scholarly journals Postnatal care coverage and its determinants in Sri Lanka: analysis of the 2016 demographic and health survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Upuli Amaranganie Pushpakumari Perera ◽  
Yibeltal Assefa ◽  
Uttara Amilani
Keyword(s):  
Logistic Regression ◽  
Health Survey ◽  
Urban Areas ◽  
Postnatal Care ◽  
Maternal Age ◽  
Secondary Analysis ◽  
Demographic And Health Survey ◽  
Multiple Logistic Regression ◽  
Logistic Regression Models ◽  
Socio Demographic Factors

Abstract Background Postnatal care (PNC) is important for preventing morbidity and mortality in mothers and newborns. Even though its importance is highlighted, PNC received less attention than antenatal care. This study determines the level of PNC coverage and its determinants in Srilanka. Methods This is a secondary analysis of the 2016 Demographic and Health Survey. Receiving full postnatal care (FPNC) was defined with a set of indicators to detect adequate care for mother and newborn. Demographic and socio-economic associated factors for receiving FPNC were identified using binary and multiple logistic regression. Variables that had marginal relationship with receiving FPNC which p-value less than or equal to 0.2 at binary analysis were selected and included in the multiple logistic regression models. We used manual backward stepwise regression to identify variables which had independent association with receiving FPNC on the basis of adjusted odds ratios (AOR), with 95% confidence interval (CI) and p-value less than 0.05. All analyses were performed in SPSS 25. Results Of the 8313 women with a live birth in the last 5 years, more than 98% had received postnatal care at facility at least 24 h. More than three-fourth of mothers (n = 5104) received the FPNC according to WHO guideline. Four factors were positively associated with receiving FPNC: mothers received antenatal home visits by Public health midwife (AOR = 1.98, 95% CI 1.65–2.39), mothers who got information about antenatal complications and places to go at antenatal clinics (AOR = 1.56, 95% CI 1.27–1.92), been Sinhala (AOR = 1.89, 95% CI 1.35–2.66) and having own mobile phone (AOR = 1.19, 95% CI 1.02–1.38). Mothers who are residing in rural area (AOR = 0.697 95% CI = 0.52–0.93] compared to those who reside in urban areas and maternal age between 20 and 34 years [AOR = 0.72, 95% CI 0.54–0.97] compared to maternal age less than 20 years were detected as negatively associated. Conclusion Receiving FPNC in Srilanka is high. However, inequity remains to be a challenge. Socio-demographic factors are associated with FPNC coverage. Strategies that aim to improve postnatal care should target improvement of non-health factors as well.

scholarly journals Postnatal Care Coverage and its Determinants in Sri Lanka : Analysis of the 2016 Demographic and Health Survey 

2020 ◽  
Author(s):  
Upuli Perera ◽  
Uttara Amilani ◽  
Yibeltal Assefa
Keyword(s):  
Logistic Regression ◽  
Health Survey ◽  
Urban Areas ◽  
Postnatal Care ◽  
Maternal Age ◽  
Secondary Analysis ◽  
Institutional Care ◽  
Demographic And Health Survey ◽  
P Value ◽  
Multiple Logistic Regression

Abstract Background: Postnatal care (PNC) is important for preventing morbidity and mortality in mothers and newborns. Even though its importance is highlighted, PNC received less attention than antenatal care. This study determines the level of PNC coverage and its determinants in Srilanka. Methods: This is a secondary analysis of the 2016 Demographic and Health Survey. Receiving full postnatal care (FPNC) was defined with a set of indicators to detect adequate care for mother and newborn. Demographic and socio-economic associated factors for receiving FPNC were identified using binary and multiple logistic regression. Variables that had marginal relationship with receiving FPNC which p-value less than or equal to 0.2 at binary analysis were selected and included in the multiple logistic regression models. We used manual backward stepwise regression to identify variables which had independent association with receiving FPNC on the basis of adjusted odds ratios (AOR), with 95% confidence interval (CI) and p-value less than 0.05. All analyses were performed in SPSS 25. Results: Of the 8813 women with a live birth in the last five years, more than 98% had timely institutional care from skilled staff. More than three-fourth of mothers (n=5104) received the FPNC according to WHO guideline. Four factors were positively associated with receiving FPNC: mothers received antenatal home visits by Public health midwife (AOR=1.98, 95% CI 1.65-2.39), mothers who got information about antenatal complications and places to go at antenatal clinics (AOR=1.56, 95% CI 1.27 -1.92), been Sinhala (AOR= 1.89, 95% CI 1.35-2.66) and having own mobile phone (AOR=1.19, 95% CI 1.02 -1.38). Mothers who are residing in rural area (AOR=0.697 95% CI = 0.52 – 0.93] compared to those who reside in urban areas and maternal age between 20 and 34 years [AOR= 0.72, 95% CI 0.54 – 0.97] compared to maternal age less than 20 years were detected as negatively associated. Conclusion: Receiving FPNC in Srilanka is found to be higher than other countries in the region. However, inequity remains to be a challenge. Few socio-demographic factors are associated with FPNC coverage. Strategies that aim to improve postnatal care should target improvement of social determinates of health.

scholarly journals Magnitude and Associated Factors of Antenatal Care Utilization in Western Regions of Ethiopia: A study Based on Demographic and Health Survey Data

2021 ◽  
pp. 23-29
Author(s):  
Mekonin Abera Negeri
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Survey Data ◽  
Health Survey ◽  
Associated Factors ◽  
Maternal Education ◽  
Demographic And Health Survey ◽  
Multiple Logistic Regression ◽  
Health Survey Data ◽  
To Receive

Antenatal care (ANC) service is used to ensure the best health conditions for both mother and baby during pregnancy. There are marked disparities in the utilization of ANC utilization among regions of Ethiopia. Hence, this study was intended to analyze the magnitude and associated factors of ANC utilization in Western Regions of Ethiopia. The study was conducted based on 2019 Ethiopian Mini Demographic and Health Survey data. A total of 1200 women representing the three regions (Oromiya, Benishangul Gumuz and Gambela), who gave birth two years preceding the survey were included and the analysis was done by SPSS version 20. Multiple logistic regression was used to assess the net effect of associated factors of ANC utilization. Among the studied participants, 39.9%, 51.0% and 27.8%of women in Oromiya, Benishangul Gumuz and Gambela regions, respectively, received a minimum of four ANC visits from the skilled health personnel. The result from multiple logistic regression depicted that age in 5- year group, region, place of residence, maternal education and wealth index were significantly associated with the utilization of ANC service. The utilization of ANC service was higher among young women than old women while women in Benishangul Gumuz were more likely to receive ANC service than women in Gambela region. Better education attainment increases the likelihood of receiving ANC service from the skilled personnel. Urban women as well as rich women were more likely to receive ANC service than their respective rural and poor counterparts in the studied regions. Providing awareness creation on ANC utilization for women of fertile age is a best instrument to minimize maternal and child mortality.

scholarly journals Postnatal Care Service Utilisation in Ethiopia: Reflecting on 20 Years of Demographic and Health Survey Data

2020 ◽  
Vol 18 (1) ◽  
pp. 193
Author(s):  
Tensae Mekonnen ◽  
Tinashe Dune ◽  
Janette Perz ◽  
Felix Akpojene Ogbo
Keyword(s):  
Health Facility ◽  
Health Survey ◽  
Rural Women ◽  
Urban Areas ◽  
Postnatal Care ◽  
Care Service ◽  
Demographic And Health Survey ◽  
Service Utilisation ◽  
Sampling Weights ◽  
Targeted Interventions

Background: Most maternal deaths in the world occur during the postpartum period, especially within the first two days following delivery. This makes postnatal care (PNC) critical to improving the chances of maternal and child survival. Over the past 20 years, the proportion of women receiving antenatal care (ANC) in Ethiopia has increased while the proportion of those receiving PNC has remained low. This study aimed to understand the trends, determinants and urban–rural variations of PNC service utilisation. Methods: This study draws on the Ethiopian Demographic and Health Survey (EDHS) data for the years 2000 (n = 4552), 2005 (n = 4467), 2011 (n = 4445) and 2016 (n = 4275) to estimate the trends and determinants of PNC service utilisation. Multivariate logistic regression models with adjustment for clustering and sampling weights were used to investigate the association between the independent factors, the study factors and PNC service utilisation. Results: Over the twenty-year period of the EDHS, the proportion of Ethiopian women who received PNC services increased from 5.6% (95% CI: 4.6–6.9%) in 2000 to 18.5% (95% CI: 16.4–20.7%) in 2016. Similarly, women who received PNC services in urban areas increased from 15.2% (95% CI: 23.6–30.7%) in 2000 to 47% (95% CI: 60.4–67.3%) in 2016. Women who were in the wealthy quintile, had ANC visits, delivered in a health facility, and delivered by caesarean section were most likely to have PNC. The present study also showed that whilst birth spacing was a significant factor among urban women, wealth index, ANC visits, and perception of health facility distance were significant factors among rural women. Conclusions: The study suggests low levels of utilisation of PNC among Ethiopian women from rural districts. Geographically targeted interventions with a focus on low-socioeconomic rural women, and those with no previous contacts with the health system during pregnancy, are needed to improve PNC in Ethiopia.

scholarly journals Association of biomass fuel smoke with respiratory symptoms among children under 5 years of age in urban areas: results from Bangladesh Urban Health Survey, 2013

2019 ◽  
Vol 24 (1) ◽  
Author(s):  
Md. Hasan ◽  
Sadia Tasfina ◽  
S. M. Raysul Haque ◽  
K. M. Saif-Ur-Rahman ◽  
Md. Khalequzzaman ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Urban Health ◽  
Health Survey ◽  
Regression Models ◽  
Respiratory Symptoms ◽  
Smoke Exposure ◽  
Biomass Fuel ◽  
Multiple Logistic Regression ◽  
Logistic Regression Models ◽  
Children Under 5

Abstract Background Little is known regarding the effect of exposure to biomass fuel smoke inhalation on respiratory symptoms in the Bangladeshi population which is a major health hazard in most of the developing countries. This study aims to explore the association between respiratory symptoms and biomass fuel smoke exposure among children under 5 years of age. Methods Data were extracted from the Bangladesh Urban Health Survey conducted in 2013. A total of 10,575 mothers with at least one surviving children were selected. Respiratory symptoms among children under 5 years of age were considered as the primary outcome. Sequential multiple logistic regression models were used to observe the association between respiratory symptoms and biomass fuel smoke exposure adjusting the effect of residential factors and mother and child characteristics. Results Around 40% of the mothers exclusively used biomass fuel irrespective of the kitchen location and 54% of them were habituated in indoor cooking. The prevalence of respiratory symptoms of under-five children among in-house and outdoor biomass fuel users was 23.0% and 21.9%, respectively. Results of fitted multiple logistic regression models showed that the odds of having respiratory symptoms among children under 5 years of age were increased due to in-house biomass fuel use [OR = 1.18; 95% CI, 1.04–1.36] compared with the non-biomass user. An increased risk of respiratory symptoms was also significantly associated with mother’s birth complication [OR = 1.51; 95% CI, 1.36–1.67], non-government organization (NGO) membership of mothers [OR = 1.32; 95% CI, 1.16–1.51], age of the child (6–23m) [OR = 1.29; 95% CI, 1.10–1.52], and nutritional status (stunting) [OR = 1.18; 95% CI, 1.06–1.31]. Conclusion This study found the use of in-house biomass fuel as a significant risk factor associated with respiratory symptoms of children under 5 years of age. More longitudinal studies should be designed to establish a causal relationship between HAP (household air pollution) and respiratory symptoms among children with more direct measures of HAP and clinical procedure.

scholarly journals Do mothers who delivered at health facilities return to health facilities for postnatal care follow-up? A multilevel analysis of the 2016 Ethiopian Demographic and Health Survey

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249793
Author(s):  
Brhane Ayele ◽  
Mulugeta Woldu ◽  
Haftom Gebrehiwot ◽  
Tsegay Wellay ◽  
Tsegay Hadgu ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Health Facility ◽  
Health Survey ◽  
Postnatal Care ◽  
Health Facilities ◽  
Demographic And Health Survey ◽  
Community Level ◽  
P Value ◽  
Multilevel Logistic Regression ◽  
Explanatory Variables

Introduction Returning to health facility for postnatal care (PNC) use after giving birth at health facility could reflect the health seeking behavior of mothers. However, such studies are rare though they are critically important to develop vigorous strategies to improve PNC service utilization. Therefore, this study aimed to determine the magnitude and factors associated with returning to health facilities for PNC among mothers who delivered in Ethiopian health facilities after they were discharged. Methods This cross-sectional study used 2016 Ethiopian Demographic and Health Survey data. A total of 2405mothers who gave birth in a health facility were included in this study. Multilevel mixed-effect logistic regression model was fitted to estimate both independent (fixed) effects of the explanatory variables and community-level (random) effects on return for PNC utilization. Variable with p-value of ≤ 0.25 from unadjusted multilevel logistic regression were selected to develop three models and p-value of ≤0.05 was used to declare significance of the explanatory variables on the outcome variable in the final (adjusted) model. Analysis was done using IBM SPSS statistics version 21. Result In this analysis, from the total 2405 participants, 14.3% ((95%CI: 12.1–16.8), (n = 344)) of them returned to health facilities for PNC use after they gave birth at a health facility. From the multilevel logistic regression analysis, being employed (AOR = 1.51, 95%CI: 1.04–2.19), receiving eight and above antenatal care visits (AOR = 2.90, 95%CI: 1.05–8.00), caesarean section delivery (AOR = 2.53, 95%CI: 1.40–4.58) and rural residence (AOR = 0.56, 95%CI: 0.36–0.88) were found significantly associated with return to health facilities for PNC use among women who gave birth at health facility. Conclusion Facility-based PNC utilization among mothers who delivered at health facilities is low in Ethiopia. Both individual and community level variables were determined women to return to health facilities for PNC use. Thus, adopting context-specific strategies/policies could improve PNC utilization and should be paid a due focus.

scholarly journals Burundi: analysis of the 2016-2017 Burundian demographic and health survey

2021 ◽  
Vol 8 (5) ◽  
pp. 2186
Author(s):  
Masabarakiza Prosper ◽  
Nsanzabera Charles
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Birth Order ◽  
Health Survey ◽  
Women's Education ◽  
Rural Areas ◽  
Postnatal Care ◽  
Insurance Coverage ◽  
Behavioural Change ◽  
Demographic And Health Survey

Background: Access to antenatal care and postnatal care services has a great deal of impacts on major causes of high maternal, neonatal and child mortality rates. This study was aimed to identify factors affecting the use of antenatal care (ANC) and postnatal care (PNC) services.Methods: The study used data from the nationally representative 2016-2017 Burundi demographic and health survey (DHS). A total of 8,660 mothers who gave birth within five years preceding the 2016-2017 Burundi DHS were included in this study. Logistic regression statistical analyses were used to identify factors associated with the use of the first ANC visit, the use of 4 ANC services and the use of PNC services in Burundi.Results: Using logistic regression the determined factors such as birth order (AOR 1.64; 95% CI 1.51-1.73), place of delivery (AOR 0.63; 95% CI 0.54-0.76), mothers’ education (AOR 0.47; 95% CI 0.38-0.57) and husband’s education level (AOR 0.85; 95% CI 0.74-0.94) were associated with the use of early ANC. Factors such as birth order (AOR 1.79; 95% CI 1.67-2.30), the exposure to media(AOR 1.11; 95% CI 0.98-1.30), women’s education (AOR 0.58; 95% CI 0.46-0.73), residence(AOR 0.8; 95% CI 0.69-1.01) and the birth interval(AOR 1.45; 95% 1.32-2.00) were associated with the four ANC. Women’s education (AOR 0.59; 95% CI 0.40-0.70), and health insurance coverage (AOR 0.72; 95% CI 0.59-0.96) were associated with the receiving of PNC.Conclusions: Health promotion targeting women’s education, husbands’ education and behavioural change communication in rural areas are vital for increasing their awareness about the importance of antenatal services.

scholarly journals Prevalence of childhood asthma in US military and non-military families: Comparisons by rural–urban residence and geographic region

2018 ◽  
Vol 16 (4) ◽  
pp. 296-306
Author(s):  
Justin T McDaniel ◽  
Robert J McDermott ◽  
Mary P Martinasek ◽  
Robin M White
Keyword(s):  
Logistic Regression ◽  
Childhood Asthma ◽  
Urban Areas ◽  
Military Families ◽  
Geographic Region ◽  
Asthma Prevalence ◽  
Behavioral Risk ◽  
Multiple Logistic Regression ◽  
Current Asthma ◽  
American Children

Objective We sought to determine variables associated with asthma among children from military and non-military families. Methods We performed secondary data analysis on the 2016 Behavioral Risk Factor Surveillance System. Parents with and without military experience ( n = 61,079) were asked whether a child ever had asthma and currently has asthma. We used two multiple logistic regression models to determine the influence of rurality and geographic region on “ever” and “current” asthma in children of military and non-military families, while controlling for socio-demographic and behavioral variables. Results Overall childhood asthma prevalence for children in military families was lower than non-military families (ever, 9.7% vs. 12.9%; currently, 6.2% vs. 8.2%) in 2016. However, multiple logistic regression showed variation in “ever” and “current” asthma among children of military and non-military families by rurality and race. Discussion Developers of public health asthma interventions should consider targeting African-American children of military families living in urban areas. This population is approximately twice as likely to have asthma as Caucasian children of non-military families.

scholarly journals HIV knowledge and associated factors among young Ethiopians: application of multilevel order logistic regression using the 2016 EDHS

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Teshome Kabeta Dadi ◽  
Merga Belina Feyasa ◽  
Mamo Nigatu Gebre
Keyword(s):  
Logistic Regression ◽  
Survey Data ◽  
Health Survey ◽  
Statistical Significance ◽  
Insurance Coverage ◽  
Mobile Telephone ◽  
Demographic And Health Survey ◽  
Sub Saharan Africa ◽  
Hiv Knowledge ◽  
Health Survey Data

Abstract Background Human Immunodeficiency virus continues to be a major global health problem infecting 75 million and killing 32 million people since the beginning of the epidemic. It badly hit Sub Saharan Africa than any country in the world and youths are sharing the greatest burden. The study aims to assess the level of HIV-knowledge and its determinants among Ethiopian youths using the 2016 Ethiopia Demographic and Health Survey data. Methods A nationally representative 2016 Ethiopian Demographic and Health Survey data were used. A total of 10,903 youths comprising 6401 females and 4502 males were included in the study. Descriptive statistics and multilevel order logistic regression were used and confidence interval was used to declare statistical significance in the final model. Results The mean age and SD of youths included in this study was 19.10 (±2.82). Among Ethiopian youths, 20.92% (95% CI: 18.91, 23.09%) had low knowledge of HIV whereas, 48.76% (95% CI: 47.12, 50.41%) and 30.31% (95% CI: 28.51, 32.18%) of them had moderate and comprehensive HIV knowledge respectively. Being male, access to TV and radio, ever tested for HIV/AIDS, owning a mobile telephone, and attending primary school and above compared to non-attendants were associated with having higher HIV knowledge. But, dwelling in rural Ethiopia, being in the Protestant and Muslim religious groups as compared to those of Orthodox followers and being in married groups were associated with having lower HIV knowledge. Approximately, 12% of the variation in knowledge of HIV was due to regions. Conclusion Only one-third of Ethiopian youths have deep insight into the disease, whereas, nearly one-fifth of them have lower HIV-knowledge. There is a significant disparity in HIV-related knowledge among Ethiopian youths living in different regions. Rural residents, less educated, female, and married youths have less knowledge of HIV as compared to their counterparts. Youths who do not have a mobile phone, who lack health insurance coverage, and who have limited access to media have less knowledge about HIV. Therefore, the due focus should be given to the aforementioned factors to minimize the disparities between regions and to enhance Ethiopian youths’ HIV-knowledge.

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