埃塞俄比亚育龄妇女使用传统助产士的空间变化和决定因素:空间和多层次分析研究。

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL SAGE Open Medicine Pub Date : 2024-09-25 eCollection Date: 2024-01-01 DOI:10.1177/20503121241282257
Mohammed Seid Ali, Enyew Getaneh Mekonen, Belayneh Shetie Workneh
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引用次数: 0

摘要

背景:在埃塞俄比亚等发展中国家,使用传统助产士已成为一种常见的不良行为,也是导致孕产妇发病和死亡的一个主要原因。因此,本研究旨在确定埃塞俄比亚育龄母亲使用传统助产士的地理空间差异和决定因素:数据来自 2019 年埃塞俄比亚人口与健康调查。数据分析采用 Arc GIS、Excel 和 STATA-14 软件。结果:在埃塞俄比亚的 5753 名育龄母亲中,有 5753 人接受了传统助产服务:在 2019 年埃塞俄比亚人口与健康调查期间,埃塞俄比亚的 5 753 名育龄母亲中有 34.59% 使用了传统助产士。埃塞俄比亚育龄母亲使用传统助产士的情况存在地理空间差异;全球莫兰指数值为 0.39,P 值为 结论:埃塞俄比亚育龄母亲使用传统助产士的情况存在地理空间差异:育龄母亲对传统助产士的使用已成为一个主要的公共卫生问题,其分布在全国各地区之间存在地理空间差异。我们建议采取适当措施,通过改善孕产妇保健服务来缓解当前的问题。
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Spatial variation and determinants of traditional birth attendants utilization among women of reproductive age in Ethiopia: Spatial and multilevel analysis study.

Background: Traditional birth attendant utilization has become a common malpractice and a leading cause of maternal morbidity and mortality in the developing world, such as Ethiopia. Therefore, this study was aimed at determining the geospatial variation and determinant factors of traditional birth attendant utilization among mothers of reproductive age in Ethiopia.

Methods: The data were taken from the 2019 Ethiopian Demographic and Health Survey. Arc GIS, Excel, and STATA-14 software were used for the data analysis. The adjusted odds ratio with a 95% confidence interval was used to declare significant determinants of traditional birth attendance among mothers of reproductive age in Ethiopia.

Results: Among 5,753 mothers of reproductive age, 34.59% of them utilized traditional birth attendants in Ethiopia during the 2019 Ethiopian Demographic and Health Survey. There was a geospatial variation of traditional birth attendants among mothers of reproductive age in Ethiopia; the Global Moran's index value was 0.39 with a p-value <0.001. The significant factors associated with traditional birth attendant utilization were the age of mothers; higher odds were observed among older mothers aged 35-49 years (AOR = 1.31; 95% CI (1.04-1.63)); educational level of mothers (AOR = 3.04; 95% CI (2.13-4.33)); higher odds were observed in uneducated mothers, wealth index (AOR = 2.76; 95% CI (1.83-4.19)); higher odds were observed among the poorer and poorest households, place of residence (AOR = 5.69; 95% CI (3.35-9.67)); and the regions; the highest odds were observed in Somali (AOR = 12.1; 95% CI (4.99-25.68)) and Afar (AOR = 7.13; 95% CI (2.37-21.38)).

Conclusions: The utilization of traditional birth attendants among reproductive-age mothers became a major public health concern, and the distribution showed geo-spatial variations among the regions of the country. We recommend taking appropriate measures to alleviate the current problem by improving access to maternal healthcare services.

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来源期刊
SAGE Open Medicine
SAGE Open Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
4.30%
发文量
289
审稿时长
12 weeks
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