多水平分析埃塞俄比亚孕妇产前保健质量及其相关因素：基于社区的横断面研究。
Multilevel analysis of quality of antenatal care and associated factors among pregnant women in Ethiopia: a community based cross-sectional study.
机构信息
Department of Health Systems and Policy, University of Gondar, Gondar, Ethiopia
Department of Health Systems and Policy, University of Gondar, Gondar, Ethiopia.
出版信息
BMJ Open. 2022 Jul 28;12(7):e063426. doi: 10.1136/bmjopen-2022-063426.
OBJECTIVE
To determine the magnitude of quality of antenatal care and associated factors among pregnant women in Ethiopia.
DESIGN
A community-based cross-sectional study.
SETTING
Ethiopia.
PARTICIPANTS
A total of 4757 weighted sample of pregnant women from 18 January 2016 to 27 June 2016, were included for this analysis.
OUTCOME
Quality of antenatal care (ANC).
METHODS
Our analysis was based on secondary data using the 2016 Ethiopian Demographic and Health Survey. The quality of ANC was measured when all six essential components, such as blood pressure measurements, blood tests, urine tests, nutrition counselling, birth preparation advice during pregnancy and information on potential complications, were provided. Stata V.14 software was used for analysis. A multilevel mixed-effect logistic regression analysis was fitted. Adjusted OR (AOR) with 95% CIs was used to show the strength and direction of the association. Statistical significance was declared at a p value less than 0.05.
RESULTS
The magnitude of quality of ANC in Ethiopia was 22.48% (95% CI: 21.31% to 23.69%). Educational status; primary (AOR=1.34; 95% CI: 1.06 to 1.68) and secondary (AOR=2.46; 95% CI: 1.76 to 3.45), middle (AOR=1.31; 95% CI: 1.01 to 1.72) and rich (AOR=2.08; 95% CI: 1.59 to 2.72) wealth status, being married (AOR=2.34; 95% CI: 1.08 to 5.10) and four or more ANC (AOR=2.01; 95% CI: 1.67 to 2.40) were statistically significant associated factors of quality ANC in Ethiopia.
CONCLUSIONS
This study found that nearly only one in five pregnant women received quality ANC during pregnancy. To improve the quality of ANC in Ethiopia, Ministry of Health and health facilities are needed to increase financial support strategies that enable pregnant women from poor households to use health services and enhance pregnant women's understanding of the significance of quality of ANC through health education. Additionally, Community health workers should also be placed on supporting unmarried pregnant women to have quality ANC.
目的
确定埃塞俄比亚孕妇产前护理质量的大小及其相关因素。
设计
基于社区的横断面研究。
地点
埃塞俄比亚。
参与者
共有 4757 名 18 年 1 月 16 日至 6 月 27 日参加的孕妇加权样本被纳入本次分析。
结局
产前护理质量（ANC）。
方法
我们的分析基于使用 2016 年埃塞俄比亚人口与健康调查的二次数据。当提供了所有六项基本组成部分（如血压测量、血液检查、尿液检查、营养咨询、怀孕期间的分娩准备建议和潜在并发症信息）时，就可以衡量 ANC 的质量。使用 Stata V.14 软件进行分析。拟合了多水平混合效应逻辑回归分析。使用调整后的 OR（AOR）和 95%CI 来显示关联的强度和方向。p 值小于 0.05 被认为具有统计学意义。
结果
埃塞俄比亚 ANC 质量的大小为 22.48%（95%CI：21.31%至 23.69%）。教育程度；小学（AOR=1.34；95%CI：1.06 至 1.68）和中学（AOR=2.46；95%CI：1.76 至 3.45）、中等（AOR=1.31；95%CI：1.01 至 1.72）和富裕（AOR=2.08；95%CI：1.59 至 2.72）的财富状况、已婚（AOR=2.34；95%CI：1.08 至 5.10）和四次或更多 ANC（AOR=2.01；95%CI：1.67 至 2.40）是埃塞俄比亚 ANC 质量的统计学显著相关因素。
结论
本研究发现，近五分之一的孕妇在怀孕期间接受了质量 ANC。为了提高埃塞俄比亚的 ANC 质量，卫生部门需要增加财政支持策略，使贫困家庭的孕妇能够使用卫生服务，并通过健康教育提高孕妇对 ANC 质量的重要性的认识。此外，还应让社区卫生工作者支持未婚孕妇获得高质量的 ANC。
Zotero 插件