尼日利亚北部伊洛林市 Alanamu 社区育龄妇女对传统助产士的了解和利用情况

Abdulwahab Lawal, Wuraola Salawu, Oluwanifemi Makanjuola, Ambali Ambali, Oreoluwa Alabi, Ahmed Kareem., Chijindu Nnaemeka, Maryam Akande, T. Akande
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摘要

由于传统助产士(tba)仍然是农村社区孕产妇保健的主要提供者,因此在分娩期间缺乏获得熟练保健服务的机会仍然是发展中国家孕产妇死亡率高的一个主要因素。本研究探讨了尼日利亚夸拉州伊洛林农村社区育龄妇女对TBAs的知识和利用情况。方法本研究采用描述性横断面研究,采用结构良好的访谈问卷,对212名育龄妇女进行调查,收集她们对传统助产士服务的了解和利用情况。采用SPSS (Statistical Product and Service Solutions)软件进行分析。结果153名受访妇女(72.2%)具有TBA背景知识,91名(40.8%)至少到TBA进行过一次分娩,其中73名(80.2%)分娩成功,18名(19.8%)分娩过程中出现并发症,7名(7.7%)被转诊到卫生保健机构进行预期管理。研究发现,被调查者的受教育程度与他们对TBAs的赞助之间存在统计学意义,p值为0.041,而与他们的收入水平之间没有统计学意义。结论本研究显示社区成员对TBAs的服务有充分的了解和利用。传统医学在农村社区继续蓬勃发展;将它们的服务与标准保健系统结合起来,并不断使农村社区认识到它们的作用和局限性,将大大有助于减少与使用训练不足的传统助产士有关的产妇发病率和死亡率
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Knowledge and utilization of Traditional Birth Attendants by Women of Reproductive Age in Alanamu Community Ilorin, Northern Nigeria
INTRODUCTION The lack of access to skilled healthcare services during childbirth remains a major factor for high maternal mortality in developing countries, as traditional birth attendants (TBAs) continue to serve as the predominant providers of maternal health care in rural communities. This study explores the knowledge and utilization of TBAs by women of reproductive age in a rural community of Ilorin, kwara state Nigeria. METHODSThis study is a descriptive cross-sectional study which was conducted using a well-structured interviewer based questionnaire, administered to 212 women of reproductive age-group to collect data on their knowledge and utilization of the services of TBAs. Analysis was done using Statistical Product and Service Solutions (SPSS) software version 20. RESULTS One hundred and fifty three respondents (72.2%) had background knowledge of TBAs, 91 (40.8%) had visited a TBA at least once to carry out their deliveries, of which 73 (80.2%) of them had successful deliveries, while 18 (19.8%) had complications during their deliveries, and 7 (7.7%) were referred to health care facilities for expect management. The study showed statistical significance between the level of education of respondents and their patronage of TBAs with a p-value of 0.041, and showed no statistical significance with their level of income. CONCLUSION This study showed adequate knowledge and utilization of the services of TBAs by members of the community. The practice of TBAs has continued to thrive in rural communities; integrating their services with the standard healthcare system as well as continuous sensitization of rural communities on their roles and limitations would go a long way in reducing maternal morbidity and mortality associated with the use of poorly trained TBAs
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