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. 2018 Apr 19;37(1):10.
doi: 10.1186/s41043-018-0140-6.

Determinants of postnatal care utilization in urban community among women in Debre Birhan Town, Northern Shewa, Ethiopia

Banchalem Nega Angore  1 , Efrata Girma Tufa  2   3 , Fithamlak Solomon Bisetegen  4   5
Affiliations

Determinants of postnatal care utilization in urban community among women in Debre Birhan Town, Northern Shewa, Ethiopia

Banchalem Nega Angore et al. J Health Popul Nutr. .

Abstract

Background: Reducing maternal mortality and improving maternal health care through increased utilization of postnatal care utilization is a global and local priority. However studies that have been carried out in Ethiopia regarding determinants are limited. So This study aims to assess the magnitude of postnatal care utilization and its determinants in Debre Birhan Town, North Ethiopia.

Methods: A community-based cross-sectional study was conducted from March 1 to April 25, 2015, in Debre Birhan Town. Data were collected through face-to-face interviews using structured pre-tested questionnaires. The data were entered and cleaned in Epi Info version 3.5 and analyzed using SPSS version 20. Bivariate and multiple logistic regression analyses were used. Variable with p value less than or equal to 0.2 at bivariate analysis were entered into multiple logistic regression. Significance was declared at 0.05 in multiple logistic regressions and considered to be an independent factor.

Result: From the total respondents, we found that 327 (83.3%) mothers utilized the postnatal care services. Single mothers were less likely to utilize postnatal care services than those mothers who are married and live together [adjusted odds ratio (AOR) = 0.06, 95% CI (0.01, 0.45)]. This study revealed that respondent's knowledge about postnatal care services is an important predictor of postnatal care utilization [AOR = 0.03, 95% CI (0.00, 0.44)] and mothers who delivered in a health care facility were more likely to receive PNC than mothers who did not deliver in a health care facility [AOR = 0.65, 95% CI (0.58, 0.94)].

Conclusion: The postnatal care utilization rate in Debre Birhan town was 83.3%. Marital status, maternal knowledge, and place of delivery were predictors of postnatal care service utilization. So specific attention should be directed towards the improvement of women's education since the perception of the need for PNC services were positively correlated with the mother's education.

Keywords: Debre Birhan; Determinants; Ethiopia; Postnatal care utilization; Women.

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Conflict of interest statement

Ethics approval and consent to participate

Ethical clearance was obtained from the Institutional Review Board of the University of Gondar. Permission was obtained from Debre Birhan Health Office and respective Kebeles. Informed written consent was obtained from each study respondent. Parental guidance letter was obtained for those participants having an age of 18 or less. Each respondent was informed about the objective of the study. They were also informed that all data obtained from them would be kept confidential.

Competing interest

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Knowledge of the mothers about PNC in Debre Birhan town, North Shoa, Ethiopia
Fig. 2
Fig. 2
Reasons for non-utilization of PNC in Debre Birhan Town
Fig. 3
Fig. 3
Participants suggestion for improving the PNC service in Debre Birhan town
See this image and copyright information in PMC

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