Public Health and Medicinal Plants Laboratory, UFR Odonto-Stomatology University Félix Houphouet-Boigny, Abidjan, Côte d'Ivoire.
Department of Public Health, Hydrology and Toxicology UFR of Pharmaceutical and Biological Sciences / Unvisersity Félix Houphouet-Boigny, Abidjan, Côte d'Ivoire.
BMC Health Serv Res. 2020 Feb 22;20(1):136. doi: 10.1186/s12913-020-4976-2.
In Côte d'Ivoire, maternal health service utilization indicators remain low despite improvements in health coverage and the availability of free health care for pregnant women. The objective of the study was to identify the determinants associated with the use of maternal health services in the department of Bloléquin, in western Côte d'Ivoire.
We conducted a cross-sectional study with an analytical focus. The study sample size was 400 women. Study participants were selected through a two-stage cluster survey. The data were collected using a standardized questionnaire whose items concerned socio-demographic data, the different uses of maternal health services, namely childbirth assisted by a health professional, use of family planning, prenatal consultation and postnatal consultation. Logistic regression was used to investigate factors associated with the use of maternal health services. The significance of the statistical tests was set at 5%. The odds ratios and 95% confidence intervals were calculated and interpreted.
The results showed that women made less use of family planning services (OR = 0.4), prenatal consultation (OR = 0.2) and assisted childbirth (OR = 0.2) when they provided the funding for care themselves. Women with monthly incomes above $26.8 used family planning services 4 times more than those with lower incomes. Married women used prenatal consultations 3 times more often than unmarried women (CI = 1.4-7.3). Desiring pregnancy increased the use of post-natal consultations by 3 times (CI = 1.5-6.1).
Improving the use of maternal health services in western Côte d'Ivoire requires taking into account women's socio-cultural and economic challenges. In initiatives related to the financial empowerment of women, efforts must be made at the level of emotional considerations related to pregnancy.
在科特迪瓦，尽管孕产妇保健覆盖率提高，并且为孕妇提供免费医疗保健，但孕产妇保健服务的利用指标仍然很低。本研究的目的是确定与布瓦凯地区（科特迪瓦西部）孕产妇保健服务利用相关的决定因素。
我们进行了一项具有分析重点的横断面研究。研究样本量为 400 名妇女。研究参与者通过两阶段聚类调查选择。使用标准化问卷收集数据，问卷项目涉及社会人口统计学数据、孕产妇保健服务的不同用途，即由卫生专业人员协助分娩、使用计划生育、产前咨询和产后咨询。使用逻辑回归调查与孕产妇保健服务利用相关的因素。统计检验的显著性水平设定为 5%。计算并解释了比值比和 95%置信区间。
结果表明，当女性自己为医疗付费时，她们较少使用计划生育服务（OR=0.4）、产前咨询（OR=0.2）和辅助分娩（OR=0.2）。月收入超过 26.8 美元的女性使用计划生育服务的可能性是收入较低的女性的 4 倍。已婚女性使用产前咨询的可能性是未婚女性的 3 倍（CI=1.4-7.3）。希望怀孕使产后咨询的使用增加了 3 倍（CI=1.5-6.1）。
要改善科特迪瓦西部的孕产妇保健服务利用，必须考虑到妇女的社会文化和经济挑战。在与增强妇女经济权能相关的倡议中，必须在与怀孕相关的情感考虑方面做出努力。
