埃塞俄比亚新生儿产后检查的决定因素：2016 年埃塞俄比亚人口与健康调查的进一步分析。
Determinants of postnatal checkup for newborns in Ethiopia: Further analysis of 2016 Ethiopia demographic and health survey.
机构信息
Department of Midwifery, College of Health Science, Woldia University, Woldia, Ethiopia.
Department of Public Health, College of Health Science, Woldia University, Woldia, Ethiopia.
出版信息
BMC Pregnancy Childbirth. 2020 Dec 7;20(1):761. doi: 10.1186/s12884-020-03468-9.
BACKGROUND
The absence of suitable care during the postpartum period might result in substantial ill-health and even the demise of newborns. So, identifying and intervening thus factors increase postnatal newborn care utilization thereby reducing neonatal mortality. Therefore, this study aimed to ascertain the determinants of the postnatal checkup of a newborn in Ethiopia.
METHOD
A cross-sectional study was accompanied using the 2016 Ethiopia Demographic and Health Survey (EDHS) data set. The samples were designated by employing a two-stage stratified cluster sampling technique. All statistical analysis were weighted in order to take into consideration complex survey design. Bivariate and multivariate logistic regression analysis was also carried out to examine the association between use of postnatal care of newborn and selected independent variables. Adjusted odds ratios (AOR) were used to state a statistically significant suggestion.
RESULT
A total of 7091 samples of the reproductive age of newborn mothers were included and analyzed. According to multivariate analysis, the odds of postnatal checkups of the newborn were 2.45 times higher among mothers who had 1-3 ANC visits and 3.42 times higher among mothers who had four and above visits than mother who did not have ANC visit. The odds of postnatal checkups of the newborn were 1.4 times higher among mothers who had access to media compared to their counterparts. Likewise, the odds of postnatal checkups of the newborn were 1.67 times higher among mothers who had delivered in a health facility than who delivered at home.
CONCLUSIONS
This study revealed that accessed media, being rich or middle in the wealth index category, having ANC visits, and institutional delivery was positively associated with the utilization of postnatal care checkup of the newborn. Therefore, information education and communication programs should perform a critical role in inspiring mother to take their newborns for postnatal checkup after birth.
背景
产后期间缺乏适当的护理可能会导致新生儿严重的健康问题，甚至死亡。因此，识别和干预这些因素可以增加产后新生儿护理的利用，从而降低新生儿死亡率。因此，本研究旨在确定埃塞俄比亚新生儿产后检查的决定因素。
方法
本研究采用横断面研究，使用 2016 年埃塞俄比亚人口与健康调查（EDHS）数据集。采用两阶段分层聚类抽样技术对样本进行指定。所有统计分析均进行加权，以考虑复杂的调查设计。还进行了双变量和多变量逻辑回归分析，以检查产后新生儿护理的使用与选定的独立变量之间的关联。调整后的优势比（AOR）用于表示具有统计学意义的建议。
结果
共纳入并分析了 7091 名有生育能力的新生儿母亲样本。根据多变量分析，与未接受 ANC 检查的母亲相比，接受 1-3 次 ANC 检查的母亲和接受 4 次及以上 ANC 检查的母亲对新生儿进行产后检查的可能性分别高出 2.45 倍和 3.42 倍。与没有接受媒体访问的母亲相比，有机会接触媒体的母亲对新生儿进行产后检查的可能性高出 1.4 倍。同样，在医疗机构分娩的母亲对新生儿进行产后检查的可能性是在家分娩的母亲的 1.67 倍。
结论
本研究表明，接触媒体、在财富指数类别中属于富有或中等、接受 ANC 检查和在医疗机构分娩与新生儿产后护理检查的利用呈正相关。因此，信息、教育和宣传方案应在激励母亲在分娩后带新生儿进行产后检查方面发挥关键作用。
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