五岁以下儿童死亡率在埃塞俄比亚是最高的,尽管在过去的二十年中,这一死亡率稳步下降。因此,这项研究旨在确定健康推广服务对德拉区每位母亲五岁以下儿童死亡率的风险因素和影响,埃塞俄比亚。
■该研究采用了三阶段抽样技术,并对446名母亲进行了随机抽样。使用结构化访谈收集横截面数据,并使用描述性和推论(倾向得分和泊松回归)分析进行分析。
在过去的13年中,四分之一(23.5%)的母亲至少有一名五岁以下儿童死亡,倾向得分分析还表明,在健康扩展计划中利用和建立模型可使每位母亲的五岁以下儿童死亡率降低29.84%和15.71%,分别。泊松回归模型确定了Kebeles,未使用的健康扩展计划(发病率比2.25,95%置信区间(1.33,3.85)),不是健康扩展计划中的模型(发病率比1.79,95%置信区间(1.07,3.18)),小学教育水平(发病率比0.14,95%置信区间(0.18,0.91)),初产年龄小于20岁的母亲(发生率1.82,95%置信区间(1.90,3.05)),饮用水源不堵塞(发生率比2.36,95%置信区间(1.20,3.18)),和在家分娩的孩子(发生率比2.48,95%置信区间(1.26,4.8))显着影响5%显著性水平的每位母亲五岁以下儿童死亡率。
■利用健康扩展服务降低了每位母亲五岁以下儿童的死亡率,和教育水平,饮用水源,分娩地点,和居住地(kebele)是每名母亲5岁以下儿童死亡率的显著危险因素.卫生部门和地区卫生办公室应开展卫生推广计划,以提高社区对基本预防和促进卫生服务的认识,并最大程度地减少五岁以下儿童死亡率的风险因素。
UNASSIGNED: Under-five child mortality is the highest in Ethiopia even though it decreased steadily in the last two decades. Hence, this
study aimed to identify the risk factors and effects of Health Extension Service on under-five child mortality per mother in Derra district, Ethiopia.
UNASSIGNED: The
study used a three-stage sampling technique and a random sample of 446 mothers. Cross-sectional data were collected using a structured interview and analyzed using descriptive and inferential (propensity score and Poisson regression) analysis.
UNASSIGNED: One-fourth (23.5%) of mothers experienced at least one under-five child mortality in the last 13 years and the propensity score analysis also indicated that utilizing and model in the Health Extension program reduced under-five child mortality per mother by 29.84% and 15.71%, respectively. The Poisson regression model identified that kebeles, not utilized health extension program (incidence rate ratio 2.25, 95% confidence interval (1.33, 3.85)), not model in health extension program (incidence rate ratio 1.79, 95% confidence interval (1.07, 3.18)), primary educational level (incidence rate ratio 0.14, 95% confidence interval (0.18, 0.91)), mother aged at first birth less than 20 years (incidence rate ratio 1.82, 95% confidence interval (1.90, 3.05)), source of drinking water not pipped (incidence rate ratio 2.36, 95% confidence interval (1.20, 3.18)), and child delivered at home (incidence rate ratio 2.48, 95% confidence interval (1.26, 4.8)) significantly influence under-five child mortality per mother at 5% level of significance.
UNASSIGNED: Health extension service utilization reduced under-five child mortality per mother, and education level, source of drinking water, place of child delivery, and place of residence (kebele) were significant risk factors for under-five child mortality per mother. The health sectors and district health offices should work on health extension program to increase the community awareness of basic preventive and promotive health services and minimize risk factors of under-five child mortality.