埃塞俄比亚游牧地区妇女的医疗机构分娩服务利用情况及其相关因素：一项系统综述和荟萃分析
Health facility delivery service utilization and its associated factors among women in the pastoralist regions of Ethiopia: A systematic review and meta-analysis.
作者信息
Dessie Anteneh Mengist, Anley Denekew Tenaw, Zemene Melkamu Aderajew, Aychew Eden Workneh, Debebe Habtamu Geremew, Misganaw Natnael Moges, Denku Chalachew Yenew, Abebe Tiruayehu Getinet, Gebeyehu Asaye Alamneh, Asnakew Desalegn Tesfa, Anteneh Rahel Mulatie, Feleke Sefineh Fenta
机构信息
Department of Public Health, College of Health Science Debre Tabor University Debre Tabor Ethiopia.
Department of Midwifery, College of Health Science Debre Tabor University Debre Tabor Ethiopia.
出版信息
Health Sci Rep. 2023 Mar 29;6(4):e1183. doi: 10.1002/hsr2.1183. eCollection 2023 Apr.
BACKGROUND AND AIMS
Utilizing health facility delivery services is one of the pillars of lowering maternal mortality. However, the coverage of health facility delivery service utilization continues to be uneven around the world. In Ethiopia, particularly among pastoralist regions, health facility delivery service utilization is less common. Therefore, the purpose of this study was to determine the pooled prevalence of health facility delivery service utilization and identify the associated factors among women in the pastoralist regions of Ethiopia.
METHODS
A comprehensive systematic search was carried out in PubMed/MEDLINE, Hinary, Cochrane Library, Google Scholar, Google, and Ethiopian online university repositories. Studies were appraised using the JBI appraisal checklist. The analysis was done using STATA version 16. The pooled analysis was conducted using DerSimonian and Laird random-effects model. test and Eggers & Begg's tests were used to assess the heterogeneity and publication bias, respectively. < 0.05 was set to determine the statistical significance of all the tests.
RESULTS
The pooled prevalence of health facility delivery service utilization was 23.09% (95% CI: 18.05%-28.12%). Have ANC visit during pregnancy (OR = 3.75, [95% CI: 1.84-7.63]), have information regarding maternal health service fee exemption (OR = 9.51, [95% CI: 1.41-64.26]), have a nearby health facility (OR = 3.49, [95% CI: 1.48-8.20]), and women attend secondary and above education (OR = 3.06, [95% CI: 1.77-5.29]) were found to be significant associated factors.
CONCLUSIONS
Health facility delivery service utilization is very low in pastoralist regions of Ethiopia, and ANC follow-up, distance from the health facility, women's educational status, and information regarding maternal health service fees were identified as significant associated factors. Consequently, strengthening ANC services, introducing free health services to the community, and constructing health facilities for the nearby residents are recommended to improve the practice.
背景与目的
利用医疗机构分娩服务是降低孕产妇死亡率的支柱之一。然而，全球范围内医疗机构分娩服务的利用率仍然不均衡。在埃塞俄比亚，尤其是在游牧地区，医疗机构分娩服务的利用率较低。因此，本研究的目的是确定埃塞俄比亚游牧地区妇女医疗机构分娩服务利用率的合并患病率，并确定相关因素。
方法
在PubMed/MEDLINE、Hinary、Cochrane图书馆、谷歌学术、谷歌和埃塞俄比亚在线大学知识库中进行了全面的系统检索。使用JBI评估清单对研究进行评估。分析使用STATA 16版本进行。合并分析采用DerSimonian和Laird随机效应模型。分别使用I²检验和Egger & Begg检验来评估异质性和发表偏倚。设定P < 0.05以确定所有检验的统计学显著性。
结果
医疗机构分娩服务利用率的合并患病率为23.09%（95%置信区间：18.05%-28.12%）。孕期进行产前检查（比值比[OR]=3.75，[95%置信区间：1.84-7.63]）、了解孕产妇保健服务费用减免信息（OR=9.51，[95%置信区间：1.41-64.26]）、附近有医疗机构（OR=3.49，[95%置信区间：1.48-8.20]）以及妇女接受过中等及以上教育（OR=3.06，[95%置信区间：1.77-5.29]）被发现是显著的相关因素。
结论
埃塞俄比亚游牧地区医疗机构分娩服务的利用率非常低，产前检查随访、与医疗机构的距离、妇女的教育状况以及孕产妇保健服务费用信息被确定为显著的相关因素。因此，建议加强产前检查服务，向社区提供免费医疗服务，并为附近居民建设医疗机构，以改善这种情况。
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