The relationship between time spent during the first ANC contact, home visits and adherence to ANC contacts in Ghana.
The relationship between time spent during the first ANC contact, home visits and adherence to ANC contacts in Ghana.
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DOI：
10.1080/16549716.2021.1956754
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发表时间：
2021-01-01
影响因子：
2.6
通讯作者：
Awuni B
中科院分区：
文献类型：
--
作者：
Kumbeni MT;Apanga PA;Yeboah EO;Kolog JT;Awuni B
2016年，世界卫生组织建议8名或更多的产前护理(ANC)接触者获得积极的怀孕体验，然而，尚不清楚首次ANC接触和家访期间花费的时间会对8名或更多ANC接触者产生什么影响。我们的研究调查了第一次非国大接触期间花费的时间与八次或八次以上非国大接触之间的关系，以及家访与八次或八次以上非国大接触之间的关系。我们还评估了8名或更多非国大接触者的流行率。在加纳上东部地区纳布达姆地区的儿童福利诊所，对519名有12个月及以下孩子的母亲进行了一项横断面研究。在控制潜在混杂因素的同时，使用多变量Logistic回归分析来评估首次接触ANC的时间、家访时间和8次或8次以上ANC接触的时间之间的关系。在怀孕期间接触过8次或更多ANC的母亲比例为31.2%。与花费少于20分钟的ANC接触相比，在第一次ANC接触期间花费20分钟或更多的几率是拥有8个或更多ANC接触的几率的2.07倍[调整后的优势比(AOR)：2.07，95%CI：1.18，3.63]。在怀孕期间至少接受过一次熟练的卫生专业人员家访的母亲，与没有接受过家访的母亲相比，有8次或更多ANC接触的可能性是2.44倍(AOR：2.44，95%CI：1.51，3.94)。在第一次非国大接触期间花费至少20分钟和家访与8名或更多非国大接触者呈正相关。我们建议熟练的卫生专业人员在非国大首次接触期间至少花费20分钟，并鼓励家访，以增加8名或更多非国大接触者的覆盖面。
The World Health Organization in 2016 recommended eight or more antenatal care (ANC) contacts for a positive pregnancy experience, however, it is unclear what impact the time spent during the first ANC contact and home visits can have on eight or more ANC contacts. Our study investigated the relationship between time spent during the first ANC contact and eight or more ANC contacts, and between home visits and eight or more ANC contacts. We also assessed the prevalence of eight or more ANC contacts. A cross-sectional study was conducted among 519 mothers with children 12 months old and below attending child welfare clinics in the Nabdam district in the Upper East Region, Ghana. Multivariable logistic regression analysis was used to assess the relationship between time spent during the first ANC contact, home visits, and eight or more ANC contacts, while controlling for potential confounders. The proportion of mothers who attained eight or more ANC contacts during pregnancy was 31.2%. Spending 20 minutes or more during the first ANC contact was associated with 2.07 times the odds of having eight or more ANC contacts compared to spending less than 20 minutes [adjusted odds ratio (aOR): 2.07, 95% CI: 1.18,3.63]. Mothers who received at least a home visit from skilled health professionals during pregnancy were 2.44 times more likely to have eight or more ANC contacts compared to mothers who were not visited (aOR: 2.44, 95% CI: 1.51,3.94). Spending at least 20 minutes during the first ANC contact and home visits were positively associated with eight or more ANC contacts. We recommend that skilled health professionals should spend at least 20 minutes during the first ANC contact as well as encourage home visits in order to increase the coverage of eight or more ANC contacts.
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影响因子：
3.4
作者：
Ochako R;Gichuhi W
通讯作者：
Gichuhi W
DOI：
10.1186/s41043-016-0078-5
发表时间：
2017-01-13
期刊：
Journal of health, population, and nutrition
影响因子：
--
作者：
Rahman A;Nisha MK;Begum T;Ahmed S;Alam N;Anwar I
通讯作者：
Anwar I
影响因子：
3.7
作者：
Islam MM;Masud MS
通讯作者：
Masud MS
影响因子：
3.7
作者：
Saias, Thomas;Lerner, Emilie;Revah-Levy, Anne
通讯作者：
Revah-Levy, Anne
影响因子：
3.1
作者：
Bitew T;Hanlon C;Kebede E;Medhin G;Fekadu A
通讯作者：
Fekadu A