在埃塞俄比亚出生后2个月内使用少量的分娩护理服务和产后检查的空间模式和决定因素:双变量分析
Shegaw Mamaru Awoke1, Frezer Tilahun Getaneh2, Muluwerk Ayele Derebe3
1Department of Statistics, Assosa University, Assosa, Ethiopia.
PloS one
|January 24, 2024
概括
在埃塞俄比亚,家庭分娩和缺少产后检查是高度集群的,影响着母亲和新生儿的健康. 关键因素包括缺乏职业,距离设施的距离和地区,需要有针对性的干预措施.
科学领域:
- 公共卫生 公共卫生
- 空间流行病学 空间流行病学
- 孕产妇健康 孕产妇健康
背景情况:
- 家庭分娩是一种非临床的分娩实践. 产后护理 (PNC) 对于产后六周内母亲和新生儿的健康至关重要.
- 世界卫生组织 (WHO) 将产后阶段定义为出生后一小时至六周 (42天) 的时间.
研究的目的:
- 调查使用分娩护理 (DC) 服务率较低的空间模式.
- 确定与埃塞俄比亚活产后DC和产后检查 (PNC) 使用率低相关的决定性因素.
主要方法:
- 利用了2016年埃塞俄比亚人口和健康调查的数据,其中包括11,023对妇女和儿童.
- 采用双变二进制物流回归与空间分析,使用SAS版本9.4和ArcGIS版本10.8进行映射.
主要成果:
- 观察到较低的分娩护理服务和产后检查利用率的显著空间聚类 (莫兰的I统计数据>0.001).
- 家庭分娩的发生率为72.6%,两个月内没有产后检查的发生率为91.4%.
- 利本,博雷纳,古吉,巴莱,多洛和2区等特定地区显示,家庭配送的高流行率和/或PNC利用率低.
结论:
- 缺乏职业,地区,大家庭规模,较高的出生顺序,较少的产前护理访问,有限的媒体访问和设施距离是低DC和PNC利用的重要预测因素.
- 高龄,农村居住和低财富状况也会影响分娩护理服务的使用.
- 优先考虑高风险地区 (利本,博雷纳,古吉,巴莱,多洛,第2区,阿夫德,沙贝尔,科拉赫) 的干预措施,并解决已确定的社会经济和地理因素.
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