Factors Associated with Utilization of Postnatal Care Services in Mali, West Africa

Background and Objective: Postnatal care is recognized as one of the most effective ways of preventing and managing physical and mental disabilities that occur during the postpartum period. Despite the importance of postnatal care, its utilization is low in Mali. The present study investigates factors associated with utilization of postnatal care services in Mali. Methods: A total of 5,778 women who had complete information on all the variables of interest were included in our study. The data were analyzed with Stata version 14.2 by employing a multilevel logistic regression approach. The results were presented using adjusted odds ratios (aOR) at 95% confidence interval (CI). Results: We found that 25.18% of childbearing women in Mali utilized postnatal care. Women with no education (aOR=1.28, 95% CI=1.02-1.62) and those with primary level of education (OR=1.38, 95% CI=1.06- 1.81) had higher odds of postnatal care uptake, compared to those with secondary/higher education. On the contrary, postnatal care service utilization was lower among women who were not covered by health insurance (aOR=0.63, 95% CI=0.46-0.88), those who were not working (aOR=0.82, 95% CI=0.70-0.96), and those who were not exposed to mass media (aOR=0.80, 95% CI=0.70-0.93). Similarly, compared to women in the Mopti region, women in all other regions were less likely to utilize postnatal care services. Postnatal care service utilization was lower among women in communities with low educational level (aOR = 0.42, 95% CI=0.27-0.66) and medium socio-economic status (aOR=0.59, 95% CI=0.36-0.99). Conclusion and Implications for Translation: The study revealed several individual, household and community level factors as predictors of utilization of postnatal care services in Mali. Public health interventions intended to improve postnatal care services uptake in Mali should pay attention to these factors. This will help achieve the Sustainable Development Goal 3.1 which focuses on reducing the global maternal mortality ratio to less than 70 per 100 000 live births by 2030. Copyright © 2021 Ahinkorah et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.

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Postnatal Care Service Utilization and Associated Factors among Women Who Gave Birth in the Last 12 Months prior to the Study in Debre Markos Town, Northwestern Ethiopia: A Community-Based Cross-Sectional Study

International Journal of Reproductive Medicine ◽

10.1155/2016/7095352 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 25

Author(s):

Miteku Andualem Limenih ◽

Zerfu Mulaw Endale ◽

Berihun Assefa Dachew

Keyword(s):

Service Utilization ◽

Postnatal Care ◽

Care Service ◽

Cross Sectional Study ◽

Maternal And Newborn Health ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Factors Associated ◽

Care Services

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.

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Magnitude and Factors Associated with Optimal Complementary Feeding Practices among Children Aged 6-23 Months in Bensa District, Sidama Zone, South Ethiopia

Ethiopian Journal of Health Sciences ◽

10.4314/ejhs.v29i2.2 ◽

1970 ◽

Vol 29 (2) ◽

Author(s):

Muntasha Birhanu ◽

Teferi Abegaz ◽

Rekiku Fikre

Keyword(s):

Food Security ◽

Service Utilization ◽

Odds Ratio ◽

Postnatal Care ◽

Complementary Feeding ◽

Care Service ◽

Feeding Practices ◽

Household Food Security ◽

Factors Associated ◽

Household Food

BACKGROUND: Prevalence of optimal complementary feeding practices are lower than expected. Undernutrition contributes 35% of children mortality. Our study was aimed to assess magnitude and factors associated with optimal complementary feeding practices among children 6-23 months in Bensa Dstrict, Sidama Zone, South Ethiopia, 2016.METHOD: A community based cross sectional study was conducted from January to February 2016 in (8) randomly selected kebles found in Bensa District. Respondents were selected by using simple random sampling technique after sampling frame was prepared from rapid survey. Pre-tested questionnaire was used to collect information. Then, data were entered into SPSS version 20, Then, crude odds ratio (COR) and adjusted odds ratio (AOR) with 95% confidence interval were computed to examine statistical significance.RESULT: This study revealed that only 8.6% (95%CI: 6.4, 10.7%) of 6-23 months children had optimal complementary feeding practices. Mother’s knowledge on optimal complementary feeding (AOR=5.4, 95%CI: 2.7, 11), postnatal care service utilization(AOR=3.4, 95%CI: 1.7, 7), and household food security (AOR=5, 95%CI: 2.5, 10.5) were positively associated with optimal complementary feeding practices.CONCLUSION: Mother’s knowledge, postnatal care utilization and household food security positively affected optimal complementary feeding practices.Thus, Bensa District Health Office, Sidama Zone Health Departiment and other respective stakeholders should cooperatively work to enhance knowledge of mothers/care takers on optimal complementary feeding practices, household food security and on advantages of postnatal care service utilization.

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Postnatal care service utilization and associated factors in Ethiopia: A systematic review and Meta-analysis

10.21203/rs.2.10475/v1 ◽

2019 ◽

Author(s):

Bekalu Kassie ◽

Melaku Desta ◽

Habtamu Chanie ◽

Bekele Tesfaye ◽

Muluken Wubetu ◽

...

Keyword(s):

Systematic Review ◽

Antenatal Care ◽

Service Utilization ◽

Postnatal Care ◽

Associated Factors ◽

Care Service ◽

Meta Analysis ◽

Wealth Quintile ◽

Care Services

Abstract Background: In Ethiopia, literatures are not in agreement on magnitude of utilization of postnatal care service and factors are not well identified. Hence, this systematic review and meta-analysis aimed to engender pooled evidence of magnitude of postnatal care service utilization and associated factors. Methods: For this systematic review and meta-analysis international databases such as, HINARI, PubMed, Medline, EMBASE, Google scholar and Cochrane library were used for searching studies published from 2002 to 2018 in English language. The Modified Newcastle- Ottawa quality assessment scale was used to assess the quality of studies and meta-analysis was conducted using STATA version 14. Q statistics and I2 test were used to assess the heterogeneity. The random effect model was used to estimate the pooled utilization of postnatal care at 95%CI. Result: Total of 22 articles with total samples of 42,320 women were included to this review. The pooled prevalence of postnatal care service utilization in Ethiopia was 41.5% (95%CI: 28.51-54.52). Women who attended formal education (OR, 2.37, 95%CI: 1.13, 4.97), had middle level and above household’s wealth quintile (OR, 2.57, 95%CI: 1.31,5.05), had antenatal care visit (OR, 6.72, 95%CI: 4.16, 10.87), being multigravida (OR, 0.68, 95%CI: 0.53, 0.88) and gave birth in health institutions (OR, 3.86, 95%CI: 2.89, 5.16) were high likely to utilize postnatal care services while rural resident women (OR, 0.17, 95%CI: 0.05, 0.60) were less likely to utilize postnatal care services. Conclusion: Postnatal care service utilization in Ethiopia is low (41.5%). It is affected by educational status, residence, wealth quintile, gravidity, antenatal care follow up and place of delivery. Scale up the service and awareness for rural people, improving economic status of the household, improve antenatal care follow up, and promote institutional delivery are having paramount importance. Key words: Health care service utilization, Ethiopia, systematic review, Meta-analysis

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Level of Antenatal Care Services Utilization and Associated Factors Among Mothers who have Given Birth in the Past Twelve Months in Gelemso Town, West Hararghe Zone, Oromia National Regional State, East Ethiopia

Journal of Woman s Reproductive Health ◽

10.14302/issn.2381-862x.jwrh-20-3444 ◽

2020 ◽

Vol 2 (3) ◽

pp. 11-21

Author(s):

Daniel Aboma ◽

Gudina Egata ◽

Daniel Ayalew

Keyword(s):

Antenatal Care ◽

Service Utilization ◽

Care Service ◽

Statistical Significance ◽

Significant Proportion ◽

World Health ◽

Outcome Variable ◽

Services Utilization ◽

Factors Associated ◽

Care Services

Background In Ethiopia, the levels of maternal and infant morbidity and mortality are among the highest in the world. This is attributed to, among other factors, none use of modern health care services by women. According to the 2011 Ethiopian Demographic Health Survey, more than seven in ten mothers did not receive antenatal care at all. Objectives The objective of this study was to determine level and identify factors influencing maternal antenatal care services utilization among mothers who gave birth in the last twelve months in Gelemso town west Hararghe Oromia, Ethiopia. Methods A community-based cross sectional study design was conducted on 347 study participants in Gelemso town west Hararghe Oromia Ethiopia from July 15, 2017 to August 15, 2017 G.C.A probability to proportional to size sampling technique was used to select the study population in two urban Kebeles. Data were collected using a pre tested structured questionairs. Descriptive results were presented using frequencies, and numerical summary measures. Bivariate analysis was carried out to assess the association between outcome variable and each in dependent variables. Odds ratio with 95% confidence level was estimated to identify factors associated with Antenatal Care (ANC) utilization using multivariable logistic regression. The statistical significance was declared at p- value < 0.05. Result The response rate this study was 98%. The prevalence of antenatal care service utilization was 64.6%. About 146 (42.1%) of the pregnant mother started antenatal care visit during the second trimester of pregnancy and a significant proportion 289(83.3%) had less than the recommended four visits. Educational status (AOR;15.19:CI 95%,6.006,38.417), husband attitude (AOR;1.995:CI 95%,1.016,3.916), marital status(AOR:4.587:CI 95%,1.888,11.146), planned pregnancy (AOR:4.938:CI 95%,2.514,9.702) were major factors associated with antenatal care service utilization. Conclusion Though more than half mother used antenatal care service in the study setting, two in ten of the mothers did not have the minimum number of visits recommended by World Health Organization. Promotion of information, education and communication in the community should be strengthened is to sustain antenatal care service utilization in the community.

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Prevalence and Determinants of Complete Postnatal Care Service Utilization in Northern Shoa, Ethiopia

Journal of Pregnancy ◽

10.1155/2018/8625437 ◽

2018 ◽

Vol 2018 ◽

pp. 1-7 ◽

Cited By ~ 6

Author(s):

Mohammed Akibu ◽

Wintana Tsegaye ◽

Tewodros Megersa ◽

Sodere Nurgi

Keyword(s):

Service Utilization ◽

Postnatal Care ◽

Care Service ◽

Mode Of Delivery ◽

Care Utilization ◽

P Value ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Factors Associated ◽

Risk Of Death

Background. Postnatal period presents the highest risk of death for mothers and newborns. Although progress has been made in expanding the coverage for most of maternal health services, national prevalence of postnatal care service utilization in Ethiopia is still extremely limited. Hence, this study aims to determine the prevalence and factors associated with complete postnatal care service utilization in Northern Shoa, Ethiopia. Methods. Community based cross-sectional survey was conducted between November 2016 and February 2017. A total of 510 mothers were included in the study using multistage sampling technique. The data were collected through face-to-face interview. Bivariate and multivariate logistic regression models were fitted to identify factors associated with complete postnatal care utilization at p value of < 0.05. SPSS version 20 was used to analyze the data. Results. The prevalence of complete postnatal care utilization was found to be 28.4% in the study area. Mode of delivery (AOR=5.7, 95% CI = 3.9, 19), number of children (AOR= 2.5 95% CI, 1.4, 14.2), and level of education (AOR=3.2 95% CI, 1.1, 9.2) were the factors statistically associated with complete postnatal service uptake. Being healthy was the major (48.8%) reason mentioned for not complying with the recommended three postnatal visits. Conclusion. The prevalence of complete postnatal care service in the study area was found to be low, and it is far less than the targeted zonal and regional plan. Reinforcing the existing policies and strategies to increase women level of awareness about postnatal care and intensive counseling during antenatal care and delivery are the recommendations based upon the current finding.

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Postnatal Care Service Utilization among Mothers in Eastern Region of Nepal

Journal of Nobel Medical College ◽

10.3126/jonmc.v2i2.8808 ◽

2013 ◽

Vol 2 (2) ◽

pp. 62-67

Author(s):

Ishwari Sharma Paudel ◽

Sailesh Bhattarai ◽

Rajan Bikram Rayamajhi ◽

Surya Bahadur Parajuli ◽

Paras Kumar Pokharel

Keyword(s):

Service Utilization ◽

Postnatal Care ◽

Care Service ◽

Eastern Region ◽

Medical College

Journal of Nobel Medical College Vol. 2, No.2 Issue 4 May-October 2013 Page 62-67 DOI: http://dx.doi.org/10.3126/jonmc.v2i2.8808

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Postnatal care service utilization and associated factors among women who gave birth in Debretabour town, North West Ethiopia: a community- based cross-sectional study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-018-2138-x ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 11

Author(s):

Kihinetu Gelaye Wudineh ◽

Azezu Asres Nigusie ◽

Shumiye Shiferaw Gesese ◽

Azimeraw Arega Tesu ◽

Fentahun Yenealem Beyene

Keyword(s):

Service Utilization ◽

Postnatal Care ◽

Associated Factors ◽

Care Service ◽

Cross Sectional Study ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

North West ◽

North West Ethiopia

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Factors associated with utilization of institutional delivery care and postnatal care services in Ethiopia

Journal of Public Health and Epidemiology ◽

10.5897/jphe2017.0989 ◽

2018 ◽

Vol 10 (4) ◽

pp. 108-122 ◽

Cited By ~ 2

Author(s):

Atsedeweyn Andargie Asrat ◽

Abebe Mengistu

Keyword(s):

Postnatal Care ◽

Institutional Delivery ◽

Delivery Care ◽

Factors Associated ◽

Care Services

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Factors Associated with Utilization of Complete Postnatal Care Service in Baglung Municipality, Nepal

International Journal of Reproductive Medicine ◽

10.1155/2020/2892751 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8 ◽

Cited By ~ 1

Author(s):

Sita Chhetri ◽

Rajani Shah ◽

Laxmi Rajbanshi

Keyword(s):

Postnatal Care ◽

Care Service ◽

Descriptive Analysis ◽

Cross Sectional Study ◽

Vital Role ◽

Postnatal Period ◽

Structured Interviews ◽

Cross Sectional ◽

Neonatal Deaths ◽

Factors Associated

Background. Postnatal period is six weeks after birth. It is critical but is the most neglected period. A large proportion of maternal and neonatal deaths occur during 48 hours following childbirth. The utilization of the recommended three postnatal checkups within seven days after delivery, which plays a vital role in preventing maternal and neonatal deaths, is low in Nepal. Objective. This study is aimed at identifying the factors associated with the utilization of complete postnatal care (PNC) among mothers. Method. A cross-sectional study was carried out among 318 mothers in wards 1, 2, 3, and 4 of Baglung municipality, Nepal. Data was collected by semi-structured interviews. Descriptive analysis and comparison of characteristics of women/families with complete vs. partial postnatal checkups using multivariable logistic regression were done. Results. Among 314 respondents receiving at least one PNC, 78% had partial and 22% had complete PNC. Relatively advantaged caste/ethnicity- Brahman/Chhetri (aOR=3.18, 95% CI: 1.24-8.12) and Janajati (aOR=2.87, 95% CI: 1.09-7.53) - compared to Dalits, husbands working as a job holder in Nepal (aOR=3.49, 95% CI: 1.50-8.13), and delivery in a private hospital (aOR=11.4, 95% CI: 5.40-24.2) were associated with having complete PNC. Conclusion. Although PNC attendance at least once was high, utilization of complete PNC was low. More focus to mothers from disadvantaged caste/ethnicity, those whose husbands are in foreign employment, and improvement in quality of care in government health facilities may increase the use of complete PNC.

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