在得和尼日利亚,熟练的分娩出席及其相关因素:对DHS数据的多层次分析
Wubshet D Negash1, Henok Dessie Wubneh2
1Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
PLOS global public health
|December 10, 2025
概括
在得和尼日利亚等高孕产妇死亡率的国家,只有41.90%的妇女使用熟练分娩服务 (SBA). 改善教育,媒体访问和产前护理访问可以提高SBA费率.
科学领域:
- 全球健康 全球健康
- 生殖健康 生殖健康
- 孕产妇的死亡率 孕产妇的死亡率
背景情况:
- 孕产妇死亡率仍然是一个关键的全球卫生问题,得和尼日利亚报告了异常高的死亡率.
- 在这些高负担地区,关于熟练分娩 (SBA) 和其决定因素的研究有限.
研究的目的:
- 确定得和尼日利亚生育年龄妇女中SBA的患病率.
- 确定这些国家与SBA相关的因素.
主要方法:
- 查德 (2014-15年) 和尼日利亚 (2018年) 人口和健康调查的二次数据分析.
- 使用混合效应二元物流回归模型,对52666名参与者进行了研究.
- 与SBA相关的因素是使用几率比率 (OR) 和95%置信区间 (CI) 来确定的.
主要成果:
- SBA 的患病率为41.90% (95% CI: 41.48 - 42.32).
- 与SBA相关的重要因素包括产前护理 (ANC) 访问 (AOR=5.56),高等教育水平 (初级AOR=1.77,中学AOR=4.06),中等 (AOR=1.37) 和富裕财富类别 (AOR=2.77),媒体曝光 (AOR=1.50) 和社区层面的教育 (AOR=2.73).
结论:
- 在高孕产妇死亡率的国家,SBA率仍然很低,这凸显了熟练分娩护理方面的巨大差距.
- 专注于加强妇女教育,社区教育,媒体曝光,增加ANC访问和改善获得卫生设施的干预措施对于改善SBA至关重要.
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