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首页> 外文期刊>American Journal of Health Research >Perceived quality of antenatal care service by pregnant women in public and private health facilities in Northern Ethiopia
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Perceived quality of antenatal care service by pregnant women in public and private health facilities in Northern Ethiopia

机译：埃塞俄比亚北部公共和私人卫生设施中孕妇对产前保健服务的感知质量

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Background: Quality of Antenatal care is potentially one of the most effective health intervention for preventing maternal morbidity and mortality particularly in places where the general health status of women is poor. Improving quality of health care is one of the strategies in Health sector development program IV (HSDP IV) of Ethiopia. However, there are limited studies on quality of antenatal coverage in Ethiopia including the study area. Thus, the aim of this study was to assess the perceived quality of Antenatal care of pregnant women in public and private health facilities in Tigray, Northern Ethiopia. Methods: Health institution based cross sectional study was conducted from February to May, 2013 in Tigray region among 526 pregnant women attending Antenatal care clinic. Participants were selected using multistage sampling technique first health facility were selected using lottery method then pregnant women from each selected facility were selected using systematic sampling method according to the flow pregnant women to the ANC clinics. Data were entered and cleaned using EPI-info version 3.5.1 and analysis was performed by SPSS version 20. Bivariate and multivariate logistic regression analysis was used to calculate odd ratio with 95% confidence level. Statistical association between the dependent and independent variables was ascertained at p-value less than 0.05. Results: The prevalence of overall perceived quality of ANC was 24.5%. Factors like women aged between 26 and 35 years [AOR=0.58(0.38-0.88)], governmental institution ANC attendance [AOR=0.52(0.33-0.83)], own income [AOR=0.61(0.40-0.92)], one to three ANC attendance [AOR=0.31(0.18-0.54)], testing for HIV [AOR=0.12(0.06-0.24)] causes less likely to perceived that getting high quality ANC service however, waiting time greater than one hour [AOR=3.42(1.61-7.28)] is positively associated with mother perception toward getting high quality ANC service. Conclusions: This study revealed that the perceived quality of ANC is very poor. Therefore, urgent action is mandatory to improve the quality ANC service by providing women centered approaches in giving care, in-service training to health care providers on quality practices.
机译：背景：产前保健质量可能是预防产妇发病和死亡的最有效的健康干预措施之一，尤其是在妇女总体健康状况较差的地方。提高卫生保健质量是埃塞俄比亚卫生部门发展计划IV（HSDP IV）的战略之一。但是，关于埃塞俄比亚包括研究区在内的产前检查质量的研究很少。因此，本研究的目的是评估埃塞俄比亚北部提格雷的公共和私人卫生设施中孕妇的产前保健质量。方法：2013年2月至2013年5月，在提格雷地区进行了基于卫生机构的横断面研究，对526名接受产前保健门诊的孕妇进行了研究。使用多阶段采样技术选择参与者，首先通过抽签方法选择医疗机构，然后根据孕妇进入ANC诊所的流量，​​使用系统采样方法从每个选择的机构中选择孕妇。输入数据并使用EPI-info版本3.5.1进行清理，并使用SPSS版本20进行分析。使用双变量和多元逻辑回归分析来计算置信水平为95％的奇数比。确定因变量和自变量之间的统计关联在p值小于0.05的情况下。结果：ANC总体感知质量的患病率为24.5％。诸如女性年龄在26至35岁之间[AOR = 0.58（0.38-0.88）]，政府机构ANC出勤率[AOR = 0.52（0.33-0.83）]，自身收入[AOR = 0.61（0.40-0.92）]，三名ANC出席者[AOR = 0.31（0.18-0.54）]，艾滋病毒检测[AOR = 0.12（0.06-0.24）]导致人们不太可能获得高质量的ANC服务，但是等待时间超过一小时[AOR = 3.42 （1.61-7.28）]与母亲对获得高质量ANC服务的认知成正比。结论：这项研究表明，ANC的感知质量非常差。因此，必须采取紧急行动，通过提供以女性为中心的方法，向医疗保健提供者提供有关质量实践的护理和在职培训，以提高ANC的质量。

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