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Postnatal Care Service Utilization and Associated Factors Among Mothers Who Gave Birth in Last Year: Community Based Cross Sectional Study in Adama, Ethiopia

Received: 21 August 2021     Accepted: 24 September 2021     Published: 29 September 2021
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Abstract

Background: Postnatal period is generally the most neglected period, especially in developing countries. This study assessed postnatal care service utilization and associated factors among mothers who gave birth in the last one year in Adama Town, Oromia, Ethiopia. Methods: Community based Cross sectional study was employed in seven randomly selected kebeles` in Adama town. A total of 563 mothers was included. Data was collected by face to face interview. Data were entered into Epi Info version 7 and imported to SPSS version 20. Descriptive statistics were carried out to characterize the study population. Bivariate and Multivariable Logistic regression were used to identify the associated factors. Result: The mean age of respondents was 28 (SD±5. 01) Years. The prevalence of PNC utilization was 269 (47.7%) with (95% CI: 44.0, 51.8). Educational status (AOR, 2.27; 95% CI: 1.13, 4.57), mode of delivery (AOR, 5.08; 95% CI: 2.55, 10.10), Provision of PNC appointment (AOR, 2.09; 95% CI: 1.36, 3.25), and Mothers Knowledge (AOR, 5.68; 95%CI: 2.97, 10.87) showed statistically significant association with PNC service utilization. Conclusion: Postnatal care service utilization in this study is much lower than Health service transformation plan of the country. Factors like Educational status, Mode of Delivery, Appointment date, mother’s knowledge of PNC utilization were found to be significantly associated with PNC utilization.

Published in American Journal of Nursing Science (Volume 10, Issue 5)
DOI 10.11648/j.ajns.20211005.13
Page(s) 227-236
Creative Commons

This is an Open Access article, 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 or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

PNC Services, Utilization, Adama Town

References
[1] World Health Organization, Department of Maternal N Child and Adolescent Health. WHO recommendations on postnatal care of the mother and newborn [Internet]. 2013 [cited 2017 Nov 5]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK190086/
[2] Reena Pal, Anita Mehndiratta. Assessment of Utilization of Postnatal Care Services in Tertiary Care Center of Delhi. June 2016. 2011 Apr; 15 (06): 04.
[3] WHO USAIDCHIPMaternal and child survival program. Postnatal Care for Mothers and Newborns Highlights from the World Health Organization 2013 Guidelines. WHO Department of Maternal, Newborn, Child and Adolescent Health http://www.who.int/maternal_child_adolescent WHO Department of Reproductive Health and Research http://www.who.int/reproductivehealth; 2015 Apr p. 8. (Postnatal Care Guidelines, March 2015).
[4] Eyob Ayenew Admassu. FACTORS ASSOCIATED WITH POSTNATAL CARE UTILIZATION AT ENTOTO FANA HEALTH CENTER, GULLELE SUB-CITY, ADDIS ABABA. Int J Med Sci Public Health. 2016 Jan 20; 13.
[5] Belachew T, Taye A. Postnatal Care Service Utilization and Associated Factors among Mothers in Lemo Woreda, Ethiopia. J Womens Health Care [Internet]. 2016 [cited 2017 Nov 4]; 5 (3). Available from: http://www.omicsgroup.org/journals/postnatal-care-service-utilization-and-associated-factors-among-mothersin-lemo-woreda-ethiopia-2167-0420-1000318.php?aid=74603.
[6] Based on the 2007 Census. Centeral Statistic AgencyReport Adama, 2017. Adama: Central Statistical Agency of Ethiopia (CSA).
[7] Tesfahun F, Worku W, Mazengiya F, Kifle M. Knowledge, Perception and Utilization of Postnatal Care of Mothers in Gondar Zuria District, Ethiopia: A Cross-Sectional Study. Matern Child Health J. 2014 Dec; 18 (10): 2341–51.
[8] Lwelamira J, Safari J, Stephen A. Research Article Utilization of Maternal Postnatal Care Services Among Women in Selected Villages of Bahi District, Tanzania. 2015.
[9] Senait Berhanu Sr. Yeshi Asefa (RN, BSc, MSc), Berhanu Wordofa Giru (BSc, MSc). Prevalence of Postnatal Care Utilization and Associated Factors among Women Who Gave Birth and Attending Immunization Clinic in Selected Government Health Centers in Addis Ababa, Ethiopia, 2016. J Health Med Nurs [Internet]. 26. Available from: www.iiste.org
[10] Central Statistical Agency. Demographic and Health Survey Key Indicators [Internet]. Ethiopia; 2016 Oct p. 59. Available from: Internet: www.DHSprogram.com.
[11] Wolde Facha,, Mihretu Alemayehu, Mengistu Meskele, Teshale Fikadu. Couples’ Opinion and Women’s Utilization of Postnatal Care Service in Wolaita Zone, Southern  : A Community Based Mixed Study. May 20 2017. 2017 Apr 6; 05, (2328-7942, 2328-7950): 288–93.
[12] Wubareg Seifu, and Beyene Meressa. Maternal Health Care Service Utilization and Associated Factors among Pastoral and Agro Pastoral Reproductive Age Women Residing in Jigjiga Town, Somali Regional State, Eastern Ethiopia. Public Health Dep Epidemiol Biostat. 2017 Mar 10; 06 (02): 7.
[13] Tsegay Y, Gebrehiwot T, Goicolea I, Edin K, Lemma H, Sebastian M. Determinants of antenatal and delivery care utilization in Tigray region, Ethiopia: a cross-sectional study. Int J Equity Health. 2013; 12 (1): 30.
[14] Ayana Hordofa M. Postnatal Care Service Utilization and Associated Factors Among Women in Dembecha District, Northwest Ethiopia. Sci J Public Health. 2015; 3 (5): 686.
[15] Gedefaw M, Muche B, Aychiluhem M. Current Status of Antenatal Care Utilization in the Context of Data Conflict: The Case of Dembecha District, Northwest Ethiopia. Open J Epidemiol. 2014; 04 (04): 208–16.
[16] Dulla D, Daka D, Wakgari N. Antenatal Care Utilization and Its Associated Factors among Pregnant Women in Boricha District, Southern Ethiopia. Divers Equal Health Care. 2017.
[17] Factors associated with postnatal care utilisation in Rwanda: A secondary analysis of 2010 Demographic and Health Survey data. Online 2016 May 31 [Internet]. 2016; 16. Available from: (http://dhsprogram.com/data/available-datasets.cfm).
[18] Alemayeh H, Assefa H, Adama Y. Prevalence and Factors Associated with Post Natal Care Utilization in Abi-Adi Town, Tigray, Ethiopia: A Cross Sectional Study. 2014 Nov; 08 (01).
[19] Daniel Akunga, a, Diana Menya, b, and Mark Kabue. Determinants of Postnatal Care Use in Kenya. Afr Popul Stud. 2014; 28 (03): 13.
[20] Bhaisare K, a, Diana Menya, b, and Mark Kabue. Study of utilization of postnatal care services in tribal area, Maharashtra. Int J Med Sci Public Health. 2014; 3 (12): 1487.
[21] Gebeyehu Workineh Y. Factors Affecting Utilization of Postnatal Care Service in Amhara Region, Jabitena District, Ethiopia. Sci J Public Health. 2014; 2 (3): 169.
[22] Muluw, as Amentie, Muluemebetabera & Misra abdulahi. Util ization of Institutional Delivery Care Services and Influencing Factors among Women of Child Bearing Age in Assosa District, Benishangul Gumuz Regional State, West Ethiopia. Glob J Inc USA. 2016 Year; 16 (3): 11.
[23] Mrisho M, Obrist B, Schellenberg JA, Haws RA, Mushi AK, Mshinda H, et al. The use of antenatal and postnatal care: perspectives and experiences of women and health care providers in rural southern Tanzania. BMC Pregnancy Childbirth [Internet]. 2009 Dec [cited 2017 Nov 5]; 9 (1). Available from: http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393-9-10
[24] Limenih MA, Endale ZM, Dachew BA. Postnatal Care Service Utilization and Associated Factors among Women Who Gave Birth in the Last 12 Months prior to the Study in Debre Markos Town, Northwestern Ethiopia: A Community-Based Cross-Sectional Study. Int J Reprod Med. 2016; 2016: 1–7.
[25] Central Statistical Agency, Addis Ababa, Ethiopia, MOH. Ethiopia Mini Demographic and Health Survey [Internet]. Addis Ababa, Ethiopia: Statistical Agency; 2014 Aug p. 112. Available from: Avilable from Fax: (251) 111 55 03 34.
[26] USAID C. Cultural Barriers to Seeking Maternal Health Care in Ethiopia: A Review of the Literature. 2012 Dec; 29.
[27] Woldegiorgis MA, Bhowmik JL, Hiller JE, Mekonnen W. Trends in Reproductive Health indicators in Ethiopia: 2000-2014. Int J Healthc [Internet]. 2016 Dec 12 [cited 2017 Nov 5]; 3 (1). Available from: http://www.sciedupress.com/journal/index.php/ijh/article/view/10238
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    Senait Ayalew G/Silasie, Sileshi Garoma Abeya, Ebrhaim Mohammed Gebaba. (2021). Postnatal Care Service Utilization and Associated Factors Among Mothers Who Gave Birth in Last Year: Community Based Cross Sectional Study in Adama, Ethiopia. American Journal of Nursing Science, 10(5), 227-236. https://doi.org/10.11648/j.ajns.20211005.13

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    ACS Style

    Senait Ayalew G/Silasie; Sileshi Garoma Abeya; Ebrhaim Mohammed Gebaba. Postnatal Care Service Utilization and Associated Factors Among Mothers Who Gave Birth in Last Year: Community Based Cross Sectional Study in Adama, Ethiopia. Am. J. Nurs. Sci. 2021, 10(5), 227-236. doi: 10.11648/j.ajns.20211005.13

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    AMA Style

    Senait Ayalew G/Silasie, Sileshi Garoma Abeya, Ebrhaim Mohammed Gebaba. Postnatal Care Service Utilization and Associated Factors Among Mothers Who Gave Birth in Last Year: Community Based Cross Sectional Study in Adama, Ethiopia. Am J Nurs Sci. 2021;10(5):227-236. doi: 10.11648/j.ajns.20211005.13

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  • @article{10.11648/j.ajns.20211005.13,
      author = {Senait Ayalew G/Silasie and Sileshi Garoma Abeya and Ebrhaim Mohammed Gebaba},
      title = {Postnatal Care Service Utilization and Associated Factors Among Mothers Who Gave Birth in Last Year: Community Based Cross Sectional Study in Adama, Ethiopia},
      journal = {American Journal of Nursing Science},
      volume = {10},
      number = {5},
      pages = {227-236},
      doi = {10.11648/j.ajns.20211005.13},
      url = {https://doi.org/10.11648/j.ajns.20211005.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211005.13},
      abstract = {Background: Postnatal period is generally the most neglected period, especially in developing countries. This study assessed postnatal care service utilization and associated factors among mothers who gave birth in the last one year in Adama Town, Oromia, Ethiopia. Methods: Community based Cross sectional study was employed in seven randomly selected kebeles` in Adama town. A total of 563 mothers was included. Data was collected by face to face interview. Data were entered into Epi Info version 7 and imported to SPSS version 20. Descriptive statistics were carried out to characterize the study population. Bivariate and Multivariable Logistic regression were used to identify the associated factors. Result: The mean age of respondents was 28 (SD±5. 01) Years. The prevalence of PNC utilization was 269 (47.7%) with (95% CI: 44.0, 51.8). Educational status (AOR, 2.27; 95% CI: 1.13, 4.57), mode of delivery (AOR, 5.08; 95% CI: 2.55, 10.10), Provision of PNC appointment (AOR, 2.09; 95% CI: 1.36, 3.25), and Mothers Knowledge (AOR, 5.68; 95%CI: 2.97, 10.87) showed statistically significant association with PNC service utilization. Conclusion: Postnatal care service utilization in this study is much lower than Health service transformation plan of the country. Factors like Educational status, Mode of Delivery, Appointment date, mother’s knowledge of PNC utilization were found to be significantly associated with PNC utilization.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Postnatal Care Service Utilization and Associated Factors Among Mothers Who Gave Birth in Last Year: Community Based Cross Sectional Study in Adama, Ethiopia
    AU  - Senait Ayalew G/Silasie
    AU  - Sileshi Garoma Abeya
    AU  - Ebrhaim Mohammed Gebaba
    Y1  - 2021/09/29
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ajns.20211005.13
    DO  - 10.11648/j.ajns.20211005.13
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 227
    EP  - 236
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20211005.13
    AB  - Background: Postnatal period is generally the most neglected period, especially in developing countries. This study assessed postnatal care service utilization and associated factors among mothers who gave birth in the last one year in Adama Town, Oromia, Ethiopia. Methods: Community based Cross sectional study was employed in seven randomly selected kebeles` in Adama town. A total of 563 mothers was included. Data was collected by face to face interview. Data were entered into Epi Info version 7 and imported to SPSS version 20. Descriptive statistics were carried out to characterize the study population. Bivariate and Multivariable Logistic regression were used to identify the associated factors. Result: The mean age of respondents was 28 (SD±5. 01) Years. The prevalence of PNC utilization was 269 (47.7%) with (95% CI: 44.0, 51.8). Educational status (AOR, 2.27; 95% CI: 1.13, 4.57), mode of delivery (AOR, 5.08; 95% CI: 2.55, 10.10), Provision of PNC appointment (AOR, 2.09; 95% CI: 1.36, 3.25), and Mothers Knowledge (AOR, 5.68; 95%CI: 2.97, 10.87) showed statistically significant association with PNC service utilization. Conclusion: Postnatal care service utilization in this study is much lower than Health service transformation plan of the country. Factors like Educational status, Mode of Delivery, Appointment date, mother’s knowledge of PNC utilization were found to be significantly associated with PNC utilization.
    VL  - 10
    IS  - 5
    ER  - 

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Author Information
  • East Shaw Zonal Health Department, Adama, Ethiopia

  • Public Health Department, Adama Hospital Medical College, Adama, Ethiopia

  • Public Health Department, Adama Hospital Medical College, Adama, Ethiopia

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