reproductive health for refugees by refugees in guinea iii maternal health生殖健康为难民难民在几内亚三世孕产妇健康.pdfVIP

Howard et al. Conflict and Health 2011, 5:5 /content/5/1/5 RESEARCH Open Access Reproductive health for refugees by refugees in Guinea III: maternal health 1* 1 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 fo