PDF(Pubmed)
Abstract：
BACKGROUND: Having a good provision of respectful maternity care (RMC) to a woman who gives childbirth is a crucial component of maternal health care to result in positive maternal and neonatal outcomes. Disrespect and lack of women-centered care in birth discourage a woman from seeking healthcare during childbirth contributing to poor healthcare-seeking behaviour and dissatisfaction with the maternity service. The current study aimed to assess key determinants of RMC during childbirth at selected public health facilities of the Gofa zone, Southern Ethiopia.
METHODS: A cross-sectional study design was conducted from March to April 2021 among 390 women who gave birth in eight randomly selected public health facilities of Gofa zone, Southern Ethiopia. The level of RMC was measured using structured exit interview items. A structured-interviewer-administered questionnaire was used to collect data and then entered into Epi-data version 4.6 and exported to SPSS version 25 for further analysis. Bivariate and multivariate logistic regression analyses were used to identify determinants of RMC among women.
RESULTS: A total of 390 women responded to the exit interview making a response rate of 100%. The mean (± SD) age of the 390 women was 27.9 (± 4.85) years. The overall prevalence of women who received RMC was 40.5%, 95% CI (36-45%). Two hundred and ninety-seven (76.2%; n = 297/390) women had antenatal care (ANC) attendance in the index pregnancy. A woman who had planned pregnancy (AOR = 1.72, CI: 1.04, 2.85), planned to deliver in a health facility (AOR = 1.68, CI: 1.00, 2.81), presence of familial support (AOR = 2.04, CI: 1.20, 3.48), and had information about service availability (AOR = 4.44, CI: 2.09, 9.42) were associated with RMC among women.
CONCLUSIONS: The provision of respectful maternity care in the study area was low when compared with local studies. Planned pregnancy, plan to deliver in a health facility, family support, and presence of information about service availability were factors associated with RMC among women. More attention should be given to training and supportive supervision of health care professionals on respectful maternity care and its standards to increase service uptake and make service more women-centred.
METHODS: A cross-sectional study design was conducted from March to April 2021 among 390 women who gave birth in eight randomly selected public health facilities of Gofa zone, Southern Ethiopia. The level of RMC was measured using structured exit interview items. A structured-interviewer-administered questionnaire was used to collect data and then entered into Epi-data version 4.6 and exported to SPSS version 25 for further analysis. Bivariate and multivariate logistic regression analyses were used to identify determinants of RMC among women.
RESULTS: A total of 390 women responded to the exit interview making a response rate of 100%. The mean (± SD) age of the 390 women was 27.9 (± 4.85) years. The overall prevalence of women who received RMC was 40.5%, 95% CI (36-45%). Two hundred and ninety-seven (76.2%; n = 297/390) women had antenatal care (ANC) attendance in the index pregnancy. A woman who had planned pregnancy (AOR = 1.72, CI: 1.04, 2.85), planned to deliver in a health facility (AOR = 1.68, CI: 1.00, 2.81), presence of familial support (AOR = 2.04, CI: 1.20, 3.48), and had information about service availability (AOR = 4.44, CI: 2.09, 9.42) were associated with RMC among women.
CONCLUSIONS: The provision of respectful maternity care in the study area was low when compared with local studies. Planned pregnancy, plan to deliver in a health facility, family support, and presence of information about service availability were factors associated with RMC among women. More attention should be given to training and supportive supervision of health care professionals on respectful maternity care and its standards to increase service uptake and make service more women-centred.
摘要：
背景：为分娩的妇女提供良好的尊重产妇护理（RMC）是产妇保健的重要组成部分，可以带来积极的产妇和新生儿结局。出生时的不尊重和缺乏以妇女为中心的护理阻碍了妇女在分娩期间寻求医疗保健，这导致了不良的寻求医疗保健行为和对产妇服务的不满。本研究旨在评估高法地区选定公共卫生设施分娩期间RMC的关键决定因素，埃塞俄比亚南部。
方法：从2021年3月至4月，对在高法地区8个随机选择的公共卫生设施中分娩的390名妇女进行了横断面研究设计。埃塞俄比亚南部。RMC的水平是使用结构化离职面试项目测量的。使用结构化采访者管理的问卷来收集数据，然后将其输入Epi-data版本4.6，并导出到SPSS版本25进行进一步分析。使用双变量和多变量逻辑回归分析来确定女性RMC的决定因素。
结果：共有390名女性回答了退出面试，回答率为100％。390名女性的平均（±SD）年龄为27.9（±4.85）岁。接受RMC的女性总体患病率为40.5%,95%CI（36-45%）。二百九十七（76.2％；n=297/390）名妇女在指数妊娠中接受了产前护理（ANC）。计划怀孕的女性（AOR=1.72，CI：1.04，2.85），计划在医疗机构提供(AOR=1.68，CI：1.00，2.81)，存在家族支持(AOR=2.04，CI：1.20，3.48)，并且有关于服务可用性的信息(AOR=4.44,CI:2.09,9.42)与女性RMC相关。
结论：与当地研究相比，研究区域提供尊重产妇护理的比例较低。计划怀孕,计划在医疗机构分娩，家庭支持,和是否存在有关服务可用性的信息是女性RMC的相关因素.应更加重视对卫生保健专业人员进行尊重产妇护理及其标准的培训和支持性监督，以增加服务的接受，并使服务更加以妇女为中心。
方法：从2021年3月至4月，对在高法地区8个随机选择的公共卫生设施中分娩的390名妇女进行了横断面研究设计。埃塞俄比亚南部。RMC的水平是使用结构化离职面试项目测量的。使用结构化采访者管理的问卷来收集数据，然后将其输入Epi-data版本4.6，并导出到SPSS版本25进行进一步分析。使用双变量和多变量逻辑回归分析来确定女性RMC的决定因素。
结果：共有390名女性回答了退出面试，回答率为100％。390名女性的平均（±SD）年龄为27.9（±4.85）岁。接受RMC的女性总体患病率为40.5%,95%CI（36-45%）。二百九十七（76.2％；n=297/390）名妇女在指数妊娠中接受了产前护理（ANC）。计划怀孕的女性（AOR=1.72，CI：1.04，2.85），计划在医疗机构提供(AOR=1.68，CI：1.00，2.81)，存在家族支持(AOR=2.04，CI：1.20，3.48)，并且有关于服务可用性的信息(AOR=4.44,CI:2.09,9.42)与女性RMC相关。
结论：与当地研究相比，研究区域提供尊重产妇护理的比例较低。计划怀孕,计划在医疗机构分娩，家庭支持,和是否存在有关服务可用性的信息是女性RMC的相关因素.应更加重视对卫生保健专业人员进行尊重产妇护理及其标准的培训和支持性监督，以增加服务的接受，并使服务更加以妇女为中心。
