Ali Mohammed Seid, Getaneh Mekonen Enyew, Workneh Belayneh Shetie
Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
SAGE Open Med. 2024 Sep 25;12:20503121241282257. doi: 10.1177/20503121241282257. eCollection 2024.
Traditional birth attendant utilization has become a common malpractice and a leading cause of maternal morbidity and mortality in the developing world, such as Ethiopia. Therefore, this study was aimed at determining the geospatial variation and determinant factors of traditional birth attendant utilization among mothers of reproductive age in Ethiopia.
The data were taken from the 2019 Ethiopian Demographic and Health Survey. Arc GIS, Excel, and STATA-14 software were used for the data analysis. The adjusted odds ratio with a 95% confidence interval was used to declare significant determinants of traditional birth attendance among mothers of reproductive age in Ethiopia.
Among 5,753 mothers of reproductive age, 34.59% of them utilized traditional birth attendants in Ethiopia during the 2019 Ethiopian Demographic and Health Survey. There was a geospatial variation of traditional birth attendants among mothers of reproductive age in Ethiopia; the Global Moran's index value was 0.39 with a -value <0.001. The significant factors associated with traditional birth attendant utilization were the age of mothers; higher odds were observed among older mothers aged 35-49 years (AOR = 1.31; 95% CI (1.04-1.63)); educational level of mothers (AOR = 3.04; 95% CI (2.13-4.33)); higher odds were observed in uneducated mothers, wealth index (AOR = 2.76; 95% CI (1.83-4.19)); higher odds were observed among the poorer and poorest households, place of residence (AOR = 5.69; 95% CI (3.35-9.67)); and the regions; the highest odds were observed in Somali (AOR = 12.1; 95% CI (4.99-25.68)) and Afar (AOR = 7.13; 95% CI (2.37-21.38)).
The utilization of traditional birth attendants among reproductive-age mothers became a major public health concern, and the distribution showed geo-spatial variations among the regions of the country. We recommend taking appropriate measures to alleviate the current problem by improving access to maternal healthcare services.
在诸如埃塞俄比亚等发展中国家，使用传统助产士已成为一种常见的医疗事故，也是孕产妇发病和死亡的主要原因。因此，本研究旨在确定埃塞俄比亚育龄母亲中传统助产士使用情况的地理空间差异及决定因素。
数据取自2019年埃塞俄比亚人口与健康调查。使用Arc GIS、Excel和STATA - 14软件进行数据分析。采用具有95%置信区间的调整后比值比来确定埃塞俄比亚育龄母亲中传统助产服务的显著决定因素。
在5753名育龄母亲中，34.59%的母亲在2019年埃塞俄比亚人口与健康调查期间在埃塞俄比亚使用了传统助产士。埃塞俄比亚育龄母亲中传统助产士的使用存在地理空间差异；全局莫兰指数值为0.39，p值<0.001。与传统助产士使用相关的显著因素包括母亲的年龄；35 - 49岁的年长母亲使用传统助产士的几率更高（调整后比值比 = 1.31；95%置信区间(1.04 - 1.63)）；母亲的教育水平（调整后比值比 = 3.04；95%置信区间(2.13 - 4.33)）；未受过教育的母亲使用传统助产士的几率更高，财富指数（调整后比值比 = 2.76；95%置信区间(1.83 - 4.19)）；较贫困和最贫困家庭使用传统助产士的几率更高，居住地（调整后比值比 = 5.69；95%置信区间(3.35 - 9.67)）；以及地区；索马里地区（调整后比值比 = 12.1；95%置信区间(4.99 - 25.68)）和阿法尔地区（调整后比值比 = 7.13；95%置信区间(2.37 - 21.38)）使用传统助产士的几率最高。
育龄母亲中传统助产士的使用已成为一个主要的公共卫生问题，且其分布在该国各地区存在地理空间差异。我们建议采取适当措施，通过改善孕产妇医疗服务的可及性来缓解当前问题。
