Department of Statistics, Madda Walabu University, Bale Robe, Ethiopia.
Department of Biology, Madda Walabu University, Bale Robe, Ethiopia.
Afr Health Sci. 2023 Dec;23(4):472-481. doi: 10.4314/ahs.v23i4.51.
Maternal health refers to the well-being of women through pregnancy, childbirth and the postpartum period. Antenatal care refers to the care that is given to a pregnant woman from the time that conception is confirmed until the beginning of labour. Ethiopia was known in concert of the world's nation with primary maternal mortality proportions. The major goal of this study was to survey risk factors related with antenatal care service use among pregnant ladies at regenerative age.
Data were obtained from primary sources. To dissect the information, descriptive and Bayesian multilevel binary logistic regression of random coefficient model was utilized. The convergence of parameters was assessed by Monte carol Markova Chain utilizing Stata 16 and MLwiN 2.31 programming.
The descriptive result showed that out of the whole 636 pregnant women considered around 60.5%were obtained antenatal care benefits. The odds ratio of pregnant women living in the rural areas being receiving antenatal care services was 0.206(OR = 0.206, P ≤ 0.05). This indicates that the use of prenatal care by rural mothers has decreased by 79.4% compared to urban mothers. Similarly, the Odds ratio for Pregnant women with medium and rich wealth index are 1.571(OR = 1.571, P ≤ 0.05) and 1.90(OR = 1.90, P ≤ 0.05) respectively. This means that pregnant women who are with medium and rich wealth index level had 57.1% and 90% increased odds compared to those pregnant women with poor wealth index consecutively. Varieties between the kebeles in terms of antenatal care benefit utilize were lessening by 0.9 % in random coefficient model.
Generally, the study showed that there was high variation among pregnant women not to utilize antenatal care benefits and the likelihoods of prenatal use were found to increase with the husband occupation, wealth index, age category 25-34, and husband education level.
孕产妇健康是指女性在怀孕、分娩和产后期间的健康状况。产前护理是指从确认怀孕到开始分娩期间给予孕妇的护理。埃塞俄比亚被公认为世界上孕产妇死亡率比例较高的国家之一。本研究的主要目的是调查与生育年龄孕妇使用产前护理服务相关的风险因素。
数据来自原始资料。为了分析信息，使用了描述性和贝叶斯多层次二元逻辑回归随机系数模型。通过 Stata 16 和 MLwiN 2.31 编程的蒙特卡罗 Markov 链评估参数的收敛性。
描述性结果表明，在所考虑的 636 名孕妇中，约有 60.5%接受了产前护理服务。生活在农村地区的孕妇接受产前护理服务的优势比为 0.206（OR=0.206，P≤0.05）。这表明与城市母亲相比，农村母亲使用产前护理的比例下降了 79.4%。同样，中高财富指数的孕妇的优势比分别为 1.571（OR=1.571，P≤0.05）和 1.90（OR=1.90，P≤0.05）。这意味着中高财富指数的孕妇与贫困财富指数的孕妇相比，分别有 57.1%和 90%的几率增加。随机系数模型中，各地区产前护理利用方面的差异减少了 0.9%。
总的来说，研究表明，孕妇中存在不利用产前护理服务的高度差异，产前护理的使用几率随着丈夫的职业、财富指数、25-34 岁的年龄类别以及丈夫的教育水平而增加。
