Mulat Amlaku, Kassa Simachew, Belay Getahun, Emishaw Solomon, Yekoye Abere, Bayu Hinsermu, Kebede Seifu
Department of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, Ethiopia.
Department of Nursing, College of Medicine and Health Sciences, Bahir Dar University, Ethiopia.
Afr Health Sci. 2020 Jun;20(2):690-696. doi: 10.4314/ahs.v20i2.20.
Focused antenatal care improves the survival and health of the mother as well as the babies. However, there are real challenges in keeping the subsequent antenatal care follow up in Ethiopia. Hence, the aim of this study was to assess missed antenatal care follow up and associated factors in the Eastern zone of Tigray.
Hospital based cross-sectional study was conducted among systematically selected 548 women who came for delivery services from March to April 2016. The data were collected using pre-tested and structured questionnaire through face to face exit interview. Data entry and analysis were made using EPI info version 7 software and SPSS version 20 respectively. Both binary and multiple logistic regression was performed.
This study revealed that 33.4% of participants were missing their Antenatal care follow-up. Having no formal education [AOR=1.778 (1.102, 2.869)], attending primary education [AOR= 1.756 (1.040, 2.964)], self-employee [AOR=1.589 (1.030, 2.452)], government employee [AOR=0.503 (0.503, 0.953)], being unmarried [AOR=2.36 (1.11, 5.04)], didn't informed about institutional delivery [AOR=3.34 (1.44, 7.78)], and travel distance more than two hours to hospital [AOR=1.93 (1.08, 3.44)] were factors significantly associated with missed Antenatal care follow-up.
The proportion of missed antenatal care follow-up was lessened as compared to local and national evidences. Nevertheless, still a coordinated effort on tracking of pregnant women who missed their antenatal care appointment is required by health policy implementers so as to increase the uptake of four complete visits.
针对性的产前护理可提高母亲及婴儿的存活率和健康水平。然而，在埃塞俄比亚，后续产前护理随访面临着实际挑战。因此，本研究的目的是评估提格雷东部地区产前护理随访缺失情况及相关因素。
于2016年3月至4月间，对系统选取的548名前来分娩的妇女进行了基于医院的横断面研究。通过面对面的出院访谈，使用预先测试并结构化的问卷收集数据。分别使用EPI info 7软件和SPSS 20软件进行数据录入和分析。进行了二元和多元逻辑回归分析。
本研究显示，33.4%的参与者未进行产前护理随访。未接受正规教育[AOR=1.778(1.102, 2.869)]、接受小学教育[AOR=1.756(1.040, 2.964)]、个体经营者[AOR=1.589(1.030, 2.452)]、政府雇员[AOR=0.503(0.503, 0.953)]、未婚[AOR=2.36(1.11, 5.04)]、未被告知机构分娩[AOR=3.34(1.44, 7.78)]以及前往医院的距离超过两小时[AOR=1.93(1.08, 3.44)]是与产前护理随访缺失显著相关的因素。
与当地和国家证据相比，产前护理随访缺失的比例有所降低。尽管如此，卫生政策实施者仍需做出协调努力，追踪错过产前护理预约的孕妇，以提高四次完整产检的参与率。
