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. 2022 Aug 25;17(8):e0272489.
doi: 10.1371/journal.pone.0272489. eCollection 2022.

Home based postpartum care and determinants in Ethiopia: A multilevel analysis

Binyam Minuye Birhane  1 , Wubet Alebachew Bayih  1 , Muluken Chanie  2 , Getaneh Awoke  2 , Amare Simegn  1 , Sintayehu Asnakew  1 , Melkalem Mamuye  1 , Abebaw Yeshambel  1 , Tewachew Muche  1 , Asmamaw Demis  3 , Tigabu Munye  1 , Aklilu Endalamaw  4   5 , Yeshambew Eshetie  1 , Demewoz Kefale  1 , Ermias Sisay Chanie  1 , Zemen Mengesha Yalew  6 , Demeke Mesfin Belay  1
Affiliations

Home based postpartum care and determinants in Ethiopia: A multilevel analysis

Binyam Minuye Birhane et al. PLoS One. .

Abstract

Introduction: Neonatal mortality remains a persisting public health challenge in Ethiopia. Timely intervention to neonatal morbidity and early neonatal care visit could reduce the burden of mortality. Studies related to home based postnatal care is limited in Ethiopia. Therefore, this study aimed to assess home based postnatal care visits and determinants in Ethiopia.

Methods: A secondary data analysis using 2016 EDHS data was conducted among 7590 women who had live births two years preceding the survey. A multilevel mixed-effect logistic regression analysis model was used and those variables with a P-value ≤ of 0.05 in multivariable analysis were considered as predictors. Results: Home based postpartum care by health care providers was 6.3% and 67.9% of women gave birth at home. Women perceived that distance is not big problem [AOR = 1.37; 95% CI: 1.06, 1.68], richer wealth index [AOR = 1.69; 95% CI: 1.15, 2.48], attending antenatal care visit [AOR = 2.17; 95% CI:1.57, 2.99], giving birth in health institution [AOR = 2.07; 95% CI:1.53, 2.80], giving birth by cesarean section [AOR = 3.41; 95% CI: 2.33, 4.99], and having awareness about neonatal danger sign [AOR = 3.68; 95% CI: 2.90,4.70] were factors associated with home based postpartum care.

Conclusion: Home based care by health care providers was low. Therefore, measures should be taken in increasing the number of nearby health care facility, strengthen the continuum of care on antenatal care follow-up, institutional delivery and improve mother's knowledge about neonatal danger sign.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Postnatal care visit at home provided by health care providers, Ethiopia.
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