Factors associated with postnatal care for newborns in Zambia: analysis of the 2013-14 Zambia demographic and health survey

Bwalya, Bupe Bwalya; Mulenga, Mulenga C.; Mulenga, James Nilesh

doi:10.1186/s12884-017-1612-1

Cited by 48 publications

(72 citation statements)

References 20 publications

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“…The study findings suggest that missed opportunities to provide PNC may explain why the increasing coverage of institutional deliveries in Tanzania, now at 63%, has not had as much impact on maternal and newborn morbidity and mortality as hoped. As has been reported in other studies, however, this analysis found that early postnatal checks for both mother and newborn were more likely if mothers had made at least four ANC visits during pregnancy and if they gave birth by caesarean section [53,54,55]. Thus, promoting ANC services may have a positive impact on PNC.…”

Section: Discussionsupporting

confidence: 67%

Women’s Experience of Facility-Based Childbirth Care and Receipt of an Early Postnatal Check for Herself and Her Newborn in Northwestern Tanzania

Bishanga

Massenga²,

Mwanamsangu³

et al. 2019

IJERPH

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Negative experiences of care may act as a deterrent to current and/or future utilization of facility-based health services. To examine the situation in Tanzania, we conducted a sub-analysis of a cross-sectional household survey conducted in April 2016 in the Mara and Kagera regions of Tanzania. The sample included 732 women aged 15–49 years who had given birth in a health facility during the previous two years. Log binomial regression models were used to investigate the association between women’s experiences of care during childbirth and the receipt of early postnatal checks before discharge. Overall, 73.1% of women reported disrespect and abuse, 60.1% were offered a birth companion, 29.1% had a choice of birth position, and 85.5% rated facility cleanliness as good. About half of mothers (46.3%) and newborns (51.4%) received early postnatal checks before discharge. Early postnatal checks for both mothers and newborns were associated with no disrespect and abuse (RR: 1.23 and 1.14, respectively) and facility cleanliness (RR: 1.29 and 1.54, respectively). Early postnatal checks for mothers were also associated with choice of birth position (RR: 1.18). The results suggest that a missed opportunity in providing an early postnatal check is an indication of poor quality of the continuum of care for mothers and newborns. Improved quality of care at one stage can predict better care in subsequent stages.

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Section: Discussionsupporting

confidence: 67%

Women’s Experience of Facility-Based Childbirth Care and Receipt of an Early Postnatal Check for Herself and Her Newborn in Northwestern Tanzania

Bishanga

Massenga²,

Mwanamsangu³

et al. 2019

IJERPH

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“…Women who started their rst antenatal visit in the recommended timeframe and had at least four antenatal care visits were more likely utilize PNC than their counterparts. This nding is consistent with ndings of several studies (23)(24)(25)(26)(27)(28)(29). Because ANC is a time when mothers are educated about childbirth and childcare practices, those who follow the ANC guidelines might be better informed about PNC guidelines.…”

Section: Discussionsupporting

confidence: 90%

“…In addition, this analysis found that the odd of having a timely PNC check-up was higher among women whose educational status was secondary/higher as compared to those with no education. This result was in line with a number of studies (23)(24)(25)29).The more the maternal educational attainment, the more likely the awareness and knowledge of bene ts to be derived to comply with more health recommendations; this is in part due to the fact that they may understand better. Additionally, women who are educated are more likely to have paid employment and to contribute to the household expenditure and consumption and that means more power in decision-making process in household issues including utilization of health services (28).…”

Section: Discussionsupporting

confidence: 87%

Association between antenatal care utilization pattern and timely initiation of postnatal care checkup: Analysis of 2016 Ethiopian Demographic and Health Survey

Wassie

Belete

Tesfu

et al. 2020

Preprint

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Background: Despite significant public health intervention, maternal mortality remains high in low- and middle-income countries, including Ethiopia. Effective postnatal care is a critical service to reduce maternal mortality. In Ethiopia, only 17% of mothers received postnatal care service in 2016. This study examined the association between antenatal care and timely postnatal care checkup among reproductive age women in Ethiopia.Methods: The study used the 2016 Ethiopian Demographic and Health Survey data. The sample consisted of 4,081 women who give birth within the last two years prior to survey. Chi-square test and multivariable logistic regression were used to examine the association between antenatal care and timely initiation of postnatal care.Results: Postnatal care services within 2 days of delivery were received by 16.5% of women. Women who had at least four timely antenatal care visits had higher odds of timely postnatal checkup compared to women who had no antenatal care [adjusted Odds Ratio (aOR): 2.50; 95% Confidence Interval (95%CI) 1.42–4.42]. Women who had at least four antennal care visits without timely initiation also had higher odds of postnatal check-up than their counterparts (aOR: 2.46; 95%CI: 1.22–4.97). Other factors significantly associated with timely initiation of PNC were secondary and above education (aOR: 1.64; 95%CI: 1.03–2.60), perceived distance to the nearby health facility as significant barrier (aOR: 1.55; 95%CI: 1.15–2.09), primiparous (aOR: 0.34; 95%CI: 0.19–0.61) and institutional delivery (aOR: 14.55; 95%CI: 2.21–95.77).Conclusion: Timely initiation of postnatal care within two days of delivery in Ethiopia is very low. Women who received recommended antenatal care services had higher odds of timely initiation of postnatal care. Thus, strengthening the existing maternal and child health programs to adhere to the recommended ANC care guidelines may improve timely initiation of postnatal care.

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“…Receiving adequate post-natal care is, thus, crucial for improving the health status of both mothers and newborns [17–19]. Although the World Health Organization recommends routine post-natal care provided to all mothers and newborns, in practice, this seems not to be the case [20].…”

Section: Discussionmentioning

confidence: 99%

“…Data from Zambia health and demographic survey reported that on average, the was 55% of newborns received post-natal checks. If it was disaggregated by delivery place, 58% of newborns born at healthcare facilities had health checks, and 48% of newborns delivered at home [20]. Recently, a study in Sri Lanka reported that the proportion of mothers who received post-natal health checks were 82.6% at the national level [7].…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic inequalities in post-natal health checks for the newborn in Vietnam

Lam

Anh²,

Ha³

et al. 2019

Int J Equity Health

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Background The newborn and child death associated with inadequate post-natal health checks continued to be a significant issue across the world. This study aimed to assess the socioeconomic inequalities in post-natal health checks for the newborn in Vietnam in 2014. Methods We used the secondary data from the Multiple Indicator Cluster Survey in 2014. We included women aged 15–49 years who had a live birth within two years of the time of the interview. We estimated the concentration index to measure socioeconomic inequalities post-natal health checks for the newborn. We conducted multiple logistic regression analysis to identify factors associated with post-natal health checks for the newborn. Results Overall, the proportion of post-natal health checks for the newborn in Vietnam was 89.1%. The concentration index of post-natal health checks for the newborn was positive at 0.06. It indicated that the newborns in the rich households were more likely to get post-natal health checks as compared to in the poor households. The common factors significantly associated with the higher percentage of post-natal health checks for the newborn were women belonging to the Kinh and Hoa ethnic, higher education, and wealthier groups. Conclusion Socioeconomic inequalities in post-natal health checks for the newborn in Vietnam were not strong, but it still existed. Thus, we recommended that policy efforts to increase access to post-natal health services for poor women. In addition, there is a need to improve access to post-natal health services for women belonging to minor ethnic group and low education.

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Factors associated with postnatal care for newborns in Zambia: analysis of the 2013-14 Zambia demographic and health survey

Cited by 48 publications

References 20 publications

Women’s Experience of Facility-Based Childbirth Care and Receipt of an Early Postnatal Check for Herself and Her Newborn in Northwestern Tanzania

Women’s Experience of Facility-Based Childbirth Care and Receipt of an Early Postnatal Check for Herself and Her Newborn in Northwestern Tanzania

Association between antenatal care utilization pattern and timely initiation of postnatal care checkup: Analysis of 2016 Ethiopian Demographic and Health Survey

Socioeconomic inequalities in post-natal health checks for the newborn in Vietnam

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