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Do mothers who delivered at health facilities return to health facilities for postnatal care follow-up? A multilevel analysis of the 2016 Ethiopian Demographic and Health Survey

INTRODUCTION: Returning to health facility for postnatal care (PNC) use after giving birth at health facility could reflect the health seeking behavior of mothers. However, such studies are rare though they are critically important to develop vigorous strategies to improve PNC service utilization. T...

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Autores principales: Ayele, Brhane, Woldu, Mulugeta, Gebrehiwot, Haftom, Wellay, Tsegay, Hadgu, Tsegay, Gebretnsae, Hailay, Abrha, Alemnesh, Gebre-egziabher, Equbay, Hurlburt, Sarah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8026072/
https://www.ncbi.nlm.nih.gov/pubmed/33826670
http://dx.doi.org/10.1371/journal.pone.0249793
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author Ayele, Brhane
Woldu, Mulugeta
Gebrehiwot, Haftom
Wellay, Tsegay
Hadgu, Tsegay
Gebretnsae, Hailay
Abrha, Alemnesh
Gebre-egziabher, Equbay
Hurlburt, Sarah
author_facet Ayele, Brhane
Woldu, Mulugeta
Gebrehiwot, Haftom
Wellay, Tsegay
Hadgu, Tsegay
Gebretnsae, Hailay
Abrha, Alemnesh
Gebre-egziabher, Equbay
Hurlburt, Sarah
author_sort Ayele, Brhane
collection PubMed
description INTRODUCTION: Returning to health facility for postnatal care (PNC) use after giving birth at health facility could reflect the health seeking behavior of mothers. However, such studies are rare though they are critically important to develop vigorous strategies to improve PNC service utilization. Therefore, this study aimed to determine the magnitude and factors associated with returning to health facilities for PNC among mothers who delivered in Ethiopian health facilities after they were discharged. METHODS: This cross-sectional study used 2016 Ethiopian Demographic and Health Survey data. A total of 2405mothers who gave birth in a health facility were included in this study. Multilevel mixed-effect logistic regression model was fitted to estimate both independent (fixed) effects of the explanatory variables and community-level (random) effects on return for PNC utilization. Variable with p-value of ≤ 0.25 from unadjusted multilevel logistic regression were selected to develop three models and p-value of ≤0.05 was used to declare significance of the explanatory variables on the outcome variable in the final (adjusted) model. Analysis was done using IBM SPSS statistics version 21. RESULT: In this analysis, from the total 2405 participants, 14.3% ((95%CI: 12.1–16.8), (n = 344)) of them returned to health facilities for PNC use after they gave birth at a health facility. From the multilevel logistic regression analysis, being employed (AOR = 1.51, 95%CI: 1.04–2.19), receiving eight and above antenatal care visits (AOR = 2.90, 95%CI: 1.05–8.00), caesarean section delivery (AOR = 2.53, 95%CI: 1.40–4.58) and rural residence (AOR = 0.56, 95%CI: 0.36–0.88) were found significantly associated with return to health facilities for PNC use among women who gave birth at health facility. CONCLUSION: Facility-based PNC utilization among mothers who delivered at health facilities is low in Ethiopia. Both individual and community level variables were determined women to return to health facilities for PNC use. Thus, adopting context-specific strategies/policies could improve PNC utilization and should be paid a due focus.
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spelling pubmed-80260722021-04-15 Do mothers who delivered at health facilities return to health facilities for postnatal care follow-up? A multilevel analysis of the 2016 Ethiopian Demographic and Health Survey Ayele, Brhane Woldu, Mulugeta Gebrehiwot, Haftom Wellay, Tsegay Hadgu, Tsegay Gebretnsae, Hailay Abrha, Alemnesh Gebre-egziabher, Equbay Hurlburt, Sarah PLoS One Research Article INTRODUCTION: Returning to health facility for postnatal care (PNC) use after giving birth at health facility could reflect the health seeking behavior of mothers. However, such studies are rare though they are critically important to develop vigorous strategies to improve PNC service utilization. Therefore, this study aimed to determine the magnitude and factors associated with returning to health facilities for PNC among mothers who delivered in Ethiopian health facilities after they were discharged. METHODS: This cross-sectional study used 2016 Ethiopian Demographic and Health Survey data. A total of 2405mothers who gave birth in a health facility were included in this study. Multilevel mixed-effect logistic regression model was fitted to estimate both independent (fixed) effects of the explanatory variables and community-level (random) effects on return for PNC utilization. Variable with p-value of ≤ 0.25 from unadjusted multilevel logistic regression were selected to develop three models and p-value of ≤0.05 was used to declare significance of the explanatory variables on the outcome variable in the final (adjusted) model. Analysis was done using IBM SPSS statistics version 21. RESULT: In this analysis, from the total 2405 participants, 14.3% ((95%CI: 12.1–16.8), (n = 344)) of them returned to health facilities for PNC use after they gave birth at a health facility. From the multilevel logistic regression analysis, being employed (AOR = 1.51, 95%CI: 1.04–2.19), receiving eight and above antenatal care visits (AOR = 2.90, 95%CI: 1.05–8.00), caesarean section delivery (AOR = 2.53, 95%CI: 1.40–4.58) and rural residence (AOR = 0.56, 95%CI: 0.36–0.88) were found significantly associated with return to health facilities for PNC use among women who gave birth at health facility. CONCLUSION: Facility-based PNC utilization among mothers who delivered at health facilities is low in Ethiopia. Both individual and community level variables were determined women to return to health facilities for PNC use. Thus, adopting context-specific strategies/policies could improve PNC utilization and should be paid a due focus. Public Library of Science 2021-04-07 /pmc/articles/PMC8026072/ /pubmed/33826670 http://dx.doi.org/10.1371/journal.pone.0249793 Text en © 2021 Ayele et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Ayele, Brhane
Woldu, Mulugeta
Gebrehiwot, Haftom
Wellay, Tsegay
Hadgu, Tsegay
Gebretnsae, Hailay
Abrha, Alemnesh
Gebre-egziabher, Equbay
Hurlburt, Sarah
Do mothers who delivered at health facilities return to health facilities for postnatal care follow-up? A multilevel analysis of the 2016 Ethiopian Demographic and Health Survey
title Do mothers who delivered at health facilities return to health facilities for postnatal care follow-up? A multilevel analysis of the 2016 Ethiopian Demographic and Health Survey
title_full Do mothers who delivered at health facilities return to health facilities for postnatal care follow-up? A multilevel analysis of the 2016 Ethiopian Demographic and Health Survey
title_fullStr Do mothers who delivered at health facilities return to health facilities for postnatal care follow-up? A multilevel analysis of the 2016 Ethiopian Demographic and Health Survey
title_full_unstemmed Do mothers who delivered at health facilities return to health facilities for postnatal care follow-up? A multilevel analysis of the 2016 Ethiopian Demographic and Health Survey
title_short Do mothers who delivered at health facilities return to health facilities for postnatal care follow-up? A multilevel analysis of the 2016 Ethiopian Demographic and Health Survey
title_sort do mothers who delivered at health facilities return to health facilities for postnatal care follow-up? a multilevel analysis of the 2016 ethiopian demographic and health survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8026072/
https://www.ncbi.nlm.nih.gov/pubmed/33826670
http://dx.doi.org/10.1371/journal.pone.0249793
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