Yaya Sanni, Bishwajit Ghose
School of International Development and Global Studies, University of Ottawa, Ottawa, Canada.
The George Institute for Global Health, Imperial College London, UK.
J Biosoc Sci. 2022 Jan;54(1):94-105. doi: 10.1017/S0021932020000693. Epub 2020 Dec 18.
Studies have demonstrated that health communication programmes, through community health workers or mass media, are a key strategy to promote awareness and uptake of essential maternal health services. This study investigated whether or not family planning communication through mass media and health workers has any association with maternal health care utilization uptake in Nigeria. Cross-sectional data were extracted from the 2003-13 Nigeria Demographic and Health Surveys. The study sample comprised 41,938 women aged 15-49 years who had a live birth during the 5 years preceding the survey. Outcome variables were adequacy of antenatal care visits and place of delivery. Receiving family planning messages from the radio, TV, newspapers, a family planning worker or during a health facility visit were considered as possible sources of exposure to family planning information. Radio (32.6%) was the most commonly reported source of family planning information, followed by TV (17.5%) and newspapers (6.1%). Less than one-tenth of respondents were visited by family planning workers (9.5%) and about one-third visited a health facility during the previous 12 months (30.3%). Those who reported receiving family planning information from the three types of mass media and who had contact with a family planning worker and/or health facility were more likely to have at least eight antenatal care contacts (odds ratio for TV use=1.172, 95% CI=1.058-1.297) and deliver at a health facility (odds ratio for TV use=1.544, 95% CI=1.350-1.766). These findings indicate that family planning communication through mass media and health workers could potentially improve the utilization of antenatal and health facility delivery services in Nigeria.
研究表明，通过社区卫生工作者或大众媒体开展的健康传播项目，是提高对基本孕产妇保健服务的认识和利用率的关键策略。本研究调查了通过大众媒体和卫生工作者进行的计划生育宣传与尼日利亚孕产妇保健服务利用情况之间是否存在关联。横断面数据取自2003 - 2013年尼日利亚人口与健康调查。研究样本包括在调查前5年内有活产的41938名15 - 49岁女性。结果变量为产前检查的充分性和分娩地点。从广播、电视、报纸、计划生育工作者处或在医疗机构就诊时收到计划生育信息被视为可能接触计划生育信息的来源。广播（32.6%）是最常被报告的计划生育信息来源，其次是电视（17.5%）和报纸（6.1%）。不到十分之一的受访者接受过计划生育工作者的家访（9.5%），约三分之一的受访者在过去12个月内去过医疗机构（30.3%）。那些报告从三种大众媒体类型收到计划生育信息且与计划生育工作者和/或医疗机构有接触的人，更有可能至少进行八次产前检查（使用电视的优势比 = 1.172，95%置信区间 = 1.058 - 1.297）并在医疗机构分娩（使用电视的优势比 = 1.544，95%置信区间 = 1.350 - 1.766）。这些发现表明，通过大众媒体和卫生工作者进行的计划生育宣传可能会提高尼日利亚产前和医疗机构分娩服务的利用率。
