scholarly journals Early Postnatal Care Service Utilization and Its Determinants among Women Who Gave Birth in the Last 6 Months in Wonago District, South Ethiopia: A Community-Based Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Yordanos Tefera ◽  
Samirawit Hailu ◽  
Ruth Tilahun
Keyword(s):  
Service Utilization ◽  
Postnatal Care ◽  
Care Service ◽  
Critical Time ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Care Utilization ◽  
Community Based ◽  
Cross Sectional ◽  
History Of

Background. Postnatal care is one of the key strategies to reduce maternal and newborn morbidity and mortality. Early postnatal visit is especially the most critical time for survival of mothers and newborns, particularly through early detection and management of postpartum complication. Despite the benefits, most mothers and newborns do not receive postnatal care services from health care providers during the critical first few days after delivery. Objective. The aim of this study was to assess utilization of early postnatal care service and associated factors among women who gave birth in the last six months in Wonago District, Gedeo Zone, Southern Ethiopia. Methods. A community-based cross-sectional study design was employed at Wonago District. A total of 612 mothers who gave birth in the last six months were selected by simple random sampling technique. Pretested structured questionnaire was used for data collection. Data were entered into EpiData version 3.1 and then exported into SPSS version 20 for analysis. Principal component analysis (PCA) and bivariate and multivariate logistic regression were used. Result. In this study, 13.7% of mothers utilized early postnatal care. Educational status of mothers (AOR = 3.7 : 95 CI; 1.3–10.7), place of delivery (AOR: 1.8 : 95 CI; 1.03–3.2), ANC attendance (AOR = 3.4 : 95 CI; 1.1–10.09), development of complication after delivery (AOR: 7.8 : 95 CI; 3.7–16.2), and previous history of postnatal care utilization (AOR: 2.1 : 95 CI; 1.13–3.9) were found to be associated with early postnatal care service utilization. Conclusion and Recommendations. Educational status of mothers, ANC attendance, place of delivery, delivery complication while giving recent birth, and past history of postnatal care utilization were significant predictors for early postnatal care utilization. Considering this, empowering women with education and overall strengthening of health facility to improve maternal health service utilization are necessary measures to be done at different levels to enhance early postnatal care utilization during this critical time.

scholarly journals Prevalence of Early Postnatal-Care Service Utilization and Its Associated Factors among Mothers in Hawassa Zuria District, Sidama Regional State, Ethiopia: A Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Shambel Yoseph ◽  
Azmach Dache ◽  
Aregahegn Dona
Keyword(s):  
Service Utilization ◽  
Postnatal Care ◽  
Associated Factors ◽  
Care Service ◽  
Cross Sectional Study ◽  
Care Utilization ◽  
Sectional Study ◽  
Cross Sectional ◽  
Danger Signs ◽  
Regional State

Background. A postnatal care given after childbirth is a critical care to promote health and to prevent complications of the mother and newborn. However, utilization of this service is low in Ethiopia, and little is known about its coverage and determinants. Thus, this study aimed to assess the prevalence of early postnatal-care service utilization and its associated factors among mothers in Hawassa Zuria district, Sidama Regional State, Ethiopia. Methods. A cross-sectional study was conducted from 20 February to 20 March 2020 in Hawassa Zuria District among randomly selected 320 mothers. Data were collected by using interviewer-administered structured questionnaires. Data entered were into Epi data version 3.1 and exported to SPSS version 26 for analysis. Descriptive, bivariable, and multivariable logistic regression analysis with odds ratio and 95% confidence interval were conducted. A P value <0.05 was considered a statistically significant association. Finally, the results were presented by texts, tables, and figures. Result. The prevalence of early postnatal-care service utilization was 29.7% (95% CI = 24.7, 35.5). Age below 25 years [AOR = 3.2 (95% CI = 1.37, 7.48)], having planned and supported pregnancy for last birth [AOR = 2.2 (95% CI = 1.13, 4.38)], having information about obstetric danger signs [AOR = 2.1 (95% CI = 1.25, 3.78)], and having positive attitude on use postnatal services [AOR = 3.5 (95% CI = 1.94, 6.32)] were factors associated with early postnatal-care utilization. Conclusion. The finding revealed that early postnatal-care utilization in the study area was low. Strengthening family planning services, giving information on obstetrics danger signs, and creating awareness about postnatal care will improve uptake of the service in a timely manner.

scholarly journals Postnatal Care Service Utilization and Associated Factors among Women Who Gave Birth in the Last 12 Months prior to the Study in Debre Markos Town, Northwestern Ethiopia: A Community-Based Cross-Sectional Study

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Miteku Andualem Limenih ◽  
Zerfu Mulaw Endale ◽  
Berihun Assefa Dachew
Keyword(s):  
Service Utilization ◽  
Postnatal Care ◽  
Care Service ◽  
Cross Sectional Study ◽  
Maternal And Newborn Health ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Factors Associated ◽  
Care Services

Improving maternal and newborn health through proper postnatal care services under the care of skilled health personnel is the key strategy to reduce maternal and neonatal mortality. However, there were limited evidences on utilization of postnatal care services in Ethiopia. A community based cross-sectional study was conducted in Debremarkos town, Northwest Ethiopia. Cluster sampling technique was used to select 588 study participants. Bivariate and multivariable logistic regression model was fitted to identify factors associated with postnatal care utilization. Odds ratio with 95% confidence interval was computed to determine the level of significance. Postnatal care service utilization was found to be 33.5%. Awareness about maternal complication (AOR: 2.72, 95% CI (1.71, 4.34)), place of delivery of last child (AOR: 1.68, 95% CI: (1.01, 2.79)), outcome of birth (AOR: 2.71, 95% CI (1.19, 6.19)), delivery by cesarean section (AOR: 4.82, 95% CI (1.86, 12.54)), and delivery complication that occurred during birth (AOR: 2.58, 95% CI (1.56, 4.28)) were factors associated with postnatal care service utilization. Postnatal care service utilization was found to be low. Increasing awareness about postnatal care, preventing maternal and neonatal complication, and scheduling mothers based on the national postnatal care follow-up protocol would increase postnatal care service utilization.

scholarly journals Complete postnatal care utilizations and its associated factors among women who gave birth in the last 12 months in Ezha district, Southern Ethiopia, 2019 ( Community-based cross-sectional study , compliance with  WHO recommendation)

2020 ◽  
Author(s):  
aklilu hailegebireal habte ◽  
Feleke Gebiremeskel ◽  
Misgun Shewangizaw ◽  
Samuel Dessu ◽  
Mustefa Glagn
Keyword(s):  
Postnatal Care ◽  
Associated Factors ◽  
Care Service ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Care Utilization ◽  
Multivariable Logistic Regression Analysis ◽  
Community Based ◽  
Cross Sectional ◽  
Post Natal Care

Abstract Background: Postnatal care service is preventive care, practices and assessments that are designed to identify and manage complications for both the mother and the newborn within the first six weeks of birth. A clear understanding of factors associated with complete PNC services utilization is important to help in the development and the implementation of evidence-based approaches to increase utilization of PNC services. The aim of the study was to identify the Prevalence of complete postnatal care utilizations and associated factors among women gave birth in the last 12 months in Ezha district, southern Ethiopia. Methods: A community based cross-sectional study was conducted in Ezha district. A two stage sampling technique was applied. A total of 568 mothers from ten selected kebeles were included in the study by using computer generated random numbers. Data were collected using pretested semi-structured questionnaire through face to face interview and entered to EpiData3.1 and exported to SPPS version 23. Principal component analysis (PCA) was performed to assess wealth status of the participants. Bivariate and Multivariable logistic regression analysis were performed in order to identify the factors significantly associated with Complete post natal care utilization at the level of significance of p value <0.25 with 95% CI of COR and <0.05 with 95% CI of AOR respectively. Results: The prevalence of complete post natal care utilization in the study area was 19.6%. The factors; maternal education of secondary and above [AOR: 4.3; 95%CI: (2.15, 8.05)], having antenatal visits [AOR:3.75; 95%CI:(1.78, 7.92)], Caesarean delivery [AOR:3.96; 95%CI: (1.5,7.94)], having good knowledge on PNC [AOR: 5.31; 95%CI:(2.34,10.05)] and being model house hold [AOR:3.61; 95%CI: (1.97,6.64)] were identified as independent factors for complete postnatal care utilization in multivariable logistic regression analysis. Conclusion: Complete postnatal care service utilization in the study area was low. Strengthening information education and communication on the importance of complying with recommended postnatal care, work on model house hold creation, and increasing number of antenatal care visits are the necessary measures that should be done by concerned bodies to enhance complete postnatal care utilization in the district. Keywords: Postnatal care, complete postnatal care, utilization, district, associated factors.

scholarly journals Exclusive Breastfeeding Practice and Associated Factors among Mothers in Boditi Town, Wolaita Zone, Southern Ethiopia, 2018: A Community-Based Cross-Sectional Study

2019 ◽  
Vol 2019 ◽  
pp. 1-11 ◽  
Author(s):  
Gedion Asnake Azeze ◽  
Kelemu Abebe Gelaw ◽  
Natnael Atnafu Gebeyehu ◽  
Molalegn Mesele Gesese ◽  
Taklu Marama Mokonnon
Keyword(s):  
Exclusive Breastfeeding ◽  
Postnatal Care ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Care Utilization ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Child Birth ◽  
Breastfeeding Practice

Background. Exclusive breastfeeding tops the table of life-saving interventions for newborns. A child who is exclusively breastfed is 14 times less likely to die in the first six months compared to its counterpart. Approximately 18,000 children globally still die every day and if current trend continues, some 60 million children under age 5 will die between 2017 and 2030, and half of them will be newborns. Five countries, including Ethiopia, accounted for half of all newborn deaths in the world. Objective. To assess the prevalence and associated factors of exclusive breastfeeding practice among mothers who have infants 6-12 months of age in Boditi Town, Wolaita Zone, Southern Ethiopia, 2018. Methods. Community-based cross-sectional study was conducted among 412 randomly selected mothers having 6 to 12 month infants from April 1 to 14, 2018. A pretested interviewer administered questionnaire was used for data collection. The data were entered using Epi Data version 3.1 and analyzed using SPSS version 20. Descriptive statistics was made. Bivariate and multivariate logistic regression was also carried out to see the effect of each independent variable on the dependent variable. Results. Of 412 mother-infant pairs sampled, 403 were participated, which made a response rate of 97.8%. Prevalence of EBF computed using since birth dietary recall method was 64.8% (95% C.I= 60.0, 69.0). From multivariable analysis, child birth attended by health care provider (AOR = 5.303, 95% C.I = 1.613, 17.436), postnatal care utilization (AOR = 1.91, C.I = 1.083, 3.370), and mothers who did not report any breast related problem for the first six months after child birth (AOR = 1.864, C.I = 1.090, 3.189) were factors positively associated with exclusive breastfeeding practice. Conclusion. Although the prevalence of exclusive breastfeeding practice in this study was relatively high, more effort to meet World Health Organization (WHO) recommendations is still necessary to benefit from its intervention. There is a need to promote child births to be attended by health care providers and postnatal care utilization. Further, women should be educated on what to do and where to seek care if breast problem occurs after child birth.

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