Despite the effort to reduce stillbirth, Ethiopia remains one of the countries with the highest rate in the world. Therefore, this study aimed to analyze the trends of stillbirth among births from reproductive age women over time based on Ethiopian Demographic and Health Surveys (EDHSs). Secondary data analysis was conducted based on the Ethiopian Demographic Health Surveys (EDHSs) conducted in 2005, 2011 and 2016. A total weighted sample of 12,037, 10,588, and 11,375 in 2005, 2011 and 2016 respectively were included for analysis. Trend and Logistic based decomposition analysis technique was used for analyzing the trends of stillbirth over time and factors contributing to the change in stillbirth rate. STATA 14 was employed for data management and analyses. All analyses presented in this paper were weighted for the sampling probabilities and non-response. Complex sampling procedures were also considered during testing of statistical significance. Among women of reproductive age, the stillbirth rate declined from 13.3/1000 births in 2005 to 9.2 per 1000 births in 2016 with the annual rate of reduction of 3.1%. The study found that the stillbirth rate has been declined over time concerning the place of residence, region, antenatal care, education and place of delivery. The decomposition analysis indicated that about 82.3% of the overall change stillbirth rate was due to the difference in women’s composition. Particularly, an increase in women’s urban place of residence, health facility delivery, and cesarean delivery were significant predictors for the decline in stillbirth rate over the surveys. The stillbirth rate has been declined over time. More than 3/4th of the decrease in stillbirth rate was due to the difference in characteristics of women over the surveys. The increase in women’s urban place of residence, an increase in cesarean delivery and health facility delivery significantly contributed to the decrease in stillbirth rate over time. Public health interventions targeting rural resident women, strengthening emergency obstetric services and health facility delivery would help to maintain the decreasing trend of stillbirth rate in Ethiopia.

中文翻译：

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根据埃塞俄比亚人口和健康调查，埃塞俄比亚育龄妇女死产的趋势：多因素分解分析

尽管努力减少死产，但埃塞俄比亚仍然是世界上死产率最高的国家之一。因此，本研究旨在根据埃塞俄比亚人口与健康调查（EDHS）分析随着时间推移，育龄妇女生育中的死产趋势。根据2005年，2011年和2016年进行的埃塞俄比亚人口健康调查（EDHS）进行了二次数据分析。其中分别包括2005年，2011年和2016年的总加权样本分别为12,037、10,588和11,375。基于趋势和逻辑的分解分析技术用于分析死胎随时间的变化趋势以及影响死胎率变化的因素。STATA 14用于数据管理和分析。本文介绍的所有分析均按抽样概率和无响应加权。在检验具有统计学意义的过程中还考虑了复杂的抽样程序。在育龄妇女中，死产率从2005年的13.3 / 1000例下降到2016年的每1000例中的9.2例，年均降低率3.1％。研究发现，死胎率随着时间的推移而下降，这与居住地，地区，产前护理，教育和分娩地点有关。分解分析表明，大约82.3％的总死产率是由于女性组成的不同而引起的。特别是，妇女城市居住地的增加，卫生设施的交付和剖宫产是调查中死产率下降的重要预测因素。死产率已随着时间下降。死产率下降的3/4以上是由于调查中女性特征的差异所致。妇女城市居住地的增加，剖腹产和保健设施的增加大大促进了死产率随时间的下降。针对农村居民妇女的公共卫生干预措施，加强产科急诊服务和卫生设施的提供将有助于维持埃塞俄比亚死产率的下降趋势。随着时间的流逝，剖宫产和保健设施的增加显着促进了死产率的下降。针对农村居民妇女的公共卫生干预措施，加强产科急诊服务和卫生设施的提供将有助于维持埃塞俄比亚死产率的下降趋势。随着时间的流逝，剖宫产和医疗机构分娩的增加显着促进了死产率的下降。针对农村居民妇女的公共卫生干预措施，加强产科急诊服务和卫生设施的提供将有助于维持埃塞俄比亚死产率的下降趋势。