Prevalence of Early Postnatal-Care Service Utilization and Its Associated Factors among Mothers in Hawassa Zuria District, Sidama Regional State, Ethiopia: A Cross-Sectional Study

Yoseph, S.; Dache, Azmach; Dona, Aregahegn

doi:10.1155/2021/5596110

Cited by 16 publications

(18 citation statements)

References 12 publications

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“…The minimum sample size required for the study was determined by using a single population proportion formula true0n=(Zα/2)2p(1−p)d2 with assumptions of 95% CI, 0.05 margin of error and established prevalence (p=23.7%) of EPNC service usage and its associated factors among mothers in Hawassa Zuria district, Sidama regional state, Ethiopia,9 with adding a 10% non-response rate. Based on the above assumption consideration the final sample size became (n=306).…”

Section: Methodsmentioning

confidence: 99%

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Prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, Gurage zone, Southern Ethiopia: a community-based cross-sectional study

et al. 2023

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ObjectiveEarly postnatal care service usage in developing countries is one of the healthcare service usage problems among postnatal women, which is related to extensive maternal and neonatal complications and mortality. Identification of the prevalence of early postnatal care services usage and associated factors among postnatal women is imperative to develop intervention measures to mitigate their complications and public health impact, which is not well known in Ethiopia, particularly in the selected study area. Thus, this study aimed to assess the prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, southeast Ethiopia.DesignA community-based cross-sectional study design was conducted among 301 postnatal women from 15 May to 15 June 2021.MeasurementsData were collected using a pretested structured questionnaire. The collected data were cleaned and entered in EpiData V.3.1 and then exported to SPSS V.23 for analysis. Finally, a multivariate logistic regression model was fitted to identify the factors associated with early postnatal care services usage. The p value<0.05 was considered statistically significant.ResultsThe finding showed that the prevalence of early postnatal care services usage was 23.3% (95% CI 18.9% to 27.9%). Wanted pregnancy (adjusted OR (AOR)=4.17, 95% CI 1.93 to 9.03), had over four histories of pregnancy (gravida >4) (AOR=2.90, 95% CI 1.18 to 7.11) and had spontaneous vertex delivery (AOR=2.18, 95% CI 1.07 to 9.39) were statistically significant factors of early postnatal care service usage.ConclusionThis study has shown that the prevalence of early postnatal care services usage was slightly low when compared with other studies. Thus, community-based health promotion should be an important recommendation to increase early postnatal care service usage among postnatal mothers to improve the level of awareness of early postnatal check-up schedules; done by healthcare providers.

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Section: Methodsmentioning

confidence: 99%

“…For instance, Uganda, 7 and South Sudan, 8 reported 15.4% and 11.4%, respectively. It also noted variations in research conducted in Ethiopia, like Southern Ethiopia at Hawassa Zuria, 9 and Wonago district, 10 North Ethiopia, 11 reported 29.7%,13.7% and 34.3%, respectively.…”

Section: Introductionmentioning

confidence: 95%

Prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, Gurage zone, Southern Ethiopia: a community-based cross-sectional study

et al. 2023

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“…Several studies have been conducted to investigate the utilization of PNC, as well as the factors that influence it. Several studies have linked it to maternal-related influencing factors such as age of women ( Yoseph et al, 2021 ), educational level of the women ( Ahinkorah et al, 2021 ), occupational status of women and husbands ( Ahinkorah et al, 2021 ), wealth index ( Ahinkorah et al, 2021 ), antenatal care (ANC) ( Belachew et al, 2016 ), media exposure ( Ahinkorah et al, 2021 ), place of delivery ( Belachew et al, 2016 ; Limenih et al., 2016 ; Somefun & Ibisomi, 2016 ), wealth index ( Mekonnen et al, 2021 ; Somefun & Ibisomi, 2016 ). In addition, the utilization of PNC can be affected by other factors, such as time taken to get the nearest health facility ( Ndugga et al, 2020 ), planned and wanted pregnancy ( Yoseph et al, 2021 ), health profession preferred by women, source of information about maternal care, duty service of maternal health care ( Ahinkorah et al, 2021 ), number of living children ( Debie & Tesema, 2021 ), cultural practices ( Belachew et al, 2016 ; Miller et al, 2016 ), lack of counselling, transportation problem, distance from the health institutions ( Hordofa et al, 2015 ; Mukonka et al, 2018 ; Somefun & Ibisomi, 2016 ).…”

Section: Review Of Literaturementioning

confidence: 99%

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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“…Factors such as education and availability of economic resources as facilitators are consistent with previous findings in Africa that showed that women that were employed and had received a secondary school level education were more likely to attend PNC services [ 21 , 27 , 33 – 36 ]. Additionally, we argue that women who are knowledgeable and educated would recognize attendance at a PNC as their primary role and responsibility [ 23 , 34 – 36 , 48 ]. Furthermore, our study highlighted that seeking treatment for an illness facilitates attendance at PNC and it builds upon findings that assert that knowledge of an infant’s danger signals also motivates a woman to attend PNC services with her baby [ 22 , 47 ].…”

Section: Discussionmentioning

confidence: 99%

Uptake of, barriers and enablers to the utilization of postnatal care services in Thyolo, Malawi

Nyondo-Mipando

Chirwa

Kumitawa

et al. 2023

BMC Pregnancy Childbirth

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Background Postnatal care (PNC) ensures early assessments for danger signs during the postpartum period and is to be provided within 24 h of birth, 48–72 h, 7–14 days, and six weeks after birth. This study assessed the uptake of and the barriers and facilitators to receiving PNC care among mothers and babies. Methods A concurrent mixed-method study employing a retrospective register review and a qualitative descriptive study was conducted in Thyolo from July to December 2020. Postnatal registers of 2019 were reviewed to estimate the proportion of mothers and newborns that received PNC respectively. Focus Group Discussions (FGDs) among postnatal mothers, men, health care workers, and elderly women and in-depth interviews with midwives, and key health care workers were conducted to explore the barriers and enablers to PNC. Observations of the services that mothers and babies received within 24 h of birth, at 48–72 h, 7–14 days, and six weeks after birth were conducted. Descriptive statistics were tabulated for the quantitative data using Stata while the qualitative data were managed using NVivo and analysed following a thematic approach. Results The uptake of PNC services was at 90.5%, 30.2%, and 6.1% among women and 96.5%, 78.8%, and 13.7% among babies within 48 h of birth, 3 to 7 and 8 to 42 days respectively. The barriers to PNC services included the absence of a baby or mother, limited understanding of PNC services, lack of male involvement, and economic challenges. Cultural and religious beliefs, advice from community members, community activities, distance, lack of resources, and poor attitude of health care workers also impeded the utilisation of PNC services. The enablers included the mother’s level of education, awareness of the services, economic resources, community-based health support, adequacy and attitude of health workers, seeking treatment for other conditions, and other clinic activities. Conclusion Optimisation of uptake and utilization of PNC services for mothers and neonates will require the involvement of all stakeholders. The success of PNC services lies in the communities, health services, and mothers understanding the relevance, time points, and services that need to be delivered to create demand for the services. There is a need to assess the contextual factors for a better response in improving the uptake of PNC services and in turn inform the development of strategies for optimizing the uptake of PNC services.

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Prevalence of Early Postnatal-Care Service Utilization and Its Associated Factors among Mothers in Hawassa Zuria District, Sidama Regional State, Ethiopia: A Cross-Sectional Study

Cited by 16 publications

References 12 publications

Prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, Gurage zone, Southern Ethiopia: a community-based cross-sectional study

Prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, Gurage zone, Southern Ethiopia: a community-based cross-sectional study

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

Uptake of, barriers and enablers to the utilization of postnatal care services in Thyolo, Malawi

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