scholarly journals Determinants of Postnatal Care and Timing of the First Postnatal Care for Newborns in Ethiopia: Further Analysis of 2019 Ethiopian Demographic and Health Survey

2021 ◽  
Author(s):  
Sewnet Adem Kebede ◽  
Adisu Birhanu Weldesenbet ◽  
Biruk Shalmeno Tusa
Keyword(s):  
Health Facility ◽  
Health Survey ◽  
Postnatal Care ◽  
Multinomial Logistic Regression ◽  
Educational Status ◽  
Demographic And Health Survey ◽  
The Other ◽  
Other Hand ◽  
Maternal Educational Status ◽  
At Home

Abstract Background: Neonatal mortality remain a persisting public health challenge in Ethiopia. Most of the factors that lead to neonatal deaths could be prevented through postnatal check-ups. However, in Ethiopia, coverage of PNC continues to be low. This study aims to assess the determinant factors of PNC visit and the timing of PNC among newborns in Ethiopia.Methods: Using the Ethiopian Mini Demographic and Health Survey (EMDHS) 2019, a total weighted sample of 2,105 women aged 15-49 giving birth in the 2 years preceding the survey was included in the study. Generalized linear mixed model were separately fitted to identify factors associated with any PNC for newborns delivered at home and health facility. Multinomial logistic regression was used to assess timing of PNC with their associated factors.Results: Overall, only 13% (95% CI; 11.2, 14.0) of the newborns received PNC in Ethiopia. Among newborns delivered at home, attending any PNC were determined by region, maternal educational status and birth order. On the other hand, among newborns delivered in a health facility, region, number of ANC visit and religion were determinants of any PNC. Furthermore, attending first PNC within 48 hours after delivery was determined by region and religion. On the other hand, attending first PNC after 48 hours after delivery was determined by region number of ANC visits, maternal educational status and religion. Conclusion: The finding of current study revealed low coverage of PNC among newborns regardless of place of delivery in Ethiopia. The study makes the following recommendation: increase community health literacy on postnatal care, encourage delivery at health facility, link community home birth with PNC. It will be more valuable if there is sharing of experience from regions which have better PNC coverage.

scholarly journals Non-utilization of health facility delivery and its correlates among childbearing women: a cross-sectional analysis of the 2018 Guinea demographic and health survey data

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Bright Opoku Ahinkorah
Keyword(s):  
Health Facility ◽  
Health Survey ◽  
Formal Education ◽  
Unplanned Pregnancy ◽  
Facility Delivery ◽  
Health Facilities ◽  
Demographic And Health Survey ◽  
Health Facility Delivery ◽  
Childbearing Women ◽  
At Home

Abstract Background Many childbearing women in sub-Saharan African countries like Guinea still face challenges accessing and utilizing health facility delivery services and opt to deliver at home. This study examined the non-utilization of health facility delivery and its associated factors among childbearing women in Guinea. Methods Data from the 2018 Guinea Demographic and Health Survey was used in this study. Data of 5406 childbearing women were analysed using 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 More than three-quarters (47.6%) of childbearing women in Guinea did not deliver at health facilities. Women who had no formal education (aOR = 1.52, 95% CI = 1.09–2.12), those whose partners had no formal education (aOR = 1.25, 95% CI =1.01–1.56), those whose pregnancies were unintended (aOR = 1.40, 95% CI =1.13–1.74) and those who were Muslims (aOR = 2.87, 95% CI =1.17–7.08) were more likely to deliver at home. Furthermore, women with parity four or more (aOR = 1.78, 95% CI =1.34–2.37), those who listened to radio less than once a week (aOR = 5.05, 95% CI =1.83–13.89), those who never watched television (aOR = 1.46, 95% CI =1.12–1.91), those with poorest wealth quintile (aOR = 4.29, 95% CI =2.79–6.60), women in female-headed households (aOR = 1.38, 95% CI =1.08–1.78) and rural dwellers (aOR = 3.86, 95% CI =2.66–5.60) were more likely to deliver at home. Conclusion This study has identified low socio-economic status, inadequate exposure to media, having an unplanned pregnancy and religious disparities as key predictors of home delivery among childbearing women in Guinea. The findings call for the need to enhance advocacy and educational strategies like focus group discussions, peer teaching, mentor-mentee programmes at both national and community levels for women to encourage health facility delivery. There is also the need to improve maternal healthcare services utilization policies to promote access to health facility delivery by reducing costs and making health facilities available in communities.

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 Determinants of early postnatal care attendance: analysis of the 2016 Uganda Demographic and Health Survey

2019 ◽  
Author(s):  
Patricia Ndugga ◽  
Noor Kassim Namiyonga ◽  
Deogratious Sebuwufu
Keyword(s):  
Maternal Mortality ◽  
Health Facility ◽  
Health Survey ◽  
Postnatal Care ◽  
Demographic And Health Survey ◽  
Public Facility ◽  
Wealth Status ◽  
Media Messages ◽  
Early Postpartum ◽  
Nationally Representative

Abstract Background The first two days after childbirth present the highest risk of dying for a mother. Providing postnatal care within the first two days after childbirth can help avert maternal mortality because it allows early detection of problems that could result in adverse maternal health outcomes. Unfortunately, knowledge of the uptake of early postnatal care (EPNC), which is imperative for informing policies aimed at reducing maternal mortality, remains low in Uganda. Therefore, the purpose of this study is to investigate the determinants of early postnatal care attendance among Ugandan women. Methods This study was based on nationally representative data from the 2016 Uganda Demographic and Health Survey. The study sample comprised 5,471 women (age 15–49) who delivered a child in the 2 years preceding the survey. We used logistic regression to identify factors associated with the use of early postnatal care. Results Our findings showed that 50% of mothers used EPNC services for their most recent delivery in the 2 years preceding the survey. Women’s residence, education level, religion, wealth status, marital status, occupation, antenatal care attendance, place of delivery, birth order, perceived accessibility of health facilities, and access to mass media messages were associated with greater use of EPNC. The percentage of women receiving EPNC was much higher among women who delivered at a health facility, either a public facility (63%) or private facility (65%), versus only 9% among women who delivered at home. Multivariate analysis showed that delivery at a health facility was the most important determinant of early postnatal care attendance. Conclusions To increase mothers’ use of EPNC services and improve maternal survival in Uganda, programs could promote and strengthen health facility delivery and ensure that EPNC services are provided to all women before discharge. Even so, the fact that only about two-thirds of women who delivered at a health facility received early postpartum care shows substantial room for improvement.

scholarly journals Determinants of early postnatal care attendance: analysis of the 2016 Uganda Demographic and Health Survey

2020 ◽  
Author(s):  
Patricia Ndugga ◽  
Noor Kassim Namiyonga ◽  
Deogratious Sebuwufu
Keyword(s):  
Maternal Mortality ◽  
Health Facility ◽  
Health Survey ◽  
Postnatal Care ◽  
Demographic And Health Survey ◽  
Public Facility ◽  
Wealth Status ◽  
Place Of Delivery ◽  
Early Postpartum ◽  
Nationally Representative

Abstract Background The first two days after childbirth present the highest risk of dying for a mother. Providing postnatal care within the first two days after childbirth can help avert maternal mortality because it allows early detection of problems that could result in adverse maternal health outcomes. Unfortunately, knowledge of the uptake of early postnatal care (EPNC), which is imperative for informing policies aimed at reducing maternal mortality, remains low in Uganda. Therefore, the purpose of this study is to investigate the determinants of early postnatal care attendance among Ugandan women. Methods This study was based on nationally representative data from the 2016 Uganda Demographic and Health Survey. The study sample comprised 5,471 women (age 15–49) who delivered a child in the 2 years preceding the survey. We used logistic regression to identify factors associated with the use of early postnatal care. Results Our findings showed that 50% of mothers used EPNC services for their most recent delivery in the 2 years preceding the survey. Women’s residence, education level, religion, wealth status, marital status, occupation, antenatal care attendance, place of delivery, birth order, perceived accessibility of health facilities, and access to mass media messages were associated with greater use of EPNC. The percentage of women receiving EPNC was much higher among women who delivered at a health facility, either a public facility (63%) or private facility (65%), versus only 9% among women who delivered at home. Multivariate analysis showed that delivery at a health facility was the most important determinant of early postnatal care attendance. Conclusions To increase mothers’ use of EPNC services and improve maternal survival in Uganda, programs could promote and strengthen health facility delivery and ensure that EPNC services are provided to all women before discharge. Even so, the fact that only about two-thirds of women who delivered at a health facility received early postpartum care shows substantial room for improvement. Key words Early postnatal care, Uganda, Demographic and Health Survey, place of delivery

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 Determinants of early postnatal care attendance: analysis of the 2016 Uganda Demographic and Health Survey

2020 ◽  
Author(s):  
Patricia Ndugga ◽  
Noor Kassim Namiyonga ◽  
Deogratious Sebuwufu
Keyword(s):  
Maternal Mortality ◽  
Health Facility ◽  
Health Survey ◽  
Postnatal Care ◽  
Demographic And Health Survey ◽  
Public Facility ◽  
Wealth Status ◽  
Place Of Delivery ◽  
Early Postpartum ◽  
Nationally Representative

Abstract Background The first two days after childbirth present the highest risk of dying for a mother. Providing postnatal care within the first two days after childbirth can help avert maternal mortality because it allows early detection of problems that could result in adverse maternal health outcomes. Unfortunately, knowledge of the uptake of early postnatal care (EPNC), which is imperative for informing policies aimed at reducing maternal mortality, remains low in Uganda. Therefore, the purpose of this study is to investigate the determinants of early postnatal care attendance among Ugandan women. Methods This study was based on nationally representative data from the 2016 Uganda Demographic and Health Survey. The study sample comprised 5,471 women (age 15–49) who delivered a child in the 2 years preceding the survey. We used logistic regression to identify factors associated with the use of early postnatal care. Results Our findings showed that 50% of mothers used EPNC services for their most recent delivery in the 2 years preceding the survey. Women’s residence, education level, religion, wealth status, marital status, occupation, antenatal care attendance, place of delivery, birth order, perceived accessibility of health facilities, and access to mass media messages were associated with greater use of EPNC. The percentage of women receiving EPNC was much higher among women who delivered at a health facility, either a public facility (63%) or private facility (65%), versus only 9% among women who delivered at home. Multivariate analysis showed that delivery at a health facility was the most important determinant of early postnatal care attendance. Conclusions To increase mothers’ use of EPNC services and improve maternal survival in Uganda, programs could promote and strengthen health facility delivery and ensure that EPNC services are provided to all women before discharge. Even so, the fact that only about two-thirds of women who delivered at a health facility received early postpartum care shows substantial room for improvement. Key words Early postnatal care, Uganda, Demographic and Health Survey, place of delivery

scholarly journals Spatial patterns and determinants of postnatal care use in Ethiopia: findings from the 2016 demographic and health survey

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e025066 ◽  
Author(s):  
Malede Mequanent Sisay ◽  
Tesfahun Taddege Geremew ◽  
Yeshambel Worku Demlie ◽  
Asaye Tariku Alem ◽  
Desalew Kassahun Beyene ◽  
...  
Keyword(s):  
Health Survey ◽  
Low Income ◽  
Postnatal Care ◽  
Public Health Problem ◽  
Educational Status ◽  
Demographic And Health Survey ◽  
Scan Statistics ◽  
Binary Logistic Regression Model ◽  
Eastern Ethiopia ◽  
Spatial Inequalities

ObjectivePostnatal care (PNC) is essential for preventing maternal and newborn deaths; however, it still remains less well recognised in low-income and middle-income countries. This study was aimed to explore geographical patterns and identify the determinants of PNC usage among women aged 15–49 years in Ethiopia.MethodsA secondary data analysis was conducted using the 2016 Ethiopian demographic and health survey data. A total of 7193 women were included in this analysis. We employed spatial scan statistics to detect spatial inequalities of PNC usage among women. A multilevel binary logistic regression model was fitted to identify factors associated with women’s PNC.ResultsThe prevalence of PNC usage among women was 6.9% (95% CI 6.3% to 7.5%). The SaTScan spatial analysis identified three most likely clusters with low rates of PNC use namely southwestern Ethiopia (log likelihood ratio (LLR)=18.07, p<0.0001), southeast Ethiopia (LLR=14.29, p<0.001) and eastern Ethiopia (LLR=10.18, p=0.024). Women with no education (Adjusted Odd Ratio (AOR)=0.55, 95% CI 0.37 to 0.84) and in the poorest wealth quantile (AOR=0.55, 95% CI 0.39 to 0.78) were less likely to use PNC, while women aged 35–49 years (AOR: 1.75, 95% CI 1.01 to 3.04) and with at least four antenatal care (ANC) visits (AOR=2.37, 95% CI 1.71 to 3.29) were more likely to use PNC.ConclusionPNC usage remains a public health problem and has spatial variations at regional levels in the country. Low prevalence of PNC was detected in the Somali, Oromia, Gambella and Southern Nations, Nationalities, and People’s Region (SNNPR) regions. Women with low educational status, old age, being in poorest wealth quantile and history of ANC visits were significantly associated with PNC usage. Hence, it is better to strengthen maternal health programmes that give special emphasis on health promotion with a continuum of care during pregnancy.

scholarly journals Regional Differences in Postnatal Care Service Utilisation and Child Morbidity in Nigeria: Evidence from 2018 Nigeria Demographic and Health Survey (NDHS)

2020 ◽  
Author(s):  
Endurance Uzobo ◽  
Aboluwaji D. Ayinmoro
Keyword(s):  
Socioeconomic Factors ◽  
Health Survey ◽  
Postnatal Care ◽  
Demographic And Health Survey ◽  
The South ◽  
North Central ◽  
North West ◽  
North East ◽  
South West ◽  
Child Morbidity

Abstract Introduction: Modern Postnatal Care Services (PNC) in Nigeria is vital tool for providing quality health for mothers and newborns. Nonetheless, many regions in Nigeria are still struggling to achieve optimum utilisation of modern PNC services due to variation in associated socioeconomic factors of mothers based on their regions. This study aims at assessing regional socioeconomic factors associated with PNC services utilisation and its relationship with child morbidity in Nigeria. Methods Data for this study was extracted from the Nigeria Demographic and Health Survey (NDHS) 2018 birth recoded file dataset, with a sample size of 30713 women (aged 15–49). Data were analysed using descriptive statistics, Chi-Square Test and logistic regression. The main predictor variable was the region, while others included the type of PNC service utilised and various demographic variables of the respondents – age, education, type of residence, religion, ethnicity among others. Results The average age of the respondents was 29.5 ± 6.8. The use of modern PNC services ranged from South-West (20.3%), South-South (10.9%), South-East (23.0%), North-Central (22.0%), North-East (13.0%) to North-West (10.9%). The prevalence of child morbidity ranged from South-West (8.5%), South-South (9.8%), South-East (11.4%), North-Central (15.3%), North-East (26.3%) to North-West (28.7%). Child morbidity is significantly higher in the South-South (OR = 1.46), South-East (OR = 1.50), North-Central (OR = 1.13), North-East (OR = 2.31) and North-West (OR = 1.35) compared to the South-West. Conclusion Majority of women in Nigeria are not using modern PNC services. Regional variations in the use of PNC services and socio-demographic characteristics of mothers influence child morbidity in Nigeria. There is need for regional-specific context sensitisation for mothers in the use of modern PNC services.

scholarly journals Consequences of COVID-19 on my experiment of gene overexpression in beans

2021 ◽  
Vol 39 (4) ◽  
Author(s):  
Salma Sarai González-Meléndez
Keyword(s):  
Subcellular Location ◽  
Confocal Microscope ◽  
The Other ◽  
Research Center ◽  
Gene Overexpression ◽  
Research Centers ◽  
Experimental Phase ◽  
Face To Face ◽  
Other Hand ◽  
At Home

<p>My name is Salma Meléndez and I am currently a graduate in Agrogenomic Sciences. In March 2020, when COVID-19 was detected in Mexico, I was in my eighth semester of my undergraduate degree. At that time, he had an experiment of overexpression of a gene in bean roots, in order to explore its function during symbiosis with rhizobial bacteria. Unfortunately, the laboratory and the entire campus canceled their face-to-face activities in order to reduce the risk of contagion. An alternative was to take the experimental plants to my house to give the proper care, however, the situation became difficult as I did not have the space or the required conditions at home. On the other hand, other research centers with which we had collaboration agreements also canceled access, such is the case of the Optical Research Center, where we used the confocal microscope to detect subcellular location of proteins. The closure of institutions allowed me to write theoretical parts of my thesis, however, the experimental phase was definitely affected for at least six months. The experiment with the plants was almost completely lost. In the subsequent months I had the opportunity to re-enter my institution; however, under strict conditions and on staggered days, which made certain measurements that require daily continuity difficult. Currently, the laboratory is not as it used to look, full of colleagues sharing results and difficulties, exchanging advice and even certain materials. I think the pandemic has pushed us to do our work more individually and slowly. Consequently, my degree was delayed and transferred from 2020 to 2021. There are still many challenges to overcome, although activities have not been fully restored, science does not stop and we have found a way to face it, slowly but surely.</p>

scholarly journals Drifting towards Ambiguity: A Closer Look at Palatalisation in L2 Irish

2018 ◽  
Vol 8 ◽  
pp. 55-69
Author(s):  
Marina Snesareva ◽  
Keyword(s):  
Second Language ◽  
First Language ◽  
The Other ◽  
Good Knowledge ◽  
Front Vowel ◽  
Other Hand ◽  
Everyday Communication ◽  
At Home

This article focuses on palatalisation in the Irish spoken by Dublin-based bilinguals for whom English is their first language. All informants had a good knowledge of both Irish and English; however, Irish was their second language, used less frequently in everyday communication. Most Dubliners start learning Irish at school; only a few informants had the opportunity to speak it at home, but even then the language was not used outside class on a regular basis. The study showed that most deviations in the distribution of palatalised and non-palatalised consonants in the speech of Dublin bilinguals were of the palatalisation absence type. Such deviations were especially frequent next to back and mid-back vowels. On the other hand, a palatalised consonant was often pronounced instead of a non-palatalised one next to a front vowel. Previous research suggests that these tendencies also apply in weak positions (Snesareva 2014a; 2014b). Consequently, even though in traditional Irish dialects palatalisation is not position-bound, in the speech of Dublin bilinguals there is correlation between the palatalisation of a consonant and the quality of its neighbouring vowel. However, such consonant distribution was not encountered in all contexts: even those informants whose speech had deviations used palatalisation properly in some contexts. This means that position-bound use of palatalisation is still a tendency rather than an entrenched feature of Dublin Irish.

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