调查影响 Hoima 地区转诊医院产前就诊者服用铁/叶酸补充剂的决定因素:前瞻性分析

Hayat Mustafa Abdirahman
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摘要

这项横断面研究旨在确定和分析影响乌干达西部霍伊马市霍伊马地区转诊医院(HRRH)产前护理(ANC)妇女使用铁/叶酸补充剂(IFAS)的决定因素。这项以地区医院为基础的研究于 2021 年 2 月至 3 月进行,采用便利抽样法招募了 345 名在 HRRH 接受产前检查服务的孕妇。采用问卷工具收集数据,确保数据的准确性和完整性。数据经过编码后输入 Epi Info 7 版本,随后使用 SPSS 22.0 版本进行分析。描述性统计对变量进行了总结,而频率和百分比则通过数字和表格呈现。为确定使用综合家庭护理服务的相关因素,进行了二元和多元逻辑回归分析。Hosmer-Lemeshow 检验评估了最终逻辑回归模型的拟合程度。研究结果表明,42.1%在哈拉雷研究中心接受产前检查的孕妇使用了IFAS。大多数孕妇(82.03%)的产前检查次数少于四次,43.19%的孕妇在本次怀孕期间出现贫血。此外,84.93%的人居住地距离医院超过 30 分钟车程。影响使用 IFAS 的重要决定因素包括对其益处的了解、流产史、对贫血的认识、在产前检查时接受有关 IFAS 的健康教育以及在医疗机构没有遇到任何问题(p < 0.05)。研究结果表明,HRRH 的产前检查者对 IFAS 的使用率较低。对IFAS益处的认识、流产史、贫血知识、在产前检查时接受教育以及未遇到与医疗机构相关的问题等因素对IFAS的使用率有显著影响。加强教育和解决后勤障碍可提高在 HRRH 进行产前检查的孕妇对 IFAS 的利用率。关键词铁、叶酸、贫血、孕妇、产前护理
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Investigating Determinants Impacting the Uptake of Iron/Folic Acid Supplementation among Antenatal Attendees at Hoima Regional Referral Hospital: A Prospective Analysis
This cross-sectional study aimed to identify and analyze the determinants affecting the utilization of Iron/Folic Acid Supplements (IFAS) among women attending antenatal care (ANC) at Hoima Regional Referral Hospital (HRRH) in Hoima City, Western Uganda. Conducted from February to March 2021, this regional hospital-based study employed convenience sampling to recruit 345 pregnant women receiving ANC services at HRRH. Questionnaire tools were utilized for data collection, ensuring accuracy and completeness. Data underwent coding and entry into Epi Info version 7, subsequently analyzed using SPSS version 22.0. Descriptive statistics summarized the variables, while frequencies and percentages were presented through figures and tables. Bivariate and multivariate logistic regression analyses were performed to ascertain factors associated with IFAS utilization. The Hosmer-Lemeshow test assessed the goodness-of-fit of the final logistic regression model. Findings revealed that 42.1% of pregnant women attending ANC at HRRH utilized IFAS. The majority (82.03%) attended less than four ANC visits, with 43.19% reporting anemia during their current pregnancy. Moreover, 84.93% resided more than 30 minutes away from the hospital. Significant determinants influencing IFAS utilization included knowledge about its benefits, history of abortion, awareness about anemia, receiving health education on IFAS during ANC visits, and encountering no problems at the health facility (p < 0.05). The study highlights a low level of IFAS utilization among ANC attendees at HRRH. Factors such as awareness of IFAS benefits, history of abortion, knowledge about anemia, receiving education during ANC visits, and encountering no facility-related issues significantly influenced the uptake. Efforts to enhance education and address logistical barriers could improve IFAS utilization among pregnant women attending ANC at HRRH. Keywords: Iron, folic acid, anemia, Pregnant women, Antenatal care
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