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Factors Associated with Utilization of Complete Postnatal Care Service in Baglung Municipality, Nepal

机译:与Baglung Municipality,尼泊尔的完整出厂服务有关的因素

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Background. Postnatal period is six weeks after birth. It is critical but is the most neglected period. A large proportion of maternal and neonatal deaths occur during 48 hours following childbirth. The utilization of the recommended three postnatal checkups within seven days after delivery, which plays a vital role in preventing maternal and neonatal deaths, is low in Nepal. Objective. This study is aimed at identifying the factors associated with the utilization of complete postnatal care (PNC) among mothers. Method. A cross-sectional study was carried out among 318 mothers in wards 1, 2, 3, and 4 of Baglung municipality, Nepal. Data was collected by semi-structured interviews. Descriptive analysis and comparison of characteristics of women/families with complete vs. partial postnatal checkups using multivariable logistic regression were done. Results. Among 314 respondents receiving at least one PNC, 78% had partial and 22% had complete PNC. Relatively advantaged caste/ethnicity- Brahman/Chhetri (aOR=3.18, 95% CI: 1.24-8.12) and Janajati (aOR=2.87, 95% CI: 1.09-7.53) - compared to Dalits, husbands working as a job holder in Nepal (aOR=3.49, 95% CI: 1.50-8.13), and delivery in a private hospital (aOR=11.4, 95% CI: 5.40-24.2) were associated with having complete PNC. Conclusion. Although PNC attendance at least once was high, utilization of complete PNC was low. More focus to mothers from disadvantaged caste/ethnicity, those whose husbands are in foreign employment, and improvement in quality of care in government health facilities may increase the use of complete PNC.
机译:背景。出生后的后期是六周。这是至关重要的,但是最忽视的时期。在分娩后48小时内发生大部分母体和新生儿死亡。在递送后七天内使用推荐的三个后期检查,这在预防母体和新生儿死亡方面发挥着至关重要的作用,在尼泊尔低。客观的。本研究旨在识别与母亲中完全产后护理(PNC)相关的因素。方法。在尼泊尔的巴格市的病房1,2,3和4中,在318名母亲中进行了一个横断面研究。通过半结构化访谈收集数据。完成了使用多变量逻辑回归的妇女/家庭的特征的描述性分析和比较。使用多变量逻辑回归的部分产后核对。结果。在接受至少一个PNC的314名受访者中,78%的部分部分,22%已完成PNC。相对优势的种姓/种族 - 婆罗门/ chhetri(aor = 3.18,95%ci:1.24-8.12)和janajati(aor = 2.87,95%ci:1.09-7.53) - 与Dalits相比,丈夫在尼泊尔工作持有人(AOR = 3.49,95%CI:1.50-8.13)和私人医院的交货(AOR = 11.4,95%CI:5.40-24.2)与完整的PNC相关。结论。虽然PNC出席至少一次高,但完全PNC的利用率低。从弱势种姓/种族的母亲更加专注于母亲,那些丈夫在外国就业的那些,以及政府卫生设施的护理质量的改善可能会增加完整的PNC的使用。

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