Alemu Abebe, Assefa Biruk, Ahmed Ritbano, Mosa Hassen, Gebeyehu Negesso
Department of Midwifery, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia.
Department of Midwifery, College of Medicine and Health Sciences, Mada-Walabu University, Robe, Ethiopia.
PLOS Glob Public Health. 2022 Nov 10;2(11):e0001238. doi: 10.1371/journal.pgph.0001238. eCollection 2022.
Globally in 2019, it was reported that 295,000 women die during pregnancy and childbirth every year. In Ethiopia, skilled birth care service uptake was low. Thus, the study aimed to assess the magnitude of skilled birth care uptake, and associated factors among women from socially disadvantaged minorities in the Kambeta-Temabaro Zone, Southern Ethiopia. A multistage sampling procedure was employed to enroll 521 study participants. Data were entered using EPI-INFO and SPSS-21 for analysis. Bivariate and multivariate analysis was done and the degree of association was assessed using odds ratios with a 95% confidence interval and variables with p values <0.05 were declared statistically significant. The magnitude of skilled birth care service uptake among women from socially disadvantaged minorities was 19%. Maternal education, occupation, awareness of birth care, pregnancy plan, number of births, mothers' lifestyle, and social subordination were significantly associated with skilled birth care service uptake in the study area. Thus, awareness creation on skilled birth, improving access to education for women, increasing the employability of women, and conducting community forums to avoid social discrimination against minorities are highly recommended.
据报道,2019年全球每年有29.5万名妇女在妊娠和分娩期间死亡。在埃塞俄比亚,熟练的分娩护理服务利用率较低。因此,该研究旨在评估埃塞俄比亚南部坎贝塔-特马巴罗地区社会弱势少数民族妇女中熟练分娩护理的利用率及其相关因素。采用多阶段抽样程序招募了521名研究参与者。数据使用EPI-INFO和SPSS-21录入进行分析。进行了双变量和多变量分析,并使用比值比和95%置信区间评估关联程度,p值<0.05的变量被宣布具有统计学意义。社会弱势少数民族妇女中熟练分娩护理服务的利用率为19%。在研究地区,孕产妇教育、职业、分娩护理意识、怀孕计划、生育次数、母亲的生活方式和社会从属地位与熟练分娩护理服务的利用率显著相关。因此,强烈建议开展关于熟练分娩的宣传、改善妇女受教育机会、提高妇女就业能力以及举办社区论坛以避免对少数民族的社会歧视。