Determinants of continued maternal care seeking during pregnancy, birth and postnatal and associated neonatal survival outcomes in Kenya and Uganda: analysis of cross-sectional, demographic and health surveys data.
Determinants of continued maternal care seeking during pregnancy, birth and postnatal and associated neonatal survival outcomes in Kenya and Uganda: analysis of cross-sectional, demographic and health surveys data.
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DOI：
10.1136/bmjopen-2021-054136
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发表时间：
2021-12-13
期刊：
影响因子：
2.9
通讯作者：
Asamoah BO
中科院分区：
文献类型：
--
作者：
Arunda MO;Agardh A;Asamoah BO
在肯尼亚和乌干达，研究产妇和社会人口因素如何决定从怀孕到出生后的持续寻求护理行为，并确定相关的新生儿存活结果。使用多项和二元Logistic回归对横断面数据进行的总体分析。全国范围内，肯尼亚和乌干达。在2014年至2016年人口与健康调查之前的1-59个月内，24名 502名母亲的最近一次活产。寻求护理连续体与新生儿死亡率。总体而言，57%的母亲有过四次或四次以上的产前护理(ANC)接触，其中73%和41%分别接受过设施分娩和产后护理(PNC)。母亲/父亲受教育与没有受过教育相比，在大多数寻求护理的班级中持续寻求护理有关；相对风险比(RRR)在2.1至8.0之间(95%可信区间1.1至16.3)。同样，接触大众媒体通常与持续寻求护理有关；RRR从1.8到3.2(95%可信区间1.2到5.4)。如果丈夫做出重大的产妇寻求护理决定，寻求护理的倾向就会减少。交通问题和生活在农村与城市在很大程度上与较低的持续护理使用率有关；RRR在0.4到0.7之间(95%CI 0.3到0.9)。没有ANC和没有PNC的两个最低的寻求护理类别表明新生儿死亡率的风险最高(调整后的OR为4.2，95%CI为1.6至10.9)。23%的新生儿死亡可归因于产妇护理护理不足。可将流动保健等战略纳入现有结构，特别是促进持续使用产妇护理，直至产后。另一种战略是制定和使用一份简短的标准问卷，以确定母亲在非国大第一次就诊期间的持续寻求护理水平，并利用这些信息缩小寻求护理的差距。加强社区卫生工作者系统，使之成为促进持续寻求护理的一个组成部分，可将寻求护理作为一项单独的战略或作为上述建议战略的一个组成部分加以加强。
To examine how maternal and sociodemographic factors determine continued care-seeking behaviour from pregnancy to postnatal period in Kenya and Uganda and to determine associated neonatal survival outcomes. A population-based analysis of cross-sectional data using multinomial and binary logistic regressions. Countrywide, Kenya and Uganda. Most recent live births of 24 502 mothers within 1–59 months prior to the 2014–2016 Demographic and Health Surveys. Care-seeking continuum and neonatal mortality. Overall, 57% of the mothers had four or more antenatal care (ANC) contacts, of which 73% and 41% had facility births and postnatal care (PNC), respectively. Maternal/paternal education versus no education was associated with continued care seeking in majority of care-seeking classes; relative risk ratios (RRRs) ranged from 2.1 to 8.0 (95% CI 1.1 to 16.3). Similarly, exposure to mass media was generally associated with continued care seekin; RRRs ranged from 1.8 to 3.2 (95% CI 1.2 to 5.4). Care-seeking tendency reduced if a husband made major maternal care-seeking decisions. Transportation problems and living in rural versus urban were largely associated with lower continued care use; RRR ranged from 0.4 to 0.7 (95% CI 0.3 to 0.9). The two lowest care-seeking categories with no ANC and no PNC indicated the highest odds for neonatal mortality (adjusted OR 4.2, 95% CI 1.6 to 10.9). 23% neonatal deaths were attributable to inadequate maternal care attendance. Strategies such as mobile health specifically for promoting continued maternal care use up to postnatal could be integrated in the existing structures. Another strategy would be to develop and employ a brief standard questionnaire to determine a mother’s continued care-seeking level during the first ANC visit and to use the information to close the care-seeking gaps. Strengthening the community health workers system to be an integral part of promoting continued care seeking could enhance care seeking as a stand-alone strategy or as a component of aforementioned suggested strategies.
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DOI：
10.5539/gjhs.v6n4p117
发表时间：
2014-04-13
期刊：
Global journal of health science
影响因子：
--
作者：
Asamoah BO;Agardh A;Cromley EK
通讯作者：
Cromley EK
产后探亲利用的决定因素：来自中国东部农村地区的证据
影响因子：
3.7
作者：
Gu H;You H;Yan Z;Yang N;Kou Y;Sun J;Yu T;Zhang N
通讯作者：
Zhang N
族内决策如何影响妇女在加纳的孕产妇医疗服务的使用和使用：一项定性研究。
影响因子：
3.1
作者：
Ganle JK;Obeng B;Segbefia AY;Mwinyuri V;Yeboah JY;Baatiema L
通讯作者：
Baatiema L
影响因子：
1.8
作者：
Acharya D;Khanal V;Singh JK;Adhikari M;Gautam S
通讯作者：
Gautam S
DOI：
10.2307/3349613
发表时间：
1973-01-01
期刊：
MILBANK MEMORIAL FUND QUARTERLY-HEALTH AND SOCIETY
影响因子：
--
作者：
ANDERSEN, R;NEWMAN, JF
通讯作者：
NEWMAN, JF