Cherie Niguss, Abdulkerim Mohammed, Abegaz Zinet, Walle Baze Getaw
Reproductive and Family Health Department School of Public Health, College of Medicine and Health Sciences, Wollo University Dessie Ethiopia.
Reproductive and Family health Legambo District Health Office South Wollo Ethiopia.
Health Sci Rep. 2021 Nov 2;4(4):e409. doi: 10.1002/hsr2.409. eCollection 2021 Dec.
Maternity continuum of care is the continuity of maternity health care services that a woman uses for antenatal care, skill birth attendant, and postnatal care. Maternal and child mortality is still big challenge in Ethiopia. Little is known about continuum of maternity care in Ethiopia and where the study area in the district revealed that there is a big discrepancy in the completion of maternity care.
Assessment of maternity continuum of care and associated factors among mothers who gave birth in Legambo district, South, Wollo, and northeast Ethiopia.
A community-based cross-sectional study design was conducted among 732 mothers from Feb-Mar 2020. Multistage sampling was used and data were collected through face-to-face interviewer-administered semi-structured questionnaire. Completed data were entered using Epi-Data version 3.1, cleaned, and analyzed using SPSS version 25 Statistical Software. Descriptive statistics using Frequency, proportion, summary measures were done. Binary logistic regressions were and model fitness was checked by Hosmer and Lemeshow test which was not significant. Multivariable logistic regression was conducted and value less than .05 and adjusted odds ratio with 95% confidence interval was considered as statistically significant.
The prevalence of maternity continuum of care among mother was found 11.2% (95%, CI: 9.0-13.8). Residence (AOR:1.837, CI:1.026-3.288), planned pregnancy (AOR: 2.448, CI:1.361-4.403), prepregnancy contraceptive utilization (AOR: 2.721, CI:1.469-5.042), follow mass media (AOR: 2.33, CI:1.146-4.736) and mother health care decision making autonomy (AOR: 3.712, CI:1.924-7.161) were determinant factors to continuum of maternity care.
The prevalence of maternity continuum of care in the district was low. Information education and counseling about continuum of care are still crucial. Awareness creation for both clients and care provider will improve the service. Efforts on improving and cultivating those significant factors should be done by stakeholders.
孕产妇连续护理是指女性在产前护理、熟练接生员服务和产后护理中接受的孕产妇保健服务的连续性。孕产妇和儿童死亡率在埃塞俄比亚仍然是一个巨大的挑战。关于埃塞俄比亚孕产妇连续护理的情况知之甚少，而且该地区的研究区域显示，孕产妇护理的完成情况存在很大差异。
评估埃塞俄比亚南部沃洛州和东北部莱加姆博区分娩母亲的孕产妇连续护理情况及相关因素。
2020年2月至3月，对732名母亲进行了一项基于社区的横断面研究设计。采用多阶段抽样，通过面对面访谈的方式，由调查员管理半结构化问卷收集数据。完整的数据使用Epi-Data 3.1版本录入，清理后使用SPSS 25统计软件进行分析。进行了使用频率、比例、汇总指标的描述性统计。进行了二元逻辑回归分析，并通过Hosmer和Lemeshow检验检查模型拟合度，该检验不显著。进行了多变量逻辑回归分析，P值小于0.05且调整后的比值比及95%置信区间被认为具有统计学意义。
发现母亲中孕产妇连续护理的患病率为11.2%（95%，CI：9.0-13.8）。居住地（调整后比值比：1.837，CI：1.026-3.288）、计划怀孕（调整后比值比：2.448，CI：1.361-4.403）、孕前避孕措施的使用（调整后比值比：2.721，CI：1.469-5.042）、关注大众媒体（调整后比值比：2.33，CI：1.146-4.736）以及母亲在医疗保健决策方面的自主权（调整后比值比：3.712，CI：1.924-7.161）是孕产妇连续护理的决定因素。
该地区孕产妇连续护理的患病率较低。关于连续护理的信息教育和咨询仍然至关重要。提高服务对象和护理提供者的意识将改善服务。利益相关者应努力改进和培养这些重要因素。
