scholarly journals Utilization and factors associated with antenatal, delivery and postnatal Care Services in Tigray Region, Ethiopia: a community-based cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mussie Alemayehu ◽  
Tesfay Gebregzabher Gebrehiwot ◽  
Araya Abrha Medhanyie ◽  
Alem Desta ◽  
Tesfu Alemu ◽  
...  
2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Miteku Andualem Limenih ◽  
Zerfu Mulaw Endale ◽  
Berihun Assefa Dachew

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.


2019 ◽  
Author(s):  
Zewde Ayana ◽  
Deselegn Wirtu ◽  
Belachew Etana ◽  
Tariku Tesfaye Beakuma

Abstract Background majority of neonate and maternal death is occurring in the first week of delivery. Therefore, utilization of postnatal care within the first week of delivery is essential to increase the survival of both a mother and newborn. Therefore, this study was aimed to assess the use of postnatal care in the first week of delivery and factors associated among women who gave birth in the last six weeks. Method A community-based cross-sectional study was conducted in the Dano District, one of the remotest districts in the Oromia Region of Ethiopia. A total of 274 women who gave birth during the last six weeks and selected using random sampling method were included in the study. Multivariate logistic regression was used to identify factors associated with the utilization of postnatal care within the first week of delivery. Finding with a p-value less than 0.05 is considered a statistically significant association. Result early postnatal care utilization is found to be (within the first week of delivery) was 23.7 percent. Mother given appointment after delivery [AOR=4.84, 95% CI= (1.46, 16.1)], have used postnatal care previous [AOR= 7.4, 95% CI= (2.9, 18.5)] and aware of postnatal care within first week of delivery [AOR=4.27, 95% CI= (1.46, 12.49)] were more likely to use the postnatal care within first week. The qualitative finding indicated traditional beliefs during postpartum also found to affect the use of postnatal care. Conclusion The utilization of postnatal care within first week of delivery in was low in the district. Therefore, creating awareness on the benefits of early postnatal care, and designing of strategies to decrease the effect of traditional belief on postnatal care recommended to improve the coverage.


Author(s):  
Arvind Sharma ◽  
Pritesh Singh Thakur ◽  
Rajesh Tiwari ◽  
Richa Sharma

Background: As part of the Sustainable Development Goal 3, the target is to reduce the global maternal mortality ratio to less than 70 per 100 000 live births globally by 2030. Antenatal care (ANC) is an important determinant of maternal mortality and ANC visit is an important component of maternal health care. This study was carried out to assess the utilization of antenatal care services and to understand the factors associated with utilization of antenatal care services in tribal area of Madhya Pradesh.Methods: Community based cross-sectional study carried in tribal dominated district of Madhya Pradesh. A total of 210 mothers who delivered in last one year were selected for study by cluster sampling technique and mothers were interviewed using structured questionnaire after obtaining informed consent.Results: Present study 94.8% antenatal mothers registered and received at least one antenatal check-up and 51.4% mother were registered during first trimester while only 43.4% mothers received four or more ANC visits. Completely utilization of ANC services was found in 39.5% mother. Education of the mother, occupation of mother, income, education of the husband, knowledge of mother about the needs of antenatal care and early ANC registration were found to be significant factors associated with full utilization of ANC services.Conclusions: This study revealed that education of mother and knowledge of mother about the needs of ANC were important contributing factors associated with full utilization of ANC services in tribal area. The education is related with the economic status, awareness of mother about utilization health services, empowerment and decisions making capacity of mothers.


PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246243
Author(s):  
Aklilu Habte ◽  
Feleke Gebiremeskel ◽  
Misgun Shewangizaw ◽  
Samuel Dessu ◽  
Mustefa Glagn

Background Postnatal care services are a constellation of preventive care, practices, and assessments designed to identify and manage maternal and newborn complications during the first six weeks after birth. Recognizing the role of the appropriate PNC at this critical time, the World Health Organization recommended four visits as a complete PNC for all post-partum mothers and newborns to ensure their survival. Although there have been numerous studies on the factors affecting the general PNC service in Ethiopia, there is a shortage of evidence on the use of complete postnatal care services and its determinants. Therefore, the objective of this study was to assess the uptake of full postnatal care service and its determinants among women who recently gave birth in the Ezha district of 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 who stayed for at least 6 weeks after childbirth from selected Kebeles were included in the study using computer-generated random numbers. Data collected through pre-established, structured, and interviewer-administered questionnaires were entered into EpiData3.1 and exported to SPPS version 23 for analysis. The Principal Components Analysis (PCA) was carried out to assess the wealth status of participants. The Multivariable logistic regression model has been fitted to identify the determinants of complete post-natal care service uptake. Results The overall uptake of complete postnatal care services in the study area was 23.9% [95% CI: (19.9, 27.5)]. The factors namely; maternal education of secondary and above [AOR: 4.31, 95%CI: 2.15, 8.05], having four and more antenatal visits [AOR: 4.03, 95%CI: 1.83, 8.85], Caesarean delivery [AOR: 3.75, 95%CI: 1.78, 7.92], having good knowledge on PNC [AOR: 4.31, 95%CI: 2.34, 9.04], and being a model household [AOR: 3.61, 95%CI: 1.97, 6.64] were recognized as determinants complete postnatal care uptake. Conclusion and recommendation Complete post-natal care services uptake in the study area was low. Thus, a due emphasis should be given to behavioral change communication activities to improve maternal knowledge on PNC and enhancing adequate ANC uptake by health workers in the district. Besides, health extension workers in the district need to work on creating a model household through continuing education, support, and follow-up.


2020 ◽  
Author(s):  
Maezu G/slassie1 ◽  
Kiflay Mulugeta ◽  
Abraha Teklay Berhe

Abstract Background: Prelacteal feeding is administration of any food or fluid other than breast milk before initiation of breast feeding. Optimal breastfeeding including discouraging prelacteal feeding could save 823,000 lives per year among children ages five years old and younger. Despite of this mothers give prelacteal feeding to their child in different part of Ethiopia; However, there is a paucity of information on prevalence of prelacteal feeding and associated factors in the study area. Thus, the current study aimed at determining of the prevalence of prelacteal feeding and associated factors among mothers of children aged less than six months in Gozamen district, East Gojjam zone, North West Ethiopia, 2019-2020Methods: A community -based cross-sectional study was conducted among 741 mothers of children aged less than six months in Gozamen district from August 2019 to Feb 2020. Stratified cluster sampling technique was used to select study participants. Data were collected by face to face interviewer-administered, pretested and semi-structured questionnaire. Descriptive analysis, bi-variable and multivariable logistic regression model were employed. Adjusted odds ratio with 95% confidence interval was used to identify factors associated with prelacteal feeding.Results: In this study the prevalence of prelacteal feeding was found to be 17.1%with 95%CI [14.3, 20]. Mothers who had no ANC follow up [AOR: 7.53, CI; 3.32, 17.05], those mothers who did not discard colostrum [AOR: 0.12, CI; 0.07, 0.12] time of breast feeding initiation [AOR: 3.53, CI; 2.05, 6.11] and mothers who had single ANC visit [AOR: 2.98, CI; 1.52, 5.85] were significant independent factors associated with prelacteal feeding.Conclusion: This study concluded that prelacteal feeding was high in the study area .Therefore, in order to tackle this problem strengthening antenatal follow up, timely initiation of breastfeeding, health education and awarenes creation of the communities are recommended interventions.


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