埃塞俄比亚接收核心产前护理组件和相关因素:多层次分析
1School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.
Frontiers in global women's health
|March 11, 2024
概括
只有15%的埃塞俄比亚妇女获得全面的产前护理 (ANC) 服务. 改善孕产妇健康需要提高ANC的质量,特别是在农村地区,并应对教育和财富等因素.
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:
- 埃塞俄比亚的孕产妇发病率和死亡率仍然很高,这与卫生服务质量不足有关.
- 孕妇往往没有获得最佳孕产妇和胎儿健康的基本服务.
- 城市和农村人口在使用产前服务方面存在显著差异.
研究的目的:
- 评估埃塞俄比亚接受综合产前护理组件的程度.
- 确定与充分使用产前护理相关的因素.
- 评估城市和农村居民在使用产前服务方面的不平等.
主要方法:
- 分析2016年埃塞俄比亚人口与健康调查 (EDHS) 数据的全国代表性数据.
- 包括在前五年有活产的4772名妇女.
- 应用双变量和多变量多层次订序逻辑模型来识别综合产前护理 (ANC) 内容的预测因素.
主要成果:
- 只有15%的妇女获得了六个核心产前护理要素;农村地区的吸收率明显较低.
- 43%的妇女没有得到足够的毒素疫苗接种,许多人不知道危险迹象.
- 更高的教育,更高的家庭财富,城市居住和更频繁的ANC访问与接受综合护理有关.
结论:
- 埃塞俄比亚急需提高产妇健康服务的质量.
- 干预措施应优先考虑农村地区,大多数妇女居住在这些地区.
- 解决社会经济和教育因素对于提高产前护理的准入和质量至关重要.
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