■大多数孕产妇死亡与缺乏熟练的接生服务有关。因为分娩是大多数孕产妇死亡的原因,熟练的接生对于降低孕产妇死亡率至关重要。在埃塞俄比亚,熟练接生的使用率很低,确定决定使用熟练接生的因素至关重要。因此,这项研究旨在评估空间分布,与财富相关的不平等,以及埃塞俄比亚熟练助产的决定因素。
■使用2019年迷你EDHS对5,251名育龄女性进行了二次数据分析。集中指数和图形用于评估与财富相关的不平等。进行空间分析以确定空间分布,并使用多水平逻辑回归分析来确定埃塞俄比亚熟练出生的预测因素。分析是使用STATA版本14,ArcGIS,和SaTscan软件。
■熟练分娩的患病率为50.04%(95%CI:48.69%,51.40%)在埃塞俄比亚。老年,结婚了,受过教育,有电视和收音机,ANC访问,多胎,有很大的家庭尺寸,拥有丰富的财富指数,住在农村住宅,生活在高度贫困的社区和妇女的教育水平是熟练接生的重要预测因素。熟练的接生率不成比例地集中在富裕家庭中[C=0.482;95%CI:0.436,0.528]。索马里的非熟练接生率很高,SNNP,Afar,和阿姆哈拉地区的南部地区。索马里和埃塞俄比亚奥罗米亚地区某些地区的非熟练助产的主要集群。
■埃塞俄比亚一半的妇女没有使用具有显著空间聚类的熟练助产士。年龄,婚姻状况,教育状况,ANC访问,有电视和收音机,奇偶校验,家庭大小,财富指数,residence,社区层面的贫困,和社区妇女教育水平是熟练接生的重要预测因素。熟练的接生率在富裕家庭中分布不均。索马里各地区,SNNP,Afar,Amhara南部被确定为使用非熟练接生的患病率很高。公共卫生干预措施应针对那些使用非熟练助产士的高风险妇女。
UNASSIGNED: The majority of maternal deaths were associated with a lack of access to skilled birth attendance. Because childbirth accounts for most maternal deaths, skilled birth attendance is crucial for reducing maternal mortality. The use of skilled birth attendance in Ethiopia is low, and it is crucial to identify factors that determine the use of skilled birth attendance. Hence, this study aimed to assess the spatial distribution, wealth-related inequality, and determinants for skilled birth attendance in Ethiopia.
UNASSIGNED: Secondary data analysis was done with a total weighted sample of 5,251 reproductive-aged women using the 2019 mini EDHS. The concentration index and graph were used to assess wealth-related inequalities. Spatial analysis was done to identify the spatial distribution and multilevel logistic regression analysis was used to identify predictors of skilled birth attendance in Ethiopia. Analysis was done using STATA version 14, ArcGIS, and SaTscan software.
UNASSIGNED: The prevalence of skilled birth attendance was 50.04% (95% CI: 48.69%, 51.40%) in Ethiopia. Old age, being married, being educated, having television and radio, having ANC visits, being multiparous, having large household sizes, having a rich wealth index, living in rural residence, and living in a high level of community poverty and women\'s education were significant predictors of skilled birth attendance. Skilled birth attendance was disproportionately concentrated in rich households [C = 0.482; 95% CI: 0.436, 0.528]. High prevalence of unskilled birth attendance was found in Somalia, SNNP, Afar, and southern parts of the Amhara regions. Primary clusters of unskilled birth attendance Somalia and some parts of Oromia region of Ethiopia.
UNASSIGNED: Half of the women in Ethiopia did not utilize skilled birth attendants with significant spatial clustering. Age, marital status, educational status, ANC Visit, having television and radio, parity, household size, wealth index, residence, community level poverty, and community level of women\'s education were significant predictors of skilled birth attendance. Skilled birth attendance was unevenly concentrated in rich households. The regions of Somalia, SNNP, Afar, and southern Amhara were identified as having a high prevalence of using unskilled birth attendance. Public health interventions should target those women at high risk of using unskilled birth attendants.