Arogundade Kazeem, Sampson June, Boath Elizabeth, Akpan Ubong, Olatoregun Olaposi, Femi-Pius Oluwayemisi, Orjih Jude, Afirima Barinaadaa, Umar Nasir
Bruyère Research Institute, Ottawa, Canada.
London School of Hygiene and Tropical Medicine, London, UK.
Obstet Gynecol Int. 2021 Dec 7;2021:6618676. doi: 10.1155/2021/6618676. eCollection 2021.
Poor maternal health indices, including high maternal mortality, are among Nigeria's major public health problems. Most of these deaths can be prevented by timely access and utilization of maternity healthcare services by women. . This study seeks to identify factors affecting the utilization of health facilities for the delivery of babies among mothers in Calabar, Cross River State, Nigeria. . The study was a community-based cross-sectional study. A structured questionnaire was administered to 422 women of reproductive age residents in the study area who had given birth at least once within the last five years prior to the survey using a multistage random sampling technique. Data generated were entered, coded, and analyzed using Statistical Packages for Social Sciences (SPSS version 22.0), and results were presented in tables and charts. Chi-squared tests and multiple logistic regression were used for the identification of variables associated with health facility-based delivery.
The mean age of respondents was 27.3 years (SD = 8.4). Fifty-two percent of the respondents utilized the health facility for delivery, 89.6% attended at least one antenatal clinic (ANC), and 18.9% completed at least 3 ANC sessions. There was a statistically significant association between health facility delivery and marital status (=0.007), education (=0.042), and family size (=0.002). Older women (OR = 0.7, CI = 0.169-3.714), Christians (OR = 1.9, CI = 0.093-41.1), divorcees (OR = 3.7, CI = 0.00-0.00), and respondents who registered early (first trimester) for ANC (OR = 4.9, CI = 0.78-31.48) were found to be higher users of delivery services at the health facility.
Community health intervention focusing on improving the knowledge and awareness of the significance of utilizing available delivery services at the healthcare facility should be developed and implemented.
包括孕产妇死亡率高在内的不良孕产妇健康指标是尼日利亚主要的公共卫生问题之一。这些死亡中的大多数可通过妇女及时获得并利用孕产妇保健服务来预防。本研究旨在确定影响尼日利亚克罗斯河州卡拉巴尔地区母亲在医疗机构分娩的因素。该研究是一项基于社区的横断面研究。采用多阶段随机抽样技术，对研究区域内422名在调查前过去五年内至少生育过一次的育龄妇女进行了结构化问卷调查。使用社会科学统计软件包（SPSS 22.0版）对生成的数据进行录入、编码和分析，并以表格和图表形式呈现结果。采用卡方检验和多元逻辑回归来确定与医疗机构分娩相关的变量。
受访者的平均年龄为27.3岁（标准差=8.4）。52%的受访者在医疗机构分娩，89.6%至少参加过一次产前检查（ANC），18.9%完成了至少3次ANC检查。医疗机构分娩与婚姻状况（=0.007）、教育程度（=0.042）和家庭规模（=0.002）之间存在统计学上的显著关联。年龄较大的妇女（比值比=0.7，置信区间=0.169 - 3.714）、基督教徒（比值比=1.9，置信区间=0.093 - 41.1）、离婚者（比值比=3.7，置信区间=0.00 - 0.00）以及在孕早期（头三个月）登记参加ANC的受访者（比值比=4.9，置信区间=0.78 - 31.48）被发现是医疗机构分娩服务的更高使用者。
应制定并实施以社区为基础的健康干预措施，重点提高对利用医疗机构现有分娩服务重要性的认识和了解。
