Postnatal care utilization and associated factors among women of reproductive age Group in Halaba Kulito Town, Southern Ethiopia

Abstract

BackgroundDespite postnatal care services significant role in improving maternal and new-born health, services are underutilized in most developing countries including Ethiopia. Hence, it is important to identify factors that facilitate or impede postnatal care services utilization. The aim of this study was to assess postnatal care services utilization and associated factors among reproductive age women who gave live birth in 2015 at Halaba kulito town, Southern Ethiopia.MethodsA community-based cross-sectional study was conducted on 401 reproductive age women who gave live birth a year prior to the survey. Data were collected by using structured questionnaire. Bivariate and multivariable logistic regression analysis were carried out to identify factors associated with postnatal care services utilization. A significant association was declared when p-value is less than 0.05. The strength of association was determined by calculating odds ratio at 95% confidence interval.ResultIn this study, postnatal care services utilization by reproductive age women was 47.9%. Multivariable analysis revealed that government employed (AOR = 3.01, 95%CI = 1.36, 6.67), have three ANC visits (AOR = 4.29, 95% CI = 1.59, 11.55), have four ANC visits (AOR = 9.55, 95% CI = (3.46, 26.39), gave last birth at Health Centre (AOR = 10.76, 95% CI = 3.26, 35.57), gave last birth at Hospital (AOR = 13.15, 95% CI = (3.64, 47.50), didn’t aware of at least one postpartum danger signs (AOR = 0.06, 95% CI = (0.01, 0.37), didn’t know child care and had three ANC visits (AOR =0 .14, 95% CI (0.02, 0.8), and didn’t know child care and had four or more ANC visits (AOR =0 .13, 95% CI (0.02, 0.79) were significantly associated with postnatal care services utilization.ConclusionThis study assessed PNC services utilization and associated factors among reproductive age women. The study results provided a basic understanding of factors that associated with PNC services utilization by reproductive age women. The findings of this study showed direct association between postnatal care utilization and maternal employment, awareness to postpartum danger signs, frequency of ANC and attending birth at health institution. Therefore, the results suggested context-specific evidence which might be taken into consideration when rethinking policies to increase PNC utilization.

Magnitude and determinants for place of postnatal care utilization among mothers who delivered at home in Ethiopia: a multinomial analysis from the 2016 Ethiopian demographic health survey

“…In this study, the magnitude of PNC utilization either at home or at a health facility was similar with findings from some studies [1, 24–26] though lower than the findings from other studies [11, 13, 27–30]. This difference could be due to differences in the schedule of visits considered in the different studies, which could affect the comparability and results between the different studies [1].…”

“…Utilization of services that precede PNC, including ever using anything to delay pregnancy and receiving ANC were two other factors which were significantly associated with PNC service utilization, both at home and at a health facility. This is not surprising, as many other studies [28–30, 32–37] found similar findings. It is plausible that if mothers had previous contact with health professionals (especially for ANC), they would be more likely to seek PNC at a health facility or to have contact with a community health worker after giving birth to receive PNC at home [1, 32, 38].…”

Factors associated with malaria vaccine uptake in Sunyani Municipality, Ghana

“…There was a reduction in uptake of subsequent doses of the vaccine. This observed reduction is similar to that observed in Senegal, Cameroun, Nigeria, Togo, Congo, and in the Kwabre East district of Ghana [ 11 – 16 ]. The over 90% uptake recorded for the RTS,S 1 and RTS,S 2 indicates that the anti-vaccine campaigns that greeted the introduction of the malaria vaccine did not impact negatively on the uptake of the vaccine in Sunyani Municipality [ 6 ].…”

Regional disparities in postnatal care among mothers aged 15-49 years old in Indonesia

“…This study demonstrated that the prevalence of PNC service utilization among mothers aged 15–49 years was 70.94%. This finding was higher than other research in Sub-Saharan Africa, and Ethiopia with Abebo & Tesfaye (2018) and Tessema et al (2020) , respectively finding that 47.9% and 52.48% of women had used PNC service. An intertwined complex factor, such as the health system, maternal health policies, and socio-cultural variations across countries, may hinder women’s use of the PNC service.…”