Optimum utilization of antenatal and postnatal cares among young women in Tigray, Northern Ethiopia: A community based-cross sectional study

2020 ◽  
Author(s):  
Brhane Ayele ◽  
Tsegay Hadgu ◽  
Hailay Gebretnsae ◽  
Fanna G/silassie ◽  
Degnesh Negash ◽  
...  
Keyword(s):  
Service Utilization ◽  
Young Women ◽  
Postnatal Care ◽  
Cross Sectional Study ◽  
Northern Ethiopia ◽  
Sectional Study ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Services Utilization ◽  
The Right

Abstract Background: Optimum antenatal and postnatal care services are recognized to be among the most effective interventions to reduce maternal and newborn morbidity and mortality. However; optimum antenatal care (ANC) and postnatal care (PNC) service utilization among young women in Africa is very low, especially in rural zones. Therefore, this study was conducted to determine the magnitude of optimum ANC and PNC services utilization and the factors associated, in the Eastern Zone of Tigray, Northern Ethiopia. Methods: Using a cross-sectional study design, 352 young women aged 15 to 24 were interviewed. Among those, 101 and 100 were eligible and included for studying optimum ANC and PNC service utilization, respectively. Multivariable logistic regression models were performed to identify independent determinants of the two outcome variables (optimum ANC and PNC utilization). Results: Optimum ANC and PNC services utilization was reached in 75% (95%CI: 64.50-84.20) and 16% (95%CI: 9.00-24.00) of the cases, respectively. Being older (20-24 years old vs. 18-19: AOR=9.21; 95% CI: 1.62-52.25) and knowing the availability of adolescent and youth friendly health service (AYFHS) (AOR= 4.01; 95% CI: 1.08-14.89) were significantly associated with optimum ANC service utilization. Furthermore; knowing the availability of AYFHS (AOR=10.81; 95%CI: 1.57-71.18) and having the right to decide about her own health care spending (AOR=6.16; 95%CI: 1.22-31.05) were significantly associated with optimum PNC service utilization. Conclusion: In rural zones in Tigray, PNC services utilization is far away from the optimum, while ANC service utilization is closer, even if a significant number of young women did not receive optimum ANC services. The presence of an AYFHS and its knowledge are shown to be related to an increase of optimal services utilization and hence interventions need to be designed accordingly.

scholarly journals Constrains for seeking post-abortion care among adolescents and young women in Guangzhou, China: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yiding Wang ◽  
Jinzhi Liu ◽  
Ribo Xiong ◽  
Yan Liu
Keyword(s):  
Young Women ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Sectional Study ◽  
Cross Sectional ◽  
Services Utilization ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion ◽  
Youth Friendly

Abstract Background In China, post-abortion care (PAC) services mainly focus on married couples, such that adolescents and unmarried young womenhave limited access to those services for contraception counseling. The provision of youth-friendly PAC services in public hospitals is a new concept in China. This study examined the magnitude of PAC services utilization as well as factors influencing it’s uptake among adolescents and young women in Guangzhou, China. Methods A cross-sectional study was performed from 1st March 2020 to 30th September 2020 using anonymous self-administered questionnaire among 688 women aged 15–24 years in Tianhe district, Guangzhou. The Multivariate logistic regression was used to determine factors that were significantly associated with the uptake of PAC services. Results The magnitude of PAC services utilization was 35.9% among adolescents and young women in Guangzhou, China. Students were 69.0% significantly less likely to use PAC services compared to women who had no job. Immigrants were 59.0% significantly less likely to use PAC services than their native counterparts. Women who had a feeling of stigma were 70.0% significantly less likely to use PAC services compared to those who did not feel stigmatized. Conclusions The study highlights the need to strengthen youth-friendly PAC services provision, and emphasizes the importance of education about both family planning and abortion services among disadvantaged sub-groups of women in the study setting.

scholarly journals Determinants of postnatal care service utilization among mothers of Mangochi district, Malawi: a community-based cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jonas Sagawa ◽  
Allen Kabagenyi ◽  
Godwin Turyasingura ◽  
Saul Eric Mwale
Keyword(s):  
Decision Making ◽  
Service Utilization ◽  
Household Income ◽  
Postnatal Care ◽  
Mortality Rates ◽  
Cross Sectional Study ◽  
Education Level ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional

Abstract Background Postnatal care (PNC) service is a neglected yet an essential service that can reduce maternal, neonatal and infant morbidity and mortality rates in low and middle-income countries. In Malawi, maternal and infant mortality rates remain high despite numerous efforts by the government and its partners to improve maternal health service coverage across the country. This study examined the determinants of PNC utilization among mothers in Mangochi District, Malawi. Methods A community based cross-sectional study was conducted among 600 mothers who gave birth in the past 2 years preceding January 1–31; 2016. A multistage sampling technique was employed to select respondents from nine randomly selected villages in Mangochi district. A transcribed semi-structured questionnaire was pre-tested, modified and used to collect data on socio-demographic characteristics and maternal related factors. Data was coded in EpiData version 3.1 and analysed in Stata version 12. A multivariable logistic regression adjusted for confounding factors was used to identify predictors of PNC utilization using odds ratio with 95% confidence interval and p-value of 0.05. Results The study revealed that the prevalence of PNC service utilization was 84.8%. Mother’s and partner’s secondary education level and above (AOR = 2.42, CI: 1.97–6.04; AOR = 1.45, CI: 1.25–2.49), partner’s occupation in civil service and business (AOR = 3.17, CI: 1.25, 8.01; AOR =3.39, CI:1.40–8.18), household income of at least MK50, 000 (AOR = 14.41, CI: 5.90–35.16), joint decision making (AOR = 2.27, CI: 1.13, 4.57), knowledge of the available PNC services (AOR = 4.06, CI: 2.22–7.41), knowledge of at least one postpartum danger sign (AOR = 4.00, CI: 2.09, 7.50), health facility delivery of last pregnancy (AOR = 6.88, CI: 3.35, 14.14) positively associated with PNC service utilization. Conclusion The rate of PNC service utilization among mothers was 85%. The uptake of PNC services among mothers was mainly influenced by mother and partner education level, occupation status of the partner, household income, decision making power, knowledge of available PNC services, knowledge of at least one postpartum danger signs, and place of delivery. Therefore, PNC awareness campaigns, training and economic empowerment programs targeting mothers who delivered at home with primary education background and low economic status are needed.

scholarly journals Prevalence of Early Postnatal-Care Service Utilization and Its Associated Factors among Mothers in Hawassa Zuria District, Sidama Regional State, Ethiopia: A Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Shambel Yoseph ◽  
Azmach Dache ◽  
Aregahegn Dona
Keyword(s):  
Service Utilization ◽  
Postnatal Care ◽  
Associated Factors ◽  
Care Service ◽  
Cross Sectional Study ◽  
Care Utilization ◽  
Sectional Study ◽  
Cross Sectional ◽  
Danger Signs ◽  
Regional State

Background. A postnatal care given after childbirth is a critical care to promote health and to prevent complications of the mother and newborn. However, utilization of this service is low in Ethiopia, and little is known about its coverage and determinants. Thus, this study aimed to assess the prevalence of early postnatal-care service utilization and its associated factors among mothers in Hawassa Zuria district, Sidama Regional State, Ethiopia. Methods. A cross-sectional study was conducted from 20 February to 20 March 2020 in Hawassa Zuria District among randomly selected 320 mothers. Data were collected by using interviewer-administered structured questionnaires. Data entered were into Epi data version 3.1 and exported to SPSS version 26 for analysis. Descriptive, bivariable, and multivariable logistic regression analysis with odds ratio and 95% confidence interval were conducted. A P value <0.05 was considered a statistically significant association. Finally, the results were presented by texts, tables, and figures. Result. The prevalence of early postnatal-care service utilization was 29.7% (95% CI = 24.7, 35.5). Age below 25 years [AOR = 3.2 (95% CI = 1.37, 7.48)], having planned and supported pregnancy for last birth [AOR = 2.2 (95% CI = 1.13, 4.38)], having information about obstetric danger signs [AOR = 2.1 (95% CI = 1.25, 3.78)], and having positive attitude on use postnatal services [AOR = 3.5 (95% CI = 1.94, 6.32)] were factors associated with early postnatal-care utilization. Conclusion. The finding revealed that early postnatal-care utilization in the study area was low. Strengthening family planning services, giving information on obstetrics danger signs, and creating awareness about postnatal care will improve uptake of the service in a timely manner.

scholarly journals 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

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
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.

scholarly journals Determinants of postnatal care service utilization among mothers of Mangochi district, Malawi: a community-based cross-sectional study

2020 ◽  
Author(s):  
Jonas Sagawa ◽  
Allen Kabagenyi ◽  
Godwin Turyasingura ◽  
Saul Eric Mwale
Keyword(s):  
Service Utilization ◽  
Postnatal Care ◽  
Cross Sectional Study ◽  
Education Level ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Place Of Delivery ◽  
Household Level ◽  
Danger Signs

Abstract BackgroundPostnatal care (PNC) services such as antenatal care, labour and delivery care services are paramount in maternal, neonatal morbidity and mortality rates reduction in low and middle income countries. Several factors impede the effective utilization of these services by mothers which makes them access few services than recommended by world health organization. This study examined the determinants of PNC utilization among mothers in Mangochi District, Malawi.MethodsA community based cross-sectional study involving a multistage sampling of 600 mothers from nine randomly selected villages in Mangochi district, Malawi was conducted in the month of January, 2016. A transcribed semi-structured questionnaire was pre-tested, modified and used to collect data on socio demographic, socio-economic and socio-cultural characteristics. A Pearson Chi square (𝜒2) test was used to determine the association between the socio-demographic, socio-cultural, and socio-economic factors and PNC utilization. A multivariable logistic regression with 95% confidence interval was performed to determine the predictors of PNC service utilization.Results84.8% of the mothers utilized PNC services at least once within the postnatal period. Among the PNC users, 74.5% attended once, 20% attended two to three times and 5.5% attended more than three times. The predictors of PNC service utilization were education level of the mother (AOR= 2.42, CI: 1.97-6.04) education level of the partner (AOR=1.5, CI: 1.25-2.49) , occupation status of the partner (AOR= 3.2, CI: 1.25-8.01), household level of income (AOR=14.4, CI: 5.90-35.16), decision making (AOR=2.27, CI: 1.13-4.57), knowledge of available PNC services (AOR=4.2, CI: 2.22-7.41), knowledge of at least one postpartum danger signs (AOR=4.0, CI:2.07-7.50), and place of delivery (AOR=6.9, CI: 3.35-14.14).ConclusionThe rate of PNC service utilization among mothers was 85%. The uptake of PNC services among mothers was mainly influenced by education level of the mother and partner, occupation status of the partner, household level of income, decision making power, knowledge of available PNC services, knowledge of at least one postpartum danger signs, and place of delivery. Therefore, reinforcement of the existing policies and strategies to increase awareness about PNC services among mothers through awareness campaigns, training and empowerment programs is needed.

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