콩고민주공화국 모성의 산전관리 서비스 이용 영향 요인 - Kenge, Boko 보건구역을 중심으로 -
Factors Affecting to Mother's Prenatal Care Utilization in Democratic Republic of Congo - Focused on Kenge, Boko Health Zone -
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본 연구는 콩고민주공화국 Kwango 지역 내 Kenge 보건구역, Boko 보건구역 가임기 여성의 4회 이상 산전관리 서비스 이용에 영향을 미치는 요인을 분석하여 4회 이상 산전관리율을 높일 수 있는 모자보건 사업을 제안하는데 있다. 연구결과 연령, 가족 구성원의 건강보험 가입여부, 첫 산전관리 시기, 출산 횟수가 4회 이상 산전관리 서비스 이용에 영향을 미치는 변수로 나타났다. 즉 나이가 많은 여성, 가족구성원이 건강보험에 가입되어 있는 여성, 첫 산전관리가 임신 3개월 이내인 여성, 그리고 출산경험이 적은 여성이 4회 이상 산전관리 서비스를 이용 할 가능성이 더 높은 것으로 밝혀졌다. 따라서 향후 4회 이상 산전관리율 향상을 위한 모자보건사업 개발 시, 나이가 어린 여성, 출산 횟수가 많은 여성을 대상으로 산전관리의 중요성에 대한 교육을 실시할 필요가 있으며, 임신초기증상에 대한 교육사업 및 임신 조기진단 사업을 실시할 필요가 있을 것이다. 비 문해자를 고려하여 교육 시 시청각 매체의 활용이 필요 할 것이다. 또한 건강보험 사업을 통해 모성 건강관리서비스 이용에 따른 경제적 부담을 절감시킴으로써, 산전관리 이용률을 높이도록 해야 한다.
Abstract
Purpose: This study aims to identify factors affecting more than four times prenatal care utilization among reproductive aged women in Democratic Republic of Congo. Methods: This was a cross sectional study conducted in Democratic Republic of Congo in July, 2014. Survey was done among 494 respondents, data were analyzed using SPSS 21.0. Results: Multiple logistic regression showed an association between age (OR:1.037) in predisposing factor, women who have health insurance in their household (OR:2.876) and timing of first prenatal visit (OR:7.148) in enabling factors and number of delivery 3~5 times (OR:0.587) more than 6 times (OR:0.357) in need factor with more than four times prenatal visits. Conclusion: Maternal health improvement interventions should focus on education for women who are younger and multiparous. Early detection of pregnancy and encourage to visit in first trimester are needed. Finally, introduction of the health insurance system is important to minimize cost of out of pocket.
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