Determinants of postnatal checkup for newborns in Ethiopia: Further analysis of 2016 Ethiopia demographic and health survey

Abstract

Background The absence of suitable care during the postpartum period might result in substantial ill-health and even the demise of newborns. So, identifying and intervening thus factors increase postnatal newborn care utilization thereby reducing neonatal mortality. Therefore, this study aimed to ascertain the determinants of the postnatal checkup of a newborn in Ethiopia. Method A cross-sectional study was accompanied using the 2016 Ethiopia Demographic and Health Survey (EDHS) data set. The samples were designated by employing a two-stage stratified cluster sampling technique. All statistical analysis were weighted in order to take into consideration complex survey design. Bivariate and multivariate logistic regression analysis was also carried out to examine the association between use of postnatal care of newborn and selected independent variables. Adjusted odds ratios (AOR) were used to state a statistically significant suggestion. Result A total of 7091 samples of the reproductive age of newborn mothers were included and analyzed. According to multivariate analysis, the odds of postnatal checkups of the newborn were 2.45 times higher among mothers who had 1–3 ANC visits and 3.42 times higher among mothers who had four and above visits than mother who did not have ANC visit. The odds of postnatal checkups of the newborn were 1.4 times higher among mothers who had access to media compared to their counterparts. Likewise, the odds of postnatal checkups of the newborn were 1.67 times higher among mothers who had delivered in a health facility than who delivered at home. Conclusions This study revealed that accessed media, being rich or middle in the wealth index category, having ANC visits, and institutional delivery was positively associated with the utilization of postnatal care checkup of the newborn. Therefore, information education and communication programs should perform a critical role in inspiring mother to take their newborns for postnatal checkup after birth.

Spatial distribution and determinants of newbornsnot receiving postnatal check-up withintwodays after birth in Ethiopia: a spatial and multilevel analysis of EDHS 2016

“…The overall national prevalence of newborns not receiving postnatal check-ups within 2 days after birth in Ethiopia was 84.29, 95% CI: (83.11–85.41), which is in line with the study conducted in Ethiopia 83% [ 23 ]. However, the finding of our study was slightly lower than those of the study conducted in rural Bangladesh at 90%, and in Ethiopia at 90% [ 5 , 24 ]. This could be because the study conducted in Bangladesh was conducted in the rural population, which might inhibit the utilization of postnatal check-ups.…”

“…According to the multilevel regression analysis results, the odds of not receiving postnatal check-ups among mothers who had no ANC visits were 58% higher than mothers who had four and above ANC visits, which is supported by studies done in Ethiopia [ 5 , 38 , 39 ], Tanzania [ 40 ], Uganda [ 41 ], and Kenya [ 41 , 42 ]. The possible reasons might be mothers who have four and above ANC visits might get counseling regarding birth preparedness, skilled delivery, and early postnatal care, which might increase the postnatal check-up utilizations.…”

“…For the mother who is delivered at home,the first postpartum visit must be as early as possible within 24 hours of birth. Aminimum of three postnatal health checks are suggested for both mothers and newborns on day 3 (48-72 hours), within7-14 days, and at 6 weeks [4][5][6]. Infant feeding, history of convulsion, fast breathing, spontaneous movement, hypothermia, hyperthermia, jaundice, cord, eyes, hygiene, and immunization status were assessed at each postnatal contact [2,7].…”

Postnatal Care Utilization Coverage and its Associated Factors Among Mothers in South Gondar Zone, Northwest Ethiopia: A Cross-Sectional Study

“…Women who had no exposure to the media were less likely to use PNC services than women who had exposure to the media. This finding was supported by the studies done in Ethiopia ( Seid & Ahmed, 2020 ), Nigeria ( Igboanusi et al, 2019 ; Ononokpono et al, 2020 ), and Uganda ( Ndugga et al, 2020 ). The possible explanation for this result may be that women who had media exposure could have adequate information about maternal health care services.…”

“…The potential variables associated with PNC service utilization have been selected based on different works of literature ( Akibu et al, 2018 ; Bwalya et al, 2017 ; Debie & Tesema, 2021 ; Mosiur Rahman et al, 2011 ; Seid & Ahmed, 2020 ; Zeleke et al, 2021 ). Age of women, religion, education level of women, occupation of women, education level of husband's, husband's occupation, family size, monthly income, own mobile telephone, the decision of maternal care service utilization, access to mass media, residence, and marital status were considered to be explanatory variables within the study.…”