Jiregna Bikila, Amare Mesganew, Dinku Megersa, Nigatu Desalegn, Desalegn Defaru
Department of Midwifery, Mattu University, Mattu town, Oromia, Ethiopia.
Department of Midwifery, Jimma University, Jimma Town, Oromia, Ethiopia.
Int J Womens Health. 2024 Jan 26;16:143-152. doi: 10.2147/IJWH.S443198. eCollection 2024.
Maternal health literacy (MHL) is the ability of mothers to obtain, interpret, appraise, and apply women and child health information that contributes to a reduction in mortality among mothers and children. This is an important concern since a woman's health during pregnancy may be her first interaction with the healthcare system, and a woman's comprehension of health information has a direct impact on her unborn child's growth throughout the process of conception.
Assess the degree of maternal health literacy and related factors in women's and children's health care among mothers whose children have received basic immunizations at the public healthcare facilities in Ilu Abba Boor.
A cross-sectional study was carried out in the facility between December 2021 and January 2022. Investigators trained supervisors and data collectors for five days before data collection. Through basic random sampling, 411 mothers whose children had received the minimum set of vaccinations from health facilities in the Ilu Ababor zone of Oromia, Ethiopia, were chosen. Face-to-face interviews were used to gather the data, which were then imported into Epidata 4.1 and exported to SPSS. The factors associated with maternal health literacy in maternal and child healthcare were identified through the application of descriptive statistics, bivariate analysis, and multivariable logistic regression analyses. The findings are displayed in the form of graphs, tables, and figures.
This study had a 100% response rate when 411 participants were invited to participate. The mean maternal health literacy score was 28.5±10.3. Most of the women (293 [71.3%]) had inadequate health literacy levels while 118 (28.7%) had adequate. The multivariate analysis's findings indicated that the rate of adequate maternal health literacy was 12.2 times higher among urban women than among rural ones (AOR=12.2 [5.34, 24.48]). Women who gave birth vaginally were 0.24 times less likely to have adequate maternal health literacy than women who had a caesarean section (AOR=0.24 [0.112, 0.503]). Mothers who had four or more prenatal care follow-ups were found to have sufficient maternal health literacy higher than those who had just one (AOR=0.23[0.095, 0.556]), two (AOR=0.26[0.138, 0.307]), and three times (0.14{0.108, 0.167]) antenatal care contacts.
This study shows that inadequate maternal health literacy affects the healthcare of mothers and children. Given the significance of health literacy for women's health, national health authorities ought to develop more educational initiatives aimed at raising health literacy rates and empowering women who are of reproductive age.
孕产妇健康素养（MHL）是母亲获取、解读、评估和应用妇女及儿童健康信息的能力，这有助于降低母婴死亡率。这是一个重要问题，因为女性孕期健康可能是其与医疗保健系统的首次接触，且女性对健康信息的理解在整个受孕过程中对其未出生孩子的成长有直接影响。
评估在伊卢阿巴博尔公共医疗设施为孩子接种基础疫苗的母亲的孕产妇健康素养程度及其在妇幼保健方面的相关因素。
2021年12月至2022年1月在该机构开展了一项横断面研究。在数据收集前，研究人员对监督员和数据收集员进行了为期五天的培训。通过简单随机抽样，从埃塞俄比亚奥罗米亚州伊卢阿巴博尔区的医疗机构为孩子接种了最低限度疫苗的411名母亲中进行了选择。采用面对面访谈收集数据，然后将数据导入Epidata 4.1并导出到SPSS。通过应用描述性统计、双变量分析和多变量逻辑回归分析，确定了妇幼保健中与孕产妇健康素养相关的因素。研究结果以图表和图形的形式呈现。
当邀请411名参与者参与时，本研究的回应率为100%。孕产妇健康素养平均得分为28.5±10.3。大多数女性（293名[71.3%]）健康素养水平不足，而118名（28.7%）健康素养充足。多变量分析结果表明，城市女性具备充足孕产妇健康素养的比例比农村女性高12.2倍（调整后比值比[AOR]=12.2[5.34, 24.48]）。顺产的女性具备充足孕产妇健康素养的可能性比剖宫产的女性低0.24倍（AOR=0.24[0.112, 0.503]）。产前检查随访四次或更多次的母亲被发现具备充足孕产妇健康素养的比例高于仅进行过一次（AOR=0.23[0.095, 0.556]）、两次（AOR=0.26[0.138, 0.307]）和三次（AOR=0.14[0.108, 0.16]）产前检查的母亲。
本研究表明，孕产妇健康素养不足会影响母婴保健。鉴于健康素养对女性健康的重要性，国家卫生当局应制定更多教育举措，以提高健康素养水平并增强育龄妇女的能力。
