Kumma Wondimagegn Paulos, Kuche Abera
Wolaita Sodo University, Sodo, Ethiopia
Wolaita Sodo University, Sodo, Ethiopia.
BMJ Open. 2025 Jan 21;15(1):e081659. doi: 10.1136/bmjopen-2023-081659.
To assess the level of maternal healthcare service utilisation and related factors to its frequency of care among mothers who gave birth in the previous 2 years before the survey in rural Wolaita, southern Ethiopia.
Cross-sectional survey.
This study was undertaken in Kindo Didaye, rural Wolaita, southern Ethiopia, from February to March 2016.
Out of 552 who gave birth, 544 (98.5%) mothers aged between 15 and 49 years, selected using two-stage random sampling, participated in the study.
Maternal healthcare service utilisation frequency and proportion and associated factors.
The proportion of maternal healthcare service utilisation was 59.38% (95% CI: 55.11% to 63.53%), with 50.74% (95% CI: 46.45% to 55.01%), 16.18% (95% CI: 13.18% to 19.54%) and 31.80% (95% CI: 27.90% to 35.90%) prevalence of antenatal care (ANC), delivery care and postnatal care (PNC), respectively. The frequency of maternal healthcare service utilisation was positively related to having a favourable attitude towards maternal healthcare service utilisation, knowledge of mothers about maternal healthcare, walking distance to healthcare facilities in 30 and 30-60 min from residence and joint decision by mothers and their husbands on the place of delivery.
The proportion of maternal healthcare service utilisation in the study area was low, exacerbated by lower ANC, delivery care and PNC. The frequency of maternal healthcare service utilisation increased with a favourable attitude towards maternal healthcare service utilisation, knowledge of mothers about maternal healthcare, short travel distance to healthcare facilities and joint decisions by mothers and their husbands on the place of delivery. Based on the findings of this study, we suggest promoting strategies by the local health department and other concerned bodies to maintain and improve the attitude and knowledge of mothers towards maternal healthcare service utilisation. We also recommend increasing the accessibility to healthcare facilities and promoting joint decision-making processes by the mothers and their husbands on the place of delivery in the study area and similar settings in the country.
评估埃塞俄比亚南部沃莱塔农村地区在调查前两年内分娩的母亲的孕产妇保健服务利用水平及其护理频率的相关因素。
横断面调查。
本研究于2016年2月至3月在埃塞俄比亚南部沃莱塔农村地区的金多迪代进行。
在552名分娩者中，采用两阶段随机抽样选取了544名年龄在15至49岁之间的母亲参与研究，参与率为98.5%。
孕产妇保健服务利用频率、比例及相关因素。
孕产妇保健服务利用率为59.38%（95%置信区间：55.11%至63.53%），产前保健（ANC）、分娩护理和产后护理（PNC）的患病率分别为50.74%（95%置信区间：46.45%至55.01%）、16.18%（95%置信区间：13.18%至19.54%）和31.80%（95%置信区间：27.90%至35.90%）。孕产妇保健服务利用频率与对孕产妇保健服务利用持积极态度、母亲对孕产妇保健的了解、从居住地步行30分钟和30 - 60分钟可到达医疗设施以及母亲及其丈夫就分娩地点做出共同决定呈正相关。
研究地区孕产妇保健服务利用率较低，产前保健、分娩护理和产后护理的低利用率加剧了这一情况。孕产妇保健服务利用频率随着对孕产妇保健服务利用的积极态度、母亲对孕产妇保健的了解、到医疗设施的短距离出行以及母亲及其丈夫就分娩地点做出共同决定而增加。基于本研究结果，我们建议当地卫生部门和其他相关机构推行促进策略，以维持和改善母亲对孕产妇保健服务利用的态度和知识。我们还建议在研究地区及该国类似地区增加医疗设施的可及性，并促进母亲及其丈夫就分娩地点进行共同决策。
