Antenatal Care Service Utilization of Pregnant Women Attending Antenatal Care in Public Hospitals During the COVID-19 Pandemic Period

Erkihun Tadesse

摘要

Background:The recent coronavirus disease (COVID-19) pandemic has had a disastrous effect on the health-care delivery system, of mainly pregnancy-related healthcare. In order to fill the information gap in the scientific literature and in response to the limited evidence in the country, this study aims to assess the impact of the COVID-19 pandemic on antenatal care utilization among pregnant women attending public facilities in Northeast Ethiopia. Therefore, the result will be beneficial to design strategies for prioritizing maternal healthcare even with the COVID-19 pandemic period.Methods:A facility-based cross-sectional study was conducted from February 2 to August 30, 2020 among pregnant women attending ANC services at public hospitals in Northeast Ethiopia. Thus, a total of 389 women were included in the study with a simple random sampling technique. The bi-variable and multi-variable logistic regression models were employed to identify factors significantly associated with ANC utilization. Adjusted odds ratio (AOR) with 95% CI was estimated to show the strength of association. Finally, a P-value of 0.05 in the multivariable logistic regression analysis was used to identify predictors of antenatal care utilization.Results:Overall, 114 (29.3%) pregnant women had fully utilized antenatal care services during the pandemic period. Mother age ≥35 years (AOR=11.79, 95% CI=1.18- 117.8), secondary education and above (AOR=4.74, 95% CI=1.04- 21.61), history of stillbirth before recent pregnancy (AOR=0.007, 95% CI=0.001-0.12), interruption and diversion of services due to COVID-19 response (AOR=0.675, 95% CI=0.142-0.742), fear of COVID-19 (AOR=0.13, 95% CI=0.06-0.31), and lack of transport access (AOR=4.15, 95% CI=1.04-16.54) were predictors of full antenatal care service utilization.Conclusion:Three of every ten pregnant women who attended the obstetric outpatient clinics have fully utilized the antenatal care services. Encouraging women's educational status, prioritizing maternal health services during COVID-19, and improving the quality of ANC service should be emphasized more.? 2020 Tadesse.

机译：背景：最近的冠状病毒疾病（Covid-19）大流行对医疗保健系统有灾难性影响，主要是妊娠与妊娠医疗保健。为了填补科学文学中的信息差距，并回应该国有限的证据，本研究旨在评估Covid-19大流行对位于东北埃塞俄比亚东北族公共设施的孕妇产前护理利用的影响。因此，即使在Covid-19大流行期间，该结果也将有利于实施母体医疗保健的设计策略。方法：基于设施的横断面研究是从2月2日至8月30日开始的孕妇参加了ANC Services的孕妇。埃塞俄比亚东北部的公立医院。因此，通过简单的随机抽样技术将共纳入389名女性。使用双变量和多变量逻辑回归模型来识别与ANC利用显着相关的因素。估计95％CI的调整赔率比（AOR）估计显示关联的强度。最后，使用多变量逻辑回归分析中<0.05的p值用于识别产前护理利用的预测因子。结果：总体而言，114名（29.3％）孕妇在大流行期间充分利用了产前护理服务。母亲年龄≥35岁（AOR = 11.79,95％CI = 1.18-117.8），中学教育及以上（AOR = 4.74,95％CI = 1.04-21.61），近期怀孕前的头生史（AOR = 0.007，95％ CI = 0.001-0.12），由于Covid-19反应而导致的服务中断和转移（AOR = 0.675,95％CI = 0.142-0.742），恐惧Covid-19（AOR = 0.13,95％CI = 0.06-0.31）并且缺乏运输通道（AOR = 4.15,95％CI = 1.04-16.54）是完全产蛋服务使用的预测因素。结论：每十个出席产科门诊诊所的孕妇中的三个都充分利用了产前护理服务。鼓励妇女的教育状况，在Covid-19期间优先考虑产妇卫生服务，并强调改善ANC Service的质量。 2020年Tadesse。

Antenatal Care Service Utilization of Pregnant Women Attending Antenatal Care in Public Hospitals During the COVID-19 Pandemic Period

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