia.
Department of Statistics, Wolkite University, Wolkite, Ethiopia.
J Reprod Infertil. 2019 Apr-Jun;20(2):102-108.
The risk of a woman in a developing country dying from a maternal-related cause is higher compared to a woman living in a developed country. Despite the fact that delivery care service utilization is essential for further improvement of mothers and newborns, the coverage of delivery service in Ethiopia is still near to the ground. This study aimed to identify factors associated with home delivery among women in Ethiopia at their last birth.
The data was obtained from 2016 Ethiopia Demographic and Health Survey which is the fourth survey. The sample was selected using a stratified, two-stage cluster sampling design and the data was analyzed using mixed effect logistic regression model.
A total of 10,622 women were considered in this study and 67.2% of them gave birth at home. The percentage of home delivery at their last birth was high in Afar and Somali region (89.6% and 81.7%, respectively) while only 3.3% women who lived in Addis Ababa delivered at home. Living in rural areas, being uneducated, older age, not watching TV, and being poor are predictors of home delivery at 5% level of significance.
There is a need of giving special attention to women living in rural area, women from poor families and uneducated women to decrease home delivery.
与生活在发达国家的女性相比，发展中国家的女性死于孕产妇相关原因的风险更高。尽管分娩护理服务的利用对于进一步改善母亲和新生儿的状况至关重要，但埃塞俄比亚的分娩服务覆盖率仍然很低。本研究旨在确定埃塞俄比亚女性上次分娩时在家分娩的相关因素。
数据来自2016年埃塞俄比亚人口与健康调查，这是第四次调查。样本采用分层两阶段整群抽样设计选取，并使用混合效应逻辑回归模型进行数据分析。
本研究共纳入10622名女性，其中67.2%在家分娩。阿法尔和索马里地区上次分娩时在家分娩的比例很高（分别为89.6%和81.7%），而居住在亚的斯亚贝巴的女性只有3.3%在家分娩。在5%的显著水平上，居住在农村地区、未受过教育、年龄较大、不看电视和贫困是在家分娩的预测因素。
需要特别关注农村地区的女性、贫困家庭的女性和未受过教育的女性，以减少在家分娩的情况。
