Women of reproductive age's use of maternal healthcare services and associated factors in Liben district, East Borena zone, Oromia Regional State, Ethiopia.

IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Frontiers in global women's health Pub Date : 2024-09-03 eCollection Date: 2024-01-01 DOI:10.3389/fgwh.2024.1282081
Mekonnen Desta, Serawit Mengistu, Godana Arero
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Abstract

Background: One of the most important health interventions for reducing maternal morbidity and death is the use of maternal healthcare services. In Ethiopia, maternal healthcare services are not well utilized, particularly in rural pastoralist communities, despite their significance. Therefore, the purpose of this study was to evaluate the use of maternal healthcare services and the characteristics that are related to it in the East Borena zone. Techniques: In September 2020, a community-based cross-sectional survey was carried out in Liben with 416 randomly selected mothers. Mothers who had given birth within the 12 months before the study comprised the respondents. Questionnaires given by interviewers were used to gather the data. The data were transferred to SPSS version 20 for analysis after being entered into Epi-Info version 4.1 for coding. The Kolmogorov-Smirnov, Hosmer, and Lemeshow goodness of fit tests were employed, along with descriptive statistics. Additionally, multivariate and binary logistic regression analyses were carried out. 95% CI and the odd ratio were used to examine the relationship between the outcome and predictive variables.

Results: At least one prenatal visit was received by 60% of moms. Only 21.2% and 17.5% of women had given birth in a medical facility and made use of early postnatal care services. The use of antenatal care was strongly correlated with maternal education [AOR = 2.43 (95% CI: 1.22-4.89)], decision-making capability [AOR = 2.40 (95% CI: 1.3-23.3)], felt compassionate and respectful treatment [AOR = 0.30 (95% CI: 0.18-0.50)], and intended current pregnancy [AOR = 0.22 (95% CI: 0.12-0.37)]. Moms b/n ages 15-19 had a 3.7-fold higher probability of giving birth in a hospitals than moms b/n ages 35 and 49 [AOR = 1.74 (95% CI: 1.02-3.08)]. Mothers who lived far away were 1.02 times less likely to give birth at a hospital than those who could reach one within an hour (AOR = 1.74;95% CI: 1.02, 3.08). While recent use of antenatal care [AOR = 5.34 (95% CI: 1.96-8.65)], planned current pregnancy, and knowledge of using postnatal care were shown to be strongly correlated with danger indicators [AOR = 2.93 (95% CI: 1.59-5.41)], knowledge of danger signs [AOR = 3.77 (95% CI: 2.16-6.57)] and perceived compassionate and respectful care were significantly associated with institutional delivery.

Conclusion: Overall the prevalence of maternal healthcare services utilization was far below the national and regional targets in the study area. Thus, promoting institutional services, raising community knowledge, empowering women to make decisions, and enhancing the infrastructure of the health sector.

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埃塞俄比亚奥罗莫州东博雷纳区利本县育龄妇女使用孕产妇保健服务的情况及相关因素。
背景:降低孕产妇发病率和死亡率的最重要保健干预措施之一是使用孕产妇保健服务。在埃塞俄比亚,尽管孕产妇保健服务非常重要,但其利用率并不高,尤其是在农村牧区。因此,本研究旨在评估东博雷纳地区孕产妇保健服务的使用情况及其相关特征。技术:2020 年 9 月,在利本开展了一项以社区为基础的横断面调查,随机抽取了 416 名母亲。调查对象包括在调查前 12 个月内分娩的母亲。调查人员通过问卷收集数据。数据输入 Epi-Info 4.1 版进行编码后,转入 SPSS 20 版进行分析。除描述性统计外,还采用了 Kolmogorov-Smirnov、Hosmer 和 Lemeshow 拟合度检验。此外,还进行了多变量和二元逻辑回归分析。使用 95% CI 和奇数比来检验结果与预测变量之间的关系:60%的妈妈至少接受过一次产前检查。只有 21.2%和 17.5%的产妇在医疗机构分娩并使用了早期产后护理服务。产前检查的使用与产妇的教育程度[AOR = 2.43 (95% CI: 1.22-4.89)]、决策能力[AOR = 2.40 (95% CI: 1.3-23.3)]、是否感受到同情和尊重[AOR = 0.30 (95% CI: 0.18-0.50)]以及是否打算当前怀孕[AOR = 0.22 (95% CI: 0.12-0.37)]密切相关。15-19 岁母亲在医院分娩的概率是 35-49 岁母亲的 3.7 倍[AOR = 1.74 (95% CI: 1.02-3.08)]。居住地较远的母亲在医院分娩的几率是一小时内可到达医院的母亲的 1.02 倍(AOR = 1.74;95% CI:1.02, 3.08)。虽然近期使用产前护理[AOR = 5.34 (95% CI: 1.96-8.65)]、计划当前妊娠和对使用产后护理的了解与危险指标[AOR = 2.93 (95% CI: 1.59-5.41)]密切相关,但对危险迹象的了解[AOR = 3.77 (95% CI: 2.16-6.57)]和感受到的同情和尊重与住院分娩显著相关:总体而言,研究地区的孕产妇保健服务利用率远低于国家和地区目标。因此,应推广住院分娩服务、提高社区知识水平、增强妇女的决策能力并加强卫生部门的基础设施建设。
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CiteScore
3.70
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审稿时长
13 weeks
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