Institutional delivery service utilization in Munisa Woreda, South East Ethiopia: a community based cross-sectional study.
Institutional delivery service utilization in Munisa Woreda, South East Ethiopia: a community based cross-sectional study.
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DOI：
10.1186/1471-2393-12-105
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发表时间：
2012-10-08
影响因子：
3.1
通讯作者：
Birhanu Z
中科院分区：
文献类型：
--
作者：
Amano A;Gebeyehu A;Birhanu Z
降低产妇发病率和死亡率是一项全球优先事项，这与埃塞俄比亚等发展中国家尤其相关。减少产妇发病率和死亡率的关键战略之一是在熟练的助产士的护理下增加对母亲的机构接生服务的利用。这项研究的目的是确定机构交付服务利用的水平和相关因素。2011年4月1日至20日，在埃塞俄比亚东南部奥罗米亚地区Arsi地区的Munesa Woreda进行了一项基于社区的横断面调查，对象是在研究开始前12个月分娩的母亲。采用分层整群抽样的方法选取了855名受试者。在所有分娩中，只有12.3%是在卫生机构进行的。城市居民(AOR = 2.2 7，95%CI：1.17，4.4 0)、20岁以下(AOR = 6.0 6，95%CI：1.5 4，2 3.78)、首次妊娠妇女(AOR = 2.41，95%CI：1.17，4.97)、最后一次妊娠期间去过ANC的妇女(AOR = 4.18，95%CI：2.5 4，6.89)在卫生机构分娩的可能性较大。母亲和丈夫的中等及以上文化程度对医疗机构的提供也有显著影响，AOR = 分别为4.31(95%CI：1.62，11.46)和AOR = 2.77(95%CI：1.07，7.19)。在研究地区，机构交付服务的利用率较低。影响卫生机构提供的主要因素有：父母文化程度中等及以上、城市户口、非裔美国人就诊。建议提高母亲及其伴侣对机构分娩服务益处的认识。
Reducing maternal morbidity and mortality is a global priority which is particularly relevant to developing countries like Ethiopia. One of the key strategies for reducing maternal morbidity and mortality is increasing institutional delivery service utilization of mothers under the care of skilled birth attendants. The aim of this study was to determine the level of institutional delivery service utilization and associated factors. A community-based cross-sectional survey was conducted from April 1–20, 2011, among mothers who gave birth 12 months before the study began in Munesa Woreda, Arsi Zone, Oromia Region, Southeast Ethiopia. A stratified cluster sampling was used to select a sample of 855 participants. Out of all deliveries, only 12.3% took place at health facilities. Women who were urban residents (AOR = 2.27, 95%CI: 1.17, 4.40), women of age at interview less than 20 years (AOR = 6.06, 95%CI: 1.54, 23.78), women with first pregnancy (AOR = 2.41, 95%CI: 1.17, 4.97) and, women who had ANC visit during the last pregnancy (AOR = 4.18, 95%CI: 2.54, 6.89) were more likely to deliver at health institutions. Secondary and above level of mother`s and husband`s education had also a significant effect on health institution delivery with AOR = 4.31 (95%CI: 1.62, 11.46) and AOR = 2.77 (95%CI: 1.07, 7.19) respectively. Institutional delivery service utilization was found to be low in the study area. Secondary and above level of mother`s and husband`s education, urban residence and ANC visit were amongst the main factors that had an influence on health institution delivery. Increasing the awareness of mothers and their partners about the benefits of institutional delivery services are recommended.
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影响因子：
3.1
作者：
Mpembeni RN;Killewo JZ;Leshabari MT;Massawe SN;Jahn A;Mushi D;Mwakipa H
通讯作者：
Mwakipa H
影响因子：
12.7
作者：
Mayhew, Maureen;Hansen, Peter M.;Burnham, Gilbert
通讯作者：
Burnham, Gilbert
影响因子：
168.9
作者：
Hogan, Margaret C.;Foreman, Kyle J.;Murray, Christopher J. L.
通讯作者：
Murray, Christopher J. L.
影响因子：
5.4
作者：
Onah, Hyacinth Eze;Ikeako, Lawrence C.;Iloabachie, Gabriel C.
通讯作者：
Iloabachie, Gabriel C.
影响因子：
5.4
作者：
Gage, Anastasia J.
通讯作者：
Gage, Anastasia J.