Tawfiq Essa, Stanikzai Muhammad Haroon, Wasiq Abdul Wahed, Dadras Omid
The Kirby Institute, UNSW Sydney, Sydney, Australia.
Department of Public Health, Faculty of Medicine, Kandahar University, District # 10, 3801, Kandahar, Afghanistan.
Sci Rep. 2024 Dec 28;14(1):31300. doi: 10.1038/s41598-024-82750-8.
Using postnatal care (PNC) within the first week following childbirth is crucial, as both the mother and her baby are particularly vulnerable to infections and mortality during this period. In this study, we examined the factors associated with early postnatal care (EPNC) use in Afghanistan. We used data from the multiple indicator cluster survey (MICS) 2022-2023. The study population was ever-married women who delivered a live child during their recent pregnancy within the 2 years preceding MICS 2022-23. The outcome was EPNC and defined as the first check of the mother within the first week of delivery. A binary logistic regression was used, and odds ratio (OR) and 95% CI were obtained. Out of 12,578 women, 16.0% received EPNC. EPNC was lower in women who delivered at home [AOR 0.35 (95% CI 0.28-0.44)] compared with women who delivered at public clinics. EPNC was higher in women with ≥ 4 antenatal care (ANC) visits [1.29 (1.02-162)], in women in the highest quintile of wealth status [1.70 (1.25-2.32)], and in women with access to radio [1.76 (1.45-2.15)]. EPNC use among Afghan women remains low (16.0%). Key factors associated with ENPC utilization include place of delivery, ANC utilization, wealth status, and radio access.
在分娩后的第一周内使用产后护理（PNC）至关重要，因为在此期间母亲和婴儿都特别容易受到感染和死亡的威胁。在本研究中，我们调查了阿富汗早期产后护理（EPNC）使用的相关因素。我们使用了2022 - 2023年多指标类集调查（MICS）的数据。研究人群为在2022 - 2023年MICS前两年内近期怀孕并生下活产婴儿的已婚妇女。结果变量为EPNC，定义为分娩后第一周内对母亲的首次检查。采用二元逻辑回归分析，并获得比值比（OR）和95%置信区间（CI）。在12578名妇女中，16.0%接受了EPNC。与在公共诊所分娩的妇女相比，在家分娩的妇女接受EPNC的比例较低[AOR 0.35（95%CI 0.28 - 0.44）]。产前检查（ANC）次数≥4次的妇女接受EPNC的比例较高[1.29（1.02 - 1.62）]，处于最高财富五分位数的妇女接受EPNC的比例较高[1.70（1.25 - 2.32）]，能收听广播的妇女接受EPNC的比例较高[1.76（1.45 - 2.15）]。阿富汗妇女中EPNC的使用率仍然较低（16.0%）。与EPNC使用相关的关键因素包括分娩地点、ANC使用情况、财富状况和广播收听情况。
