Cargando…
Determinants of Postnatal Care Check-ups in Ethiopia: A Multi-Level Analysis
BACKGROUND: Postnatal care is provided to women and their babies within 42 days after delivery. Although the first two days after birth was a critical time in maternal health, it was the most neglected period of maternal health services. Therefore, this study aims to determine the maternal and commu...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Research and Publications Office of Jimma University
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8512942/ https://www.ncbi.nlm.nih.gov/pubmed/34703174 http://dx.doi.org/10.4314/ejhs.v31i4.9 |
_version_ | 1784583119371763712 |
---|---|
author | Tadele, Afework Getinet, Masrie |
author_facet | Tadele, Afework Getinet, Masrie |
author_sort | Tadele, Afework |
collection | PubMed |
description | BACKGROUND: Postnatal care is provided to women and their babies within 42 days after delivery. Although the first two days after birth was a critical time in maternal health, it was the most neglected period of maternal health services. Therefore, this study aims to determine the maternal and community-level factors of postnatal check-ups in Ethiopia METHODS: Ethiopian Demographic and Health Survey (EDHS) in 2016 was utilized. A total of 3,948 women aged 15–49 giving birth in the two years before the survey were included. A multi-level mixed-effects logistic regression model was employed. RESULT: Only 17% [95% C.I; 16.46%–17.53%] of the women had a postnatal check-up (PNC) within 2 days of giving birth in Ethiopia. Institutional delivery AOR 2.14 [95% C.I 1.70, 2.0] and giving birth by cesarean section AOR 1.66 [95% CI 1.10, 2.50] were found to be maternal factors. Whereas, administrative regions (Oromia 69%, Somali 56%, Benishangul 55%, SNNPR 43%, Gambela 66%, Afar 50% and Dire Dawa 55% which less likely to utilize PNC as compared to Addis Ababa), higher community-level wealth AOR 1.44 [95% C.I 1.08, 1.2], ANC coverage AOR 1.52 [95% C.I 1.19, 1.96] and perceived distance of the health facility as a big problem AOR 0.78 [95% C.I 0.60, 0.99] were the community level factors. CONCLUSION: Both maternal factors and community factors are found to be a significant association with PNC, however, based on the ICC maternal factors prevail the community-level factors. Therefore, public health interventions to increasing improve postnatal care services should focus on community level determinants. |
format | Online Article Text |
id | pubmed-8512942 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Research and Publications Office of Jimma University |
record_format | MEDLINE/PubMed |
spelling | pubmed-85129422021-10-25 Determinants of Postnatal Care Check-ups in Ethiopia: A Multi-Level Analysis Tadele, Afework Getinet, Masrie Ethiop J Health Sci Original Article BACKGROUND: Postnatal care is provided to women and their babies within 42 days after delivery. Although the first two days after birth was a critical time in maternal health, it was the most neglected period of maternal health services. Therefore, this study aims to determine the maternal and community-level factors of postnatal check-ups in Ethiopia METHODS: Ethiopian Demographic and Health Survey (EDHS) in 2016 was utilized. A total of 3,948 women aged 15–49 giving birth in the two years before the survey were included. A multi-level mixed-effects logistic regression model was employed. RESULT: Only 17% [95% C.I; 16.46%–17.53%] of the women had a postnatal check-up (PNC) within 2 days of giving birth in Ethiopia. Institutional delivery AOR 2.14 [95% C.I 1.70, 2.0] and giving birth by cesarean section AOR 1.66 [95% CI 1.10, 2.50] were found to be maternal factors. Whereas, administrative regions (Oromia 69%, Somali 56%, Benishangul 55%, SNNPR 43%, Gambela 66%, Afar 50% and Dire Dawa 55% which less likely to utilize PNC as compared to Addis Ababa), higher community-level wealth AOR 1.44 [95% C.I 1.08, 1.2], ANC coverage AOR 1.52 [95% C.I 1.19, 1.96] and perceived distance of the health facility as a big problem AOR 0.78 [95% C.I 0.60, 0.99] were the community level factors. CONCLUSION: Both maternal factors and community factors are found to be a significant association with PNC, however, based on the ICC maternal factors prevail the community-level factors. Therefore, public health interventions to increasing improve postnatal care services should focus on community level determinants. Research and Publications Office of Jimma University 2021-07 /pmc/articles/PMC8512942/ /pubmed/34703174 http://dx.doi.org/10.4314/ejhs.v31i4.9 Text en © 2021 Tadele, A. 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, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Original Article Tadele, Afework Getinet, Masrie Determinants of Postnatal Care Check-ups in Ethiopia: A Multi-Level Analysis |
title | Determinants of Postnatal Care Check-ups in Ethiopia: A Multi-Level Analysis |
title_full | Determinants of Postnatal Care Check-ups in Ethiopia: A Multi-Level Analysis |
title_fullStr | Determinants of Postnatal Care Check-ups in Ethiopia: A Multi-Level Analysis |
title_full_unstemmed | Determinants of Postnatal Care Check-ups in Ethiopia: A Multi-Level Analysis |
title_short | Determinants of Postnatal Care Check-ups in Ethiopia: A Multi-Level Analysis |
title_sort | determinants of postnatal care check-ups in ethiopia: a multi-level analysis |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8512942/ https://www.ncbi.nlm.nih.gov/pubmed/34703174 http://dx.doi.org/10.4314/ejhs.v31i4.9 |
work_keys_str_mv | AT tadeleafework determinantsofpostnatalcarecheckupsinethiopiaamultilevelanalysis AT getinetmasrie determinantsofpostnatalcarecheckupsinethiopiaamultilevelanalysis |