scholarly journals Individual and community level factors associated with delayed first postnatal care attendance among reproductive age group women in Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Achamyeleh Birhanu Teshale ◽  
Getayeneh Antehunegn Tesema ◽  
Yigizie Yeshaw ◽  
Ayenew Kassie Tesema ◽  
Adugnaw Zeleke Alem ◽  
...  
Keyword(s):  
Health Facility ◽  
Postnatal Care ◽  
Community Level ◽  
Reproductive Age ◽  
Multilevel Logistic Regression ◽  
Age Group ◽  
Individual Level ◽  
Factors Associated ◽  
Multilevel Logistic Regression Analysis ◽  
Reproductive Age Group

Abstract Background Postnatal care (PNC) visits provide a huge benefit for ensuring appropriate breastfeeding practices, to monitor the overall health status of the newborn, to timely diagnose and intervene birth-related complications, and to plan future family planning options. Despite delayed PNC attendance have a great impact on the survival of the mother and the newborn it still receives less emphasis. As a result, most mothers do not receive PNC services early. We, therefore, aimed to determine individual and community level factors associated with delayed first Postnatal Care attendance among reproductive age group women in Ethiopia. Methods We used the most recent Ethiopian Demographic and Health Survey (EDHS 2016) data to determine associated factors of delayed first PNC in Ethiopia. A weighted sample of 4308 women with a live birth in the two years preceding the survey was included. A multilevel logistic regression analysis was used to analyze the data. Variables with p-value < 0.05 in the multivariable multilevel logistic regression analysis were declared significantly associated with delayed first PNC attendance. Results In this study, both individual level and community level factors were associated with delayed PNC attendance. Among the individual level factors: having four or more antenatal care visit [Adjusted Odd Ratio (AOR) = 0.73; 95% CI: 0.59, 0.92], delivery at a health facility [AOR = 0.04; 95% CI: 0.03, 0.05], and perceiving distance from the health facility as not a big problem [AOR = 0.73; 95% CI: 0.58, 0.91] were associated with lower odds of delayed first PNC attendance. Of community level factors: being in Oromia [AOR = 2.31; 95% CI: 1.38, 3.83] and Gambela [AOR = 2.01; 95% CI: 1.13, 3.56] regions were associated higher odds of delayed first PNC attendance. Conclusions Both individual level and community level factors were found to be associated with delayed PNC attendance. Strengthening antenatal care utilization, institutional delivery, and appropriate distributions of maternal health services in each region and areas far apart from the health facility are recommended.

scholarly journals Maternal and community factors associated with postnatal care checkups in Ethiopia: A multi-level analysis

2020 ◽  
Author(s):  
Afework Tadele ◽  
Masrie Getinet
Keyword(s):  
Cesarean Section ◽  
Health Facility ◽  
Postnatal Care ◽  
Household Wealth ◽  
Community Level ◽  
Maternal Factors ◽  
Community Factors ◽  
Factors Associated ◽  
Care Services ◽  
Multi Level

Abstract Background Maternal mortality remained a public health issue, especially in developing countries. Although the first two days after birth was a critical time in which the highest maternal death recorded, it was the most neglected period of maternal health services. Therefore, this study aims to determine the maternal and community-level factors of postnatal check-ups in Ethiopia Methods Demographic and Health Survey (DHS) in 2016 was utilized. A total of 3,948 women aged 15-49 giving birth in the two years before the survey were included. The response variables were post-natal check-ups in the first two days after birth, dichotomized into no check-ups in the first two days and check-ups within two days after giving birth. The explanatory variables were individual maternal characteristics such as education, household wealth, perceived distance to a health facility to get medical help, employment status, antenatal care (ANC), delivery by cesarean section, birth order and place of delivery, and selected community characteristics such as community literacy, community socioeconomic status, community ANC coverage, community perception of distance to a health facility, and regional states. A multi-level mixed-effects logistic regression model was employed. Result Only 17% of the women had a postnatal check-up within 2 days of giving birth in Ethiopia. Institutional delivery AOR 2.14 [95% C.I 1.70, 2.0] and giving birth by cesarean section AOR 1.66 [95% CI 1.10, 2.50] were found to be maternal factors, whereas administrative regions(Oromia 69%, Somali 56%, Benishangul 55%, SNNPR 43%, Gambela 66%, Afar 50% and Dire Dawa 55% which less likely to utilize postnatal care utilization as compared to Addis Ababa city administrative area), Higher community-level wealth AOR 1.44 [95% C.I 1.08, 1.2], ANC coverage AOR 1.52 [95% C.I 1.19, 1.96] and perceived distance of the health facility as a big problem AOR 0.78[95% C.I 0.60, 0.99] were the community factors associated with postnatal check-ups in Ethiopia. Conclusion Both maternal factors and community factors are found to be a significant association with postnatal care services utilization, however, based on the ICC maternal factors prevail the community-level factors. Increasing access to postnatal care services to the remote areas of Ethiopia was recommended.

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