Use of early postnatal care among postpartum women in Eastern Uganda

Izudi, Jonathan; Amongin, Dinah

doi:10.1016/j.ijgo.2014.11.017

Cited by 35 publications

(51 citation statements)

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“…However, this study showed the early PNC service utilization in the district to be slightly higher than the case of Soroti district, eastern Uganda in 2015, where only 15.4% of women used early PNC [30]. In addition, the result of the current study indicates the service utilization to be higher than EDHS in 2011, study results that show only 7% of women received postnatal care within two days [16].…”

Section: Discussionmentioning

confidence: 67%

“…Finally, the participants were selected by simple random sampling using random number generated by computer from the existing sampling frame of households. Structured interview questionnaire had been developed by reviewing pertinent literatures using English language then translated into the local language, Afan Oromo and used to collect the data after back translating to English by different experts to check its consistency [16,[24][25][26][27][28][29][30][31].…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Early Postnatal Care Service Utilization and Associated Factors among Mothers Who Gave Birth in the Last 12 Months in Aseko District, Arsi Zone, South East Ethiopia in 2016

An¹,

Niguse²,

Tesfay³

2017

J Women's Health Care

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Section: Discussionmentioning

confidence: 67%

Section: Methodsmentioning

confidence: 99%

Early Postnatal Care Service Utilization and Associated Factors among Mothers Who Gave Birth in the Last 12 Months in Aseko District, Arsi Zone, South East Ethiopia in 2016

An¹,

Niguse²,

Tesfay³

2017

J Women's Health Care

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“…The results also showed that the likelihood of EPNC attendance was lower among unemployed women compared with women employed in the agricultural sector. This could be attributed to many factors, including the fact that unemployed women are more likely to be economically dependent and consequently unable to access and use maternal health services recommended by health workers [33,34].…”

Section: Discussionmentioning

confidence: 99%

“…Wealth status has been hypothesized to affect postnatal care attendance, particularly among women who deliver at home and would like to seek postnatal care services immediately after childbirth but lack the resources to do so because these services are often expensive [14,31]. Employment can increase women's financial ability to use good-quality medical care and can empower women to take part in the decision-making process about their own health care [33,34].…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Determinants of early postnatal care attendance: analysis of the 2016 Uganda demographic and health survey

Ndugga

Namiyonga²,

Sebuwufu

2020

BMC Pregnancy Childbirth

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Background: The first 2 days after childbirth present the highest risk of dying for a mother. Providing postnatal care within the first 2 days after childbirth can help avert maternal mortality because it allows early detection of problems that could result in adverse maternal health outcomes. Unfortunately, knowledge of the uptake of early postnatal care (EPNC), which is imperative for informing policies aimed at reducing maternal mortality, remains low in Uganda. Therefore, the purpose of this study is to investigate the determinants of early postnatal care attendance among Ugandan women. Methods: This study was based on nationally representative data from the 2016 Uganda Demographic and Health Survey. The study sample comprised 5471 women (age 15-49) who delivered a child in the 2 years preceding the survey. We used logistic regression to identify factors associated with use of early postnatal care. Results: Our findings showed that 50% of mothers used EPNC services for their most recent delivery in the 2 years preceding the survey. Women's residence, education level, religion, wealth status, marital status, occupation, antenatal care attendance, place of delivery, birth order, perceived accessibility of health facilities, and access to mass media messages were associated with greater use of EPNC. The percentage of women receiving EPNC was much higher among women who delivered at a health facility, either a public facility (63%) or private facility (65%), versus only 9% among women who delivered at home. Multivariate analysis showed that delivery at a health facility was the most important determinant of early postnatal care attendance. Conclusions: To increase mothers' use of EPNC services and improve maternal survival in Uganda, programs could promote and strengthen health facility delivery and ensure that EPNC services are provided to all women before discharge. Even so, the fact that only about two-thirds of women who delivered at a health facility received early postpartum care shows substantial room for improvement. Interventions should target women who deliver at home, women who attend fewer than four antenatal care visits, and women with a primary education.

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“…week until delivery (delivery at week 38-42) at a health facility; the first ANC visit within the first trimester (2,5,6). Furthermore, postnatal care is a personalized care given to a woman 1 hour after the delivery of the placenta and continuing until 42 days after delivery, the critical period being within 48 hours (7)(8)(9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

Interrelationships Between Maternal Health Services in Uganda: A Structural Equation Analysis

Atuhaire¹

2019

Preprint

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Background Maternal health care and treatment services have a bearing on maternal mortality. Direct and Indirect factors affecting Maternal health outcomes therefore require understanding to enable well targeted interventions. This study, therefore, assessed the interrelationships between early antenatal care, health facility delivery and early postnatal care.Methods We investigated Maternal Health services using utilizing Antenatal care (ANC) within three months of pregnancy, Health facility delivery and utilizing postnatal care (PNC) within 48 hours after childbirth. The 2016 Uganda Demographic and Health Survey data was used. During analysis, a Generalized Structural Equation Model using logistic link and binomial family option was used. The interrelated (Endogenous) outcomes were timely ANC, health facility delivery and timely PNC.Results Timely ANC (aOR=1.04; 95% CI=0.95-1.14) and(aOR=1.1; 95% CI=1.00-1.26) was directly related to increased odds of health facility delivery and timely PNC respectively. Factors that increased the odds of timely ANC as a mediating factor for health facility delivery and timely PNC were women age 35-39 (aOR=1.18; 95% CI=0.99-1.24) compared to women age 15-19, completing primary seven (aOR=1.68; 95% CI=1.58-1.81) compared to some primary, available health workers (aOR=1.06; 95% CI=0.97-1.18), complications (aOR=2.04; 95% CI=1.89-2.26) and desire for pregnancy(aOR=1.15; 95% CI=1.03-1.36). Factors that reduced the odds of timely ANC were being married (aOR=0.93; 95% CI=0.89-1.20), distance and cost of service being problematic (aOR=0.97; 95% CI=0.85-1.1) (aOR=0.5; 95% CI=0.37-0.82) respectively. Factors that significantly influenced health facility delivery through timely ANC were; unmarried (OR=1.03; (=1.04*0.99)), distance being problematic ((aOR=1.0; (=1.04*0.97)) and complications (aOR=2.02; (=1.04*1.94)). Factors that significantly influenced timely PNC through timely ANC were; women age 35-39 (aOR=1.3; (=1.18*1.1)) compared to 15-19, completing primary seven (aOR=1.68; (=1.68*1.1))compared to some primary and service cost being problematic (aOR=0.55; (=0.5*1.1)). Surprisingly, health facility delivery was not statistically significant as a mediator for timely PNC.Conclusion Attending antenatal care within first trimester was a mediating factor for health facility delivery and early postnatal care. Interventions in maternal health should focus on factors that increase antenatal care first trimester attendance in resource limited settings. Furthermore, Government should reduce on costs of attaining all maternal health services and emphasize girl education completion.

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Use of early postnatal care among postpartum women in Eastern Uganda

Abstract: EPNC was poorly utilized and prioritized. Its use was hindered by protracted hospitalization, care provision at public facilities, maternal unemployment or self-employment, and lack of information.

Cited by 35 publications

References 5 publications

Early Postnatal Care Service Utilization and Associated Factors among Mothers Who Gave Birth in the Last 12 Months in Aseko District, Arsi Zone, South East Ethiopia in 2016

Early Postnatal Care Service Utilization and Associated Factors among Mothers Who Gave Birth in the Last 12 Months in Aseko District, Arsi Zone, South East Ethiopia in 2016

Determinants of early postnatal care attendance: analysis of the 2016 Uganda demographic and health survey

Interrelationships Between Maternal Health Services in Uganda: A Structural Equation Analysis

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