Department of Human Anatomy, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
Epidemiology, University of Gondar, Gondar, Ethiopia.
BMJ Open. 2022 Aug 29;12(8):e060141. doi: 10.1136/bmjopen-2021-060141.
This study aimed to assess the use of institutional delivery services and associated factors among Delgi District mothers of childbearing age.
A community-based cross-sectional study design.
At five Kebeles in Delgi District, Northwest Ethiopia.
The study was performed on 403 childbearing age mothers using a structured questionnaire and a face-to-face interview. We used a systematic random sampling method to select the study participants.
The data were analysed using descriptive analysis, binary logistic regression analysis, and multivariable logistic regression analysis.
Institutional delivery service utilisation.
In the present study, 75.9% (95% CI: 71.7% to 80.1%) of respondents used health facilities for their last delivery. After adjusting for covariates, diploma holders (adjusted odds ratio (AOR)=5.63; 95% CI: 3.77 to 8.39), maternal age at 23-27 years (AOR=6.47; 95% CI: 2.74 to 15.32), divorced women (AOR=0.30; 95% CI: 0.12 to 0.75), husband's primary education (AOR=0.38; 95% CI: 0.18 to 0.82), the distance required above 10 km to reach the health facility (AOR=0.17; 95% CI: 0.04 to 0.72) and the time required above 4 hours to reach the health facility (AOR=0.30; 95% CI: 0.12 to 0.73) were significantly associated with institutional delivery service utilisation.
The majority of respondents utilised institutional delivery services in this study. High-level maternal education, younger maternal age, divorce marital status, low-level husband education, long distances to reach a health facility and prolonged time to reach a health facility were all independently linked to the use of institutional delivery services. One of the foundations for increasing institutional delivery service use is improving mother-waiting centres for delivery services, infrastructure and transportation services and awareness about institutional delivery services. Providing counselling services for mothers during antenatal care visits or house-to-house health education on institutional delivery services for rural residents will improve institutional delivery service use even more.
本研究旨在评估德尔吉地区育龄产妇使用机构分娩服务的情况及其相关因素。
基于社区的横断面研究设计。
埃塞俄比亚西北部德尔吉区的五个 kebeles。
本研究使用结构问卷和面对面访谈，对 403 名育龄产妇进行了研究。我们使用系统随机抽样方法选择研究参与者。
使用描述性分析、二元逻辑回归分析和多变量逻辑回归分析对数据进行分析。
在本研究中，75.9%（95%置信区间：71.7%至 80.1%）的受访者在上次分娩时使用了卫生设施。在校正了协变量后，持有文凭的人（调整后的优势比（AOR）=5.63；95%置信区间：3.77 至 8.39）、23-27 岁的产妇年龄（AOR=6.47；95%置信区间：2.74 至 15.32）、离婚妇女（AOR=0.30；95%置信区间：0.12 至 0.75）、丈夫小学教育（AOR=0.38；95%置信区间：0.18 至 0.82）、到达卫生设施所需的距离超过 10 公里（AOR=0.17；95%置信区间：0.04 至 0.72）和到达卫生设施所需的时间超过 4 小时（AOR=0.30；95%置信区间：0.12 至 0.73）与机构分娩服务的使用显著相关。
在本研究中，大多数受访者都使用了机构分娩服务。较高的产妇教育水平、较年轻的产妇年龄、离婚的婚姻状况、较低的丈夫教育水平、到达卫生机构的长距离和到达卫生机构的长时间都与机构分娩服务的使用独立相关。提高机构分娩服务使用率的基础之一是改善母婴等候中心的分娩服务、基础设施和交通服务，以及提高对机构分娩服务的认识。在产前护理就诊期间为母亲提供咨询服务，或对农村居民进行有关机构分娩服务的上门健康教育，将进一步提高机构分娩服务的使用率。
