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影响埃塞俄比亚至少四项产前护理服务利用率的因素。

Factors Affecting the Utilization of a Minimum of Four Antenatal Care Services in Ethiopia.

作者信息

Basha Garoma Wakjira

机构信息

Department of Statistics, College of Science, Bahir Dar University, Bahir Dar, Ethiopia.

出版信息

Obstet Gynecol Int. 2019 Aug 14;2019:5036783. doi: 10.1155/2019/5036783. eCollection 2019.

Abstract

BACKGROUND

Antenatal care is defined as the routine care of pregnant women provided between conception and the onset of labor. This study is aimed to identify factors affecting the utilization of antenatal care (ANC) services in Ethiopia.

METHODS

The study used data from the nationally representative 2016 Ethiopia Demographic and Health Survey (EDHS). A total of 7,167 mothers who gave birth within five years preceding the 2016 EDHS whose complete information was available in the survey were included in this study. Logistic regression statistical analyses were used to identify factors associated with the utilization of a minimum of 4 ANC services in Ethiopia.

RESULTS

Among the 7,167 women included in this study, 2,598 (36.6%) had utilized a minimum of 4 ANC services in Ethiopia. This study showed that factors such as place of residence, region, mothers' education level, household wealth index, desire for pregnancy, frequency of reading newspaper, frequency of listening to radio, and frequency of watching TV were associated with the utilization of a minimum of four ANC services at 5% level of significance in Ethiopia.

CONCLUSION

Strategies to increase the accessibility and availability of healthcare services are important particularly for communities in rural areas. Financial support that enables mothers from poor households to use health services will be beneficial. Health promotion programs targeting mothers with no education are vital to increase their awareness about the importance of antenatal services.

摘要

背景

产前护理被定义为在受孕至分娩开始期间为孕妇提供的常规护理。本研究旨在确定影响埃塞俄比亚产前护理(ANC)服务利用情况的因素。

方法

该研究使用了具有全国代表性的2016年埃塞俄比亚人口与健康调查(EDHS)的数据。本研究纳入了在2016年EDHS之前五年内分娩且调查中可获取完整信息的7167名母亲。采用逻辑回归统计分析来确定与埃塞俄比亚至少使用4次ANC服务相关的因素。

结果

在本研究纳入的7167名女性中,2598名(36.6%)在埃塞俄比亚至少使用了4次ANC服务。本研究表明,居住地点、地区、母亲的教育水平、家庭财富指数、怀孕意愿、阅读报纸的频率、听广播的频率以及看电视的频率等因素在埃塞俄比亚与至少使用4次ANC服务的情况在5%的显著性水平上相关。

结论

增加医疗服务可及性和可用性的策略尤为重要,特别是对于农村地区的社区。为贫困家庭的母亲提供能够使用医疗服务的经济支持将是有益的。针对未受过教育的母亲开展的健康促进项目对于提高她们对产前服务重要性的认识至关重要。

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