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首页> 美国卫生研究院文献>Journal of Primary Care Community Health >Antenatal Care Practices Among Hard-to-Reach Fishing Communities on Lake Victoria: A Community-Based Cross-Sectional Survey
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Antenatal Care Practices Among Hard-to-Reach Fishing Communities on Lake Victoria: A Community-Based Cross-Sectional Survey

机译：维多利亚湖上难于捕鱼的捕鱼社区的产前护理实践：基于社区的跨部门调查

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Uganda has one of the highest maternal deaths in sub-Saharan Africa, with a mortality ratio of 336 per 100 000 live births. Early regular antenatal care (ANC) helps prevent adverse outcomes, including deaths, through prevention, identification, treatment, and/or referral of at-risk women. We explored ANC practices and associated factors among women from hard-to-reach Lake Victoria islands fishing communities in Kalangala district, Uganda. A cross-sectional survey among 486 consenting women aged 15 to 49 years, who were pregnant or had a birth or abortion in the past 6 months was conducted in 6 island fishing communities of Kalangala district, Uganda, during January to May 2018. ODK software interviewer-administered questionnaires were used to collect data on sociodemographics and ANC practices. Regression modeling using STATA version 15 was used to determine factors associated with ANC visits. Women’s median (range) age was 26 (15-45) years, 63% (304/486) had up to primary level education, 45% (219/486) were housewives (stay home mums), 87% (423/486) were married. ANC visits ranged from 0 to 10, with over three-fifths of women having their first visit late after 3 months of being pregnant (63%, 198/316). Women without a history of pregnancy loss (adjusted odds ratio [AOR] = 1.8, 95% CI 1.1-3.0), those not staying with their partners (AOR = 2.5, 95% CI 1.1-6.0), and those whose partners were working in fishing-related activities (AOR = 1.8, 95% CI 1.0-3.0) were likely to have started care late. Women from communities with a public health facility and those with partners working in none fishing-related activities had the highest predicted number of visits. Antenatal practices among these communities are characterized by late start of care. Community-led early ANC awareness interventions are needed. Targeted health policies need to consider public ANC facilities for each island for improved antenatal outcomes and maternal health.
机译：乌干达是撒哈拉以南非洲地区孕产妇死亡人数最高的国家之一，死亡率为每10万活产336。早期定期产前保健（ANC）通过对高危妇女的预防，识别，治疗和/或转诊，有助于预防包括死亡在内的不良后果。我们在乌干达加兰加拉地区难以到达的维多利亚湖岛屿钓鱼社区的妇女中探索了非国大惯例和相关因素。 2018年1月至2018年5月，在乌干达卡兰加拉区的6个岛屿捕捞社区中对486名15至49岁，在过去6个月内怀孕，生产或流产的同意妇女进行了横断面调查.ODK软件访员管理的调查表用于收集有关社会人口统计学和ANC实践的数据。使用STATA版本15进行回归建模来确定与ANC访问相关的因素。妇女的中位（年龄）年龄为26（15-45）岁，接受初等教育的比例为63％（304/486），家庭主妇（寄宿家庭的妈妈）为45％（219/486），87％（423/486）为家庭主妇）已婚。 ANC的就诊次数从0到10不等，超过五分之三的妇女在怀孕3个月后才进行首次拜访（63％，198/316）。没有怀孕史的妇女（调整后的优势比[AOR] = 1.8，95％CI 1.1-3.0），未与伴侣在一起的女性（AOR = 2.5，95％CI 1.1-6.0）以及伴侣正在工作的女性在与捕鱼有关的活动中（AOR = 1.8，95％CI 1.0-3.0）很可能已开始迟到护理。拥有公共卫生设施的社区中的妇女以及与渔业无关的工作中没有伴侣的妇女的预计到诊人数最高。这些社区的产前做法的特点是起步较晚。需要社区主导的早期ANC意识干预。有针对性的健康政策需要考虑每个岛屿的公共ANC设施，以改善产前结果和孕产妇健康。

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