在乌干达东部的产后母亲中,适当的产前护理的决定因素:一个多中心的横截面研究
Seungwon Lee1,2, Ritah Nantale3,4, Solomon Wani5
1Department of Neuroscience, University of Pennsylvania, Philadelphia, PA, USA.
Therapeutic advances in reproductive health
|December 13, 2024
概括
在乌干达东部,适当的产前护理 (ANC) 非常低,只有5.9%的母亲获得足够的服务. 影响足够ANC的关键因素包括城市居住和在普通医院分娩.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 医疗保健的质量 医疗保健的质量
背景情况:
- 产前护理 (ANC) 对于降低产妇和新生儿死亡率至关重要,特别是在低收入地区.
- 乌干达面临高的孕产妇死亡率,需要对ANC服务的充分性进行评估.
- 评估ANC的充分性至关重要,特别是在高风险地区.
研究的目的:
- 确定乌干达东部充足的产前护理 (ANC) 服务的普及率.
- 在研究人群中确定与接受足够的ANC相关的因素.
主要方法:
- 一项多中心定量横截面研究于2022年7月至8月在乌干达东部进行.
- 包括1104名产后母亲,通过10个由世卫组织推的组成部分定义了足够的ANC.
- 通过问卷收集数据,并使用 Stata 15.0.0 中的逻辑回归分析数据.
主要成果:
- 只有5.9%的母亲获得了足够的ANC,平均为10个成分中的6.9.
- 充足的ANC与城市居民 (AOR: 2.3) 和20-34岁的年龄 (AOR: 3.5) 有显著的关联.
- 在一般医院分娩 (AOR:4.8) 和并发症存在 (AOR:1.8) 也与足够的ANC有关.
结论:
- 在乌干达东部提供足够的ANC存在重大差距,特别影响农村和年轻母亲.
- 政策干预应优先考虑扩大接入,改善孕产妇教育和加强医疗保健基础设施.
- 需要努力确保ANC服务符合积极怀孕体验的推标准.
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