埃塞俄比亚南部哈迪亚地区农村孕妇使用母婴等候之家的意愿及其影响因素。
Pregnant women's intentions to use maternity waiting homes and its associated factors in rural districts of Hadiya Zone, Southern Ethiopia.
机构信息
Department of Emergency Medical Care, Hossana College of Health Sciences, Hossana, Ethiopia.
Department of Nutrition and Dietetics, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia.
出版信息
PLoS One. 2023 Jun 2;18(6):e0281652. doi: 10.1371/journal.pone.0281652. eCollection 2023.
BACKGROUND
As part of a strategy to reduce maternal and perinatal mortality, Ethiopia's government has made a significant effort to expand the number of Maternity Waiting Homes (MWHs). However, worldwide there is a substantial regional variation in pregnant women's intention to use MWHs. Therefore, the aim of this study is to assess pregnant women's intention to use maternity waiting home and its associated factors in the rural district of Hadiya Zone, Southern Ethiopia.
METHODS
This was a cross-sectional study carried out on 385 pregnant women from March 1-28, 2020. A systematic random sampling technique was used to recruit the study participants. SPSS software (version 24.0) was used to enter and analyze the data. Bivariate and multivariate logistic regression analyses were used to determine an association between each independent and dependent variables. Odds ratio with their 95% confidence intervals was computed to ascertain the existence and strength of an association, and statistical significance was affirmed at a p-value of < 0.05.
RESULTS
The prevalence of pregnant women's intension to use MWHs was observed to be 55.6%. A poor wealth status (AOR = 2.52; 95% CI:1.05-6.05), having a previous history of institutional delivery (AOR = 4.78; 95% CI:1.16-9.64), attending four or more antenatal care visits (AOR = 3.34; 95%CI:1.35-8.29), having obstetric complications during previous pregnancy (AOR = 3.76; 95% CI:1.45-9.77), and having favourable attitude towards MWHs (AOR = 13.51; 95% CI: 5.85-9.54) had a significant association with an intention to use MWHs.
CONCLUSIONS
According to the findings of this study, more than half of pregnant women have been intended to use MWHs. Therefore, boosting the uptake of the antenatal care visit, raising awareness about the risk and consequences of obstetric complications, and strengthening behavioral modification strategies is very crucial to increase pregnant women's intention to use MWHs.
背景
作为降低孕产妇和围产期死亡率战略的一部分，埃塞俄比亚政府大力扩大母婴等候之家（MWH）的数量。然而，全球范围内孕妇使用 MWH 的意愿存在很大的区域差异。因此，本研究旨在评估埃塞俄比亚南部哈迪亚地区农村孕妇使用母婴等候之家的意愿及其相关因素。
方法
这是一项横断面研究，于 2020 年 3 月 1 日至 28 日在 385 名孕妇中进行。采用系统随机抽样技术招募研究参与者。使用 SPSS 软件（版本 24.0）输入和分析数据。采用双变量和多变量逻辑回归分析确定每个独立和因变量之间的关联。计算优势比及其 95%置信区间以确定关联的存在和强度，并在 p 值<0.05 时确认统计学意义。
结果
观察到孕妇使用 MWH 的意愿发生率为 55.6%。贫困的财富状况（AOR=2.52；95%CI：1.05-6.05）、有既往住院分娩史（AOR=4.78；95%CI：1.16-9.64）、接受 4 次或更多次产前检查（AOR=3.34；95%CI：1.35-8.29）、上次妊娠期间有产科并发症（AOR=3.76；95%CI：1.45-9.77）和对 MWH 的有利态度（AOR=13.51；95%CI：5.85-9.54）与使用 MWH 的意愿有显著关联。
结论
根据本研究的结果，超过一半的孕妇有使用 MWH 的意愿。因此，增加产前保健就诊次数、提高对产科并发症风险和后果的认识以及加强行为改变策略对于提高孕妇使用 MWH 的意愿非常重要。
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