Postnatal Care Services Utilization in Bharatpur Sub Metropolitan City, Chitwan, Nepal

2019 ◽  
Vol 9 (3) ◽  
pp. 43-50
Author(s):  
Niki Shrestha ◽  
Binita Tiwari ◽  
Suneel Piryani ◽  
Gayatri Khanal
Keyword(s):  
Postnatal Care ◽  
Mode Of Delivery ◽  
Newborn Infants ◽  
Educational Status ◽  
Postnatal Period ◽  
Cross Sectional ◽  
Services Utilization ◽  
Danger Signs ◽  
Metropolitan City ◽  
One Year

 Background: Postnatal period is a critical phase in the lives of mothers and newborn infants. 2.9 million neonatal deaths occur in the first week of life on an annual basis globally. In Nepal, the level of postnatal care coverage remains low despite the efforts and research on factors influencing the Post-natal care (PNC) services utilization is limited. Hence this study was conducted to explore the predictors of PNC utilization among mothers who had under one-year child. Methods: A community-based cross-sectional study was conducted in Bharat­pur Sub Metropolitan city, Chitwan among mothers having a child of less than one year age. Data was collected through face-to-face interview using inter­view-schedule. Descriptive (frequency and percentage), Bivariate (Chi-squre) and Multivariate (logistic regression) analyses were performed. Results: This study showed that the proportion of recommended PNC servic­es utilization is low in comparison with those utilizing ANC services in Nepal. The percentage of women attending all the three recommended PNC visits was only 17.5%. The utilization of PNC services was associated with mother’s educational status, parity, place of PNC services received and awareness about PNC services. The mode of delivery, danger signs seen in postnatal mothers, and danger signs seen in newborn were statistically significantly associated with PNC services utilization. Conclusions: The findings of this study suggest context specific evidence which might be taken into consideration while planning to develop new poli­cies to increase PNC utilization.

scholarly journals An assessment of utilization of postnatal care services in urban area Jabalpur district

2019 ◽  
Vol 6 (9) ◽  
pp. 3660
Author(s):  
Dhruvendra Pandey ◽  
Priyanka Meshram ◽  
Arvind Sharma ◽  
Rajesh Tiwari ◽  
P. K. Kasar
Keyword(s):  
Urban Area ◽  
Urban Areas ◽  
Postnatal Care ◽  
Sampling Method ◽  
Mode Of Delivery ◽  
Great Majority ◽  
Cross Sectional Study ◽  
Postnatal Period ◽  
Cross Sectional ◽  
Early Registration

Background: Postnatal period is a vulnerable time, because most maternal and new born deaths occur during this period, especially immediately after childbirth. Postnatal care in the first hours and days after childbirth could prevent the great majority of these deaths. The objective of study was to assess the utilization of post-natal care and associated factors for low utilization in urban area of Jabalpur district.Methods: A community based cross-sectional study was carried 360 mothers who delivered in last one year in urban area of Jabalpur district. Sampling method was multistage sampling method. A total 36 wards with 10 mothers from each ward was selected. The questionnaire included information related to mode of delivery, post-natal checkups and visits of health care providers.Results: Among 360 mothers, 93.9% mothers received first postnatal check-up within 24 hrs. 1.11% of mothers between 2-3 days and 1.67% of mothers received first postnatal check-up between 4-7 days while 3.33% of mothers didn’t receive any postnatal check-up. Regarding number of post-natal visits, 58.33% mothers received 3 or more postnatal visits, 35% of mother received 2 PNC visits, while 3.3% did not receive a single postnatal visit. The education of mothers, joint type of family, high socioeconomic status, early registration of pregnancy, minimum 4 ANC visits and institutional deliveries were found significantly associated with utilization of postnatal check-up.Conclusions: Utilization of postnatal services is still poor in the urban areas even though the physical accessibility was adequate. In the present study, it was concluded that the role of education, especially of female education, is important contributing factor associated with utilization of postnatal care.

Factors Associated with the Utilisation of Postnatal Care Services in a Rural Community in Abia State

2021 ◽  
Vol 11 (1) ◽  
pp. 40-46
Author(s):  
Ijeoma Nduka
Keyword(s):  
Rural Community ◽  
Postnatal Care ◽  
Health Workers ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Postnatal Period ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Factors Associated ◽  
Care Services

Background: Postnatal period is as important as pregnancy and childbirth. Half of all postnatal deaths occur during the first week after birth. During postnatal period, the mother’s body undergoes major changes from pregnancy. Therefore, there is need for continuity of care after birth to prevent and manage complications that may arise during postnatal. This study was carried out to determine factors associated with the utilisation of postnatal care services in a rural community in Abia state. Methods: This was a descriptive cross-sectional study conducted from March 2019 to May 2019 among women living in Amuvi community in Arochukwu Local Government Area (LGA)of Abia state.  The study participants were women of reproductive age group (15-49 years) who had at least been pregnant once, carried pregnancy to full maturity and delivered at term. Data was collected using pre-tested semi-structured interviewer-administered questionnaire. Results: Four hundred and sixty-seven (467) women participated in the study. Four hundred and forty-three (95.1%) women attended postnatal visits while 23 (4.7%) did not. Reasons given for attending postnatal care by respondents were; routine check-ups, counselling on family planning, appointment with health workers 54 (11.7%), same day appointment as child’s immunisation, child was sick.  Respondents who were married were 2 times (AOR=2.587, 95% CI:-0.878-0.120) more likely to use postnatal care services than single mothers. Mothers who had an occupation were 2 times (AOR=2.897, 95% CI: 0.051-0.267) more likely to use postnatal care services than those who did not. Husband’s occupation was statistically significant with utilisation of postnatal services. Conclusion:  Utilisation of postpartum care services was high among women in Amuvi community of Abia state. PNC services utilisation were associated with marital status, mother’s occupation and husband’s educational status.

scholarly journals Knowledge On Neonatal Danger Signs And Associated Factors Among Mothers Who Gave Birth In The Last One Year Prior To This Study In Debre Markos Town, East Gojjam, Northwest Ethiopia 2017: A Community Based Cross Sectional Study.

2019 ◽  
Author(s):  
Birhanu Wubale Yirdaw ◽  
Marta Berta Badi ◽  
Temesgen Worku Gudayu ◽  
Animut Tagele Tamiru ◽  
Getie Lake Ayinalem ◽  
...  
Keyword(s):  
Postnatal Care ◽  
Tertiary Education ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
P Value ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Danger Signs ◽  
One Year

Abstract Abstract Background: Neonatal mortality is a concern for global population especially in developing countries. The majority of neonatal mortality occurs at home where only few families recognize key danger signs of neonatal illness. Thus, we assessed the knowledge on neonatal danger signs of illness and associated factors among mothers who gave birth in the last one year prior to this study in Debre Markos town, East Gojjam, northwest Ethiopia. Methods: A community-based, cross-sectional study was conducted among 521 mothers. Cluster sampling technique was used to select the study participants and interviewed using structured and pre-tested questionnaire. Data were entered to Epi Info and exported to SPSS for analysis. Variables in binary logistic regression with a P value <0.2 were fitted to multivariable logistic regression. Significant variables were declared at 95% CI and a P value <0.05. Results: A total 473 participants were interviewed by making a response of 91.0%. The proportion of knowledgeable mothers was found to be 26.2% (95% CI 22.2, 30.4). Mother’s secondary and tertiary education(AOR=3.64, 95% CI 1.14, 11.61 and AOR=3.80, 95% CI 1.25, 11.56), husband’s secondary and tertiary education(AOR=4.22, 95% CI 1.53, 11.60 and AOR=4.34, 95% CI 1.52, 12.37) respectively, antenatal care attendance(AOR = 3.54, 95% CI 1.62, 7.75), postnatal care attendance(AOR = 2.41, 95% CI 1.13, 5.14), getting prepared for birth(AOR =2.43, 95% CI 1.20, 4.89) and access for television(AOR = 2.06, 95% CI 1.01, 4.21) were found to be positively associated with being knowledgeable on neonatal danger signs. Conclusion: Mothers’ knowledge on neonatal danger signs was low. The finding showed that, intervention modalities to increase parental education, both antenatal and postnatal care attendance, mothers’ preparedness for birth and advocating the use of television might be helpful to improve mothers’ knowledge on neonatal danger signs. Key words: Neonatal Danger Signs, Mothers’ Knowledge, East Gojjam, Ethiopia

scholarly journals Determinants of Postnatal Care Services among Mothers in Nakasongola Health Centre IV, Nakasongola District.

2021 ◽  
Author(s):  
◽  
Eunice Vivian Asingo ◽  
Jane Frances Namukasa
Keyword(s):  
Health Center ◽  
Postnatal Care ◽  
Health Care Services ◽  
Cultural Beliefs ◽  
Health Centre ◽  
Economic Factor ◽  
Postnatal Period ◽  
Cross Sectional ◽  
Services Utilization ◽  
Care Services

Background: Poor utilization of postnatal services remains a serious maternal and child health challenge. Post Natal Services are defined as those services provided to both mothers and their infants immediately after birth up to 6 weeks of age. The postnatal period is a critical phase in the lives of mothers and newborn babies as most maternal and infant deaths occur during this time. In May, June, and July 2019, Nakasongola Health Centre IV, had 622 deliveries. However, there were only 229 postnatal attendances in the same period. A study was carried out to identify the determinants of postnatal care services utilization among mothers in Nakasongola Health Centre IV, Nakasongola District.  Methodology:  The study design was descriptive cross-sectional and it employed both quantitative and qualitative data collection methods. A sample size of 60 respondents was selected using the purposive sampling procedure. An interview guide was used to collect data.  Results:  30 (50%) sometimes received support from their husbands to access postnatal care, 16 (26.7%) lack of awareness as a socio-economic factor, 14 (23.3%) poverty. 40 (67%) reported that cultural beliefs did not allow postnatal mothers to freely move and access health care services, 60 (100%) used herbs to treat the ailment in the postnatal period for various reasons. Half 30 (50%) resided 2 – 3 km away from Nakasongola Health Center IV and although 40 (67%) had ever used post-natal services at Nakasongola Health Center IV, 14 (35%) waited for 2 – 3 hours before receiving services yet all 60 (100%) agreed that long waiting time influenced service utilization.  Conclusion and recommendations: Respondents faced various socio-economic, cultural, and health facility determinants of postnatal care services utilization among mothers. Sensitization about the availability of postnatal services and the importance of using these services, participation, and involvement of male partners among others.

scholarly journals Knowledge on postnatal care among postpartum mothers during discharge in maternity hospitals in Asmara: a cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ghirmay Ghebreigziabher Beraki ◽  
Eyasu H. Tesfamariam ◽  
Amanuel Gebremichael ◽  
Berhanemeskel Yohannes ◽  
Kessete Haile ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Educational Level ◽  
Postnatal Care ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Postnatal Period ◽  
Danger Sign ◽  
Cross Sectional ◽  
Maternity Hospitals ◽  
Postpartum Mothers

Abstract Background The early postnatal period is a dangerous time for both mother and baby where morbidity and mortality are highly prevalent if proper care is not done. Post natal care (PNC) knowledge has significant role in reducing such complications. In this study, the knowledge of postpartum mothers on PNC and its determinants were determined. Methods A cross-sectional quantitative study was conducted in postpartum mothers (PpM) who attended all maternal delivery services in Asmara. Data was collected by a structured questionnaire. All (n = 250) PpM who gave birth in December, 2017 were included in the study. Independent samples t-test and one way ANOVA were used to compare the scores in knowledge across categories of background characteristics using SPSS. Bonferroni post-hoc test was performed for variables that were found to be significant while using ANOVA tool. P-values less than 0.05 were considered as significant. Results The percentage of PpM who cited vaginal bleeding, as a maternal danger sign, and fever, as a baby danger sign, were 83.2 and 58.8%, respectively. The majority (96%) of PpM responded the correct answer on where to go if they note any danger signs. In addition, more than nine tenth of PpM correctly identified injectable contraceptives (92.7%) and oral contraceptive (91.5%). The percentages of knowledge in recognizing the necessary nutrients ranged from 87.6% for carbohydrates to 46% for minerals. The percentages of correct knowledge regarding first baby bath, frequency of breast feeding, umbilical care, duration of exclusive breast feeding, need and purpose of vaccine were 40.1, 81.9, 77.4, 94.8, and 99.2% respectively. The mean PNC knowledge score was 24.89/60. The score of knowledge on postnatal care was found to significantly differ across the categories of residence (p < 0.001) and ethnicity (p = 0.015). An increasing trend of knowledge score was observed with increase in age group (p < 0.001), educational level (p = 0.021), gravida (p < 0.001) and para (p < 0.001). Conclusion Considerable gaps in knowledge regarding postnatal care among postpartum mothers were evident. Special attention should be laid on rural residents, single/living together, junior/below in educational level, primigravida/para, non-Tigrigna ethnicity, and 17 to 25 years old mothers.

scholarly journals An analytical study of prevalence of ear disorders and their risk factors among children in a resettlement colony of Delhi

2021 ◽  
Vol 8 (3) ◽  
pp. 13-19
Author(s):  
Gupta Kalika ◽  
Gourav Kumar Goyal ◽  
Akshay Berad
Keyword(s):  
Risk Factors ◽  
Hearing Loss ◽  
Educational Status ◽  
School Age Children ◽  
Cross Sectional ◽  
Total Prevalence ◽  
Study Results ◽  
Group 5 ◽  
One Year ◽  
Associated Risk Factors

Background: The world has more than 360 million population (almost 5% of world’s population) with disabling hearing loss and among them, 32 million are children. It is estimated that over 166 million people in the developing world face a severe lack of intervention services for hearing loss. There is a need to estimate the magnitude of various ear morbidities in school age children as well as to identify the various risk factors that play a role in the emergence of these morbidities. Aim: To find prevalence of various ear disorders and their risk factors among children 5-11 years old. Methodology: It was a cross-sectional, community based study conducted at a resettlement colony named Gokulpuri, in East Delhi. Study was conducted for a period of one year, Jan 2017 – Dec 2017. Children in the age group 5 yrs. to 11 yrs. were included in the study. Results: Total prevalence of ear morbidities in children was found to be 15.8%. Wax impaction in the ears was found to be most prevalent morbidity 10.6%. Educational status of mother and head of the family, immunization status of child, history of slapping trauma and coryza were among the associated risk factors. Exclusive breast feeding was statistically insignificantly associated

scholarly journals Assessment of Healthcare Utilization among Women Experiencing Childbirth in Suburban Nepal

2019 ◽  
Vol 7 ◽  
pp. 53-64
Author(s):  
Shelly Xu ◽  
Cyril Blavo D.O. ◽  
Sujan Babu Marahatta ◽  
Mayur Banjara ◽  
Rakchya Amatya ◽  
...  
Keyword(s):  
Healthcare Utilization ◽  
Postnatal Care ◽  
Perinatal Care ◽  
Postnatal Period ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Neonatal Deaths ◽  
Childbirth Experience ◽  
Risk Period ◽  
High Incidence

The postnatal period (birth to 6 weeks of age) is a high-risk period for mothers and their newborns. Despite significant improvements in the Nepalese healthcare system over the last decade, there is still a high incidence of maternal and neonatal deaths during the postnatal period. These factors, in addition to existing socioeconomic barriers, discourage many women from returning to these facilities for postnatal care. This study therefore, aims to determine the extent of healthcare utilization among women with recent childbirth experience in the Mahalaxmi municipality in the Lalitpur district of Nepal. This study is descriptive cross-sectional needs assessment utilizing a pre-tested survey instrument administered to ninety-eight women who were randomly selected from the semi-urban Mahalaxmi municipality. All the respondents reported that they received ante-natal care during their pregnancy. A majority of the women reported that they received perinatal care from physicians. The results of the study showed that although there was a significantly high utilization of ante-natal and perinatal care among women with recent childbirth experience, most of the women were unaware of the availability or necessity of postnatal care, despite the accessibility of physicians and healthcare facilities.

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

2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
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.

scholarly journals Determinants of utilization of antenatal care services in rural area of Bangladesh

2016 ◽  
Vol 44 (2) ◽  
pp. 67-71 ◽  
Author(s):  
Shayela Farah ◽  
Mohoshina Karim
Keyword(s):  
Antenatal Care ◽  
Care Service ◽  
Behavioural Change ◽  
Educational Status ◽  
Pregnancy Complication ◽  
Safe Motherhood ◽  
Family Welfare ◽  
Cross Sectional ◽  
Danger Signs ◽  
Care Services

Appropriate ante-natal care services promote safe motherhood and delivery with improved maternal and neonatal outcome. This population based cross sectional descriptive study was carried out to determine the utilization of antenatal care (ANC) services in a rural community of Bangladesh. Out of the 112 women studied, 63.4% mothers were found to receive antenatal care. Among them one third (32.4%) took it more than 4 occasions, 34(47.8%) pregnant women received antenatal care from government hospitals, 19(27%) from family welfare centre, 6(8.5%) from satellite clinics and around 12(17%) received from private hospitals. Around 71% mothers received ANC service from doctor while 17% mothers received from trained professionals. Seventy four percent mothers received tetanus (TT) injections. Only one fourth (25.3%) mothers had not received it. On an average, 90% mothers received iron tablets during their pregnancy. Regarding have danger signs during pregnancy, it was found that, 58.9% mothers were not aware about the have danger signs and 29.5% respondents knew about all the danger signs. Association between educational status and treatment seeking behaviour for pregnancy complication was found to be statistically significant (p<0.05). However, association between educational status and place of treatment for pregnancy complication was also found significant (p<0.01). Intensive awareness programme, behavioural change interventions and regular pregnancy monitoring may promote antenatal care service utilization in rural Bangladesh.Bangladesh Med J. 2015 May; 44 (2): 67-71

scholarly journals Knowledge of Neonatal Danger Signs and Its Associated Factors among Mothers Attending Child Vaccination Centers at Sheko District in Southwest Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Tewodros Yosef ◽  
Tadesse Nigussie ◽  
Adane Asefa
Keyword(s):  
Associated Factors ◽  
Educational Status ◽  
Sub Saharan Africa ◽  
Good Knowledge ◽  
Health Seeking ◽  
Public Health Importance ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Danger Signs ◽  
Child Vaccination

Background. Even though a great improvement in the last twenty years, the problem of newborn deaths is still remaining. In 2017 alone, an estimated 2.5 million neonatal deaths occurred worldwide, around 39 percent of all deaths in sub-Saharan Africa. Early detection of neonatal illness is an important step towards improving newborn survival. If mothers know the appropriate manifestations of the causes of death in newborns (neonatal danger signs), it is possible to avert related mortality, because of the health-seeking behavior of mothers highly relies on their knowledge of neonatal danger signs. Objective. To assess knowledge of neonatal danger signs and its associated factors among mothers attending child vaccination centers at Sheko District in Southwest Ethiopia. Methods. A facility-based cross-sectional study was conducted among 351 mothers who attended health centers for child vaccination in Sheko District from March 17 to April 30, 2018. A consecutive sampling method was used to select study participants. Data were collected by using structured questionnaires through face-to-face interviews. Data were entered using EPI-DATA version 3.1 and analysed using SPSS version 21. Results. Of the 351 mothers interviewed, 39% (137) had good knowledge of neonatal danger signs. The study also found that mothers aged 29-40 years (AOR=2.37, 95% CI [1.35-4.17], P=0.003), educational status of primary and above (AOR=2.68, 95% CI [1.48-4.88], P=0.001), attending ≥ 4 antenatal care visits during pregnancy (AOR=3.57, 95% CI [2.10-6.06], P<0.001), and history of postnatal attendance after birth (AOR=2.33, 95% CI [1.16-4.65], P=0.017) were significantly associated with good knowledge of neonatal danger signs. Conclusion. The proportion of mothers with good knowledge of neonatal danger signs was remarkably low. Since the problem is a public health importance in developing countries, particularly in Ethiopia, which determines future generations. Great efforts are needed to create awareness for mothers on the importance of the early identifying neonatal danger signs plus to avert the high magnitude of neonatal mortality.

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