■为了充分实现产前保健(ANC)的挽救生命和促进健康的益处,世界卫生组织(WHO)的最新建议要求孕妇与熟练的医疗保健提供者至少有8次接触.建议的ANC访问数量的增加代表着向更全面的转变,个性化的产前护理方法。重点是促进健康,疾病预防,以及妊娠期间并发症的早期发现和管理。然而,在撒哈拉以南非洲国家,包括埃塞俄比亚,这种推荐的产前保健水平的覆盖率仅为58%。鉴于这种相对较低的利用率,确定阻碍产前充分护理的关键风险因素将对这些地区增加总体ANC摄入量产生重大影响.
■本研究的目的是评估ArbaMinch镇孕妇的最佳产前保健利用水平及其相关因素,2023年埃塞俄比亚南部使用世卫组织推荐的新ANC8+模型。
■对2022年12月1日至2023年1月30日期间登记的416名母亲进行了一项基于机构的横断面研究。总样本量与在每个公共卫生机构分娩的妇女人数成比例分配。因此,采用系统抽样。Kobo工具箱用于数据收集和清理,然后使用SPSS版本26进行分析。在P值<0.05时确定统计学显著性。
■在这项研究中,最佳产前保健水平为41%[95%置信区间(CI):37~45.3].最佳产前护理的相关因素是存在妊娠危险迹象[调整后的比值比(AOR)=4.1,95%CI:1.87-8.82],有不良产科病史(AOR=3.90,95%CI:1.94-7.83),医院产前接触(AOR=5.11,95%CI:2.28-11.21),具有良好的产前保健知识(AOR=2.26,95%CI:1.15-4.44),女性的高决策权(AOR=3.9,95%CI:1.2-7.63),男性伴侣参与(AOR=2.0,95%CI:1.04-3.78)与最佳产前护理利用率呈正相关。
■最佳产前随访水平仍然很低。因此,至关重要的是,在产前接触期间提供更多信息,以降低妇女停止产前护理的比率。
UNASSIGNED: To fully realize the life-saving and health-promoting benefits of antenatal care (ANC), the latest World Health Organization (WHO) recommendations call for pregnant women to have at least eight contacts with skilled healthcare providers. This increased number of recommended ANC visits represents a shift toward a more comprehensive, individualized approach to prenatal care. The focus is on health promotion, disease prevention, and the early detection and management of complications during pregnancy. However, in sub-Saharan African countries, including Ethiopia, the coverage rate for this level of recommended antenatal care is only 58%. Given this relatively low utilization, identifying the key risk factors that prevent adequate antenatal care would have significant implications for increasing overall ANC uptake in these regions.
UNASSIGNED: The aim of the present study was to assess the level of optimal antenatal care utilization and its associated factors among pregnant women in Arba Minch town, southern Ethiopia in 2023 using the new WHO-recommended ANC 8+ model.
UNASSIGNED: An institution-based cross-sectional study was conducted among 416 mothers who were enrolled between 1 December 2022 and 30 January 2023. The total sample size was allocated proportionately to the number of women who delivered at each public health facility. Thus, systematic sampling was applied. Kobo Toolbox was used for data collection and cleaning, which was then analyzed using SPSS Version 26. Statistical significance was determined at a p-value <0.05.
UNASSIGNED: In this study, the level of optimal antenatal care was 41% [95% confidence interval (CI): 37-45.3]. The associated factors with optimal antenatal care were the presence of pregnancy danger signs [adjusted odds ratios (AOR) = 4.1, 95% CI: 1.87-8.82], having bad obstetric history (AOR = 3.90, 95% CI: 1.94-7.83), antenatal contact at hospital (AOR = 5.11, 95% CI: 2.28-11.21), having good knowledge about antenatal care (AOR = 2.26, 95% CI: 1.15-4.44), women\'s high decision-making power (AOR = 3.9, 95% CI: 1.2-7.63), and male partner involvement (AOR = 2.0, 95% CI: 1.04-3.78) were positively associated with optimal antenatal care utilization.
UNASSIGNED: The level of optimal antenatal follow-up is still low. Therefore, it is crucial to provide more information during the antenatal contacts to lower the rate of women discontinued from antenatal care.