埃塞俄比亚吉马区的孕产妇健康服务利用率:来自对手机通讯干预措施的基线研究的结果
Gebeyehu Bulcha1,2, Hordofa Gutema3, Demisew Amenu4
1Department of Health, Behavior, and Society, Faculty of Public Health, Institutes of Health, Jimma University, Jimma, Ethiopia. gebeyehubulcha@gmail.com.
埃塞俄比亚的孕产妇医疗保健利用率显示,产前护理,设施分娩和产后护理的比例很高. 然而,早期启动和退学仍然是挑战,这表明移动消息干预可以改善访问并解决成本和不尊重护理等障碍.
科学领域:
- 全球卫生健康 全球卫生健康
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
背景情况:
- 在过去的二十年中,全球关注的是提高母婴存活率.
- 持续的挑战是,对于最佳的孕产妇健康结果而言,关键产科服务的利用不足.
- 研究评估了在埃塞俄比亚吉马区使用孕产妇医疗保健的规模和决定因素.
研究的目的:
- 评估在埃塞俄比亚吉马区使用孕产妇医疗服务的程度.
- 确定影响孕妇使用孕妇保健服务的关键因素.
- 为旨在加强孕产妇医疗保健获取和采用的干预措施提供信息.
主要方法:
- 来自集群随机对照试验基线评估的家庭调查数据.
- 包括588名怀孕早期妇女 (妊娠年龄<20周).
- 后勤回归分析以确定与使用孕产妇医疗服务相关的因素,使用调整的几率比率 (AOR) 和p值值≤0.05.
主要成果:
- 使用率高:87.9%用于产前护理,74.7%用于医疗机构提供服务,60.4%用于产后护理.
- 孕产妇使用保健服务的重要决定因素包括获得医疗设施 (AOR:6.6),经济困难 (AOR:3),感知到尊重护理 (AOR:2.3),感知到隐私 (AOR:2.4),以及对服务的态度 (AOR:2.2).
- 确定了早期产前护理启动比例较低和高产前护理学率.
结论:
- 虽然总体而言,母亲医疗保健的使用率相对较高,但早期启动和学问题仍然存在.
- 基于手机的通讯干预措施显示了改善孕产妇健康服务使用的潜力.
- 干预措施应针对障碍,如有限的访问,经济困难,不尊重的护理,缺乏隐私和对服务的负面态度.
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