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几内亚集中产前护理的频率及相关因素:2018年人口与健康调查分析

Frequency and factors associated with focused antenatal care in Guinea: Analysis of the DHS 2018.

作者信息

Baldé Maimouna, Loua Jean B D, Sidibé Tiany, Barry Fanta, Camara Bienvenu S, Diallo Ramata, Toure Madeleine, Keita Kaba S, Camara Sadan, Balde Mamadou D

机构信息

Department of Public Health, Center for Research in Reproductive Health in Guinea, Conakry, Guinea.

Department of Public Health, Centre National de Formation et de Recherche en Santé Rural de Maferinyah, Forécariah, Guinea.

出版信息

J Public Health Afr. 2024 Oct 29;15(1):505. doi: 10.4102/jphia.v15i1.505. eCollection 2024.

Abstract

BACKGROUND

In Guinea, despite women's recourse to antenatal care (ANC), little remains known about the use of focused antenatal care (FANC), contained in the ANC package.

AIM

The aim of this study was to analyse the frequency and factors associated with FANC, using data from the Demographic and Health Survey (DHS) 2018.

SETTING

This study was conducted in Guinea.

METHODS

This was a secondary analysis of data from the DHS conducted in 2018 in Guinea. It included all women who achieved at least one ANC visit in the last 2 years prior to the survey. Multivariate logistic regression was received to identify factors associated with FANC. Stata 16 software was used for the analysis.

RESULTS

This study shows that in Guinea, between 2016 and 2018 only 33% of women undergoing ANC received a FANC. The most commonly used service was blood pressure measurement (93%), while the least commonly used service was deworming (42%). Factors associated with FANC were living in the Kindia region (odds ratio = 1.7; 95% confidence interval: 1.04-2.97); not intending to become pregnant for this pregnancy; belonging to a poor household; and having made 3, 4 or more ANC visits.

CONCLUSION

This study reports a low proportion of women receiving the full package of ANC.

CONTRIBUTION

In order to improve this indicator, greater efforts need to be made in certain regions of the country to target pregnant women who achieve fewer ANC visits, carry pregnancies that were not intentional or belong to poorer households.

摘要

背景

在几内亚,尽管妇女会寻求产前护理(ANC),但对于包含在ANC套餐中的重点产前护理(FANC)的使用情况却知之甚少。

目的

本研究旨在利用2018年人口与健康调查(DHS)的数据,分析FANC的使用频率及相关因素。

地点

本研究在几内亚开展。

方法

这是对2018年在几内亚进行的DHS数据的二次分析。研究对象包括在调查前过去两年内至少进行过一次ANC检查的所有妇女。采用多变量逻辑回归分析来确定与FANC相关的因素。分析使用Stata 16软件。

结果

本研究表明,在几内亚,2016年至2018年间,接受ANC检查的妇女中只有33%接受了FANC。最常用的服务是血压测量(93%),而最不常用的服务是驱虫(42%)。与FANC相关的因素包括居住在金迪亚地区(比值比=1.7;95%置信区间:1.04 - 2.97);本次怀孕并非计划内怀孕;属于贫困家庭;以及进行过3次、4次或更多次ANC检查。

结论

本研究报告显示接受全套ANC检查的妇女比例较低。

贡献

为了改善这一指标,该国某些地区需要做出更大努力,以针对ANC检查次数较少、意外怀孕或属于贫困家庭的孕妇。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c858/11538338/e27ca615eb75/JPHIA-15-505-g001.jpg

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