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埃塞俄比亚南部锡达马地区哈瓦萨市妇女对健康推广服务的满意度及其相关因素

Women's satisfaction with health extension services and its associated factors in Hawassa City, Sidama region, Southern Ethiopia.

作者信息

Balta Bargude, Ayele Zufan

机构信息

Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia.

Southwest Ethiopia Health Bereu Disease Prevention Department, Tarcha, Ethiopia.

出版信息

BMC Womens Health. 2025 May 30;25(1):270. doi: 10.1186/s12905-025-03824-x.

Abstract

BACKGROUND

Maternal health services were among the services provided by health extension workers, but the utilization of these services remains inadequate in Ethiopia. Therefore, this study aimed to study women’s satisfaction and related factors with health extension service in Hawassa City, Sidama region, Southern Ethiopia.

OBJECTIVE

This study aimed to assess women’s satisfaction with health services provided by health extension workers and its associated factors in Hawassa City.

METHOD

A community-based cross-sectional study was conducted from August 1/2022 – September 1/2022 in Hawassa city. A multistage sampling technique was used to allocate 363 study participants. Data were checked for completeness and consistency, then, coded and entered into Epidata version 4.6, exported to the SPSS, IBM version 26. Descriptive statistics was used to describe the study variables. In the bivariable analysis, variables with P-Value < 0.25 were considered candidates for multivariable analysis, and significance was declared at P-Value < 0.05.

RESULT

From 355 samples, 353 women participated in the survey with a 99% response rate. The overall proportion of women satisfied with health extension services was 51.8% with a 95% CI (46.9–56.8%). Two hundred fifty-nine (73.4%) of mothers used family planning services and 248(70.3%) participants were exposed to Maternal and child health services. Above secondary education AOR = 2.4; 95% CI (1.1–5.1), Husband occupation AOR = 15; 95% CI:7–33) and being model family AOR = 2.43; 95% CI:1.02–5.6) had higher odds of satisfaction with health extension services.

CONCLUSION

In the research area, women’s satisfaction with health extension services was low compared to other national studies. A husband’s job, having a better education, and being a model household were all positively correlated with their level of satisfaction. To maximize women’s satisfaction training and certifying model households was essential.

摘要

背景

孕产妇保健服务是健康推广工作者提供的服务之一,但在埃塞俄比亚,这些服务的利用率仍然不足。因此,本研究旨在探讨埃塞俄比亚南部锡达马地区哈瓦萨市妇女对健康推广服务的满意度及相关因素。

目的

本研究旨在评估哈瓦萨市妇女对健康推广工作者提供的健康服务的满意度及其相关因素。

方法

2022年8月1日至2022年9月1日在哈瓦萨市进行了一项基于社区的横断面研究。采用多阶段抽样技术分配363名研究参与者。检查数据的完整性和一致性,然后编码并录入Epidata 4.6版本,导出到IBM SPSS 26版本。使用描述性统计来描述研究变量。在双变量分析中,P值<0.25的变量被视为多变量分析的候选变量,P值<0.05时具有统计学意义。

结果

在355个样本中,353名妇女参与了调查,回复率为99%。对健康推广服务满意的妇女总体比例为51.8%,95%置信区间为(46.9-56.8%)。259名(73.4%)母亲使用了计划生育服务,248名(70.3%)参与者接受了母婴保健服务。高中以上学历调整后比值比(AOR)=2.4;95%置信区间(1.1-5.),丈夫职业AOR=15;95%置信区间:7-33)以及作为示范家庭AOR=2.43;95%置信区间:1.02-5.6)对健康推广服务满意的几率更高。

结论

在研究区域,与其他全国性研究相比,妇女对健康推广服务的满意度较低。丈夫的工作、接受更好的教育以及成为示范家庭都与她们的满意度水平呈正相关。为了最大限度地提高妇女的满意度,培训和认证示范家庭至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b37d/12124069/7e3363731587/12905_2025_3824_Fig1_HTML.jpg

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