Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
BMC Womens Health. 2022 Apr 21;22(1):127. doi: 10.1186/s12905-022-01713-1.
The government of Ethiopia has been implementing compassionate, respectful, and caring strategies to increase institutional delivery and decrease maternal mortality in recent years. There is limited evidence on respectful delivery care and associated factors in low-income countries like Ethiopia. Therefore, this study aimed to assess the proportion of respectful delivery care and associated factors among mothers delivered in the health facilities of Dessie city, Northeast Ethiopia.
A health facility-based cross-sectional study was conducted among a total of 390 mothers from April 16 to May 30, 2018. A pretested structured interviewer-administered questionnaire was used to collect the data. The data were entered into Epidata and analyzed using Stata/SE 14. Binary logistic regression analysis was used to identify associated factors. Variables having P-value less than 0.2 in the bivariable regression were selected as a candidate for multi-variable regression. Adjusted odds ratio (AOR) with 95% confidence interval (CI) was estimated to measure the strength and direction of the association respectively.
The proportion of respectful delivery care among mothers delivered in public health facilities of Dessie city was 43.4%, 95% CI (39.1%, 47.6%). It was found to be 34.9% in hospital and 74.1 in health center. Respectful delivery care was associated with day time delivery [AOR = 2.23, 95% CI (1.30, 3.82)], any maternal and/or fetal complications [AOR = 0.50, 95% CI (0.27, 0.94)], gave birth in health center [AOR = 3.22, 95% CI (1.61, 6.46)] and educated mothers [AOR = 2.87, 95% CI (1.18, 7.01)].
The proportion of respectful delivery care in the study area was low as compared to the government emphasis and other works of literature. This study indicated that any maternal and/or newborn complications, daytime delivery, giving birth in a health center, and maternal education were associated with respectful delivery care. Women empowerment through education could be a recalled intervention for respectful care.
近年来，埃塞俄比亚政府一直在实施富有同情心、尊重和关怀的策略，以提高机构分娩率并降低产妇死亡率。在埃塞俄比亚等低收入国家，关于尊重分娩护理及其相关因素的证据有限。因此，本研究旨在评估德西市卫生机构分娩的母亲中尊重分娩护理的比例及其相关因素。
2018 年 4 月 16 日至 5 月 30 日，对德西市共有 390 名母亲进行了一项基于卫生机构的横断面研究。使用经过预测试的访谈者管理的结构化问卷收集数据。将数据输入 Epidata 并使用 Stata/SE 14 进行分析。使用二元逻辑回归分析来确定相关因素。在双变量回归中 P 值小于 0.2 的变量被选为多变量回归的候选变量。使用调整后的优势比 (AOR) 和 95%置信区间 (CI) 分别衡量关联的强度和方向。
在德西市公立卫生机构分娩的母亲中，尊重分娩护理的比例为 43.4%，95%CI（39.1%，47.6%）。在医院为 34.9%，在保健中心为 74.1%。尊重分娩护理与白天分娩（AOR=2.23，95%CI（1.30，3.82））、任何产妇和/或胎儿并发症（AOR=0.50，95%CI（0.27，0.94））、在保健中心分娩（AOR=3.22，95%CI（1.61，6.46））和受过教育的母亲（AOR=2.87，95%CI（1.18，7.01））相关。
与政府的重视和其他文献相比，研究区域尊重分娩护理的比例较低。本研究表明，任何产妇和/或新生儿并发症、白天分娩、在保健中心分娩以及产妇教育与尊重分娩护理相关。通过教育增强妇女权能可能是一种回顾性的尊重护理干预措施。
