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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Reproductive health for refugees by refugees in Guinea III: maternal health. | Howard et al. Conflict and Health 2011 5 5 http www.conflictandhealth.eom content 5 1 5 CONFLICT AND HEALTH RESEARCH Open Access Reproductive health for refugees by refugees in Guinea III maternal health 1 1 w - 2 2 3 3 Natasha Howard Aniek Woodward Yaya Souare Sarah Kollie David Blankhart Anna von Roenne and Matthias Borchert4 5 Abstract Background Maternal mortality can be particularly high in conflict and chronic emergency settings partly due to inaccessible maternal care. This paper examines associations of refugee-led health education formal education age and parity on maternal knowledge attitudes and practices among reproductive-age women in refugee camps in Guinea. Methods Data comes from a 1999 cross-sectional survey of 444 female refugees in 23 camps. Associations of reported maternal health outcomes with exposure to health education exposed versus unexposed formal education none versus some age adolescent versus adult or parity nulliparous parous grand multiparous were analysed using logistic regression. Results No significant differences were found in maternal knowledge or attitudes. Virtually all respondents said pregnant women should attend antenatal care and knew the importance of tetanus vaccination. Most recognised abdominal pain 75 and headaches 24 as maternal danger signs and recommended facility attendance for danger signs. Most had last delivered at a facility 67 mainly for safety reasons 99 . Higher odds of facility delivery were found for those exposed to RHG health education adjusted odds ratio 2.03 95 CI 1.23-3.01 formally educated adjusted OR 1.93 95 CI 1.05-3.92 or grand multipara adjusted OR 2.13 95 CI 1.21-3.75 . Main reasons for delivering at home were distance to a facility 94 and privacy 55 . Conclusions Refugee-led maternal health education appeared to increase facility delivery for these refugee women. Improved knowledge of danger signs and the importance of skilled birth attendance while vital may be less important in chronic .
