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Early postnatal care use by postpartum mothers in Mundri East County, South Sudan
BACKGROUND: Globally, most maternal and newborn deaths are within the first week of delivery. Early postnatal-care (EPNC) visits between 2 and 7 days detects early morbidity and averts deaths. However, there is scarcity of information on use of EPNC in Mundri East County, South Sudan. This study inv...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5485689/ https://www.ncbi.nlm.nih.gov/pubmed/28651637 http://dx.doi.org/10.1186/s12913-017-2402-1 |
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author | Izudi, Jonathan Akwang, Grace Denise Amongin, Dinah |
author_facet | Izudi, Jonathan Akwang, Grace Denise Amongin, Dinah |
author_sort | Izudi, Jonathan |
collection | PubMed |
description | BACKGROUND: Globally, most maternal and newborn deaths are within the first week of delivery. Early postnatal-care (EPNC) visits between 2 and 7 days detects early morbidity and averts deaths. However, there is scarcity of information on use of EPNC in Mundri East County, South Sudan. This study investigated factors associated with EPNC use among postpartum mothers in Mundri East County, South Sudan. METHODS: This was an analytical cross-sectional study of 385 postpartum mothers from 13 health facilities. Data was collected by structured questionnaires, entered in EpiData and analyzed with STATA at 5% significance level. Chi-squared, Fisher’s exact and Student’s t-tests were used for bivariate analysis and logistic regression for multivariable analysis. RESULTS: The mean age of respondents was 27.9-years (standard deviation: 6.7), 276 (71.7%) were below 30-years, 163 (42.3%) were Muru ethnicity, 340 (88.3%) were single and 331 (86.1%) were unemployed. 44 (11.4%; 95% CI: 8.4–15.0) used EPNC. Poor health services access at government health facilities (Adjusted odds ratio (AOR) = 0.18; 95% CI: 0.05–0.61; P = 0.006), more than 1-h access to health facility (AOR = 0.27; 95% CI: 0.09–0.78; P = 0.015), at least secondary maternal education (AOR = 5.73; 95% CI: 1.14–28.74; P = 0.034) and receipt of PNC health education post-delivery (AOR = 3.47; 95% CI: 1.06–11.33; P = 0.004) were associated with EPNC use. CONCLUSIONS: Use of EPNC in Mundri East County, South Sudan was low. It was significantly reduced at government and inaccessible health facilities. However, it increased with receipt of PNC health education after delivery and at least secondary level of education. |
format | Online Article Text |
id | pubmed-5485689 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-54856892017-06-30 Early postnatal care use by postpartum mothers in Mundri East County, South Sudan Izudi, Jonathan Akwang, Grace Denise Amongin, Dinah BMC Health Serv Res Research Article BACKGROUND: Globally, most maternal and newborn deaths are within the first week of delivery. Early postnatal-care (EPNC) visits between 2 and 7 days detects early morbidity and averts deaths. However, there is scarcity of information on use of EPNC in Mundri East County, South Sudan. This study investigated factors associated with EPNC use among postpartum mothers in Mundri East County, South Sudan. METHODS: This was an analytical cross-sectional study of 385 postpartum mothers from 13 health facilities. Data was collected by structured questionnaires, entered in EpiData and analyzed with STATA at 5% significance level. Chi-squared, Fisher’s exact and Student’s t-tests were used for bivariate analysis and logistic regression for multivariable analysis. RESULTS: The mean age of respondents was 27.9-years (standard deviation: 6.7), 276 (71.7%) were below 30-years, 163 (42.3%) were Muru ethnicity, 340 (88.3%) were single and 331 (86.1%) were unemployed. 44 (11.4%; 95% CI: 8.4–15.0) used EPNC. Poor health services access at government health facilities (Adjusted odds ratio (AOR) = 0.18; 95% CI: 0.05–0.61; P = 0.006), more than 1-h access to health facility (AOR = 0.27; 95% CI: 0.09–0.78; P = 0.015), at least secondary maternal education (AOR = 5.73; 95% CI: 1.14–28.74; P = 0.034) and receipt of PNC health education post-delivery (AOR = 3.47; 95% CI: 1.06–11.33; P = 0.004) were associated with EPNC use. CONCLUSIONS: Use of EPNC in Mundri East County, South Sudan was low. It was significantly reduced at government and inaccessible health facilities. However, it increased with receipt of PNC health education after delivery and at least secondary level of education. BioMed Central 2017-06-26 /pmc/articles/PMC5485689/ /pubmed/28651637 http://dx.doi.org/10.1186/s12913-017-2402-1 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Izudi, Jonathan Akwang, Grace Denise Amongin, Dinah Early postnatal care use by postpartum mothers in Mundri East County, South Sudan |
title | Early postnatal care use by postpartum mothers in Mundri East County, South Sudan |
title_full | Early postnatal care use by postpartum mothers in Mundri East County, South Sudan |
title_fullStr | Early postnatal care use by postpartum mothers in Mundri East County, South Sudan |
title_full_unstemmed | Early postnatal care use by postpartum mothers in Mundri East County, South Sudan |
title_short | Early postnatal care use by postpartum mothers in Mundri East County, South Sudan |
title_sort | early postnatal care use by postpartum mothers in mundri east county, south sudan |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5485689/ https://www.ncbi.nlm.nih.gov/pubmed/28651637 http://dx.doi.org/10.1186/s12913-017-2402-1 |
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