School of Nursing and Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia.
Department of Midwifery, College of Medicine and Health Science, Debre Markos University, Debre Markos, Ethiopia.
PLoS One. 2022 Nov 11;17(11):e0277504. doi: 10.1371/journal.pone.0277504. eCollection 2022.
In developing countries, home delivery without a skilled birth attendant is a common practice. It has been evidenced that unattended birth is linked with serious life-threatening complications for both the women and the newborn. Institutional delivery with a skilled birth assistance could reduce 20-30% of neonatal mortality. This study aimed to assess traditional birth attendants' (TBAs) utilization and associated factors for women who gave birth in the last two years in Angolella Tara District, Ethiopia.
A community-based cross-sectional study was employed among 416 women who gave birth in the last two years at rural Angolella Tara District. Study participants were recruited by using a simple random sampling technique. Data were collected using a structured, pretested, and interviewer-administered questionnaire. Epi Data 4.6 and SPSS version 25 were used for data entry and analysis, respectively. A multivariable logistic regression model was fitted to identify factors associated with women's utilization of traditional birth attendants. The level of significance in the last model was determined at a p-value of <0.05.
Overall, 131 (31.5%) participants were used traditional birth attendants in their recent birth. Unmarried marital status (AOR 2.63; 95% CI: 1.16, 5.97), age at first marriage (AOR 2.31; 95%CI: 1.30, 4.09), time to reach health facility (AOR = 3.46; 95% CI: 1.94, 6.17), know danger sign of pregnancy and childbirth (AOR = 5.59, 95% CI; 2.89, 10.81), positive attitude towards traditional birth attendants (AOR = 2.56 95% CI; 1.21,5.52), had antenatal care follow-up (AOR: 0.11 95% CI 0.058, 0.21), and listening radio (AOR = 0.43; 95% CI: 0.18, 0.99) were significantly associated factors with the use of traditional birth attendants.
Nearly one-third of women used traditional birth attendant services for their recent birth. TBAs availability and accessibility in the community, and respect for culture and tradition, problems regarding infrastructure, delay or unavailability of ambulance upon call, and some participants knowing only TBAs for birth assistance were reasons for preference of TBAs. Therefore, effort should be made by care providers and policymakers to ensure that modern health care services are accessible for women in a friendly and culturally sensitive manner. In addition, advocacy through mass media about the importance of maternal health service utilization, particularly antenatal care would be important.
在发展中国家，家庭分娩而没有熟练的接生员是一种常见的做法。有证据表明，无人照料的分娩会给妇女和新生儿带来严重的危及生命的并发症。有熟练接生员协助的机构分娩可以降低 20-30%的新生儿死亡率。本研究旨在评估传统接生员（TBAs）在过去两年内在安哥拉塔拉地区分娩的妇女中的利用情况以及相关因素。
在安哥拉塔拉地区农村地区，采用社区为基础的横断面研究方法，对过去两年内分娩的 416 名妇女进行了研究。研究对象采用简单随机抽样技术招募。使用结构化的、预测试的、由访谈员管理的问卷收集数据。EpiData 4.6 和 SPSS 版本 25 用于数据输入和分析。使用多变量逻辑回归模型来确定与妇女利用传统接生员相关的因素。最后模型的显著性水平确定为 p 值 <0.05。
总体而言，131 名（31.5%）参与者在最近的分娩中使用了传统接生员。未婚婚姻状况（AOR 2.63；95%CI：1.16，5.97）、初婚年龄（AOR 2.31；95%CI：1.30，4.09）、到达保健机构的时间（AOR = 3.46；95%CI：1.94，6.17）、知晓妊娠和分娩的危险征象（AOR = 5.59，95%CI；2.89，10.81）、对传统接生员的积极态度（AOR = 2.56 95%CI；1.21,5.52）、有产前保健随访（AOR：0.11 95%CI 0.058, 0.21）和听广播（AOR = 0.43；95%CI：0.18, 0.99）与使用传统接生员显著相关。
近三分之一的妇女最近分娩时使用了传统接生员。社区中传统接生员的可用性和可及性，以及对文化和传统的尊重、基础设施方面的问题、呼叫时救护车的延迟或不可用，以及一些参与者只知道传统接生员来提供分娩帮助，都是选择传统接生员的原因。因此，护理提供者和政策制定者应努力确保以友好和尊重文化的方式为妇女提供现代医疗保健服务。此外，通过大众媒体宣传利用产妇保健服务的重要性，特别是产前保健，将是很重要的。
