Eshete Tewodros, Legesse Mandefro, Ayana Mulatu
Department of Health Informatics, College of Health Sciences, Debre Markos University (DMU), Debre Markos, Ethiopia.
Department of Public Health, College of Health Sciences, Debre Markos University (DMU), Debre Markos, Ethiopia.
BMC Res Notes. 2019 Jul 12;12(1):395. doi: 10.1186/s13104-019-4450-6.
In most of sub-Saharan African countries the significance of delivering in health institution and threats of death is still little known. This study is to assess utilization of institutional delivery and associated factors among mothers who gave birth in the last 12 months prior to the study in rural community of Pawe Woreda, Benishangul-Gumuz, northwest Ethiopia, 2018. A community-based cross-sectional study was conducted on 623 mothers.
Overall deliveries 60.5% were assisted at health facilities. Multivariable logistic regression showed that Mothers educational status, Antenatal Care visit during their recent pregnancy, delivery plan of recent pregnancy, maternal knowledge on benefit of institutional, decision power about place of delivery and distance to reach the nearby facility on were significantly associated with utilization of institutional delivery. The utilization of institutional delivery services among rural women in Pawe Woreda had improvements but still low. Intensifying women education, up taking Antenatal Care potential services, address health education for mothers about benefit of institutional birth and counseling danger sign of labor and delivery, involving couples decision power of facility birth and expanding health facilities in the community are recommended interventions.
在撒哈拉以南非洲的大多数国家,在医疗机构分娩的重要性以及死亡威胁仍鲜为人知。本研究旨在评估2018年在埃塞俄比亚西北部贝尼尚古尔-古穆兹州帕韦沃雷达农村社区进行研究前过去12个月内分娩的母亲中机构分娩的利用率及相关因素。对623名母亲开展了一项基于社区的横断面研究。
总体而言,60.5%的分娩在卫生设施中得到协助。多变量逻辑回归显示,母亲的教育状况、近期怀孕时的产前检查、近期怀孕的分娩计划、母亲对机构分娩益处的认知、分娩地点的决策权以及到附近机构的距离与机构分娩的利用率显著相关。帕韦沃雷达农村妇女的机构分娩服务利用率有所提高,但仍然较低。建议采取的干预措施包括:加强妇女教育、充分利用产前保健潜在服务、向母亲开展关于机构分娩益处的健康教育并对分娩危险信号进行咨询、让夫妻共同决定在医疗机构分娩以及在社区扩大卫生设施。