个人和社区层面的因素与妇女在乌干达使用产后护理服务有关,2016年:多层次和空间分析
Moses Festo Towongo1, Enock Ngome2, Kannan Navaneetham2
1Faculty of Social Sciences, Department of Population Studies, University of Botswana, Gaborone, Botswana. mtowongo@yahoo.com.
BMC health services research
|February 9, 2024
概括
乌干达的孕产妇死亡率仍然很高,产后护理 (PNC) 的利用率很低. 诸如年龄,教育和媒体访问等因素影响PNC使用,强调需要增加媒体可访问性以改善孕产妇健康结果.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 乌干达面临着持续高的孕产妇死亡率,阻碍了可持续发展目标3.1的实现.
- 产后护理 (PNC) 服务的使用率低且区域差异很大,这是一个重大的公共卫生问题.
- 了解影响PNC利用的因素对于有针对性的干预至关重要.
研究的目的:
- 检查影响乌干达妇女使用产后护理服务的个人和社区层面因素.
- 确定产后护理服务采用的预测因素.
- 在乌干达各地绘制产后护理利用的空间变化.
主要方法:
- 利用了2016年乌干达人口与健康调查 (UDHS) 的二次数据.
- 采用多层二进制物流回归和空间分析来确定影响因素.
- 包括15-49岁的妇女,在调查前的五年内分娩.
主要成果:
- 产后护理服务的利用率很低,为58.3%,低于世卫组织的目标.
- 关键预测因素包括母亲年龄 (20-39岁),优质产前护理 (ANC) 和社区媒体和.
- 空间分析确定了中部,东部和北部地区的PNC利用热点.
结论:
- 个人因素 (年龄,平等,教育,居住,就业) 和社区因素 (媒体和) 显著预测PNC利用率.
- 在乌干达各地存在PNC利用的显著空间差异.
- 建议扩大对各种媒体形式的访问,以提高PNC利用率.
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