Background: One of the most important health interventions for reducing maternal morbidity and death is the use of maternal healthcare services. In Ethiopia, maternal healthcare services are not well utilized, particularly in rural pastoralist communities, despite their significance. Therefore, the purpose of this study was to evaluate the use of maternal healthcare services and the characteristics that are related to it in the East Borena zone. Techniques: In September 2020, a community-based cross-sectional survey was carried out in Liben with 416 randomly selected mothers. Mothers who had given birth within the 12 months before the study comprised the respondents. Questionnaires given by interviewers were used to gather the data. The data were transferred to SPSS version 20 for analysis after being entered into Epi-Info version 4.1 for coding. The Kolmogorov-Smirnov, Hosmer, and Lemeshow goodness of fit tests were employed, along with descriptive statistics. Additionally, multivariate and binary logistic regression analyses were carried out. 95% CI and the odd ratio were used to examine the relationship between the outcome and predictive variables.

Results: At least one prenatal visit was received by 60% of moms. Only 21.2% and 17.5% of women had given birth in a medical facility and made use of early postnatal care services. The use of antenatal care was strongly correlated with maternal education [AOR = 2.43 (95% CI: 1.22-4.89)], decision-making capability [AOR = 2.40 (95% CI: 1.3-23.3)], felt compassionate and respectful treatment [AOR = 0.30 (95% CI: 0.18-0.50)], and intended current pregnancy [AOR = 0.22 (95% CI: 0.12-0.37)]. Moms b/n ages 15-19 had a 3.7-fold higher probability of giving birth in a hospitals than moms b/n ages 35 and 49 [AOR = 1.74 (95% CI: 1.02-3.08)]. Mothers who lived far away were 1.02 times less likely to give birth at a hospital than those who could reach one within an hour (AOR = 1.74;95% CI: 1.02, 3.08). While recent use of antenatal care [AOR = 5.34 (95% CI: 1.96-8.65)], planned current pregnancy, and knowledge of using postnatal care were shown to be strongly correlated with danger indicators [AOR = 2.93 (95% CI: 1.59-5.41)], knowledge of danger signs [AOR = 3.77 (95% CI: 2.16-6.57)] and perceived compassionate and respectful care were significantly associated with institutional delivery.

Conclusion: Overall the prevalence of maternal healthcare services utilization was far below the national and regional targets in the study area. Thus, promoting institutional services, raising community knowledge, empowering women to make decisions, and enhancing the infrastructure of the health sector.

Keywords: Liben district; home delivery; institutional delivery; maternal healthcare; postnatal care; service use; vaccination.

© 2024 Desta, Mengistu and Arero.

背景： 减少孕产妇发病率和死亡率最重要的卫生干预措施之一是使用孕产妇保健服务。在埃塞俄比亚，尽管这些服务的重要性不容忽视，但在农村游牧社区中，孕妇保健服务的利用率仍然很低。因此，本研究旨在评估东博雷纳区孕产妇保健服务的利用情况及其相关特征。

方法： 2020年9月，在Liben地区对416名随机选定的母亲进行了社区为基础的横断面调查。受访者为在研究前一年内生育过的母亲。通过访谈员发放问卷收集数据，随后使用Epi-Info版本4.1进行编码，并将数据传输至SPSS版本20进行分析。采用描述性统计、Kolmogorov-Smirnov检验、Hosmer-Lemeshow拟合优度测试以及多元和二元逻辑回归分析。利用95% CI和优势比来考察结果变量与预测变量之间的关系。

结果： 60%的母亲至少接受了一次产前检查，只有21.2%和17.5%的女性在医疗机构分娩并使用了早期产后保健服务。孕产妇教育[AOR = 2.43 (95% CI: 1.22-4.89)]、决策能力[AOR = 2.40 (95% CI: 1.3-23.3)]、感到受到同情和尊重的待遇[AOR = 0.30 (95% CI: 0.18-0.50)]以及计划当前怀孕[AOR = 0.22 (95% CI: 0.12-0.37)]与产前保健服务使用有很强的相关性。15至19岁的母亲在医院分娩的概率比35至49岁母亲高3.7倍 [AOR = 1.74 (95% CI: 1.02-3.08)]。居住地较远的母亲与能够在一个小时内到达医疗机构的母亲相比，在医院分娩的可能性低1.02倍 (AOR = 1.74;95% CI: 1.02, 3.08)。最近使用产前保健服务[AOR = 5.34 (95% CI: 1.96-8.65)]、计划当前怀孕和了解产后护理知识被证明与危险标志有强烈相关性 [AOR = 2.93 (95% CI: 1.59-5.41)], 知道危险标志[AOR = 3.77 (95% CI: 2.16-6.57)]和感知到同情和尊重的护理与机构分娩显著相关。

结论： 总体来看，研究区域中孕产妇保健服务利用的情况远低于国家和地区目标。因此，应推广机构提供的服务、提高社区知识水平、增强女性决策能力并改善卫生部门基础设施。

© 2024 Desta, Mengistu and Arero.