{"title":"评估数字技术对津巴布韦产前保健访问的影响:来自2019年津巴布韦多指标类集调查的见解","authors":"Elliot Mbunge , Garikayi Bernard Chemhaka , Tafadzwa Dzinamarira , Enos Moyo","doi":"10.1016/j.glohj.2023.07.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Background and objective</h3><p>To provide good health and well-being as established by the Sustainable Development Goal (SDG) 3, access to digital technologies can act as conduits to achieve such progress in a population. As guided by the World Health Organization, antenatal care (ANC) attendance is one of the measures promoted to curtail the global health burden of maternal and infant mortality. ANC services are seldom utilized to their full potential in Zimbabwe. This study explores if any of the women's digital technology characteristics were associated with antenatal care visits.</p></div><div><h3>Methods</h3><p>The study analyzed population-based cross-sectional data with a subsample of 1 932 women aged 15‒49 years from the 2019 Zimbabwe Multiple Indicator Cluster Survey. Test of associations with chi-square test, bivariate, and multivariate multinomial logistic regression analyses were used to examine the predictors of adequate (4‒7) and optimal (≥ 8) ANC visits relative to undesirable (1‒3) antenatal care visits among women who had given births 2 years before the survey.</p></div><div><h3>Results</h3><p>The results indicate that 64.5% (1246/1 932) of the women attained adequate ANC while about 9.8% (189/1 932) attained optimal ANC. Reading a newspaper/magazine at least once a week (odds ratio [OR] 1.73, <em>β’</em> = 0.551, <em>t</em> = 2.030, <em>P</em> = 0.043) and watching television at least once a week (OR 1.72, <em>β’</em> = 0.545, <em>t</em> = 2.454, <em>P</em> = 0.015), listening to the radio less than once a week (OR 1.28, <em>β’</em> = 0.247, <em>t</em> = 1.750, <em>P</em> = 0.080), and owning a mobile phone (OR 1.48, <em>β’</em> = 0.394, <em>t</em> = 3.020, <em>P</em> = 0.003) were positively associated with adequate ANC. Optimal ANC was significantly associated with women being able to read a newspaper at least once a week (OR 2.93, <em>β’</em> = 1.074, <em>t</em> = 3.120, <em>P</em> = 0.002), listen to the radio less than once a week (OR 2.07, <em>β’</em> = 0.73, <em>t</em> = 2.700, <em>P</em> = 0.007) and have ownership of a mobile phone (OR 1.88, <em>β’</em> = 0.631, <em>t</em> = 2.620, <em>P</em> = 0.009).</p></div><div><h3>Conclusion</h3><p>Access to a newspaper, radio, television, and mobile phone were important predictors of a woman's ability to achieve her ANC attendance. Policies to improve the knowledge of ANC packages can be facilitated using digital technology to achieve adequate and preferably optimal ANC in Zimbabwe. It is important to improve digital infrastructure to support digital technologies in providing ANC services.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"7 3","pages":"Pages 167-174"},"PeriodicalIF":0.0000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Assessing the influence of digital technologies on antenatal care visits in Zimbabwe: insights from 2019 Zimbabwe Multiple Indicator Cluster Survey\",\"authors\":\"Elliot Mbunge , Garikayi Bernard Chemhaka , Tafadzwa Dzinamarira , Enos Moyo\",\"doi\":\"10.1016/j.glohj.2023.07.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background and objective</h3><p>To provide good health and well-being as established by the Sustainable Development Goal (SDG) 3, access to digital technologies can act as conduits to achieve such progress in a population. As guided by the World Health Organization, antenatal care (ANC) attendance is one of the measures promoted to curtail the global health burden of maternal and infant mortality. ANC services are seldom utilized to their full potential in Zimbabwe. This study explores if any of the women's digital technology characteristics were associated with antenatal care visits.</p></div><div><h3>Methods</h3><p>The study analyzed population-based cross-sectional data with a subsample of 1 932 women aged 15‒49 years from the 2019 Zimbabwe Multiple Indicator Cluster Survey. Test of associations with chi-square test, bivariate, and multivariate multinomial logistic regression analyses were used to examine the predictors of adequate (4‒7) and optimal (≥ 8) ANC visits relative to undesirable (1‒3) antenatal care visits among women who had given births 2 years before the survey.</p></div><div><h3>Results</h3><p>The results indicate that 64.5% (1246/1 932) of the women attained adequate ANC while about 9.8% (189/1 932) attained optimal ANC. Reading a newspaper/magazine at least once a week (odds ratio [OR] 1.73, <em>β’</em> = 0.551, <em>t</em> = 2.030, <em>P</em> = 0.043) and watching television at least once a week (OR 1.72, <em>β’</em> = 0.545, <em>t</em> = 2.454, <em>P</em> = 0.015), listening to the radio less than once a week (OR 1.28, <em>β’</em> = 0.247, <em>t</em> = 1.750, <em>P</em> = 0.080), and owning a mobile phone (OR 1.48, <em>β’</em> = 0.394, <em>t</em> = 3.020, <em>P</em> = 0.003) were positively associated with adequate ANC. Optimal ANC was significantly associated with women being able to read a newspaper at least once a week (OR 2.93, <em>β’</em> = 1.074, <em>t</em> = 3.120, <em>P</em> = 0.002), listen to the radio less than once a week (OR 2.07, <em>β’</em> = 0.73, <em>t</em> = 2.700, <em>P</em> = 0.007) and have ownership of a mobile phone (OR 1.88, <em>β’</em> = 0.631, <em>t</em> = 2.620, <em>P</em> = 0.009).</p></div><div><h3>Conclusion</h3><p>Access to a newspaper, radio, television, and mobile phone were important predictors of a woman's ability to achieve her ANC attendance. Policies to improve the knowledge of ANC packages can be facilitated using digital technology to achieve adequate and preferably optimal ANC in Zimbabwe. It is important to improve digital infrastructure to support digital technologies in providing ANC services.</p></div>\",\"PeriodicalId\":73164,\"journal\":{\"name\":\"Global health journal (Amsterdam, Netherlands)\",\"volume\":\"7 3\",\"pages\":\"Pages 167-174\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Global health journal (Amsterdam, Netherlands)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2414644723000684\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Global health journal (Amsterdam, Netherlands)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2414644723000684","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
背景和目的为了提供可持续发展目标3所确立的良好健康和福祉,获取数字技术可以作为在人口中实现这一进步的渠道。在世界卫生组织的指导下,产前护理是促进减少孕产妇和婴儿死亡率造成的全球健康负担的措施之一。在津巴布韦,非洲人国民大会的服务很少充分发挥其潜力。这项研究探讨了女性的数字技术特征是否与产前保健访问有关。方法:研究分析了2019年津巴布韦多指标聚类调查中32名15-49岁女性的基于人群的横断面数据。采用卡方检验、双变量和多变量logistic回归分析的关联检验,对调查前2年分娩的妇女进行充分(4-7)和最佳(≥8)产前保健检查相对于不良(1-3)产前保健检查的预测因子进行检验。结果64.5%(1246/ 1932)妇女达到适足ANC, 9.8%(189/ 1932)妇女达到最佳ANC。看报纸/杂志每周至少一次(优势比[或]1.73,β= 0.551,t = 2.030, P = 0.043)和看电视每周至少一次(或1.72,β= 0.545,t = 2.454, P = 0.015),听收音机少于一周一次(或1.28,β= 0.247,t = 1.750, P = 0.080),和拥有一个手机(或1.48,β= 0.394,t = 3.020, P = 0.003)与足够的ANC呈正相关。最佳ANC与女性每周至少读一次报纸(OR 2.93, β′= 1.074,t = 3.120, P = 0.002)、每周听广播少于一次(OR 2.07, β′= 0.73,t = 2.700, P = 0.007)和拥有手机(OR 1.88, β′= 0.631,t = 2.620, P = 0.009)显著相关。结论获得报纸、广播、电视和移动电话是女性实现ANC出席能力的重要预测因素。通过使用数字技术,可以促进提高对非国大一揽子计划的了解的政策,从而在津巴布韦实现充分和最好的非国大。完善数字基础设施,以支持数字技术提供非联网服务。
Assessing the influence of digital technologies on antenatal care visits in Zimbabwe: insights from 2019 Zimbabwe Multiple Indicator Cluster Survey
Background and objective
To provide good health and well-being as established by the Sustainable Development Goal (SDG) 3, access to digital technologies can act as conduits to achieve such progress in a population. As guided by the World Health Organization, antenatal care (ANC) attendance is one of the measures promoted to curtail the global health burden of maternal and infant mortality. ANC services are seldom utilized to their full potential in Zimbabwe. This study explores if any of the women's digital technology characteristics were associated with antenatal care visits.
Methods
The study analyzed population-based cross-sectional data with a subsample of 1 932 women aged 15‒49 years from the 2019 Zimbabwe Multiple Indicator Cluster Survey. Test of associations with chi-square test, bivariate, and multivariate multinomial logistic regression analyses were used to examine the predictors of adequate (4‒7) and optimal (≥ 8) ANC visits relative to undesirable (1‒3) antenatal care visits among women who had given births 2 years before the survey.
Results
The results indicate that 64.5% (1246/1 932) of the women attained adequate ANC while about 9.8% (189/1 932) attained optimal ANC. Reading a newspaper/magazine at least once a week (odds ratio [OR] 1.73, β’ = 0.551, t = 2.030, P = 0.043) and watching television at least once a week (OR 1.72, β’ = 0.545, t = 2.454, P = 0.015), listening to the radio less than once a week (OR 1.28, β’ = 0.247, t = 1.750, P = 0.080), and owning a mobile phone (OR 1.48, β’ = 0.394, t = 3.020, P = 0.003) were positively associated with adequate ANC. Optimal ANC was significantly associated with women being able to read a newspaper at least once a week (OR 2.93, β’ = 1.074, t = 3.120, P = 0.002), listen to the radio less than once a week (OR 2.07, β’ = 0.73, t = 2.700, P = 0.007) and have ownership of a mobile phone (OR 1.88, β’ = 0.631, t = 2.620, P = 0.009).
Conclusion
Access to a newspaper, radio, television, and mobile phone were important predictors of a woman's ability to achieve her ANC attendance. Policies to improve the knowledge of ANC packages can be facilitated using digital technology to achieve adequate and preferably optimal ANC in Zimbabwe. It is important to improve digital infrastructure to support digital technologies in providing ANC services.