Completion of Maternal and Child Health Continuum of Care and Associated Factors Among Women in Gode District, Shebele Zone, Eastern Ethiopia ,2022

Liyew Mekonen Ayehubizu, Semehal Haile Yohannes, zemenu Shiferaw yadeta, Metsihet Tariku Fetene
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Abstract

Abstract Background The Continuum of care for reproductive, maternal, newborn, and child health includes integrated service delivery for mothers and children from pre-pregnancy to delivery, the immediate postnatal period, and childhood. In Ethiopia, the magnitude of antenatal care, skilled delivery, postnatal care, and immunization for children have shown improvement. Despite this, there was limited research on the percentage of mothers who have completed maternal and child continuum care. Objective To assess the Completion of Maternal and Child Health Continuum of Care and Associated Factors among women in Gode District, Shebele Zone, Eastern Ethiopia ,2022. Method A community-based cross-sectional study design applied from November 1–15, 2022. A stratified sampling method was applied. A woman who gave birth in the last year preceding the data collection period will be included in the study. An interviewer-administered semi-structured questioner will be used for data collection. Data collected by using kobo collect and analyzed using STATA version 17. Both Bivariable and multivariable logistic regression analyses will be done. In multivariable analysis, variables having P-values less than 0.05 will be taken as factors associated with the completion of the maternal and child health continuum of care. Result The Completion of MCH continuum of care was 13.5% (10.7%-17.0%) in Gode district,2022. Accordingly, Husband occupation (Government employee) [AOR = 2.3, 95%CI:(1.2–4.7)] and perceived time to reach health facility (less than 30 minutes) [AOR = 2.96, 95%CI:(1.2–7.5)] were factors showing significant association with maternal and child health continuum of care among mothers in Gode district, Somali regional State;2023 at P-value ≤ 0.05. Conclusion and recommendation: Only 13.5% of mothers in Gode district received all of the recommended maternal and child health services during their pregnancy, childbirth, and postpartum period. The study found that two factors were associated with a higher likelihood of receiving MCH continuum of care: husband occupation and perceived time to reach a health facility. Governments can play a key role in increasing the maternal and child health continuum of care by investing in health care infrastructure
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埃塞俄比亚东部谢贝勒区戈德县妇女完成妇幼保健连续护理及相关因素,2022年
背景生殖、孕产妇、新生儿和儿童健康护理的连续性包括从孕前到分娩、产后和儿童期为母亲和儿童提供的综合服务。在埃塞俄比亚,产前护理、熟练分娩、产后护理和儿童免疫接种的规模有所改善。尽管如此,关于完成母婴连续护理的母亲百分比的研究有限。目的评估2022年埃塞俄比亚东部Shebele区的Gode区妇女完成妇幼保健连续护理的情况及其相关因素。方法采用基于社区的横断面研究设计,研究时间为2022年11月1-15日。采用分层抽样方法。在数据收集期之前的最后一年分娩的妇女将被纳入研究。数据收集将使用访谈者管理的半结构化提问者。使用kobo收集数据,使用STATA版本17进行收集和分析。将进行双变量和多变量逻辑回归分析。在多变量分析中,p值小于0.05的变量将被视为与母婴健康连续护理完成程度相关的因素。结果2022年高德区妇幼保健连续护理完成率为13.5%(10.7% ~ 17.0%)。因此,丈夫职业(政府雇员)[AOR = 2.3, 95%CI:(1.2-4.7)]和到达医疗机构的感知时间(少于30分钟)[AOR = 2.96, 95%CI:(1.2-7.5)]是与索马里州Gode县母亲的母婴健康连续护理显著相关的因素;2023 p值≤0.05。结论和建议:在Gode区,只有13.5%的母亲在怀孕、分娩和产后期间接受了所有推荐的妇幼保健服务。研究发现,有两个因素与接受妇幼保健连续护理的可能性较高有关:丈夫的职业和到达保健设施的感知时间。政府可以通过投资于保健基础设施,在增加孕产妇和儿童健康连续保健方面发挥关键作用
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