Factors affecting the utilisation of postpartum care among young mothers in Bangladesh

Rahman, Mosiur; Haque, Syed Emdadul; Zahan, Sarwar

doi:10.1111/j.1365-2524.2010.00953.x

Cited by 59 publications

(91 citation statements)

References 26 publications

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“…The finding is similar to study conducted in Dembacha district Ethiopia [7], Debre Markos town Ethiopia [9], Jabetine district in Amhara region Ethiopia [8], Gondar Zuria district Ethiopia [10], EDHS 2011 [6], western district of Nepal [19], analysis of Nepal Demographic and Health Survey 2011 [14], Royal king of Cambodia [22], and Bangladesh [23], which revealed that giving birth at health facilities has direct significant association with postnatal care utilization. This might be due to the fact that women who gave birth at health institution have greater opportunity to be informed and educated about types, benefits, and availabilities of PNC services and danger signs of postpartum.…”

Section: Discussionsupporting

confidence: 84%

Postnatal care utilization and associated factors among women of reproductive age Group in Halaba Kulito Town, Southern Ethiopia

Abebo

Tesfaye

2018

Arch Public Health

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BackgroundDespite postnatal care services significant role in improving maternal and new-born health, services are underutilized in most developing countries including Ethiopia. Hence, it is important to identify factors that facilitate or impede postnatal care services utilization. The aim of this study was to assess postnatal care services utilization and associated factors among reproductive age women who gave live birth in 2015 at Halaba kulito town, Southern Ethiopia.MethodsA community-based cross-sectional study was conducted on 401 reproductive age women who gave live birth a year prior to the survey. Data were collected by using structured questionnaire. Bivariate and multivariable logistic regression analysis were carried out to identify factors associated with postnatal care services utilization. A significant association was declared when p-value is less than 0.05. The strength of association was determined by calculating odds ratio at 95% confidence interval.ResultIn this study, postnatal care services utilization by reproductive age women was 47.9%. Multivariable analysis revealed that government employed (AOR = 3.01, 95%CI = 1.36, 6.67), have three ANC visits (AOR = 4.29, 95% CI = 1.59, 11.55), have four ANC visits (AOR = 9.55, 95% CI = (3.46, 26.39), gave last birth at Health Centre (AOR = 10.76, 95% CI = 3.26, 35.57), gave last birth at Hospital (AOR = 13.15, 95% CI = (3.64, 47.50), didn’t aware of at least one postpartum danger signs (AOR = 0.06, 95% CI = (0.01, 0.37), didn’t know child care and had three ANC visits (AOR =0 .14, 95% CI (0.02, 0.8), and didn’t know child care and had four or more ANC visits (AOR =0 .13, 95% CI (0.02, 0.79) were significantly associated with postnatal care services utilization.ConclusionThis study assessed PNC services utilization and associated factors among reproductive age women. The study results provided a basic understanding of factors that associated with PNC services utilization by reproductive age women. The findings of this study showed direct association between postnatal care utilization and maternal employment, awareness to postpartum danger signs, frequency of ANC and attending birth at health institution. Therefore, the results suggested context-specific evidence which might be taken into consideration when rethinking policies to increase PNC utilization.

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Section: Discussionsupporting

confidence: 84%

Postnatal care utilization and associated factors among women of reproductive age Group in Halaba Kulito Town, Southern Ethiopia

Abebo

Tesfaye

2018

Arch Public Health

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“…Several studies have documented the fact that the household wealth has a positive effect on the use of maternal healthcare (Babalola & Fatusi, 2009; Gage, 2007; Kesterton et al, 2010; Rahman, Haque & Zahan, 2011). Our study confirms the same in the case of urban adolescent mothers in India.…”

Section: Discussionmentioning

confidence: 99%

“…The choice of these variables is basically guided by existing literature on maternity care utilization (Babalola & Fatusi, 2009; Gabrysch & Campbell, 2009; Gage & Guirlène Calixte, 2006; Ghosh, 2006; Haque, 2014; Jat, Ng & San Sebastian, 2011; Joshi et al, 2014; Kesterton et al, 2010; Navaneetham & Dharmalingam, 2002; Rahman, Haque & Zahan, 2011; Reynolds, Wong & Tucker, 2006; Saroha, Altarac & Sibley, 2014; Say & Raine, 2007; Singh, Rai & Singh, 2012; Singh et al, 2012; Singh et al, 2014; Sunil, Rajaram & Zottarelli, 2006). …”

Section: Methodsmentioning

confidence: 99%

Utilization of maternal healthcare among adolescent mothers in urban India: evidence from DLHS-3

Singh

Kumar

Pranjali³

2014

PeerJ

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Background. Low use of maternal healthcare services is one of the reasons why maternal mortality is still considerably high among adolescents mothers in India. To increase the utilization of these services, it is necessary to identify factors that affect service utilization. To our knowledge, no national level study in India has yet examined the issue in the context urban adolescent mothers. The present study is an attempt to fill this gap.Data and Methods. Using information from the third wave of District Level Household Survey (2007–08), we have examined factors associated with the utilization of maternal healthcare services among urban Indian married adolescent women (aged 13–19 years) who have given live/still births during last three years preceding the survey. The three outcome variables included in the analyses are ‘full antenatal care (ANC)’, ‘safe delivery’ and ‘postnatal care within 42 days of delivery’. We have used Chi-square test to determine the difference in proportion and the binary logistic regression to understand the net effect of predictor variables on the utilization of maternity care.Results. About 22.9% of mothers have received full ANC, 65.1% of mothers have had at least one postnatal check-up within 42 days of pregnancy. The proportion of mother having a safe delivery, i.e., assisted by skilled personnel, is about 70.5%. Findings indicate that there is considerable amount of variation in use of maternity care by educational attainment, household wealth, religion, parity and region of residence. Receiving full antenatal care is significantly associated with mother’s education, religion, caste, household wealth, parity, exposure to healthcare messages and region of residence. Mother’s education, full antenatal care, parity, household wealth, religion and region of residence are also statistically significant in case of safe delivery. The use of postnatal care is associated with household wealth, woman’s education, full antenatal care, safe delivery care and region of residence.Conclusion. Several socioeconomic and demographic factors affect the utilization of maternal healthcare services among urban adolescent women in India. Promoting the use of family planning, female education and higher age at marriage, targeting vulnerable groups such as poor, illiterate, high parity women, involving media and grass root level workers and collaboration between community leaders and health care system could be some important policy level interventions to address the unmet need of maternity services among urban adolescents.

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“…As a result of inadequate postnatal care services, more than two thirds of maternal and newborn deaths occur. The majority of maternal deaths (62%) occur in the postnatal period and more than half of these takes place within a day of delivery [7]. …”

Section: Introductionmentioning

confidence: 99%

Determinants of postnatal care utilization in urban community among women in Debre Birhan Town, Northern Shewa, Ethiopia

Angore

Tufa

Bisetegen

2018

J Health Popul Nutr

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BackgroundReducing maternal mortality and improving maternal health care through increased utilization of postnatal care utilization is a global and local priority. However studies that have been carried out in Ethiopia regarding determinants are limited. So This study aims to assess the magnitude of postnatal care utilization and its determinants in Debre Birhan Town, North Ethiopia.MethodsA community-based cross-sectional study was conducted from March 1 to April 25, 2015, in Debre Birhan Town. Data were collected through face-to-face interviews using structured pre-tested questionnaires. The data were entered and cleaned in Epi Info version 3.5 and analyzed using SPSS version 20. Bivariate and multiple logistic regression analyses were used. Variable with p value less than or equal to 0.2 at bivariate analysis were entered into multiple logistic regression. Significance was declared at 0.05 in multiple logistic regressions and considered to be an independent factor.ResultFrom the total respondents, we found that 327 (83.3%) mothers utilized the postnatal care services. Single mothers were less likely to utilize postnatal care services than those mothers who are married and live together [adjusted odds ratio (AOR) = 0.06, 95% CI (0.01, 0.45)]. This study revealed that respondent’s knowledge about postnatal care services is an important predictor of postnatal care utilization [AOR = 0.03, 95% CI (0.00, 0.44)] and mothers who delivered in a health care facility were more likely to receive PNC than mothers who did not deliver in a health care facility [AOR = 0.65, 95% CI (0.58, 0.94)].ConclusionThe postnatal care utilization rate in Debre Birhan town was 83.3%. Marital status, maternal knowledge, and place of delivery were predictors of postnatal care service utilization. So specific attention should be directed towards the improvement of women’s education since the perception of the need for PNC services were positively correlated with the mother’s education.

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Factors affecting the utilisation of postpartum care among young mothers in Bangladesh

Cited by 59 publications

References 26 publications

Postnatal care utilization and associated factors among women of reproductive age Group in Halaba Kulito Town, Southern Ethiopia

Postnatal care utilization and associated factors among women of reproductive age Group in Halaba Kulito Town, Southern Ethiopia

Utilization of maternal healthcare among adolescent mothers in urban India: evidence from DLHS-3

Determinants of postnatal care utilization in urban community among women in Debre Birhan Town, Northern Shewa, Ethiopia

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