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 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 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 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 Factors Associated with 0-28 Day Neonatal Mortality in Central Aceh Regency in 2020

2021 ◽  
Vol 2 (2) ◽  
pp. 38-49
Author(s):  
Asriwati Amirah ◽  
Thomson P Nadapdap ◽  
Suryani Suryani
Keyword(s):  
Logistic Regression ◽  
Neonatal Mortality ◽  
Maternal Age ◽  
P Value ◽  
Multiple Logistic Regression ◽  
Chi Square ◽  
Factors Associated ◽  
Regression Test ◽  
Chi Square Test ◽  
Logistic Regression Test

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.

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
Keyword(s):  
Logistic Regression ◽  
Pelvic Organ Prolapse ◽  
Maternal Age ◽  
Menopausal Status ◽  
Pelvic Organ ◽  
P Value ◽  
Multiple Logistic Regression ◽  
Chi Square ◽  
Exact Test ◽  
Relationship Of

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.

scholarly journals Potential interaction between sepsis and acute respiratory distress syndrome and effect on the 6-month clinical outcomes: A preliminary secondary analysis of a prospective observational study

2021 ◽  
Author(s):  
Tomoya Okazaki ◽  
Daisuke Kawakami ◽  
Shigeki Fujitani ◽  
Natsuyo Shinohara ◽  
Kenya Kawakita ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Acute Respiratory Distress Syndrome ◽  
Clinical Outcomes ◽  
Distress Syndrome ◽  
Secondary Analysis ◽  
Potential Interaction ◽  
Sepsis Group ◽  
P Value ◽  
Multiple Logistic Regression ◽  
Regression Analyses

Abstract Background The effect of the interaction between sepsis and acute respiratory distress syndrome (ARDS) on the clinical outcomes is unclear. Therefore, this study aimed to investigate the effect of the potential interaction between the two conditions on mortality and the occurrence of post-intensive care syndrome (PICS). Methods This secondary analysis of a prospective multicenter observational study included patients who were expected to receive mechanical ventilation for more than 48 h. Patients were stratified based on the incidence of sepsis and further subdivided according to the presence of ARDS. The primary endpoints for patients whose follow-up information was available included mortality (n=162) and the occurrence of PICS (n=96) at six months. The diagnosis of PICS was based on any of the following criteria: (1) decrease ≥ 10 points in the physical component score of the 36-item Short Form (SF36) questionnaire; (2) decrease ≥ 10 points in the mental component score of the SF-36; or (3) decline in the Short Memory Questionnaire (SMQ) score and SMQ score < 40 at six months after ICU admission. We conducted multivariate logistic regression analyses to assess the effect of the potential interaction between ARDS and sepsis on the 6-month clinical outcomes. Result The mortality in the ARDS sub-group was higher than that in the non-ARDS subgroup [47% (7/15) versus 21% (18/85)] in the non-sepsis group. However, the mortality in the ARDS and non-ARDS subgroups was similar in the sepsis group. Multiple logistic regression analyses revealed that ARDS was significantly associated with mortality in the non-sepsis group (adjusted OR: 5.25; 95% CI: 1.45–19.09; p = 0.012), but not in the sepsis group (P-value for the interaction=0.087). Multiple logistic regression analyses showed ARDS was not associated with PICS occurrence in the non-sepsis and sepsis groups (P-value for the interaction=0.039). Conclusions Our findings suggested that the effect of ARDS on the 6-month outcomes depended on the presence or absence of sepsis. The findings of this hypothesis-generating study should be validated by future studies.

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 Households access to improved drinking water sources and toilet facilities in Ethiopia: a multilevel analysis based on 2016 Ethiopian Demographic and Health Survey

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e042071
Author(s):  
Zewudu Andualem ◽  
Henok Dagne ◽  
Zelalem Nigussie Azene ◽  
Asefa Adimasu Taddese ◽  
Baye Dagnew ◽  
...  
Keyword(s):  
Drinking Water ◽  
Health Survey ◽  
Rural Households ◽  
Wealth Index ◽  
Water Sources ◽  
Demographic And Health Survey ◽  
P Value ◽  
Cluster Sampling ◽  
Drinking Water Source ◽  
Drinking Water Sources

ObjectiveThis study aimed to assess households access to improved drinking water sources and sanitation facilities and their associated factors in Ethiopia.DesignCross-sectional study.SettingEthiopia.ParticipantsHousehold heads.Primary outcomesAccess to improved drinking water sources and toilet facilities.MethodsWe conducted an in-depth secondary data analysis of 2016 Ethiopian Demographic and Health Survey. Data from a total of 16 650 households and 645 clusters were included in the analysis. The households were selected using a stratified two-stage cluster sampling technique. Multilevel binary logistic regression analyses were performed to identify factors associated with access to an improved drinking water source and toilet facilities. Adjusted OR with a 95% CI was reported with p value <0.05 was used to declare a significant association between the covariates and the outcome variables.ResultsThe proportions of households’ access to improved sources of drinking water and toilet facilities were 69.94% (95% CI: 69.23% to 70.63%) and 25.36% (95% CI: 24.69% to 26.03%), respectively. Households headed by women and households with a better wealth index were positively associated with access to improved drinking water sources. Whereas rural households, ≥30 min round trip to obtain drinking water and region were factors negatively associated with households access to improved drinking water sources. A higher probability of having access to improved toilet facilities: households with heads who had attained higher education, households having better access to improved sources of drinking water and households with better wealth index. While the following households were less likely to have access to improved toilet facilities: households with heads were widowed, households with four to six members, rural households and region.ConclusionThe study found that the proportions of households’ access to improved drinking water sources and toilet facilities in Ethiopia were relatively low, which demands the need to tailor strategies to increase the coverage of access to improved drinking water sources and toilet facilities.

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