在菲律宾伊富高省马约姚与设施分娩相关的因素。

Q1 Medicine Asia Pacific Family Medicine Pub Date : 2013-10-24 DOI:10.1186/1447-056X-12-5
Azusa Shimazaki, Sumihisa Honda, Marcelyn M Dulnuan, Jennylene B Chunanon, Akiko Matsuyama
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引用次数: 37

摘要

背景:菲律宾的产妇死亡率(MMR)高于大多数其他东南亚国家,而在家分娩是导致产妇死亡率高的一个主要因素。本研究旨在探讨伊富高省分娩地点选择的决定因素,那里的人们获得卫生服务的机会很少。研究结果:采用结构化问卷对354名妇女进行了家庭访谈调查,以确定与分娩地点相关的因素。总共有44.4%的答复者在卫生机构分娩。采用logistic回归分析,奇偶性(比值比[OR] 3.0, 95%可信区间[C.I.[1.6-5.6])、高等教育程度(比值比5.9,95% C.I. 2.7-12.9)、到医疗机构的距离(比值比6.9,95% C.I. 3.4-14.2)、产前保健时发现的健康问题(比值比2.4,95% C.I. 1.3-4.6)和决定分娩地点的人(例如,对丈夫来说,比值比3.2,95% C.I. 1.1-9.4)在统计上与医院分娩有关。结论:让丈夫和其他人参与决定分娩地点可能会影响妇女选择使用基于设施的分娩服务。我们的研究结果对改善菲律宾现有的安全孕产计划具有有益的意义。
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Factors associated with facility-based delivery in Mayoyao, Ifugao Province, Philippines.

Background: The maternal mortality ratio (MMR) in the Philippines is higher than in most other Southeast Asian countries, and home delivery is a major factor contributing to the high MMR. This study aims to explore the determinants for choice of delivery location in Ifugao Province, where people have poor access to health services.

Findings: A household interview survey using a structured questionnaire was conducted to identify the factors associated with delivery location among 354 women. In all, 44.4% of the respondents delivered at a health facility. Using logistic regression analysis, parity (odds ratio [OR] 3.0, 95% confidence interval [C.I.] 1.6-5.6), higher education (OR 5.9, 95% C.I. 2.7-12.9), distance to a health facility (OR 6.9, 95% C.I. 3.4-14.2), health problems identified at antenatal care (OR 2.4, 95% C.I. 1.3-4.6), and the person deciding on the delivery location (e.g., for the husband OR 3.2, 95% C.I. 1.1-9.4) were found to be statistically associated with facility-based delivery.

Conclusion: Involving the husband and other people in the decision regarding delivery location may influence a woman's choice to use facility-based delivery services. Our findings have useful implications for improving the existing Safe Motherhood program in the Philippines.

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Asia Pacific Family Medicine
Asia Pacific Family Medicine Medicine-Family Practice
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