关键词: Completion & associated factors Maternal and child health continuum of care

Mesh : Humans Ethiopia Female Cross-Sectional Studies Continuity of Patient Care Adult Pregnancy Young Adult Maternal-Child Health Services / statistics & numerical data Adolescent Maternal Health Services / statistics & numerical data Prenatal Care / statistics & numerical data Infant Postnatal Care / statistics & numerical data Child, Preschool Mothers / statistics & numerical data

来  源:   DOI:10.1186/s12884-024-06639-0   PDF(Pubmed)

Abstract:
BACKGROUND: The Continuum of care for reproductive, maternal, newborn, and child health includes integrated service delivery for mothers and children from pre-pregnancy to delivery, the immediate postnatal period, and childhood. In Ethiopia, the magnitude of antenatal care, skilled delivery, postnatal care, and immunization for children have shown improvement. Despite this, there was limited research on the percentage of mothers who have completed maternal and child continuum care.
OBJECTIVE: To assess the Completion of Maternal and Child Health Continuum of Care and Associated Factors among women in Gode District, Shebele Zone, Eastern Ethiopia ,2022.
METHODS: A community-based cross-sectional study design applied from November 1-15, 2022. A stratified sampling method was applied. A woman who had two 14-24 months child preceding the data collection period were included in the study. An interviewer-administered semi-structured questioner had been used for data collection. Data collected by using kobo collect and analyzed using STATA version 17. Both Bivariable and multivariable logistic regression analyses were done. In multivariable analysis, variables having P-values ≤ 0.05 were taken as factors associated with the completion of the maternal and child health continuum of care.
RESULTS: The Completion of maternal and child continuum of care was 13.5% (10.7-17.0%) in Gode district,2022. Accordingly, Husband occupation (Government employee) [AOR = 2.3, 95%CI 1.2-4.7] and perceived time to reach health facility (less than 30 min) [AOR = 2.96, 95%CI 1.2-7.5] were factors showing significant association with maternal and child health continuum of care among mothers in Gode district, Somali regional State;2022 at P-value ≤ 0.05.
CONCLUSIONS: Only 13.5% of mothers in Gode district received all of the recommended maternal and child health services during their pregnancy, childbirth, and postpartum period. The study found that two factors were associated with a higher likelihood of receiving Maternal and child continuum of care: Government employed husband and perceived time to reach a health facility. Governments can play a key role in increasing the maternal and child health continuum of care by investing by making health care facility accessible.
摘要:
背景:生殖护理的连续性,母性,新生,儿童保健包括从孕前到分娩期间为母亲和儿童提供综合服务,产后即刻,和童年。在埃塞俄比亚,产前护理的规模,熟练的交付,产后护理,儿童免疫接种情况有所改善。尽管如此,关于完成母婴连续护理的母亲百分比的研究有限。
目的:评估戈德区妇女母婴健康连续护理的完成情况及相关因素,Shebele区,埃塞俄比亚东部,2022年。
方法:2022年11月1日至15日应用的基于社区的横断面研究设计。采用分层抽样方法。研究包括一名在数据收集期前有两个14-24个月孩子的妇女。采访者管理的半结构化提问者已用于数据收集。使用kobo收集的数据使用STATA版本17进行收集和分析。进行了双变量和多变量逻辑回归分析。在多变量分析中,将P值≤0.05的变量作为与完成母婴健康连续照护相关的因素.
结果:戈德区母婴连续护理的完成率为13.5%(10.7-17.0%),2022年。因此,丈夫职业(政府雇员)[AOR=2.3,95CI1.2-4.7]和到达医疗机构的感知时间(少于30分钟)[AOR=2.96,95CI1.2-7.5]是与母婴健康连续性显着相关的因素戈德区母亲的护理,索马里地区州;2022年P值≤0.05。
结论:戈德区只有13.5%的母亲在怀孕期间接受了所有推荐的母婴保健服务,分娩,和产后。研究发现,两个因素与获得母婴连续护理的可能性更高有关:政府雇用的丈夫和到达医疗机构的时间。政府可以通过提供卫生保健设施进行投资,在增加母婴健康连续护理方面发挥关键作用。
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