Factors associated with the use of maternity services in Enugu, southeastern Nigeria
Factors associated with the use of maternity services in Enugu, southeastern Nigeria
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DOI：
10.1016/j.socscimed.2006.04.019
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发表时间：
2006-10-01
影响因子：
5.4
通讯作者：
Iloabachie, Gabriel C.
中科院分区：
文献类型：
--
作者：
Onah, Hyacinth Eze;Ikeako, Lawrence C.;Iloabachie, Gabriel C.
发展中国家的产妇死亡率和其他产妇保健指标比发达国家更差，这是由于工业化国家在怀孕期间、特别是分娩时获得高质量护理的机会有所改善。开展这项研究是为了确定影响尼日利亚东南部埃努吉孕妇选择分娩地点的因素，并就如何改善妇女在分娩时获得熟练助产士的机会提出建议。采访者向在数据收集日期前3个月内分娩的妇女发放了一份预先测试的问卷。有效率为75.5% （n = 1098）。在应答者中，52.9%在医疗机构外分娩，47.1%在医疗机构内分娩。影响分娩地点选择的主要因素包括护理的及时性、助产士/医生的能力、负担能力、健康教育、医生24小时在场、医生之间的团队合作以及产科专家在场。选择机构分娩或非机构分娩与居住地（城市/农村）、宗教、教育程度、部落、婚姻状况、职业水平、丈夫的职业和教育水平、年龄和性别等社会人口/经济因素有统计学意义（p < 0.05）。我们得出结论，在尼日利亚埃努古，对妇女在卫生机构分娩产生积极影响的因素包括各种相互作用的社会、经济和卫生系统因素，这些因素在家庭、社区、卫生机构和更大的社会和政治环境等各个层面上发挥作用。注意这些因素不仅会提高产妇的利用率，而且有望降低高产妇死亡率并改善研究地区的其他产妇保健指标。(c) 2006 Elsevier Ltd.版权所有。
The maternal mortality ratio and other maternal health indicators are worse for developing countries than for the developed world due to improved access to quality care during pregnancy and especially at delivery in the industrialized world. This study was carried out to identify the factors which influenced choice of place of delivery by pregnant women in Enugui, southeastern Nigeria, and to recommend ways to improve women's access to skilled attendants at delivery. A pre-tested questionnaire was administered by interviewers to women who had delivered within 3 months prior to date of data collection. The response rate was 75.5 % (n = 1098). Of the respondents, 52.9% delivered outside health institutions and 47.1% in health institutions. The major factors influencing choice of place of delivery included promptness of care, competence of midwife/doctor, affordability, health education, 24h presence of doctors, team work among doctors and presence of specialist obstetricians. There were statistically significant associations between choice of institutional or non-institutional deliveries and socio-dernographic/economic factors such as place of residence (urban/rural), religion, educational status, tribe, marital status, occupational level, husband's occupational and educational levels, age and parity (p < 0.05).We conclude that factors which will positively influence women to deliver in health institutions in Enugu, Nigeria include a variety of interacting social, economic and health system factors, which operate at various levels-the household, community, the health institutions and the larger social and political environment. Attention to these factors will not only improve maternity utilization but, hopefully, also will reduce the high maternal mortality and improve other maternal health indicators in the study area. (c) 2006 Elsevier Ltd. All rights reserved.