在埃塞俄比亚南部 Wolaita 区农村医疗中心分娩的母亲做出就医决定时的延误及相关因素。

IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Frontiers in global women's health Pub Date : 2024-01-11 eCollection Date: 2023-01-01 DOI:10.3389/fgwh.2023.1236242
Kelemu Abebe Gelaw, Yibeltal Assefa Atalay, Firehiwot Zerefu, Natnael Atnafu Gebeyehu
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引用次数: 0

摘要

背景:妇女在怀孕和分娩期间延迟到医疗机构就诊可能会导致产科并发症的不良后果。在埃塞俄比亚等发展中国家,这些并发症会导致孕产妇死亡和发病。关于埃塞俄比亚(尤其是该国农村地区)孕产妇首次延误的严重程度和根本原因,目前还没有很好的记录。本研究旨在评估在埃塞俄比亚南部 Wolaita 区农村医疗中心分娩的产妇在决定就医时的延迟程度及相关因素:在 2020 年 6 月 30 日至 2022 年 7 月 30 日期间,对埃塞俄比亚南部沃莱塔区农村医疗中心的产妇进行了一项基于设施的横断面研究。采用系统随机抽样法从每个公共医疗中心抽取了 410 名样本参与者。数据是通过使用开放数据工具包进行预先测试的结构化问卷收集的;分析是使用 SPSS 25 版进行的。采用二元逻辑回归法确定了首次延迟的决定性因素。选择二元分析中 p 值小于 0.25 的变量进行多变量分析。P 值小于 0.05 的变量被认为具有统计学意义:在埃塞俄比亚南部沃莱塔地区的农村医疗中心分娩的母亲中,42.1%的人迟迟未决定到医疗机构就医。失业母亲(调整后奇数比为 2,529; 95% CI, 1.546, 4.136)、未受过正规教育的丈夫(调整后奇数比为 1.290; 95% CI, 1.029, 1.616)、对到医疗机构就医持消极态度的母亲以及(调整后奇数比为 1.695; 95% CI, 1.061, 2.709)与延迟做出到医疗机构就医的决定显著相关:在研究地区,孕产妇首次决定到医疗机构就医的比例很高。应努力提高母亲丈夫的文化水平,并通过各种创收方法增加家庭收入。此外,传播健康信息可有效提高社区对住院分娩重要性的认识。
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Delays in the decision to seek care and associated factors among mothers who delivered in rural health centers in Wolaita Zone, Southern Ethiopia.

Background: Delays in seeking care in health facilities during pregnancy and childbirth can potentially lead to adverse outcomes for women with obstetric complications. These complications lead to maternal mortality and morbidity in developing countries such as Ethiopia. The magnitude and underlying causes of maternal first delay in Ethiopia, particularly in rural areas of the country, are not well documented. This study aims to assess the magnitude of delay in the decision to seek care and associated factors among mothers who gave birth in rural health centers in Wolaita Zone, Southern Ethiopia.

Method and materials: A facility-based cross-sectional study was undertaken among mothers who gave birth in rural health centers of Wolaita Zone, Southern Ethiopia, from 30 June 2020 to 30 July 2022. A sample size of 410 study participants was selected from each public health center using the systematic random sampling method. Data were collected from a pretested and structured questionnaire using an Open Data Kit; analysis was carried out using SPSS version 25. The determining factors for the first delay were identified using binary logistic regression. Variables with a p-value of less than 0.25 in binary analysis were selected for a multivariable analysis. Variables with a p-value of less than 0.05 were considered statistically significant.

Results: The magnitude of delay in the decision to seek care in health facilities was 42.1% among mothers who gave birth in rural health centers in the Wolaita Zone, Southern Ethiopia. Unemployed mothers (Adjusted Odd Ratio, 2,529; 95% CI, 1.546, 4.136), husbands with no formal education (Adjusted Odd Ratio, 1.290; 95% CI, 1.029, 1.616), mothers who had negative attitudes towards seeking care in health facilities, and (Adjusted Odd Ratio; 1.695; 95% CI, 1.061, 2.709) were significantly associated with a delay in the decision to seek care at a health facility.

Conclusion: The magnitude of the first maternal decision to seek care at health facilities among mothers was high in the study area. Efforts should be made to strengthen the literacy level of the husbands of mothers and increase household income through various income-generating approaches. In addition, the dissemination of health information could effectively raise community awareness of the importance of institutional delivery.

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