2022年埃塞俄比亚南部产妇非机构分娩情况及其相关因素
Practice of Non-Institutional Delivery and Its Associated Factors Among Women Who Gave Birth in Southern Ethiopia, 2022.
作者信息
Geta Hardido Temesgen, Sugebo Woshimato Fekire, Anjulo Nasero Fekadu
机构信息
School of Nursing, College of Medicine and Health Sciences, Wolaita Sodo University, Wolaita, Ethiopia.
School of Nursing, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia.
出版信息
Womens Health Rep (New Rochelle). 2023 Jul 12;4(1):338-344. doi: 10.1089/whr.2023.0005. eCollection 2023.
BACKGROUND
Since 2000, the Ethiopian ministries of health and other stakeholders have taken some measures to enhance institutional delivery. However, the Ethiopian Demographic Health Survey 2019 report indicated that more than 50% of Ethiopian reproductive-age women gave birth outside health facilities. Therefore, the purpose of this study was to assess the practice of noninstitutional delivery among women who gave birth at Boloso Bombe Woreda (district) in southern Ethiopia.
METHODS
A community-based cross-sectional study was carried out on 252 study participants from June to July 2022 in Boloso Bombe Woreda. Data collection was done using a structured questionnaire and systematic sampling techniques were used to select the study subjects. Data were entered into the EPI data, version 3.1, and analyzed using SPSS, version 25. Adjusted odds ratios (AORs), along with 95% confidence intervals (CIs), were used and the level of statistical significance was declared at a -value of 0.05.
RESULTS
In this study, 252 participants completed the survey, with a 97% response rate. The prevalence of noninstitutional delivery among study participants was 68.7% (95% CI: 63.1-72.9). In this study, mother's occupation, such as working as a daily laborer (AOR = 3.6; 95% CI [1.2-11.2]); absence of antenatal care history (AOR = 3.3; 95% CI [1.3-8.6]); poor knowledge of labor complications (AOR = 3.5; 95% CI [2.2-6.1]); and place of first delivery (AOR = 8.7; 95% CI [3.2-23]) were factors that were positively and significantly associated with the practice of noninstitutional delivery. However, last pregnancy planned was negatively associated with the practice of noninstitutional delivery (AOR = 0.4; 95% CI [0.2-0.8]).
CONCLUSIONS
This study indicated that the majority of study participants practiced noninstitutional delivery in this study area. Therefore, we strongly recommend that all responsible bodies should take immediate action to reduce the practice of noninstitutional delivery and improve those identified factors.
背景
自2000年以来，埃塞俄比亚卫生部及其他利益相关者已采取一些措施来提高机构分娩率。然而，《2019年埃塞俄比亚人口与健康调查》报告显示，超过50%的埃塞俄比亚育龄妇女在医疗机构外分娩。因此，本研究的目的是评估埃塞俄比亚南部博洛索·邦贝县（区）分娩妇女的非机构分娩情况。
方法
2022年6月至7月，在博洛索·邦贝县对252名研究参与者进行了一项基于社区的横断面研究。使用结构化问卷收集数据，并采用系统抽样技术选择研究对象。数据录入EPI数据3.1版本，并使用SPSS 25版本进行分析。使用调整后的优势比（AOR）及95%置信区间（CI），并将统计学显著性水平设定为P值0.05。
结果
在本研究中，252名参与者完成了调查，回复率为97%。研究参与者中非机构分娩的患病率为68.7%（95%CI：63.1 - 72.9）。在本研究中，母亲的职业，如做日工（AOR = 3.6；95%CI[1.2 - 11.2]）；无产前检查史（AOR = 3.3；95%CI[1.3 - 8.6]）；对分娩并发症的认知不足（AOR = 3.5；95%CI[2.2 - 6.1]）；以及首次分娩地点（AOR = 8.7；95%CI[3.2 - 23]）是与非机构分娩情况呈正相关且显著相关的因素。然而，上次怀孕为计划内怀孕与非机构分娩情况呈负相关（AOR = 0.4；95%CI[0.2 - 0.8]）。
结论
本研究表明，该研究区域内的大多数研究参与者采用非机构分娩方式。因此，我们强烈建议所有责任机构应立即采取行动，减少非机构分娩的情况，并改善那些已确定的因素。
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