在出生后48小时内使用产后护理及其决定因素在埃塞俄比亚西北部:一个多层次的后勤回归分析分析
Tesfahun Hailemariam1,2, Asmamaw Atnafu3, Lemma Derseh Gezie4
1Department of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. tesfahunhailemariam@gmail.com.
Scientific reports
|November 5, 2024
概括
在出生后48小时内使用产后护理在埃塞俄比亚西北部农村地区的使用率很低. 改善孕产妇教育和医疗保健的可访问性是提高这一重要服务的普及的关键.
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:
- 产后护理 (PNC) 对母亲和新生儿的生存至关重要,但在资源有限的环境中,利用仍然是一个挑战.
- 关于妇女愿意在分娩后获得产后护理的证据是有限的,特别是在埃塞俄比亚.
研究的目的:
- 评估埃塞俄比亚西北部出生后48小时内使用产后护理.
- 确定影响该地区妇女早期接受产后护理的决定因素.
主要方法:
- 从2020年10月到11月进行了一项基于社区的横截面研究.
- 811名在前一年分娩的妇女参加了这项研究.
- 统计分析包括随机和固定效应,报告调整的几率比率 (AOR) 与95%置信区间 (CI).
主要成果:
- 只有13.3%的妇女在产后48小时内使用产后护理.
- 重要决定因素包括高等教育 (AOR=2.39),健康推广工作者进行产前家庭访问 (AOR=1.74),出生顺序 (AOR=2.07),分娩地点 (AOR=7.49) 和接近卫生设施 (AOR=4.19).
结论:
- 在埃塞俄比亚西北部农村地区,在48小时内使用产后护理的比例特别低.
- 建议采取多层次干预措施,重点关注孕产妇教育,社区卫生工作者参与,改善医疗保健的可访问性,以加强早期PNC吸收.
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