产前护理利用模式与产后护理检查及时启动之间的关联：对 2016 年埃塞俄比亚人口与健康调查的分析。
Association between antenatal care utilization pattern and timely initiation of postnatal care checkup: Analysis of 2016 Ethiopian Demographic and Health Survey.
机构信息
Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Department of Pediatrics and Child Health Nursing, School of Health Sciences, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
出版信息
PLoS One. 2021 Oct 12;16(10):e0258468. doi: 10.1371/journal.pone.0258468. eCollection 2021.
BACKGROUND
Despite significant public health intervention, maternal mortality remains high in low- and middle-income countries, including Ethiopia. Effective postnatal care is a critical service to reduce maternal mortality. In Ethiopia, only 17% of mothers received postnatal care services in 2016.
OBJECTIVE
This study examined the association between antenatal care and timely postnatal care checkup among reproductive-age women in Ethiopia.
METHODS
The study used the 2016 Ethiopian Demographic and Health Survey data. The current study included 4,081 women who give birth in the two years preceding the survey. Chi-square test and multivariable logistic regression analyses were used to examine the association between antenatal care and timely initiation of postnatal care.
RESULTS
Postnatal care services within 2 days of delivery were received by 16.5% of women. Women who had at least four timely antenatal care visits had higher odds of timely postnatal checkups compared to women who had no antenatal care [adjusted Odds Ratio (aOR): 2.50; 95% CI 1.42-4.42]. Women who had at least four antennal care visits without timely initiation also had higher odds of postnatal check-up than their counterparts (aOR: 2.46; 95%CI: 1.22-4.97). Other factors significantly associated with timely initiation of PNC were secondary and above education (aOR: 1.64; 95%CI: 1.03-2.60), perceived distance to the nearby health facility as a significant barrier (aOR: 1.55; 95%CI: 1.15-2.09), primiparous (aOR: 0.34; 95%CI: 0.19-0.61) and institutional delivery (aOR: 14.55; 95%CI: 2.21-95.77).
CONCLUSION
The prevalence of timely initiation of postnatal care in Ethiopia is very low. Women who received recommended antenatal care services had higher odds of timely initiation of postnatal care. Thus, strengthening the existing maternal and child health programs to adhere to the recommended ANC care guidelines may improve the timely initiation of postnatal care.
背景
尽管采取了重大的公共卫生干预措施，但在包括埃塞俄比亚在内的中低收入国家，孕产妇死亡率仍然很高。有效的产后护理是降低孕产妇死亡率的关键服务。2016 年，埃塞俄比亚只有 17%的产妇接受了产后护理服务。
目的
本研究旨在探讨产前护理与育龄妇女在埃塞俄比亚及时进行产后检查之间的关系。
方法
本研究使用了 2016 年埃塞俄比亚人口与健康调查数据。本研究共纳入了在调查前两年内分娩的 4081 名妇女。采用卡方检验和多变量逻辑回归分析来检验产前护理与及时开始产后护理之间的关系。
结果
在分娩后 2 天内接受产后护理服务的妇女比例为 16.5%。与没有产前护理的妇女相比，至少接受过 4 次及时产前护理的妇女更有可能及时进行产后检查[校正优势比（aOR）：2.50；95%置信区间（CI）1.42-4.42]。至少接受过 4 次产前护理但未及时开始的妇女与对照组相比，也更有可能进行产后检查[aOR：2.46；95%CI：1.22-4.97]。其他与及时开始 PNC 显著相关的因素包括中学及以上教育（aOR：1.64；95%CI：1.03-2.60）、认为附近医疗机构距离远是一个显著障碍（aOR：1.55；95%CI：1.15-2.09）、初产妇（aOR：0.34；95%CI：0.19-0.61）和机构分娩（aOR：14.55；95%CI：2.21-95.77）。
结论
埃塞俄比亚及时开始产后护理的比例非常低。接受了推荐的产前护理服务的妇女更有可能及时开始产后护理。因此，加强现有的母婴健康计划，以遵守推荐的 ANC 护理指南，可能会提高产后护理的及时性。
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