A comparative study on the availability of postnatal care services in primary health-care facilities in urban and rural settlements in Kaduna State, Nigeria

Igboanusi, Chinedu John-Camillus; Sabitu, Kabir; Nmadu, Awawu Grace; Joshua, Istıfanus Anekoson; Gobir, Abdulrazaq Abdullahi

doi:10.4103/njecp.njecp_3_20

Cited by 7 publications

(14 citation statements)

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“…Women whose husbands were literate were more likely to use PNC than women whose husbands were illiterate. This finding was supported by the studies done in Ethiopia ( Adane et al, 2020b ), Bangladesh ( Adane et al, 2020b ), Nigeria ( Igboanusi et al, 2019 ; Ononokpono et al, 2020 ). The potential explanation for this may be that educated husbands communicate better with their wives and are more willing to discuss the use of PNC services as well as other maternal health services ( Adane et al, 2020b ).…”

Section: Discussionsupporting

confidence: 71%

Postnatal Care Utilization Coverage and its Associated Factors Among Mothers in South Gondar Zone, Northwest Ethiopia: A Cross-Sectional Study

et al. 2022

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Background Postnatal care (PNC) is critical for both the mother and the infant to treat delivery complications and provide the mother with important information on caring for herself and her baby. However, only 17% of women and 13% of newborns in Ethiopia received a postnatal checkup within the first two days of birth. This figure is significantly lower than the least developed countries. This study aimed to assess the coverage and associated factors of PNC service utilization in South Gondar Zone, Northwest Ethiopia. Method A community-based cross-sectional study was conducted from September 2020 to May 2021. The data were gathered using an interviewer-administered structured questionnaire. A total of 434 women who gave birth within 2 years of the study were included in the analysis. Bivariable and multivariable logistic regression model was used to identify factors associated with PNC service utilization. Result The prevalence of women who used PNC services was 36.4%. The study showed that antenatal care visit, husbands who have a secondary education, women with a secondary education, daily laborer women, husbands working for the government or non-profit sector, delivered in a health institution, nearby hospitals, travel by car to the nearest health facility were positively associated with PNC utilization. While, not having a cell phone, rural women and not having road access to a health facility, have not been receiving counseling were negatively associated with PNC utilization. Conclusion The coverage of PNC service utilization in the study area was extremely low. Therefore, government and health care departments should pay special attention to uneducated women, women in rural areas, and women who are unemployed, are not exposed to mass media, and do not have access to transportation to improve PNC service utilization. Furthermore, programs educating mothers on the benefits of antenatal checkups and safer places of childbirth should be considered to increase PNC service utilization.

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Section: Discussionsupporting

confidence: 71%

Postnatal Care Utilization Coverage and its Associated Factors Among Mothers in South Gondar Zone, Northwest Ethiopia: A Cross-Sectional Study

et al. 2022

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“…This study found that in terms of human resource, the majority of the HCWs who took deliveries and performed immediate newborn care were CHEWs and JCHEWs. This was so in both public and private facilities and is similar to the situation in [19][20][21][22][23] other parts of Nigeria. Community health workers and different categories of HCWs with various nomenclature also serve as birth attendants and perform immediate newborn care especially in PHCs in other LIMCs and some even in 24,25 secondary facilities.…”

Section: Discussionsupporting

confidence: 76%

Assessment of Availability of Human Resource and Services for Newborn Care in Primary Health Care Facilities in Jos North Local Government Area of Plateau State, Nigeria

et al. 2021

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Background: The majority of neonatal deaths occur in low and middle-income countries. Availability of qualified human resources along with maternal and child health services are essential to curb these deaths. The study objective was to determine the availability of human resources and services for newborn care in Primary Health Care facilities in Jos North Local Government Area. Methods: This was a descriptive cross-sectional study conducted in Primary Health Care facilities offering immediate newborn care. A stratified sampling technique was used to select 67 and 60 healthcare workers in 30 public and 30 private facilities respectively. A structured questionnaire was used to collect data and SPSS version 23 was used for data analysis. Results: The majority, 85(66.9%) of the healthcare workers were Community Health Extension Workers. There were 16(12.6%) midwives and 1(0.8%) medical doctors. In-service training on newborn care had been received by 69(54.3%) respondents, while 22(17.3%) respondents had received training on essential newborn care. Only twenty (33.3%) facilities discharge mother and newborn 24 hours after normal delivery. Postnatal services provided included early initiation of breastfeeding by 116(91.3%) respondents. Preventive services included chlorhexidine cord care given by 86(67.7%) respondents while 27(21.3%) and 26(20.5%) gave erythromycin/ tetracycline eye prophylaxis and vitamin k1 respectively. Conclusion: Community Health Extension Workers were the major human resource for immediate newborn care; further research to determine their knowledge and skills are needed. The preventive neonatal services were few. More preventive care and 24-hour postnatal care are advocated as strategies to improve newborn outcomes.

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“…2 Despite the importance of providing quality health care services by skilled health care professionals during and immediately after childbirth to mothers and infants, the postnatal periods are usually neglected by most mothers due to sociocultural factors associated with new-borns. [3][4][5] Meanwhile, studies have shown that mothers who attend health facilities during postnatal periods where skilled health professionals can identify, observe and manage any health challenge that may arise in the lives of the mothers and their newborn babies [6][7] stand a chance of preventing the occurrence of body and mental damage, 8 as well as child morbidity and mortality than those who did not. 9 Although there has been incredible progress in the global under-five mortality rate which had reduced from 93 deaths (in 1990) and 76 deaths (in 2000) to 39 deaths per 1,000 live births in 201810, the reduction in this rate is uneven across regions and income levels in the world.…”

Section: Introductionmentioning

confidence: 99%

“…While several studies on postnatal care have focused on the use, non-use and barriers to the use of modern health care services during this period, [4][5] there is limited or little attention paid to the relationship between regional differences in postnatal care services and child morbidity which is a critical factor in under-five mortality. Take, for example, Olajubu et al 5 examined the predictors of postnatal care utilisation among women in a facilitybased study in Nigeria, it was found that age and education were strong predictors of postnatal care services utilisation.…”

Section: Introductionmentioning

confidence: 99%

“…Ugboanusi et al 4 on the other hand, studied factors affecting the utilisation of postnatal care services in Primary Health Care (PHC) facilities in urban and rural settlements in Kaduna (Nigeria), postnatal care service utilisation was lower in the rural areas than the urban centres and there were barriers of transportation, large babies and poor wealth quintiles to the use of PHC facilities. Rao et al 11 in their study in India pointed out that mothers of newborns have to bathe water with ashes within seven days after delivery.…”

Section: Introductionmentioning

confidence: 99%

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

Uzobo

Ayinmoro

2021

Current Research Journal of Social Sciences and Humanities

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Modern Postnatal Care (PNC) Services in Nigeria is a vital tool for providing quality health for mothers and newborns. Nonetheless, many Nigeria regions are still struggling to achieve optimum utilisation of Postnatal Care Services due to variations in mothers' associated socio-economic factors based on their specific locations. This study aims at assessing regional socio-economic factors associated with Postnatal Care Services utilisation and its relationship with child morbidity in Nigeria. Data for this study was extracted from the Nigeria Demographic and Health Survey (NDHS) 2018 birth recoded file dataset, with a sample size of 30,713 women (aged 15-49). Data were analysed using descriptive statistics, Chi-Square Test, and logistic regression reporting the result in odds-ratios (OR). The primary predictor variable was the region, while others included the type of Postnatal Care Services utilised and various demographic variables of the respondents – age, education, type of residence, religion, and ethnicity. The average age of the respondents was 29.5±6.8. The use of modern Postnatal Care 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, 95% Confidence Interval [CI] = 1.316 – 1.611; p =0.01), 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. The majority of women in Nigeria are not using modern PNC services. Regional variations in the use of PNC services and mothers' socio-demographic characteristics influence child morbidity in Nigeria. There should be region-specific sensitisation of women on the need for the benefit of modern health care for both antenatal care and postnatal care services.

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A comparative study on the availability of postnatal care services in primary health-care facilities in urban and rural settlements in Kaduna State, Nigeria

Cited by 7 publications

References 0 publications

Postnatal Care Utilization Coverage and its Associated Factors Among Mothers in South Gondar Zone, Northwest Ethiopia: A Cross-Sectional Study

Postnatal Care Utilization Coverage and its Associated Factors Among Mothers in South Gondar Zone, Northwest Ethiopia: A Cross-Sectional Study

Assessment of Availability of Human Resource and Services for Newborn Care in Primary Health Care Facilities in Jos North Local Government Area of Plateau State, Nigeria

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

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