Postnatal Care Service Utilization and Associated Factors among Mothers Who Delivered in Shebe Sombo Woreda, Jimma Zone, Ethiopia

Abstract

Background: Postnatal care is a critical period for both mothers and newborns survival. But, post-natal care is yet neglected; little attention and an effort have been paid by health care providers and policy makers in developing countries. Post-natal care service utilization is still low and maternal mortality rate is high. However, studies on postnatal care service utilization and associated factors are lacking in the study setting. Therefore, the aim of this study is to assess postnatal care service utilization and associated factors among mothers who delivered in Shabe sombo woreda, Jimma zone, Oromiya region, South West Ethiopia, 2018. Methods: A community based cross-sectional study design was conducted in Shabe sombo woreda, Jimma zone. A total of 564 study participants were included in the study using simple random sampling technique. Data was collected from March 1-April 1, 2018. Data was entered into Epi data version 3.1 and exported into SPSS version 23.0 for analysis. Bivariate and multivariable logistic regression analysis was made in order to predict factors associated with postnatal care (PNC) service utilization. Result: The study revealed that the magnitude of PNC service utilizations is 58.5%. Multivariable logistic regression analysis showed that, mothers with younger age (adjusted odds ratio (AOR) = 2.243, (95% CI: 1.066, 4.721), having antenatal care visit (AOR = 9.36, 95% CI: 5.605, 15.618), experiencing obstetric complication during pregnancy (AOR = 2.3373, 95% CI: 1.095, 5.142), who had information about PNC (AOR = 9.946, 95% CI: 6.009, 16.460) and appointed for PNC follow-up (AOR = 2.114, 95% CI: 1.289, 3.466) were more likely to utilize postnatal care services. Conclusion: Though the finding showed that postnatal care service utilization was high when compared to other studies done in country, it was a lot behind from the national target of postnatal care service utilization in Ethiopia. The initiative of provision of information, education, counseling and communication both at the community and facility level should be strengthened.

Postnatal Service Utilization and Associated Factors among Women who gave Birth in the last 12 months Prior to Study Period in Jimma Town, Southwest Ethiopia.

“…Educational status of respondents have positive association with PNC utilization, those mothers who attended college and above were 11 times more utilized than mother who can't read and write; which is consistent with study done in Arsi zone (21) and Jabitina Amhara region (14).This evidence is supported by study done abroad from Ethiopia; Pakistan (11)and Nigeria (22) showing educated women empowered over decision making for utilization of health service, increased knowledge and awareness.…”

“…This nding is consistent with studies conducted in Gondar zuria distric (17). The study conducted at Arse zone showed, mothers who travel at most 1 hour to nearest health facility utilized 3 times more utilized than those who travel more than 1 hour (21).…”

Factors Associated with Post-Natal Care Utilization among the Women of Reproductive age Group: Evidence from Bangladesh Demographic and Health Survey 2017–18

“…The mothers having cesarean section delivery are more prone to face complications that can be mitigated by required follow-up services resulting in improved health care-seeking behavior. 56 , 57 …”

Socioeconomic inequity in coverage and quality of maternal postnatal care in Ethiopia

“…Furthermore, the least poor women had twice the odds of an early PNC visit as the most poor, demonstrating socioeconomic inequity in timely maternal PNC. Higher SES, education and facility delivery have all been previously associated with receiving PNC [ 5 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 ] in low‐ and middle‐income settings. However, we found no studies, which focus on the quality of PNC.…”