Petros Yonas, Assegid Sahilu, Shaweno Tamrat, Markos Melese
Public Health expert at Damboya Health Office, Damboya Woreda, Kembata Tembaro Zone, Southern Ethiopia.
Department of Epidemiology, Faculty of Public Health, Institute of Health, Jimma University, Jimma Ethiopia.
Pan Afr Med J. 2023 Nov 23;46:89. doi: 10.11604/pamj.2023.46.89.33071. eCollection 2023.
pregnant women waiting areas are residential facilities where women who live remotely can wait before giving birth at a hospital or health center. About 80% of people in developing countries live in rural areas, where poor access to maternity services accounts for many maternal and perinatal deaths. Although, pregnant women waiting areas are recommended to reduce maternal and infant deaths data on the utilization of pregnant women waiting areas limited in Ethiopia and the study area. Thus, this study assessed the utilization of pregnant mothers waiting area and associated factors among pregnant mothers at Damboya district Kembata Tembaro Zone south, Ethiopia in 2020.
community-based cross-sectional study was conducted from March 16 to April 15/2020 at Damboya district Kembata Tembaro Zone Southern Ethiopia. Data were collected using a structured interviewer-administered questionnaire. Data were coded, edited, and cleaned then double entered into epi data version 3.1 and exported to SPSS version 20 for analysis. Descriptive, bivariate, and multivariable logistic regression analyses were done. Finally, variables with p-value < 0.05 by multivariate logistic regression analysis were reported as independently associated factors for utilization status of pregnant mothers waiting area.
this study shows pregnant women waiting area utilization was 28.1% at 95%CI (24-32). A distance greater than 30 minutes [AOR: 2.29, 95%CI (1.38-3.62)], wealth fourth quintile [AOR: 3.66, 95%CI (1.73-7.73)], awareness for PWWAs [AOR: 2.30, 95%cCI (1.12,4.74)], Good attitude [AOR: 3.0, 95%CI (1.8-5.0)], Favorable subjective norm [AOR: 2.40, 95%CI (1.50-4.0)] and low perceived barrier [AOR: 2.10, 95%CI (1.30-3.3)] were factors associated with utilization of Pregnant women waiting areas.
utilization of pregnant women waiting areas in the study area was low. A distance greater than 30 minutes, wealthy family, good awareness of pregnant women waiting areas, favorable subjective norm, good attitude, and low perceived barriers were predictors of utilization. To increase their utilization, we need to focus on; improving the economic status of mothers, awareness creation, and work on attitude, subjective norm, and the barriers to utilize pregnant women waiting areas.
孕妇等候区是供居住在偏远地区的妇女在医院或健康中心分娩前等候的居住设施。发展中国家约80%的人口生活在农村地区，那里产妇服务获取困难导致了许多孕产妇和围产期死亡。尽管推荐设立孕妇等候区以减少母婴死亡，但在埃塞俄比亚及研究地区，关于孕妇等候区使用情况的数据有限。因此，本研究于2020年评估了埃塞俄比亚南部肯巴塔滕巴罗区丹博亚县孕妇等候区的使用情况及相关因素。
2020年3月16日至4月15日在埃塞俄比亚南部肯巴塔滕巴罗区丹博亚县开展了一项基于社区的横断面研究。使用结构化访谈问卷收集数据。数据进行编码、编辑和清理，然后双录入Epi Data 3.1版本并导出到SPSS 20版本进行分析。进行了描述性、双变量和多变量逻辑回归分析。最后，多变量逻辑回归分析中p值<0.05的变量被报告为孕妇等候区使用状况的独立相关因素。
本研究显示，孕妇等候区的使用率在95%置信区间为28.1%（24 - 32）。距离大于30分钟[AOR：2.29，95%置信区间（1.38 - 3.62）]、财富五分位数第四组[AOR：3.66，95%置信区间（1.73 - 7.73）]、对孕妇等候区的知晓度[AOR：2.30，95%置信区间（1.12，4.74）]、良好态度[AOR：3.0，95%置信区间（1.8 - 5.0）]、有利的主观规范[AOR：2.40，95%置信区间（1.50 - 4.0）]和低感知障碍[AOR：2.10，95%置信区间（1.30 - 3.3）]是与孕妇等候区使用相关的因素。
研究地区孕妇等候区的使用率较低。距离大于30分钟、富裕家庭背景、对孕妇等候区的良好知晓度、有利的主观规范、良好态度和低感知障碍是使用率的预测因素。为提高其使用率，我们需要关注：改善母亲的经济状况、开展宣传以及改善态度、主观规范和使用孕妇等候区的障碍。
