Department of Population and Health, Faculty of Social Sciences, College of Humanities and Legal Studies, University of Cape Coast, Cape Coast, Ghana.
College of Public Health, Medical and Vertinary Sciences, James Cook University, Townsville, QLD 4811, Australia.
Int Health. 2022 Jan 19;14(1):64-73. doi: 10.1093/inthealth/ihab007.
We sought to determine the prevalence and factors associated with the use of skilled assistance during delivery in Papua New Guinea.
We analysed nationally representative data from 5210 women in Papua New Guinea using the 2016-2018 Demographic and Health survey. Both bivariate and multivariable analyses were performed. Statistical significance was set at p<0.05.
The prevalence of skilled assistance during delivery was 57.6%. The richest women (adjusted OR [AOR]=3.503, 95% CI 2.477 to 4.954), working women (AOR=1.221, 95% CI 1.037 to 1.439), women with primary (AOR=1.342, 95% CI 1.099 to 1.639), secondary or higher education (AOR=2.030, 95% CI 1.529 to 2.695), women whose partners had a secondary or higher level of education (AOR=1.712, 95% CI 1.343 to 2.181], women who indicated distance was not a big problem in terms of healthcare (AOR=1.424, 95% CI 1.181 to 1.718), women who had ≥4 antenatal care (ANC) visits (AOR=10.63, 95% CI 8.608 to 13.140), women from the Islands region (AOR=1.305, 95% CI 1.045 to 1.628), those who read newspapers or magazines (AOR=1.310, 95% CI 1.027 to 1.669) and women who watched television (AOR=1.477, 95% CI 1.054 to 2.069) less than once a week had higher odds of utilising skilled attendants during delivery. On the contrary, women in the Momase region (AOR=0.543, 95% CI 0.438 to 0.672), women in rural areas (AOR=0.409, 95% CI 0.306 to 0.546), as well as women with a parity of 3 (AOR=0.666, 95% CI 0.505 to 0.878) or ≥4 (AOR=0.645, 95% CI 0.490 to 0.850) had lower odds of utilising skilled attendance during delivery.
There is relatively low use of skilled delivery services in Papua New Guinea. Wealth, employment status, educational level, parity and number of ANC visits, as well as access to healthcare and place of residence, influence the utilisation of skilled delivery services.
我们旨在确定巴布亚新几内亚分娩时熟练助产人员使用的流行情况和相关因素。
我们使用 2016-2018 年人口与健康调查中来自巴布亚新几内亚的 5210 名妇女的全国代表性数据进行了分析。进行了单变量和多变量分析。统计学意义设为 p<0.05。
分娩时熟练助产人员的使用率为 57.6%。最富有的女性（调整后的 OR [AOR]=3.503，95%CI 2.477 至 4.954）、职业女性（AOR=1.221，95%CI 1.037 至 1.439）、受过小学（AOR=1.342，95%CI 1.099 至 1.639）、中学或高等教育（AOR=2.030，95%CI 1.529 至 2.695）、伴侣受过中学或高等教育的女性（AOR=1.712，95%CI 1.343 至 2.181）、认为医疗保健方面距离不是大问题的女性（AOR=1.424，95%CI 1.181 至 1.718）、接受≥4 次产前保健（ANC）检查的女性（AOR=10.63，95%CI 8.608 至 13.140）、来自岛屿地区的女性（AOR=1.305，95%CI 1.045 至 1.628）、阅读报纸或杂志的女性（AOR=1.310，95%CI 1.027 至 1.669）和每周看电视少于一次的女性（AOR=1.477，95%CI 1.054 至 2.069），更有可能在分娩时使用熟练助产人员。相反，马马萨地区的女性（AOR=0.543，95%CI 0.438 至 0.672）、农村地区的女性（AOR=0.409，95%CI 0.306 至 0.546）以及生育 3 个（AOR=0.666，95%CI 0.505 至 0.878）或≥4 个孩子的女性（AOR=0.645，95%CI 0.490 至 0.850）在分娩时使用熟练助产人员的可能性较低。
巴布亚新几内亚熟练助产人员的使用率相对较低。财富、就业状况、教育程度、生育次数和产前检查次数，以及获得医疗保健的机会和居住地，都影响着熟练助产人员的使用。
