索马里产前护理利用率及其相关因素:一个横截面研究
Alli Miikkulainen1, Ibrahim Abdirahman Mohamud2, Majda Aqazouz3
1International Committee of the Red Cross Somalia, Nairobi, Kenya. amiikkulainen@icrc.org.
BMC pregnancy and childbirth
|August 12, 2023
概括
家庭支持显著提高了产前护理 (ANC) 的出席率,改善了机构分娩和母乳养率. 获得有关ANC福利和服务的信息对于产妇健康结果至关重要.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 生殖健康 生殖健康
背景情况:
- 世界卫生组织 (WHO) 建议在怀孕期间至少进行四次产前护理咨询.
- ANC对于早期发现潜在的孕产妇和胎儿并发症至关重要.
- 这项研究旨在量化ANC出席率,并确定索马里相关因素.
研究的目的:
- 评估南部和中部索马里ANC出席率的普遍性.
- 确定影响ANC使用的人口和怀孕相关因素.
- 检查ANC出席率与分娩结果之间的关联,包括母乳养开始和分娩地点.
主要方法:
- 一项采用世卫组织集群调查方法的横截面研究.
- 通过纸质问卷从792名妇女收集数据.
- 使用后勤回归分析来评估各种因素与ANC出席率之间的关联.
主要成果:
- 85%的女性参加了至少一次ANC咨询,而只有23%完成了至少四次.
- 对ANC出席的积极鼓励显著增加了利用的可能性 (aOR=8.22).
- 相反,负面的配偶或家庭态度降低了ANC出席率 (aOR=0.33).
- 意识到助产士的可用性 (aOR=1.87) 和完成四次ANC访问 (aOR=1.50) 与机构分娩有关.
- 至少参加一次ANC访问与更高的开始母乳养的几率相关 (aOR=2.69).
结论:
- 家庭的影响在妇女参加ANC的过程中起着至关重要的作用.
- 增加ANC出席率与改善机构分娩和母乳养开始有关.
- 建议进行健康教育和外展干预,以改善有关ANC福利和服务的信息获取.
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