Department of Midwifery, Medicine and Health Science College, Wolkite University, Wolkite, PO Box 07, Ethiopia.
Department of Midwifery, Medicine and Health Science College, Debre Markos University, Debre Markos, PO Box 269, Ethiopia.
J Pregnancy. 2022 Feb 17;2022:1309881. doi: 10.1155/2022/1309881. eCollection 2022.
Continuum care is a basic package approach for women to receive essential services throughout pregnancy, childbirth, and postpartum, and it is critical for women and their infants' survival and well-being. Although it is an effective strategy for improving maternal and child health, it has not been implemented adequately in less developed countries, primarily in sub-Saharan Africa, including Ethiopia, where 55% of women have been dropped out from the continuum of care. Therefore, this study is aimed at assessing maternity continuum care completion and its associated factors within northwest Ethiopia, 2020.
A community-based cross-sectional study design was considered among 504 women from March 10 to March 30, 2020, using pretested and structured questionnaires administered via face-to-face interviews. To select study participants, a simple random sampling technique was used. Data were coded, checked, and entered into EpiData software (V. 4.2), then transferred to SPSS (V. 25) for further analysis. A bivariable analysis with 95% CI was performed, and variables with 0.25 during binary logistic regression were entered into a multivariable analysis to assess predictors' independent effect.
About 177 (37.6%) women completed maternal continuum care. Women with secondary education and above (AOR = 2.75, 95% CI 1.42-5.32), urban residence (AOR = 2.45, 95% CI 1.35-4.45), using ambulance transport (AOR = 3.96, 95% CI 2.19-7.19), mass media exposure (AOR = 3.64, 95% CI 2.02-6.56), and distance from health facilities (AOR = 3.22, 95% CI 1.84-5.63) showed significant positive associations with completion of maternity continuum care.
However, a higher proportion of mothers completed the continuum of maternity care in the district than Ethiopian Demographic and Health Survey 2016 (9.1%); further interventions are compulsory to reach the acceptable level. Hence, comprehensive awareness-raising, education, and promotion activities at the community and health facility levels and empowering women in health care and decision-making backing to expand the completion of maternity continuum of care are necessary.
连续护理是为妇女提供整个妊娠、分娩和产后期间基本服务的基本套餐方法，这对妇女及其婴儿的生存和福祉至关重要。尽管这是改善母婴健康的有效策略，但在欠发达国家，尤其是在包括埃塞俄比亚在内的撒哈拉以南非洲地区，并未充分实施，因为 55%的妇女已经退出了连续护理。因此，本研究旨在评估 2020 年埃塞俄比亚西北部地区产妇连续护理的完成情况及其相关因素。
采用 2020 年 3 月 10 日至 3 月 30 日期间在 504 名妇女中进行的基于社区的横断面研究设计，使用经过预测试和结构化问卷进行面对面访谈。使用简单随机抽样技术选择研究参与者。数据进行编码、核对并输入 EpiData 软件（V.4.2），然后转移到 SPSS（V.25）进行进一步分析。进行了 95%CI 的单变量分析，将 0.25 以内的变量纳入二元逻辑回归分析，以评估预测因素的独立影响。
约有 177 名（37.6%）妇女完成了产妇连续护理。接受过中等教育及以上教育的妇女（AOR=2.75，95%CI 1.42-5.32）、城市居民（AOR=2.45，95%CI 1.35-4.45）、使用救护车运输（AOR=3.96，95%CI 2.19-7.19）、大众媒体接触（AOR=3.64，95%CI 2.02-6.56）和距离医疗机构的距离（AOR=3.22，95%CI 1.84-5.63）与完成产妇连续护理有显著的正相关。
然而，与 2016 年埃塞俄比亚人口与健康调查相比，该地区完成连续产妇护理的母亲比例更高（9.1%）；需要进一步的干预措施才能达到可接受的水平。因此，有必要在社区和卫生设施层面开展全面的提高认识、教育和宣传活动，并赋予妇女在医疗保健和决策支持方面的权力，以扩大产妇连续护理的完成率。
