Tilahun Befkad Derese, Ayele Mulat, Alamaw Addis Wondmagegn, Lake Eyob Shitie, Abate Biruk Beletew, Yilak Gizachew, Bizuayehu Molla Azmeraw, Zemariam Alemu Birara, Kitaw Tegene Atamenta
Department of Nursing, College of Health Science, Woldia University, Woldia, Amhara, Ethiopia
Department of Midwifery, College of Health Science, Woldia University, Woldia, Amhara, Ethiopia.
BMJ Open. 2024 Dec 9;14(12):e087290. doi: 10.1136/bmjopen-2024-087290.
To identify the determinants of traditional birth attendants' utilisation among reproductive-age women in Ethiopia.
Cross-sectional study design.
Ethiopia.
A total of 3979 weighted samples of reproductive-age women were included.
Traditional birth attendant utilisation.
This study found a high prevalence (29.76%) of Ethiopian mothers using traditional birth attendants for delivery, based on data from the 2019 Ethiopian Demographic and Health Survey. Mothers with higher education (adjusted OR (AOR)=0.11, 95% CI: 0.01 to 0.62), who had four or more antenatal care visits (AOR=0.34, 95% CI: 0.21 to 0.54), communities with lower levels of education (AOR=2.21, 95% CI: 1.30 to 3.73), communities with higher poverty levels (AOR=1.71, 95% CI: 1.99 to 2.96) and those from peripheral regions (AOR=3.41, 95% CI: 1.77 to 6.56) were found to be predictors of traditional birth attendants.
This study indicates a high prevalence (29.76%) of Ethiopian mothers using traditional birth attendants, highlighting the need for targeted interventions to promote skilled birth attendance. Policymakers should focus on implementing educational programmes targeting reproductive-age women and improving access to quality antenatal care. Specific initiatives could include community-based educational workshops and subsidies for transportation to healthcare facilities. Furthermore, mothers in remote and border districts should receive specialised attention in terms of resource allocation, including skilled personnel and enhanced healthcare access.
确定埃塞俄比亚育龄妇女使用传统助产士的决定因素。
横断面研究设计。
埃塞俄比亚。
共纳入3979个加权样本的育龄妇女。
传统助产士的使用情况。
根据2019年埃塞俄比亚人口与健康调查的数据，本研究发现埃塞俄比亚母亲使用传统助产士接生的比例很高（29.76%）。受过高等教育的母亲（调整后的比值比（AOR）=0.11，95%置信区间：0.01至0.62）、进行过四次或更多次产前检查的母亲（AOR=0.34，95%置信区间：0.21至0.54）、教育水平较低的社区（AOR=2.21，95%置信区间：1.30至3.73）、贫困水平较高的社区（AOR=1.71，95%置信区间：1.99至2.96）以及来自周边地区的母亲（AOR=3.41，95%置信区间：1.77至6.56）被发现是使用传统助产士的预测因素。
本研究表明埃塞俄比亚母亲使用传统助产士的比例很高（29.76%），凸显了采取有针对性干预措施以促进熟练接生服务的必要性。政策制定者应专注于实施针对育龄妇女的教育计划，并改善获得优质产前护理的机会。具体举措可包括开展社区教育讲习班以及提供前往医疗机构的交通补贴。此外，偏远和边境地区的母亲在资源分配方面应得到特别关注，包括配备专业人员和改善医疗服务获取情况。
