BackgroundWorld health organization stated that postnatal care is defined as a care given to the mother and her newborn baby immediately after the birth of the placenta and for the first six weeks of life. Majority of maternal and neonatal deaths occur during childbirth and the postpartum period. Scaling up of maternal and newborn health through proper postnatal care services is the best way of reducing maternal and neonatal mortality.MethodA community based cross sectional study was conducted among 588 mothers who gave birth in the last one year from March 1–21; 2017. Systematic random sampling technique was used to select study participants. A pre-tested and structured questionnaire was used to collect the data. Data was entered in EPI info version 7 and analyzed using SPSS version 21. Logistic regression was applied to identify association between explanatory variables and the outcome variable. An adjusted odds ratio with 95% confidence interval and p-value less than 0.05 was computed to determine the level of significance.ResultA total of 588 participants were included in the analysis which was the response rate of 100%.The prevalence of postnatal care service utilization in this study was 57.5%.Maternal educational status of secondary school and above (AOR = 3.29, 95%CI: 1.94–5.57), family monthly income of above 1500 ETB (AOR = 2.85, 95%CI: 1.21–6.68), alive birth outcome of last pregnancy (AOR = 5.70, 95%CI: 1.53–21.216), planned and supported last pregnancy (AOR = 3.94, 95%CI: 1.72–9.01) and institutional delivery of last pregnancy (AOR = 3.08, 95%CI: 1.24–7.68) were positively associated with PNC service utilization.ConclusionThis study showed that the overall utilization of PNC service in Debretabour town is low. Mothers’ education, monthly income, last pregnancy birth outcome, wantedness of the pregnancy and place of delivery were significantly associated with postnatal care service utilization. To enhance PNC service utilization and reduce maternal and neonatal mortality women should obtain appropriate education. Furthermore all pregnant women should give birth in the health facilities.

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Background Obstetric fistula is abnormal passage way between the vagina and bladder or rectum and it has the most devastating effects on physical, social and economic levels and represents a major public health issue of thousands of women, which failed to provide accessible and appropriate intrapartum care for women within developing country, particularly in Ethiopia. Therefore, we tried to assess the awareness and its associated factors of obstetrics fistula among pregnant mothers attending antenatal care clinics.Method A health institutional based cross-sectional study was employed from March 4–29/2019 among 413 pregnant women. The data was collected by systematic random sampling technique and entered into a computer using Epi data 3.5, edited and analyzed using Statistical Package of Social Sciences 23.0 version. Bivariate and multivariate logistic regression analyses was employed to estimate the crude and adjusted odds ratio with confidence interval of 95% and p value of less than 0.05 considered statically significant.Results The study identified that 39.5% with 95% confidence interval (34.6-44.6%) of pregnant women were had good awareness about obstetrics fistula. Multivariate logistic regression analysis showed that, living in urban AOR=1.98, 95% CI=1.07-3.69], attending formal education [AOR=2.11, 95%CI=1.06-4.12], having history antenatal care [AOR=3.87, 95%CI, =1.60-9.68] and childbirth at health institution [AOR=7.10, 95%CI=2.52-2.02] were have a positive association with awareness of obstetrics fistula. On the other hand, occupation of the respondents: house wife [AOR=0.30, 95% CI=016-0.57] and merchants [AOR= 0.41, 95% CI=0.20-0.91] were have a negative association with awareness of obstetrics fistula.Conclusion This study showed that awareness of obstetrics fistula was low. Residency, education and occupation of the women, having history of antenatal care and childbirth at health institution was significantly associated with awareness of obstetrics fistula. Still there is a gap on awareness of obstetrics fistula; therefore, it is good to emphasis on providing information on maternal health care issues, particularly about obstetrics fistula.