Center for Social Capital and Environmental Research, Ottawa, ON, K1M OZ2, Canada.
Department of Public Health and Policy, University of Liverpool, Liverpool, UK.
BMC Womens Health. 2024 Sep 27;24(1):533. doi: 10.1186/s12905-024-03376-6.
Mauritania, a lower-middle-income country in Northwest Africa, has one of the highest maternal and infant mortality rates worldwide and struggles to ensure optimal use of maternal healthcare services. Raising health awareness through family planning messages can promote maternal healthcare use, potentially reducing preventable maternal and child mortalities. The objective of the study was to assess the potential impact of exposure to family planning messages through social media on the utilization of maternal healthcare services among Mauritanian women.
Data from the 2019-20 Mauritania Demographic and Health Survey (MDHS) on 7,640 women were analyzed. Multiple logistic regression models were applied to examine the associations between exposure to family planning messages through social media and maternal healthcare services, specifically the timing and adequacy of ANC visits, and facility-based childbirth. Adjusted odds ratios with 95% confidence intervals (CI) were estimated.
The percentage of timely initiation and adequate use of ANC among the participants were 65.6% and 45.1%, respectively. Approximately 75.0% of the women reported giving birth to their last child at a healthcare facility. Exposure to family planning messages on social media was significantly associated with increased odds of receiving adequate antenatal care visits (OR = 1.38, 95% CI = 1.12,1.71) and giving birth in a health facility (OR = 1.83, 95% CI = 1.09,3.08), Other factors such as age, health insurance, wealth, and desired timing of the last child were also found to be important predictors of maternal healthcare.
The findings suggest that exposure to family planning messages on social media is strongly associated with adequate antenatal care and health facility-based childbirth, but not with early timing of antenatal care. Comprehensive maternal healthcare policies should consider the role of social media in promoting family planning messages.
毛里塔尼亚是北非的一个中低收入国家，孕产妇和婴儿死亡率居世界最高之列，难以确保孕产妇保健服务的最佳利用。通过计划生育信息提高健康意识可以促进孕产妇保健服务的利用，从而有可能降低可预防的母婴死亡。本研究的目的是评估通过社交媒体接触计划生育信息对毛里塔尼亚妇女利用孕产妇保健服务的潜在影响。
对 2019-20 年毛里塔尼亚人口与健康调查（MDHS）的 7640 名妇女的数据进行了分析。应用多变量逻辑回归模型，检验了通过社交媒体接触计划生育信息与孕产妇保健服务之间的关联，特别是产前检查的及时性和充分性，以及在医疗机构分娩。使用 95%置信区间（CI）计算了调整后的优势比（OR）。
参与者中及时开始和充分利用 ANC 的比例分别为 65.6%和 45.1%。大约 75.0%的妇女报告其最后一个孩子在医疗机构出生。通过社交媒体接触计划生育信息与获得充分的产前保健（OR=1.38，95%CI=1.12，1.71）和在医疗机构分娩（OR=1.83，95%CI=1.09，3.08）的几率增加显著相关。其他因素，如年龄、医疗保险、财富和最后一个孩子的期望时间，也被发现是孕产妇保健的重要预测因素。
研究结果表明，通过社交媒体接触计划生育信息与充分的产前保健和在医疗机构分娩密切相关，但与产前保健的及时性无关。全面的孕产妇保健政策应考虑社交媒体在促进计划生育信息方面的作用。
