scholarly journals RELATIONSHIP OF AGE, MENOPAUSE STATUS, AND BMI WITH THE EVENT OF BACTERIAL VAGINOSIS IN NEW PATIENTS OF PELVIC ORGAN PROLAPSE

2021 ◽  
Vol 4 (2) ◽  
pp. 109
Author(s):  
Atmi Marmiati ◽  
Pungky Mulawardhana ◽  
Zakiyatul Faizah

AbstractBackground and Purpose : The prevalence of Bacterial Vaginosis (BV) among Asian women in India and Indonesia is 32% while in the case of BV in 2018 the obstetric clinic of Dr. Soetomo Regional Hospital is 181 BV sufferers. The impact of BV on Pelvic Organ Prolapse (POP) patients, namely the delay in POP treatment such as BV pessaries can be influenced by age, menopausal status, and BMI. This study aims to analyze the relationship of age, menopausal status, and BMI with the incidence of BV in POP patients. Methods: This study used observational analytics with a retrospective and cross sectional approach. The number of samples used was 86 patients. Samoel taking technique with total sampling. The independent variable is the incidence of BV, while the dependent variable is age, menopause status, BMI. Bivariate data analysis using chi square, fisher's exact test and multivariate test using multiple logistic regression tests. Results: The results showed a positive BV prevalence of 76.7% with the majority of patients aged over 60 years at 44.2%, having menopause at 81.4%, and having a BMI of 18.5-24.5 at 47.7%. Fisher's exact test analysis test showed p value of maternal age = 0.003 (RR = 6.398) and p value of BMI = 0.767 (p> 0.005). Chi square analysis test showed p value of menopause status = 0.009 (RR = 4.833). The multiple logistic regression analysis test showed that maternal age was the most dominant factor with a value of p = 0.006 (OR = 6.398 (1,711-23,929)). Conclusion: There is a relationship between age and menopausal status with the incidence of BV. Age is the most dominant independent factor in the incidence of BV.

2021 ◽  
Vol 2 (2) ◽  
pp. 38-49
Author(s):  
Asriwati Amirah ◽  
Thomson P Nadapdap ◽  
Suryani Suryani

This study aims to determine the factors associated with neonatal mortality 0-28 days in Central Aceh District in 2020. This research is a quantitative study with a case control research design and uses a retrospective approach. The study population was all mothers giving birth whose babies died at the age of 0-28 days from January to December 2020. The sample in this study was 120 respondents consisting of 60 cases and 60 controls. The sampling technique used was total sampling. Data analysis using chi square test and multiple logistic regression test. The results of the bivariate analysis using the chi square test showed that there were 2 variables that were significantly related to neonatal mortality, namely the maternal age variable with p value = 0.012 and the pregnancy examination variable with p value = 0.047. The results of multivariate analysis with multiple logistic regression test showed that there were 3 variables that influenced neonatal mortality, namely the maternal age variable with a p value of 0.001, the birth spacing variable with a p value of 0.018 and the pregnancy examination variable with a p value of 0.018, while the most dominant variable affecting the incidence of death Neonatal age is the variable of maternal age with an OR value of 4.397.


2020 ◽  
Vol 2 (1) ◽  
pp. 31-36
Author(s):  
Wa Ode Hajrah ◽  
Niken Purbowati ◽  
Novia Nuraini

erineal rupture needs attention because it can cause dysfunction of the female reproductive organs, as a source of bleeding, a source, or a way in and out of infection, then it can cause death due to bleeding or sepsis. About 85% of Women who delivery vaginally experience perineal rupture, in the age group 25-30 years 24%, while in maternal age 32-39 years by 62%. In Asia, perineal rupture is also a problem in society, 50 % of the world's occurrence is in Asia. The study aims to determine the relationship of maternal factors to the position of the second stage labor and perineal rupture occurrence. This research applied a descriptive-analytic method using a cross-sectional research design. The research sample was 102 respondents, accidental random sampling, which was all labor with perineal rupture in July to November 2018. Statistical tests used chi-square. The results of perineal rupture with maternal age was p-value 0.042 (p <0.05), perineal rupture with maternal parity was p-value 0.01 (p <0.05). Suggestions for various maternal positions in maternity and ANC classes to prevent perineal rupture.


Masker Medika ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 58-65
Author(s):  
Sabtian Sarwoko

Pendahuluan: Banyak kemungkinan masalah yang muncul pada ibu pasca persalinan salah satunya adalah laserasi perineum. Laserasi perineum dapat menjadi suatu hal yang mengancam jika diikuti dengan perdarahan. Ada beberapa factor yang dapat mengakibatkan laserasi perineum yaitu jarak kehamilan,, berat bayi lahir, dan usia ibu. Tujuan penelitian: ini ditujukan untuk mengetahui factor apa saja yang berhubungan dengan laserasi perineum pada kehamilan normal. Di RS Ibnu Sotowo Baturaja. Metode Penelitian: ini menggunakan survey analitik dengan pendekatan cross sectional. Populasi penelitian ini adalah seluruh ibu bersalin normal di RSUD dr. Ibnu Soetowo Baturaja Kabupaten Ogan Komering Ulu, dengan sampel pengambilan sampel secara random sampling dengan jumlah sampel 177 responden. yang selanjutnya dilakukan uji statistik Chi-Square, dengan derajat kepercayaan 95%. Hasil penelitian: menunjukkan bahwa ada hubungan jarak persalinan dengan kejadian laserasi perineum (p value 0,002), ada hubungan berat badan lahir dengan kejadian laserasi perineum (p value 0,001) serta ada hubungan umur ibu dengan kejadian laserasi perineum (p value 0,001).   Bacground: Many possible problems that arise in mothers after childbirth one of which is perineal laceration. Perineal laceration can be a threat if followed by bleeding. There are several factors that can cause perineal laceration, namely the distance of pregnancy, birth weight, and maternal age. This study aimed to determine what factors are associated with perineal laceration in normal pregnancy. At the Ibnu Sotowo Baturaja Hospital. Methode This research uses analytic survey with cross sectional approach. The study population was all normal delivery mothers at RSUD dr. Ibnu Soetowo Baturaja Ogan Komering Ulu Regency, with a random sampling with 177 respondents. the Chi-Square statistical test was then performed, with a 95% confidence level. The results showed that there was a relationship between the distance of labor with the incidence of perineal laceration (p value 0.002), there was a relationship of birth weight with the incidence of perineal laceration (p value 0.001) and there was a relationship between maternal age and the incidence of perineal laceration (p value 0.001).


2020 ◽  
Vol 2 (4) ◽  
pp. 300-310
Author(s):  
Eko Misriyanto ◽  
Rico J. Sitorus ◽  
Misnaniarti

Chronic diarrhea is defecation with a frequency of 3 or more times in infants and children lasting for 14 days. The impact of diarrheal disease in general causes loss of fluid in the body (dehydration) and chronic diarrhea can cause a child to experience poor nutritional status and experience growth failure. This study uses a case-control design using a retrospective approach. The number of samples in this study was 135 respondents. Instruments for collecting data in the form of questionnaires and observations. Data were analyzed by univariate, bivariate using the Chi-Square test, and multivariate analysis with multiple logistic regression. The statistical test results obtained p-value on the variables of clean water supply (0.007), latrine ownership (0.001), sewerage system (0.04), confidence degree 95% Confidence Interval (95% CI) and p-value ˂ 0, 05, it can be concluded that there is a significant relationship with chronic diarrheal disease in infants. The results of multiple logistic regression tests, on the variable wastewater discharge obtained OR = 3.801, meaning that sewerage is closely related to causing chronic diarrheal disease in infants.


2019 ◽  
Vol 10 (1) ◽  
pp. 21-31
Author(s):  
Hasmawati Hasmawati ◽  
Ike Anggraeni ◽  
Rahmi Susanti

Abstract Background: Confounding is a very important issue to consider because its presence can affect the p-value and the magnitude of the risk that can cause errors in decision making. The Mantel Haenszel is used when there are one or more confounding variables, which can be applied to public health problems such as the incidence of LBW which has many risk factors such as antenatal care (ANC), maternal age, parity, and anaemia. Objective: To identify confounding variables in the ANC relationship with LBW. Method: Nonreactive research with a case-control design. The sample was 305 (61 cases; 244 controls), in 3 Samarinda City Health Centers and sourced from the 2016-2017 maternal cohort registered, East Kalimantan. Results: Maternal age was confounding in the relationship of ANC to LBW (ΛOR 12.29%) whereas parity (ΛOR 1.65%) and anaemia (ΛOR 0,64%) didn’t become confounding. Conclusion: ANC has a significant relationship with the incidence of LBW without or accompanied by confounding variables. Parity and anemia are not as confounding whereas maternal age is influential confounding which is marked by changes in OR before and after considering external variables. Thus, more intensive pregnancy care is needed more mothers who are it too young and or too old. Key words: Confounding, Mantel Haenszel, Low Birth Weight, Maternal age   Abstrak Latar belakang: Confounding merupakan isu yang penting untuk diperhatikan, karena kehadirannya dapat mempengaruhi p value dan besaran risiko yang dapat menyebabkan kesalahan dalam pengambilan keputusan. Mantel Haenszel digunakan bila terdapat satu atau lebih variabel confounding, yang dapat diterapkan pada permasalahan kesehatan masyarakat secara global seperti kejadian Berat Badan lahir Rendah (BBLR) yang banyak memiliki faktor risiko seperti ANC dan faktor risiko BBLR lain seperti usia ibu, paritas dan anemia Tujuan: Mengidentifikasi variabel confounding pada hubungan Antenatal Care dengan BBLR. Metode: Non reactive research dengan desain case control. Sampel berjumlah 305 (kasus 61; kontrol 244) di 3 Puskesmas Kota Samarinda dan bersumber dari register kohort ibu tahun 2016-2017. Penelitian ini menggunakan dua cara analisis yaitu analisis univariat dan bivariat dengan uji statistik Chi Square dan dilanjut identifikasi variabel confounding dengan Chi Square Mantel Haenszel. Hasil: Usia ibu ( menjadi confounding dalam hubungan ANC terhadap BBLR, sedangkan paritas (  dan anemia (  bukan  menjadi confounding. Kesimpulan: ANC memiliki hubungan bermakna dengan kejadian BBLR tanpa atau disertai variabel confounding. Paritas dan anemia bukan sebagai confounding, sedangkan usia ibu memberikan pengaruh (confounding). Dengan demikian, perlu perawatan kehamilan yang lebih intensif kepada ibu dengan usia terlalu muda/usia terlalu tua.   Kata kunci: Confounding, Mantel Haenszel, BBLR, Usia Ibu


2018 ◽  
Vol 21 (3) ◽  
pp. 179-187
Author(s):  
Rustika Rustika ◽  
Esny Burase

Since 2014, the program to provide masks for Hajj pilgrims from Indonesia in Saudi Arabia as one of the efforts to prevent ISPA, continues to be increased in 2015 Ministry of Health Perform Movement Use Mask (GERMAS). Based on this case, this research focuses on the relationship of Knowledge and Attitude with Mask Usage Behavior among Prayer Hajj Indonesia in Saudi Arabia Year 2016 in preventing the incidence of Acute Respiratory Tract Infection. The design used is cross sectional with quantitative approach. The population in this study is all pilgrims who perform the pilgrimage, amounting to 168,800 people with a sample of 163 respondents. Data analysis techniques include univariate analysis, bivariate analysis with Chi-Square test, and multivariate analysis using multiple logistic regression test. The result of bivariate selection shows that the knowledge variable has no significant correlation with relationship p-value is 0.284 > 0.05. Where as attitude variable have relationship because p-value value 0.000 < 0.05. In multivariate analysis multiple logistic regression test showed that attitude variable which has the most dominant significance with the mask use on haj pilgrims with p-value 0.000 <0.05 and Odds Ratio 3.558. This means that attitude that does not support the use of masks has a 3 times chance of experiencing ISPA events. Abstrak Sejak tahun 2014 program pemberian masker bagi jemaah haji asal Indonesia di Arab Saudi sebagai salah satu upaya pencegahan ISPA, terus ditingkatkan pada tahun 2015 Kementerian Kesehatan melakukan Gerakan Memakai Masker (GERMAS). Tujuan penelitian ini untuk melihat hubungan pengetahuan, sikap dengan tindakan penggunaan masker pada jemaah haji Indonesia. Desain yang digunakan cross sectional, dengan pendekatan kuantitatif. Populasi dalam penelitian adalah seluruh jemaah haji yang melakukan ibadah haji sebanyak 168.800 jiwa, sampel adalah jemaah haji Indonesia yang berada di Mekkah dan Madinah sebanyak 163 responden. Teknik analisis data meliputi analisis univariat, analisis bivariat dengan uji Chi-Square, dan analisis multivariat dengan menggunakan uji regresi logistik berganda. Hasil seleksi bivariat menunjukkan bahwa variabel pengetahuan tidak memiliki hubungan yang signifikan dimana nilai p-value 0,284 > 0,05, sedangkan variabel sikap memiliki hubungan karena nilai p-value 0,000 < 0,05. Pada analisis multivariat uji regresi logistik berganda diperoleh bahwa variabel sikap yang memiliki signifikansi paling dominan dengan penggunaan masker pada jemaah haji atau nilai p-value 0,000 < 0,05 dan Odds Ratio 3,558, artinya sikap yang tidak mendukung penggunaan masker berpeluang sebesar 3 kali mengalami kejadian ISPA.


2018 ◽  
Vol 10 (02) ◽  
pp. 181
Author(s):  
Luluk Nur Fakhidah ◽  
Fitria Hayu Palupi

Luluk Nur Fakhidah 1), Fitria Hayu Palupi 2)1), 2) Program Studi D3 Kebidanan STIKes Mitra Husada KaranganyarEmail :[email protected],[email protected] ASI eksklusif sangat diperlukan sampai bayi karena sebagai makanan alamiah ASI saja sudah cukup untuk memenuhi kebutuhan gizi bayi dan energi hingga berumur 6 bulan. Tujuan penelitian ini adalah untuk mengetahui faktor individu yang  menentukan pemberian ASI eksklusif pada ibu menyusui di Kabupaten Karanganyar. Faktor yang di identifikasiantara lain usia ibu, tingkat pendidikan ibu, status pekerjaan, urutan kelahiran bayi, tempat bersalin, proses persalinan dan IMD. Penelitian ini adalah penelitian kuantitatif analitik observasionaldengan pendekatan cross sectional dan metode survey analitik.Pengumpulan data dilakukan dengan kuesioner. Jumlah responden sebanyak 38 ibu yang memenuhi kriteria inkiusi dengan teknik pengambilan sampel purposive sampling. Data yang diperoleh diolah secara statistik dengan menggunakan uji Chi Square dan fisher exact test untuk menentukan faktor-faktor yang berpengaruh terhadap pemberian ASI eksklusif dan regresi logistik digunakan untuk menentukan faktor yang paling berpengaruh terhadap pemberian ASI eksklusif. Uji statistik menunjukkanvariabel yang berpengaruh secara signifikan terhadap pemberian ASI eksklusif adalah paritas dan IMD. Uji regresi logistik menunjukkan bahwa faktor paling dominan yang mempengaruhi pemberian ASI eksklusif adalah tindakan IMD dengan p=0,025 dan OR=0.19 Faktor individu  yang berpengaruh terhadap pemberian ASIeksklusif paritas dan Imdd sedangkan usia ibu,pendidikan, status bekerja,paritas dan jenis proses persalinan tidak menunjukan pengaruh signifikan terhadap pemberian ASI eksklusifKata kunci: faktor individu, ASI eksklusifANALYSIS  FACTORS AFFECTING  EXCLUSIVE  BREASTFEEDINGABSTRACTThe provision of exclusive breastfeeding is very necessary until the baby because only natural food ASI is enough to meet the nutritional needs of the baby and energy up to 6 months of age. The purpose of this study was to determine the individual factors that determine exclusive breastfeeding in nursing mothers in Karanganyar Regency. Factors identified included maternal age, maternal education level, employment status, baby birth order, place of birth, labor and IMD. This study was an observational quantitative analytic study with a cross sectional approach and analytical survey method. Data collection was done by questionnaire. The number of respondents was 38 mothers who fulfilled initial criteria with purposive sampling sampling technique. The data obtained were processed statistically using Chi Square test and fisher exact test to determine the factors that influence exclusive breastfeeding and logistic regression was used to determine the most influential factors for exclusive breastfeeding. Statistical tests show variables that significantly influence exclusive breastfeeding are parity and IMD. Logistic regression test showed that the most dominant factor affecting exclusive breastfeeding was IMD with p = 0.025 and OR = 0.19 Individual factors that influence exclusive breastfeeding parity and Imdd while maternal age, education, work status, parity and type of labor were not show significant influence on exclusive breastfeedingKeyword : Individual factors, Exclusive breastfeeding


Author(s):  
Masrida Sinaga ◽  
Keristina Br. Ginting

Angka Kematian Bayi (AKB) sampai saat ini masih tinggi di Indonesia, dan Provinsi Nusa Tenggara Timur (Provinsi NTT) merupakan salah satu penyumbang tingginya AKB tersebut, paling tinggi angka di Kab. Sumba Timur dan Timor Tengah Selatan. Kematian neonatal bisa terjadi karena faktor risiko pada ibu dan juga anak. Tujuan penelitian ini untuk menganalisa faktor-faktor yang berpengaruh terhadap kematian neonatal, agar dapat dikembangkan model pengendaliannya. Penelitian menggunakan desain kasus kontrol, dengan populasi adalah semua bayi baru lahir yang bersalin di dan tercatat di RSUD dan Puskesmas perawatan yang berlokasi di Kabupaten TTS dan Sumba Timur pada tahun 2016. Sampel kasus adalah 116 kasus kematian neonatal, dan kontrol adalah 232 neonatal hidup yang merupakan tetangga terdekat kasus dengan status sosial ekonomi yang disamakan. Data dianalisis secara deskriptif dan inferensial, yakni analisis data univariabel, bivariabel (uji chi-square), dan multivariabel (uji regresi logistik ganda). Hasil penelitian menunjukkan bahwa sebagian besar kematian neonatal di Kab. TTS (81,7%) dan Kab. Sumba Timur (86,4%) terjadi pada neonatal dini, sebagian besar disebabkan asfiksia (69,2%). Faktor risiko ibu yang berhubungan dengan kematian neonatal adalah tingkat pendidikan ibu (p-value = 0,02), status gizi (anemi/KEK) (p-value = 0,000), komplikasi (p-value = 0,000), dan praktek ANC (p-value = 0,000). Semua faktor risiko anak yang diteliti yakni prematuritas (p-value = 0,000), berat bayi lahir (p-value = 0,000), asfiksia (p-value = 0,000) dan infeksi (p-value = 0,000) berhubungan dengan kematian neonatal. Sebagian besar bayi yang lahir dengan BBLR (65,5%), dengan asfiksia (69,0%) mengalami kematian neonatal. Hasil uji regresi logistik ganda menunjukkan bahwa komplikasi pada ibu (p-value = 0,000), anemi (p-value = 0,01), asfiksia (p-value = 0,000), BBLR (p-value = 0,001) dan prematuritas (p-value=0,012) merupakan faktor yang paling berisiko terhadap kematian neonatal. Perlu upaya pencegahan komplikasi pada ibu hamil/melahirkan dan peningkatan kesehatan serta status gizi ibu sebelum dan saat hamil, agar anak yang dilahirkan tidak BBLR, asfiksia, dan prematur, sehingga kematian neonatal bisa dicegah.   Infant Mortality Ratio (MMR) in Indonesia remains high, and the Province of Nusa Tenggara Timur (NTT) is one of the contributors to the high IMR, the highest mortality occurred in the districts of Sumba Timur and Timor Tengah Selatan. Neonatal deaths are due to risk factors faced by women and children. The objective of this research is to analyze factors influencing neonatal death, which serve to contribute to the development of a control model. This research employs control case design, where the population consists of all neonates born (and recorded) at district hospitals and inpatient health centers located in the districts of Timor Tengah Selatan and Sumba Timur, within the year of 2016. The sample consists 116 neonatal deaths, and the control consists of 232 live neonates within the closest neighborhood, with equated socio-economic status. Data are analyzed descriptively and inferentially, through uni-variable, bi-variable (chi-square-test), and multi-variable (multiple logistic regression test) analyses. Results of this research show that most neonatal death in TTS (81.7%) and Sumba Timur (86.4%) districts occurred within the early neonates, and those are mostly caused by asphyxia (69.2%). Risk factors faced by women relevant to neonatal deaths are women’s level of education (p-value = 0.02), nutritional status (anemia/Chronic Energy Deficiency) (p-value = 0.000), complication (p-value = 0.000), and ANC practice (p-value = 0.000). All researched risk factors raced by neonates are prematurity (p-value = 0.000), birthweight (p-value = 0.000), asphyxia (p-value = 0.000) and neonatal death related infection (p-value = 0,000). Most of infants are born with Low Birthweight (65.5%), and asphyxia (69.0%) died as neonates. Results of multiple logistic regression test show that complication suffered by women (p-value = 0.000), anemia (p-value = 0.01), asphyxia (p-value = 0.000), Low Birthweight (p-value = 0.001) and prematurity (p-value = 0.012) are the highest risk factors for neonatal deaths. Prevention of complication among pregnant women/women in labor and improvement of nutritional status of women before and during pregnancy are required to ensure that infants are not born with low birthweight, asphyxia, and prematurely, which in turn prevent neonatal deaths.


2021 ◽  
Vol 6 (2) ◽  
pp. 161-173
Author(s):  
Giyatno ◽  
Megawati

Law of the Republic of Indonesia number: 29 of 2004 concerning Medical Practice, which includes the obligation of doctors and dentists to make medical records. The results of the evaluation of the completeness of medical records in RSUD Dr. RM Djoelham Binjai still found incomplete medical record files. This study aims to determine the effect of predisposing factors (knowledge, attitudes), driving factors (support from other officers) and supporting factors (facilities and facilities, regulations) on the behavior of doctors in recording medical records. The research design used in this study was a descriptive analytic survey with a cross sectional design, a sample of 29 doctors and quantitative data analysis with univariate, bivariate and multivariate analysis. Based on the results of the chi square test, it was obtained that Knowledge variable p = 0.001, Attitude power p = 0.002, other support staff p = 0.000, facilities and facilities p = 0.002 and settings p = 0.007 multivariate test showed that of the 5 variables tested multiple logistic regression showed variable which has a p-value > 0.05. Based on the results of the multiple logistic regression test, the significant value of the model together was obtained at 0.002 < 0.05, which means that the four variables used as models have a significant influence on Medical Record Recording, the factor that has the greatest influence on Medical Record Recording is the Support Personnel variable. Others are indicated by an OR value of 0.062. The conclusion in this study is that there is an influence, Knowledge, Attitude, Support of Other Personnel, Facilities and Facilities, and Regulations on the Completeness of Medical Record Recording. It is hoped that doctors do not delay in recording complete medical records.


2020 ◽  
Author(s):  
Upuli Perera ◽  
Uttara Amilani ◽  
Yibeltal Assefa

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.


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