在埃塞俄比亚产前访问期间缺失关键护理内容的空间模式和预测因素:空间和多层次分析
Aklilu Habte Hailegebireal1, Habtamu Mellie Bizuayehu2, Yordanos Sisay Asgedom3
1School of Public Health, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia.
埃塞俄比亚近88%的孕妇错过了基本产前护理 (ANC) 内容,农村妇女和受教育程度较低的妇女受到影响最大. 这突显了产妇医疗保健提供和获得高质量的ANC服务的关键差距.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 优质产前护理 (ANC) 确保孕妇获得基本的,基于证据的服务.
- 虽然研究了埃塞俄比亚的ANC吸收情况,但对缺失护理内容的全面分析是有限的.
- 本研究评估了埃塞俄比亚缺乏ANC护理内容的程度,其空间分布以及相关的决定因素.
研究的目的:
- 为了确定在埃塞俄比亚产前护理 (ANC) 访问期间缺失的基本护理内容的规模.
- 分析提供完整ANC服务的空间变化.
- 确定个人和社区层面的因素,导致ANC不完整.
主要方法:
- 利用了2016年埃塞俄比亚人口与健康调查 (n=4,771名女性) 的数据.
- 使用空间分析 (Arc-GIS,SaTScan) 和多层多变量物流回归 (STATA).
- 使用莫兰的I评估空间自相关性,并测量了与调整的几率比率 (aOR) 的关联.
主要成果:
- 88.2%的女性患有缺失全 ANC 内容的高患病率.
- 在埃塞俄比亚各个地区观察到缺失护理内容的显著空间变化.
- 与缺失护理相关的因素包括农村居住,缺乏正规教育,迟到的ANC启动,更少的访问和没有手机接入.
结论:
- 埃塞俄比亚缺乏ANC护理内容的高率需要紧急关注.
- 促进早期ANC启动和鼓励多次访问对于改善孕产妇护理至关重要.
- 加强教育和医疗保健基础设施,特别是在农村地区,对于公平获得优质ANC至关重要.
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