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坦桑尼亚育龄妇女产后早期护理利用情况及相关因素分析:基于 2015/16 年坦桑尼亚人口健康调查

Prevalence and factors associated with early postnatal care utilization among women of reproductive age in Tanzania: analysis of Tanzania demographic health survey 2015/16.

机构信息

Institute of Public Health, Department of Epidemiology and Biostatistics, Kilimanjaro Christian Medical University College (KCMUCo), PO. Box 2240, Moshi, Tanzania.

Department of Population Health London School of Hygiene and Tropical Medicine Keppel St, London, England.

出版信息

Pan Afr Med J. 2024 Apr 4;47:163. doi: 10.11604/pamj.2024.47.163.34368. eCollection 2024.

Abstract

INTRODUCTION

postnatal care (PNC) is critical for the health and survival of the mother and the newborn. The timing of the first postnatal checkup is crucial for the early identification and treatment of complications. Late or zero attendance of postnatal checkups negatively influences the health of the mother and the newborn. The study's purpose is to determine the prevalence and factors associated with early postnatal care utilization among women of reproductive age (WRA) in Tanzania.

METHODS

this is an analytical cross-sectional study, using Tanzania demographic health survey data for 2015/16. Women of reproductive age (15-49 years) who gave birth 5 years prior the survey were analyzed. Data analysis was performed using Stata software Version 15. The Poisson regression analysis was used to assess factors associated with early PNC.

RESULTS

the prevalence of early PNC utilization in Tanzania was 36%. The identified determinants for early PNC were geographical zone, place of residence, access to media, place of delivery and mode of delivery. The prevalence of early PNC was higher among mothers with access to media, with caesarian delivery and to those with facility delivery. The prevalence was low among mothers who lived in rural areas, from southwest and lake zones.

CONCLUSION

the coverage of early PNC was found to be low in Tanzania. Interventions informed by the identified factors need to be designed and implemented to improve the coverage of early PNC.

摘要

简介

产后护理(PNC)对母婴健康和生存至关重要。首次产后检查的时间对于早期识别和治疗并发症至关重要。产后检查的延迟或零出席率会对母婴健康产生负面影响。本研究旨在确定坦桑尼亚育龄妇女(WRA)早期产后护理利用的流行率和相关因素。

方法

这是一项分析性横断面研究,使用 2015/16 年坦桑尼亚人口与健康调查数据。分析了在调查前 5 年内分娩的育龄妇女(15-49 岁)。使用 Stata 软件版本 15 进行数据分析。采用泊松回归分析评估与早期 PNC 相关的因素。

结果

坦桑尼亚早期 PNC 利用率的流行率为 36%。确定的早期 PNC 决定因素包括地理区域、居住地、媒体获取、分娩地点和分娩方式。有媒体接触、剖腹产和在医疗机构分娩的母亲早期 PNC 的比例较高。在农村地区、西南和湖泊地区生活的母亲中,早期 PNC 的比例较低。

结论

坦桑尼亚早期 PNC 的覆盖率较低。需要根据确定的因素设计和实施干预措施,以提高早期 PNC 的覆盖率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/600c/11260057/0907ece5b49e/PAMJ-47-163-g001.jpg

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