Toure Madeleine, Barry Fanta, Sidibe Tiany, Camara Sadan, Diallo Ramata, Keita Kaba Saran, Balde Maimouna, Camara Bienvenu Salim, Kourouma Karifa, Balde Mamadou Dioulde
Center for Research in Reproductive Health in Guinea (CERREGUI), Conakry, Guinea.
Department of Medidine, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea.
J Public Health Afr. 2025 Jan 16;16(1):512. doi: 10.4102/jphia.v16i1.512. eCollection 2025.
In Guinea, the 2013-2015 Ebola epidemic profoundly affected maternal health service use. The frequency of births attended by skilled health professionals in the post-Ebola context remains under-documented.
The aim of this study was to analyze the trend and factors associated with skilled births among women aged 15-49 between 2016 and 2018 in Guinea.
The Republic of Guinea was the setting for this study.
Data from 3018 women aged 15-49 years who had at least one live birth over the period 2016-2018 were analysed. The simple binary logistic regression model was used to analyse factors associated with skilled births using Stata software version 16.1. The significance level was set at 5%.
Our study found that 57.3% of deliveries were skilled births. This proportion showed a remarkable variation with a trend in assisted deliveries from 61% in 2016 to 59% in 2017 and then to 50% ( = 0.003) in 2018. Factors associated with skilled birth attendance in post-Ebola were: having no level of education (odds ratio [OR] = 0.39; confidence interval [CI]: 0.31-0.77), performing four or more antenatal care (ANC) (OR = 12.10; CI: 8.24-17.77), residing in a rural area (OR = 0.25 [0.17-0.37]), having a spouse who was a trader or manual worker, belonging to a household with an intermediate or poor wealth index and residing in the Labé region.
This study showed that the proportion of assisted births showed a downward trend between 2016-2018.
The interventions undertaken to strengthen the maternal health system in the aftermath of the Ebola epidemic should be reinforced and maintained, in particular the retention of health providers deployed in rural areas and capacity building (training, equipment) for community health workers would help to improve this indicator.
在几内亚，2013 - 2015年的埃博拉疫情对孕产妇保健服务的利用产生了深远影响。在埃博拉疫情后的背景下，由熟练卫生专业人员接生的分娩频率仍然记录不足。
本研究的目的是分析2016年至2018年几内亚15至49岁妇女中熟练接生的趋势及相关因素。
本研究以几内亚共和国为地点。
分析了2016年至2018年期间至少有一次活产的3018名15至49岁妇女的数据。使用简单二元逻辑回归模型，采用Stata软件版本16.1分析与熟练接生相关的因素。显著性水平设定为5%。
我们的研究发现，57.3%的分娩是熟练接生。这一比例呈现出显著变化，辅助分娩的趋势从2016年的61%降至2017年的59%，然后在2018年降至50%（P = 0.003）。埃博拉疫情后与熟练接生相关的因素包括：未受过教育（比值比[OR]=0.39；置信区间[CI]：0.31 - 0.77）、进行四次或更多次产前检查（ANC）（OR = 12.10；CI：8.24 - 17.77）、居住在农村地区（OR = 0.25[0.17 - 0.37]）、配偶为商人或体力劳动者、属于中等或贫困财富指数家庭以及居住在拉贝地区。
本研究表明，2016 - 2018年期间辅助分娩的比例呈下降趋势。
在埃博拉疫情后为加强孕产妇保健系统而采取的干预措施应得到加强和维持，特别是留住部署在农村地区的卫生工作者以及对社区卫生工作者进行能力建设（培训、设备配备）将有助于改善这一指标。
