Factors associated with the utilisation of postnatal care services among the mothers of Nepal: analysis of Nepal Demographic and Health Survey 2011

Abstract

BackgroundPostnatal care is essential to save the life of the mother and newborn. Knowledge on the determinants of postnatal care assists the policy makers to design, justify and implement appropriate interventions. The current study aimed to analyse the factors associated with utilisation of postnatal care services by mothers in Nepal based on the data from Nepal Demographic and Health Survey (NDHS) 2011.MethodsThis study utilised the data from NDHS 2011. The association between utilisation of at least one postnatal care visit (within 6 weeks of delivery) and immediate postnatal care (within 24 hours of delivery) with selected factors was examined by using Chi-square test (χ2), followed by multiple logistic regression.ResultOf the 4079 mothers, 43.2% reported attending postnatal care within the first six weeks of birth, while 40.9% reported attending immediate postnatal care. Mothers who were from urban areas, from rich families, who were educated, whose partners were educated, who delivered in a health facility, who had attended a four or more antenatal visits, and whose delivery was attended by a skilled attendant were more likely to report attending at least one postnatal care visit. On the other hand, mothers who reported agricultural occupation, and whose partners performed agricultural occupation were less likely to have attended at least one postnatal care visit. Similarly, mothers who were from the urban areas, from rich families, who were educated, whose partners were educated, who had attended four or more antenatal visits, who delivered in a health facility and had delivered in the presence of a skilled birth attendant were more likely to report attending immediate postnatal care. Mothers who reported agricultural occupation, and whose partners performed agricultural occupation were less likely to attend immediate postnatal care.ConclusionThe majority of postnatal mothers in Nepal did not seek postnatal care. Increasing utilisation of the recommended four or more antenatal visits, delivery at health facility and increasing awareness and access to services through community-based programs especially for the rural, poor, and less educated mothers may increase postnatal care attendance in Nepal.

Early breastfeeding initiation and incidence of neonatal sepsis in Chipinge District Zimbabwe

“…Low rates of EBFI have been also recorded in South East Asia and Western Nepal where one in four babies receive breast milk within the first hour of birth. 9 Similar findings od delayed breastfeeding initiation were recorded in North Central Province of Sri-Lanka, Pakistan, India with initiation rates ranging from 29 to 45%. 10 Findings of the study revealed a significant Pearson Correlation between EBFI and neonatal sepsis at 0.01 levels (2 tailed) at day 3 and day 7.…”

Proportion and factors affecting for post-natal care utilization in developing countries: A systematic review

“…The postpartum period starts about an hour after the delivery of the placenta and includes the following six weeks. [4] It is widely accepted that the use of maternal health services helps in reducing maternal morbidity and mortality. However, the utilization of maternal health services is a complex phenomenon influenced by many factors.…”

Where Are We Standing on Postpartum Care? A Cross-sectional Community Based Study

“…Lohusa bakımı alma durumu ve lohusa bakımı alınmasını etkileyen çeşitli kültürel, ekonomik ve biyolojik faktörler ulusal ve uluslararası çalışmalarda belirlenmeye çalışılmıştır. 6,7,11 Ancak, gelinen süreçte kadınların tamamının lohusa bakımı alması, lohusa bakımını içerik açısından değerlendirmeye yöneltmiş; içeriğin kalitesini etkileyen faktörlere yönelik analitik değerlendirme yapmayı zorunlu kılar hale gelmiştir. Araştırmada, sosyodemografik, biyodemografik ve sağlık hizmet kullanımı ile ilgili bağımsız değişkenlerin lohusa bakım içerik puan kategorisi üzerine etkisi olmadığı, diğer bir deyişle çeşitli kültürel, ekonomik ve biyolojik faktörlerin lohusa bakım içeriğini etkilemediği belirlenmiştir.…”

“…6 Doğum sonrası bakım hizmetleri verilirken, emzirme, kişisel hijyen, aile planlaması gibi konularda eğitim verilerek, anne ve bebeğe postnatal demir, A ve D vitamini vs desteği sağlanarak anne ve bebeğin daha optimal sağlık hizmeti da sağlanabilir. 7 Yapılan ulusal çalışmalarda, ölen annelerin %25,0'inin ve neonatal ölümlerin yarısının doğum sırasında ve doğum sonrası ilk 24 saat içinde gerçekleştiği ve bu oranların doğumdan sonraki ilk haftanın sonunda sırasıyla %60,0 ile üçte ikiye çıktığı bildirilmektedir. 8 Dünya'nın birçok ülkesinde olduğu gibi, Türkiye'de de anne ölümleri için risk oluşturabilecek faktörler belirlenerek bu faktörlerin eliminasyonuna yönelik ulusal rehberler hazırlanmış ve uygulamaya koyulmuştur (Doğum Sonrası Bakım Yönetim Rehberi: DSB-YR).…”