晚期产前护理启动的预测因素:加纳的一项多中心跨部门研究
Jonathan Gbene1,2, Mohammed Augustine Takase3, Valentine Ayangba4
1Department of Family and Community Health, Fred N. Binka School of Public Health, University of Health and Allied Sciences, Volta Region, Ghana.
加纳近一半的孕妇开始产前护理 (ANC) 迟到了,受年龄的影响,平等,寻求领导人的建议,诊所接待不好,等待时间长. 解决这些因素的干预对于改善早期ANC启动至关重要.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 尽管加纳提供免费的孕产妇医疗服务,但大约50%的孕妇推迟了第一次去产前诊所 (ANC).
- 晚期启动ANC可能会导致对母亲和新生儿的不良后果,强调需要了解促成因素.
研究的目的:
- 确定关键的社会人口统计学,文化和与服务相关的因素,与加纳Jasikan区的孕妇中晚期开始产前护理 (ANC) 相关.
主要方法:
- 一项涉及352名参加ANC的孕妇的横截面研究于2021年12月至2022年5月在Jasikan区进行.
- 采用多阶段采样和结构化调查问卷来收集数据,随后进行多变量逻辑回归分析以确定晚期ANC启动的预测因素.
主要成果:
- 近一半 (45.7%) 的孕妇在晚期开始ANC.
- 与晚期ANC启动显著相关的因素包括年轻的 (<20岁) 和年长的 (30-49岁) 母亲年龄,更高的平价 (3-4个孩子),向女性领导人寻求建议,在ANC设施的负面经验和长时间的等待时间 (>6小时).
结论:
- 针对社会和文化因素,改善ANC服务提供和减少等待时间的干预措施对于促进加纳早期ANC启动至关重要.
- 解决负面看法和提高ANC设施的患者体验可以显著提高及时产前护理服务的采用率.
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