生活在应急指挥所区域的妇女在前往医疗机构时遭遇延误：一项多中心横断面研究。
Women living in the region under an emergency command post are experiencing delays in reaching health facilities: a multi-center cross-sectional study.
机构信息
Department of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Midwifery, College of Health Sciences, Woldia University, Woldia, Ethiopia.
出版信息
BMC Health Serv Res. 2024 Oct 29;24(1):1304. doi: 10.1186/s12913-024-11799-y.
INTRODUCTION
The time between seeking emergency care and receiving the first healthcare service is referred to as delays in reaching health facilities. Delay in reaching health facilities had three main sub-themes in different studies. These include (i). Availability of transportation and infrastructure, (ii). Distance from health facilities and (iii). Lack of finance for transportation. Although there are plenty of findings about maternal delays in reaching health facilities, studies do not address the delay situation of women in conflict zones all over the world. In Ethiopia, specifically, we saw women delayed in healthcare service due to restricted movement and closure of roads, even for ambulances, at night time.
METHODS
A multi-center cross-sectional study was conducted among mothers attending public health facilities in the south Gondar zone, Ethiopia from September 01/2023 to April 30/2024. The data was collected by four BSc degree-holder midwives, using structured questionnaires after training was given for a day in each hospital. A pretest using 5% of the sample size was conducted. Descriptive statistics, and multivariable logistic regression analyses were used to identify factors associated with delays in reaching health facilities. Variables having p-value ≤ 0.2 in the bi-variable analysis were fitted into multiple logistic regression models.
RESULT
The prevalence of delay in reaching health facilities among women who are living in the region of emergency command post was 54.9% CI (42.04-59.87%). Living in rural areas, non-availability of public transport during the armed conflict, labor onset at nighttime, road closures by the armed forces, and non-availability of ambulances were the factors that contributed to the delay during the emergency command post.
CONCLUSION
The magnitude of delay in reaching health facilities among women who are living in the region of emergency command post was high.
简介
从寻求紧急医疗护理到接受医疗服务的时间被称为到达医疗机构的延迟。在不同的研究中，到达医疗机构的延迟有三个主要的子主题。这些主题包括：（i）交通和基础设施的可用性；（ii）与医疗机构的距离；（iii）缺乏交通资金。尽管有大量关于产妇到达医疗机构延迟的研究，但这些研究并未涉及世界各地冲突地区妇女的延迟情况。在埃塞俄比亚，特别是在夜间，由于行动受限和道路关闭，甚至救护车也无法通行，导致妇女在医疗服务中出现延迟。
方法
这项多中心横断面研究于 2023 年 9 月 1 日至 2024 年 4 月 30 日在埃塞俄比亚南贡德尔地区的公立卫生机构中进行。数据由 4 名持有 BSc 学位的助产士收集，在每个医院培训一天后使用结构化问卷进行。进行了预测试，使用了 5%的样本量。使用描述性统计和多变量逻辑回归分析来确定与到达医疗机构延迟相关的因素。在双变量分析中 p 值≤0.2 的变量被纳入多变量逻辑回归模型。
结果
生活在紧急指挥哨所地区的妇女中，到达医疗机构的延迟发生率为 54.9%（置信区间为 42.04-59.87%）。生活在农村地区、武装冲突期间公共交通不可用、夜间分娩开始、武装部队封锁道路以及没有救护车是导致在紧急指挥哨所发生延迟的因素。
结论
生活在紧急指挥哨所地区的妇女到达医疗机构的延迟程度很高。
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