Desta Mekonnen, Mengistu Serawit, Arero Godana
Department of Public Health, Adama General Hospital Medical College, Adama, Oromia, Ethiopia.
Front Glob Womens Health. 2024 Sep 3;5:1282081. doi: 10.3389/fgwh.2024.1282081. eCollection 2024.
One of the most important health interventions for reducing maternal morbidity and death is the use of maternal healthcare services. In Ethiopia, maternal healthcare services are not well utilized, particularly in rural pastoralist communities, despite their significance. Therefore, the purpose of this study was to evaluate the use of maternal healthcare services and the characteristics that are related to it in the East Borena zone. Techniques: In September 2020, a community-based cross-sectional survey was carried out in Liben with 416 randomly selected mothers. Mothers who had given birth within the 12 months before the study comprised the respondents. Questionnaires given by interviewers were used to gather the data. The data were transferred to SPSS version 20 for analysis after being entered into Epi-Info version 4.1 for coding. The Kolmogorov-Smirnov, Hosmer, and Lemeshow goodness of fit tests were employed, along with descriptive statistics. Additionally, multivariate and binary logistic regression analyses were carried out. 95% CI and the odd ratio were used to examine the relationship between the outcome and predictive variables.
At least one prenatal visit was received by 60% of moms. Only 21.2% and 17.5% of women had given birth in a medical facility and made use of early postnatal care services. The use of antenatal care was strongly correlated with maternal education [AOR = 2.43 (95% CI: 1.22-4.89)], decision-making capability [AOR = 2.40 (95% CI: 1.3-23.3)], felt compassionate and respectful treatment [AOR = 0.30 (95% CI: 0.18-0.50)], and intended current pregnancy [AOR = 0.22 (95% CI: 0.12-0.37)]. Moms b/n ages 15-19 had a 3.7-fold higher probability of giving birth in a hospitals than moms b/n ages 35 and 49 [AOR = 1.74 (95% CI: 1.02-3.08)]. Mothers who lived far away were 1.02 times less likely to give birth at a hospital than those who could reach one within an hour (AOR = 1.74;95% CI: 1.02, 3.08). While recent use of antenatal care [AOR = 5.34 (95% CI: 1.96-8.65)], planned current pregnancy, and knowledge of using postnatal care were shown to be strongly correlated with danger indicators [AOR = 2.93 (95% CI: 1.59-5.41)], knowledge of danger signs [AOR = 3.77 (95% CI: 2.16-6.57)] and perceived compassionate and respectful care were significantly associated with institutional delivery.
Overall the prevalence of maternal healthcare services utilization was far below the national and regional targets in the study area. Thus, promoting institutional services, raising community knowledge, empowering women to make decisions, and enhancing the infrastructure of the health sector.
使用孕产妇保健服务是降低孕产妇发病率和死亡率的最重要的健康干预措施之一。在埃塞俄比亚，尽管孕产妇保健服务意义重大，但并未得到充分利用，尤其是在农村牧民社区。因此，本研究旨在评估东博拉纳地区孕产妇保健服务的使用情况及其相关特征。
2020年9月，在利本对416名随机抽取的母亲进行了一项基于社区的横断面调查。研究对象为在研究前12个月内分娩的母亲。通过访谈员发放问卷来收集数据。数据录入Epi-Info 4.1版本进行编码后，转移至SPSS 20版本进行分析。采用了柯尔莫哥洛夫-斯米尔诺夫检验、霍斯默检验和莱梅肖拟合优度检验以及描述性统计。此外，还进行了多变量和二元逻辑回归分析。使用95%置信区间和比值比来检验结果变量与预测变量之间的关系。
60%的母亲至少接受过一次产前检查。只有21.2%的妇女在医疗机构分娩，17.5%的妇女使用了产后早期护理服务。产前护理的使用与母亲的教育程度密切相关 [调整后比值比（AOR）=2.43（95%置信区间：1.22 - 4.89）]、决策能力 [AOR = 2.40（95%置信区间：1.3 - 23.3）]、感受到的关怀和尊重性待遇 [AOR = 0.30（95%置信区间：0.18 - 0.50）]以及当前怀孕意愿 [AOR = 0.22（95%置信区间：0.12 - 0.37）]。15至19岁的母亲在医院分娩的可能性是35至49岁母亲的3.7倍 [AOR = 1.74（95%置信区间：1.02 - 3.08）]。居住在远处的母亲在医院分娩的可能性比能在一小时内到达医院的母亲低1.02倍（AOR = 1.74；95%置信区间：1.02，3.08）。虽然近期使用产前护理 [AOR = 5.34（95%置信区间：1.96 - 8.65）]、当前怀孕计划以及产后护理知识的知晓情况与危险指标密切相关 [AOR = 2.93（95%置信区间：1.59 - 5.41）]，但危险信号知识 [AOR = 3.77（95%置信区间：2.16 - 6.57）]以及感受到的关怀和尊重性护理与机构分娩显著相关。
总体而言，研究地区孕产妇保健服务的利用率远低于国家和地区目标。因此，应推广机构服务，提高社区知识水平，增强妇女决策能力，并加强卫生部门的基础设施建设。
