Postnatal Care Utilization and Its Determinants in Loma District, Southwest Ethiopia: A Community Based Cross Sectional Study

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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Determinants of postnatal care utilization in Tigray, Northern Ethiopia: A community based cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0221161 ◽

2019 ◽

Vol 14 (8) ◽

pp. e0221161 ◽

Cited By ~ 3

Author(s):

Almaz Berhe ◽

Alemayehu Bayray ◽

Yibrah Berhe ◽

Alula Teklu ◽

Amanuel Desta ◽

...

Keyword(s):

Postnatal Care ◽

Cross Sectional Study ◽

Care Utilization ◽

Northern Ethiopia ◽

Sectional Study ◽

Community Based ◽

Cross Sectional

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Utilization of Postnatal Care and its Determinants in Loma District, Southwest Ethiopia: a Community Based Cross Sectional Study

Journal of Gynecology and Womens Health ◽

10.19080/jgwh.2018.09.555760 ◽

2018 ◽

Vol 9 (2) ◽

Author(s):

Teklemariam Ergat Yarinbab

Keyword(s):

Postnatal Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Southwest Ethiopia

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Early postnatal care utilization among mothers gave birth in the last six weeks in remote district of Ethiopia: a cross-sectional study

10.21203/rs.2.12580/v1 ◽

2019 ◽

Author(s):

Zewde Ayana ◽

Deselegn Wirtu ◽

Belachew Etana ◽

Tariku Tesfaye Beakuma

Keyword(s):

Postnatal Care ◽

Cross Sectional Study ◽

Care Utilization ◽

P Value ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Factors Associated ◽

Qualitative Finding ◽

Association Result

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.

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Prevalence of Onchocerciasis and Associated Factors among Adults Aged ≥ 15 Years in Semen Bench District, Bench Maji Zone, Southwest Ethiopia: Community Based Cross-Sectional Study

Advances in Public Health ◽

10.1155/2019/7276230 ◽

2019 ◽

Vol 2019 ◽

pp. 1-9 ◽

Cited By ~ 2

Author(s):

Bedilu Kifle ◽

Kifle Woldemichael ◽

Mamo Nigatu

Keyword(s):

Logistic Regression ◽

Associated Factors ◽

Statistical Significance ◽

Health Department ◽

Cross Sectional Study ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Southwest Ethiopia ◽

Bivariate Logistic Regression

Background. Though onchocerciasis control and elimination through community directed treatment with ivermectin were conducted for the last fifteen years, prevalence of onchocerciasis and factors associated with it in the study area are yet not known. The aim of the current study is to assess prevalence of onchocerciasis and associated factors among adults aged greater than or equal to fifteen years in Semen Bench district, Bench Maji zone, southwest Ethiopia: community based cross-sectional study 2018. Methods. Community based cross-sectional study was conducted on 553 study participants selected by multistage sampling in April 2018. Data were collected using a pretested interviewer-administered questionnaire. Data were entered using EpiData version 3.1 and exported to SPSS version 20 for statistical analysis. Descriptive statistics were done to summarize dependent and independent variables. Bivariate logistic regression was done to select candidate variables. Multivariable logistic regression was performed to identify independent predictors of onchocerciasis infection. Adjusted odds ratios with 95% CI were calculated to assess association and statistical significance, respectively. Confidence interval was used to declare statistical significance. Result. The overall prevalence of onchocerciasis infection in the study area was 6.32%. Age category of 35-44 years (AOR: 13.48, 95%CI: 3.51, 51.76), age of 45 years and above (AOR: 9.41, 95% CI: 2.26, 39.06), male sex (AOR 4.568, 95% C.I: 1.622, 12.861), not being compliant with ivermectin treatment (AOR: 3.804, 95%CI: 1.524, 9.49), and residing at less than 2Km from the river (AOR: 9.15, 95%CI: 3.9, 21.49) were significantly associated with onchocerciasis infection. Conclusion and Recommendation. After more than a decade of treatment with ivermectin, onchocerciasis in the study area is still hypoendemic. Zonal health department and other stakeholders should evaluate therapeutic coverage and community directed treatment with ivermectin in the study area. Zonal health department with other stokeholds should give community based information education communication, giving due attention to older ages, male residents, and those living near the rivers. Further community based study should also be done to identify factors hindering the community compliance with the treatment.

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