Magnitude and Determinants of Postnatal Care Service Utilization in Farta District, South Gondar Zone, Amhara Region, Ethiopia.

2020 ◽  
Author(s):  
Wondimu Girma Mengistu ◽  
Abrham Yeneneh Birhanu ◽  
Tadesse Wuletaw Demissie ◽  
Abaynew Honelgn Desalgn
Keyword(s):  
Health Facility ◽  
Service Utilization ◽  
Postnatal Care ◽  
Formal Education ◽  
Care Service ◽  
Emergency Obstetric Care ◽  
Sampling Technique ◽  
Amhara Region ◽  
Services Utilization ◽  
South Gondar

Abstract BackgroundThe low access to emergency obstetric care services in rural Ethiopia showed that maternal mortality was unlikely to significantly decline. Despite the prior attention given to MCH service to the rural communities, the achievements so far were not satisfactory.MethodsCross-sectional study was carried out among 737mothers in 11Keble’s and a multi-stage sampling technique was used to select the subjects and to assess the magnitude and determinants of postnatal care service utilization in Farta district, South Gondar Administrative Zone, Amhara Region, Ethiopia, in 2019.Binary logistic regression statistical model using the adjusted odds ratio (AOR) and 95% CI was used to identify determinants of PNC services utilization.ResultsThe magnitude of PNC services utilization in Farta District was 26.19 % [95% CI: (22.8-29.2)] with variations in between Kebeles. Having formal education of mother [95 % CI: 2.8(1.75-4.48)], birth at a health facility [95% CI: 3.18 (1.73-5.85)], counseling given during ANC visits [(95 %CI: 5.72(3.42-9.55)], complications during or after delivery [95%CI: 2.78(1.20-6.52)] and living within 5km of health facility [95 % CI: 2(1.29-3.10] were identified as determinants of PNC services utilization.ConclusionHaving formal education, counseling during ANC and facility delivery were positively associated whereas having no complications during or after delivery and residing far from a health facility were negatively associated with PNC services utilization. Tracing mechanisms for reaching pregnant women should be developed and strengthened to improve counseling services at home. Frequent support and supervision for remote Kebeles.

scholarly journals Postnatal Care Service Utilization among Mothers in Eastern Region of Nepal

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

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

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.

scholarly journals Predictors of skilled maternal health services utilizations: A case of rural women in Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246237
Author(s):  
Berhan Tsegaye ◽  
Elsabet Shudura ◽  
Amanuel Yoseph ◽  
Alemu Tamiso
Keyword(s):  
Regression Analysis ◽  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Postnatal Care ◽  
Institutional Delivery ◽  
Care Service ◽  
Maternal Health Services ◽  
P Value ◽  
Services Utilization

Background Maternal health services are affected by complex factors from one setting to another. Consequently, health planners should prioritize different interventions and design appropriate programs to enhance maternal health services utilization. Results of prior studies are conflicting. Furthermore, only few studies were done from antenatal to postnatal continuum of care in Ethiopia. Objectives This study aimed to assess prevalence and predictors of skilled maternal health services utilization at Dale-Wonsho health and demographic surveillance site of the Hawassa University, South Ethiopia, in 2019. Methods A community based cross sectional study was conducted from January 1–30; 2019. A total of 682 women who gave birth in the last twelve months were selected by using a two stage sampling technique. Data were collected through face to face interview. Data were entered into Epidata version 3.1. Then, they were exported and analyzed by SPSS version 22. Bi-variable logistic regression analysis was done and variables with p-value less than 0.05 were considered as candidate for multivariable logistic regression analysis. Adjusted Odds Ratios (AOR) with 95% CI were computed, and p-value less than 0.01 was computed to determine the level of significance. Result Prevalence of antenatal care, institutional delivery and postnatal care utilizations were 69.1%, 52.1% and 32.7% respectively. Educated women (AOR = 4.72, 95%CI,2.82,7.9), household training (AOR = 8.52,95%CI = 5.5,13.1), middle wealth quantile(AOR = 0.8,95%CI,0.4–0.7), being richest wealth quantile (AOR = 0.16;95%CI = 0.06,0.41) and pregnancy plan (AOR = 3.65,95%CI,1.67–8.0) were factors positively associated with antenatal care utilization. Husband education (AOR = 4.96,95CI,3.08–8.0), and antenatal care (AOR = 5.9; 95%CI,3.87,9.1) were factors associated with institutional delivery. Maternal education (AOR = 2.5,95CI,1.4–4.4), information about postnatal care service utilization (AOR = 3.6,95CI,2.1,6.2) and women autonomy(AOR = 6.1,95CI,3.8,9.7) were positively associated with postnatal care service. Conclusion Prevalence of antenatal care, institutional delivery and postnatal care services were lower than the targeted plan. Policy makers should focus on capacity building of women both economically and academically. So, women should be more autonomous to utilize health services effectively. Moreover, awareness creation among women should be enhanced about maternal health service.

scholarly journals Determinants of postnatal care utilization in sub-Saharan Africa: a meta and multilevel analysis of data from 36 sub-Saharan countries

2020 ◽  
Vol 46 (1) ◽  
Author(s):  
Zemenu Tadesse Tessema ◽  
Lake Yazachew ◽  
Getayeneh Antehunegn Tesema ◽  
Achamyeleh Birhanu Teshale
Keyword(s):  
Service Utilization ◽  
Postnatal Care ◽  
Logistic Regression Model ◽  
Care Service ◽  
Sub Saharan Africa ◽  
Care Utilization ◽  
Age Group ◽  
Sub Saharan ◽  
Multilevel Logistic Regression Model ◽  
Ssa Countries

Abstract Introduction Globally, over 65% of maternal deaths occur during the first 42 days of postpartum while the same proportion of neonatal deaths occur during the first 7 days of life. In sab- Saharan Africa, 4.7 million mothers, newborns, and children die on annual basis. As to our knowledge, there is no study on postnatal care utilization that incorporates all sub-Saharan Africa countries that had DHS data. Therefore, this study aimed at identifying pooled magnitude and determinants of postnatal care utilization in sub-Saharan Africa. Method A population-based cross-sectional study from the most recent Demographic and Health Surveys data from the period of 2006 to 2018 of 36 SSA countries were used. A total weighted sample of 286,255 reproductive-age women who gave birth 5 years preceding the survey were included in the study. A meta-analysis of DHS data of each Sub-Saharan countries was conducted to generate pooled magnitude and a forest plot was used to present it. A multilevel logistic regression model was fitted to identify determinants of postnatal care utilization. The AOR (Adjusted Odds Ratio) with their 95% CI and p-value ≤0.05 was used to declare that determinates associated with postnatal care utilization. Result The pooled magnitude of postnatal care utilization in sub-Saharan Africa countries was 52.48% [95% CI: 52.33, 52.63], with the highest postnatal care utilization in the Central Region of Africa (73.51%) and the low postnatal care utilization in Eastern Regions of Africa (31.71%). In the multilevel logistic regression model region, residence, age group, maternal education, maternal occupation, media exposure, ANC visit, place of delivery, and accessing health care were determinants of postnatal care utilization in Sub-Saharan Africa. Conclusion The coverage of postnatal care service utilization was low with high disparities among the region. Being in rural residence, young age group, low education level, had no occupation, not exposed to media, a big problem to access health care, not had ANC visit, and home delivery was associated with low postnatal care service utilization. This study evidenced that there is a wide gap in postnatal care utilization between SSA countries. Special attention is required to improve health accessibility, utilization, and quality of maternal health services to increase postnatal care service utilization in the region.

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

2021 ◽  
Vol 5 (1) ◽  
pp. 23-32
Author(s):  
Bright Opoku Ahinkorah ◽  
Abdul-Aziz Seidu ◽  
Eugene Budu ◽  
Ebenezer Kwesi Armah-Ansah ◽  
Ebenezer Agbaglo ◽  
...  
Keyword(s):  
Service Utilization ◽  
Postnatal Care ◽  
Care Service ◽  
Economic Status ◽  
Maternal Mortality Ratio ◽  
Complete Information ◽  
The Sustainable Development ◽  
Factors Associated ◽  
Creative Commons ◽  
Care Services

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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