埃塞俄比亚新生儿产后护理的决定因素及首次产后护理时间：对2019年埃塞俄比亚人口与健康调查的进一步分析
Determinants of Postnatal Care and Timing of the First Postnatal Care for Newborns in Ethiopia: Further Analysis of 2019 Ethiopian Demographic and Health Survey.
作者信息
Kebede Sewnet Adem, Weldesenbet Adisu Birhanu, Tusa Biruk Shalmeno
机构信息
Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Epidemiology and Biostatistics, College of Health and Medical Sciences, Haramaya University, Haramaya, Ethiopia.
出版信息
Front Pediatr. 2022 Mar 24;10:809643. doi: 10.3389/fped.2022.809643. eCollection 2022.
BACKGROUND
Neonatal mortality remains a persisting public health challenge in Ethiopia. Most of the factors that lead to neonatal deaths could be prevented through postnatal checkups. However, in Ethiopia, the provision of postnatal care (PNC) continues to be low. This study aims to assess the socioeconomic and demographic factors associated with PNC visits and the timing of PNC among newborns in Ethiopia.
METHODS
Using the Ethiopia Mini Demographic and Health Survey (EMDHS) 2019, a total weighted sample of 2,105 women aged 15-49 giving birth in the 2 years preceding the survey were included in the study. The generalized linear mixed models were separately fitted to identify factors associated with any PNC for newborns delivered at home and health facilities. Multinomial logistic regression was used to assess the timing of PNC with their associated factors.
RESULTS
Overall, only 13% (95% CI: 11.2, 14.0) of the newborns received PNC in Ethiopia. Among newborns delivered at home, utilization of any PNC was determined by region, maternal educational status, and birth order. On the other hand, among newborns delivered in a health facility, region, number of antenatal care (ANC) visits, and religion were determinants of any PNC. Furthermore, utilization of the first PNC within 48 h after the delivery was determined by region and religion. On the other hand, utilization of the first PNC after 48 h after the delivery was determined by region number of ANC visits, maternal educational status, and religion.
CONCLUSION
The finding of the current study revealed low coverage of PNC among newborns regardless of the place of delivery in Ethiopia. The study makes the following recommendation: increase community health education on PNC, encourage delivery at health facilities, and link community home birth with PNC. It will be more valuable if there is sharing good practice.
背景
在埃塞俄比亚，新生儿死亡率仍然是一项持续存在的公共卫生挑战。大多数导致新生儿死亡的因素可通过产后检查预防。然而，在埃塞俄比亚，产后护理（PNC）的提供率仍然很低。本研究旨在评估埃塞俄比亚与新生儿产后护理就诊及产后护理时间相关的社会经济和人口因素。
方法
使用2019年埃塞俄比亚微型人口与健康调查（EMDHS），本研究纳入了在调查前两年内分娩的2105名年龄在15 - 49岁的妇女作为总加权样本。分别采用广义线性混合模型来确定与在家中和医疗机构分娩的新生儿接受任何产后护理相关的因素。采用多项逻辑回归来评估产后护理时间及其相关因素。
结果
总体而言，在埃塞俄比亚，只有13%（95%置信区间：11.2，14.0）的新生儿接受了产后护理。在家中分娩的新生儿中，是否接受任何产后护理取决于地区、母亲的教育程度和生育顺序。另一方面，在医疗机构分娩的新生儿中，地区、产前检查（ANC）次数和宗教是接受任何产后护理的决定因素。此外，分娩后48小时内首次接受产后护理的情况取决于地区和宗教。另一方面，分娩后48小时后首次接受产后护理的情况取决于地区、产前检查次数、母亲的教育程度和宗教。
结论
本研究结果显示，无论在埃塞俄比亚何处分娩，新生儿产后护理的覆盖率都很低。该研究提出以下建议：加强关于产后护理的社区健康教育，鼓励在医疗机构分娩，并将社区家庭分娩与产后护理联系起来。如果能分享良好做法，将会更有价值。
Zotero 插件