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. 2018 May;28(3):267-276.
doi: 10.4314/ejhs.v28i3.4.

Postnatal Care Utilization and Associated Factors among Married Women in Benchi-Maji Zone, Southwest Ethiopia: A Community Based Cross-Sectional Study

Tafesse Lamaro Abota  1 , Niguse Tadele Atenafu  2
Affiliations

Postnatal Care Utilization and Associated Factors among Married Women in Benchi-Maji Zone, Southwest Ethiopia: A Community Based Cross-Sectional Study

Tafesse Lamaro Abota et al. Ethiop J Health Sci. 2018 May.

Abstract

Background: In Ethiopia, maternal health service utilization is very low, especially postnatal care (PNC). The percentage of mothers who receive care within two days of childbirth has shown little progress, from 2.4% in 2000 to 13% in 2014. However, it is very far below the expected level as compared to other sub-Saharan regions. Therefore, the aim of this study was to assess PNC services utilization and its associated factors among married women in Benchi-Maji Zone, Southwest Ethiopia.

Method: A cross-sectional study was conducted from June 15 to August 15, 2015. A total of 801 married women was sampled from randomly selected districts in the zone. Semi-structured questionnaire was used to collect, data and informed consent was obtained from participants. The collected data were entered into the computer using Epi-data version 3.0, and then exported to SPSS Windows version 20.0 for analysis. Logistic regression was used to identify important predictors of PNC utilization.

Result: Out of 765 participants, 392(51.24%) of married women who attended PNC in this study. Out of them, more than two-third 305(77.8%) attended mainly to immunize their baby. The vast majority, 251(86.3%), of respondents mentioned lack of information as a main reason for not following PNC, and of them, the majority mentioned that they were appointed to come after 45 days for Family Planning(FP). In comparison with house wives, farmer women were less likely (AOR 0.3, 95 % CI 0.2-0.7) to attend for PNC. Awareness of problems during postnatal period showed the strongest association in which those who knew the problems were about nine times (AOR 8.7 95 % CI 5.6-13.4) more likely to attend PNC. Similarly, married women who followed antenatal care (ANC) were more likely (AOR 2.2 95 % CI 1.1-4.6) to attend PNC in comparison with those who did not attend ANC at all.

Conclusion: Residence, ANC follow-up, maternal occupation, awareness about problems of postnatal period had effects on use of PNC. In light of this study, providing deep counselling about PNC at the time of ANC visit and discharge after delivery is strongly recommended. Furthermore, targeting more of rural married women may increase PNC utilization.

Keywords: Benchi-Maji; Cross-sectional study; Mizan-Tepi University; PNC; Southwest Ethiopia.

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References

    1. United Nations Economic Commission for Africa, African Union, African Development Bank Group and UNDP, author. Assessing Progress in Africa towards the Millennium Development Goals; Food security in Africa: Issues, challenges and lessons. MDG report. 2013. [March 15, 2015]. Available at: http://www.afdb.org/.../afdb/.../Millennium_Development_Goals__MDGs__Rep....
    1. World Health Organization, UNICEF, UNFPA, WORLD BANK, author. Trends in Maternal mortality 1990 – 2010. 2012.
    1. United Nation Population Fund Report. Trends in Maternal health in Ethiopia (Challenges in achieving the MDG for maternal mortality); Indepth Analysis of the EDHS 2000–2011, author. 2012. Dec,
    1. World Health Organization, author. Progress in Global Measles Control and Mortality Reduction, 2000–2006. Morbidity and Mortality Weekly Report. 2007;82(48):422.
    1. Stephenson R, Baschieri A, Clementset S, et al. Contextual Influences on the Use of Health Facilities for Child Birth in Africa. American Journal of Public Health. 2006;96(1):84–93. - PMC - PubMed

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