Factors Affecting Utilization of Postnatal Care Service in Amhara Region, Jabitena District, Ethiopia

Abstract

Background: Each year, 287,000 women die from complications related to pregnancy and childbirth, and about 99% of these deaths occur in developing countries. The first hours, days and weeks after childbirth are a dangerous time for both the mother and newborn infant. Post natal care prevents the great majority of maternal and child morbidity and mortality. Despite its importance, this period is generally the most neglected in developing countries. This study therefore aims to identify factors affecting PNC service utilization among child bearing age women who gave birth in the past two years in Jabitena district, Amhara region, Ethiopia. Method: Community based cross-sectional study was conducted from March to June 2013. Multistage sampling technique was employed to select the study participants. A pre-tested questionnaire was used .Bivariate and multivariate data analysis was performed using SPSS version 17.0 software. Result: In this study 20.2% mothers utilized postnatal care service. Educational status of the mother, final decision maker on health care service utilization, number of pregnancy, place of delivery and being aware of at least one postpartum obstetric danger sign were found to be significantly associated with post natal care service utilization. Conclusion: proportion of postnatal care service was very small. Educational status, women's autonomy, number of pregnancy, place of delivery and knowledge of postpartum obstetric danger sign were the factors making a difference in utilizing post natal care service. Thus, strengthening the provision of information, education and communication (IEC) was recommended.

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

“…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.…”

“…In this study, PNC utilization among reproductive age women was 47.9%. The finding was higher than the national PNC utilization 13% [6] and other locally conducted studies in Ethiopia; 11% of Abi-Adi Town in Tigray, 20.2% of Jabetine district in Amhara region [8], 34.8% of Dembecha district [7], and 33.5% of Debre Markos town [9]. Also, the finding is higher than studies conducted abroad of Ethiopia such as 25.1% of the western district of Nepal [19], 43.2% of analysis of Nepal Demographic and Health Survey 2011 [14], and 30% Pakistan [20].…”

“…Similarly, studies conducted in Jabetine district in Amhara region [8], in Debre Markos town [9], in Hossana [27] and in Nepal [17] revealed that women who were aware at least one obstetric danger sign of pregnancy are more likely to utilize PNC as compared to the women who didn’t.…”

“…The sample size for PNC utilization was computed by using single population proportion formula by assuming that proportion of PNC utilization was 0.2 [8], 95% confidence interval, 4% margin of error and considering 10% of non-response rate. The final sample size was 422.…”

Couples’ Opinion and Women’s Utilization of Postnatal Care Service in Wolaita Zone, Southern Ethiopia: A Community Based Mixed Study

“…In this study women who delivered at health facility were considered as receiving postnatal care service but the previous study considered postnatal visit only if the women who made a separate visit for postnatal care service from the visit for delivery service. However, studies conducted in different parts of Ethiopia showed that institutional delivery favored postnatal care service utilization among mothers than home delivery [25][26][27].…”