Factors associated with the compliance of recommended first postnatal care services utilization among reproductive age women in Benin Republic: an analysis of 2011/2012 BDHS data

Dansou, Justin; Adekunle, Adeyemi O.; Arowojolu, Ayodele O.

doi:10.18203/2320-1770.ijrcog20171378

Cited by 9 publications

(8 citation statements)

References 13 publications

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“…Our study revealed that one-half of women received early postnatal care. This result is much higher than the levels reported in studies among postpartum women in Nepal (48), Nigeria (14), and Ethiopia (12), but lower than the 68% reported in Benin (8) and 63% in Zambia (19).…”

Section: Discussioncontrasting

confidence: 68%

Determinants of early postnatal care attendance: analysis of the 2016 Uganda Demographic and Health Survey

Ndugga

Namiyonga

Sebuwufu

2020

Preprint

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Background The first two days after childbirth present the highest risk of dying for a mother. Providing postnatal care within the first two days after childbirth can help avert maternal mortality because it allows early detection of problems that could result in adverse maternal health outcomes. Unfortunately, knowledge of the uptake of early postnatal care (EPNC), which is imperative for informing policies aimed at reducing maternal mortality, remains low in Uganda. Therefore, the purpose of this study is to investigate the determinants of early postnatal care attendance among Ugandan women. Methods This study was based on nationally representative data from the 2016 Uganda Demographic and Health Survey. The study sample comprised 5,471 women (age 15–49) who delivered a child in the 2 years preceding the survey. We used logistic regression to identify factors associated with the use of early postnatal care. Results Our findings showed that 50% of mothers used EPNC services for their most recent delivery in the 2 years preceding the survey. Women’s residence, education level, religion, wealth status, marital status, occupation, antenatal care attendance, place of delivery, birth order, perceived accessibility of health facilities, and access to mass media messages were associated with greater use of EPNC. The percentage of women receiving EPNC was much higher among women who delivered at a health facility, either a public facility (63%) or private facility (65%), versus only 9% among women who delivered at home. Multivariate analysis showed that delivery at a health facility was the most important determinant of early postnatal care attendance. Conclusions To increase mothers’ use of EPNC services and improve maternal survival in Uganda, programs could promote and strengthen health facility delivery and ensure that EPNC services are provided to all women before discharge. Even so, the fact that only about two-thirds of women who delivered at a health facility received early postpartum care shows substantial room for improvement. Key words Early postnatal care, Uganda, Demographic and Health Survey, place of delivery

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Section: Discussioncontrasting

confidence: 68%

Determinants of early postnatal care attendance: analysis of the 2016 Uganda Demographic and Health Survey

Ndugga

Namiyonga

Sebuwufu

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Our study revealed that one-half of women received early postnatal care. This result is much higher than the levels reported in studies among postpartum women in Nepal [48], Nigeria [14], and Ethiopia [12], but lower than the 68% reported in Benin [8] and 63% in Zambia [19].…”

Section: Discussioncontrasting

confidence: 65%

“…Receiving postnatal care particularly within the first 2 days following childbirth-defined here as early postnatal care (EPNC)-is critical to the management of complications and detection of postnatal danger signs, which are necessary for protecting maternal health and averting the majority of postnatal maternal deaths [7][8][9]. Furthermore, early postnatal care offers an opportunity for women to discuss with providers healthy behaviors such as exclusive breastfeeding, proper nutrition during breastfeeding, and use of effective family planning [10], which are critical to maternal and child survival.…”

Section: Introductionmentioning

confidence: 99%

Determinants of early postnatal care attendance: analysis of the 2016 Uganda demographic and health survey

Ndugga

Namiyonga²,

Sebuwufu

2020

BMC Pregnancy Childbirth

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Background: The first 2 days after childbirth present the highest risk of dying for a mother. Providing postnatal care within the first 2 days after childbirth can help avert maternal mortality because it allows early detection of problems that could result in adverse maternal health outcomes. Unfortunately, knowledge of the uptake of early postnatal care (EPNC), which is imperative for informing policies aimed at reducing maternal mortality, remains low in Uganda. Therefore, the purpose of this study is to investigate the determinants of early postnatal care attendance among Ugandan women. Methods: This study was based on nationally representative data from the 2016 Uganda Demographic and Health Survey. The study sample comprised 5471 women (age 15-49) who delivered a child in the 2 years preceding the survey. We used logistic regression to identify factors associated with use of early postnatal care. Results: Our findings showed that 50% of mothers used EPNC services for their most recent delivery in the 2 years preceding the survey. Women's residence, education level, religion, wealth status, marital status, occupation, antenatal care attendance, place of delivery, birth order, perceived accessibility of health facilities, and access to mass media messages were associated with greater use of EPNC. The percentage of women receiving EPNC was much higher among women who delivered at a health facility, either a public facility (63%) or private facility (65%), versus only 9% among women who delivered at home. Multivariate analysis showed that delivery at a health facility was the most important determinant of early postnatal care attendance. Conclusions: To increase mothers' use of EPNC services and improve maternal survival in Uganda, programs could promote and strengthen health facility delivery and ensure that EPNC services are provided to all women before discharge. Even so, the fact that only about two-thirds of women who delivered at a health facility received early postpartum care shows substantial room for improvement. Interventions should target women who deliver at home, women who attend fewer than four antenatal care visits, and women with a primary education.

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“…Early postnatal care is critical to the prevention of many complications, including: postpartum hemorrhage [ 31 , 32 ] vertical transmission of diseases [ 25 , 33 ], detection and treatment of problems and complication readiness [ 12 ]. It also allows an evaluation and the development of a personalized postnatal care plan, counseling for HIV and testing, contraception and resumption of sexual activity [ 9 , 33 ] and referral of mother and baby for special care when necessary [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Interrelationships between early antenatal care, health facility delivery and early postnatal care among women in Uganda: a structural equation analysis

Atuhaire

Wamala

et al. 2020

Global Health Action

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Background Early medical checkups during and after delivery are key strategies to detect, prevent and treat maternal health concerns. Knowledge of interrelationships between early Antenatal Care (ANC), skilled delivery and early postnatal care (EPNC) is essential for focused and well-targeted interventions. This paper investigated the interconnectedness between maternal health services in Uganda. Objective This study examines the predictors of interrelationships between early antenatal care, health facility delivery and early postnatal care. Methods We used a sample of 10,152 women of reproductive ages (15–49), who delivered a child five years prior to the 2016 Uganda Demographic and Health Survey. A generalized Structural Equation Model and STATA 13.0 software were used. Results Early ANC was a mediating factor for health facility delivery (aOR=1.04; 95% CI=1.01-1.14) and EPNC (aOR=1.1; 95% CI=1.05-1.26). Increased odds of early ANC utilization was directly associated with: Adult women aged 35-49 (aOR=1.18; 95% CI=1.10-1.35), having completed primary seven (aOR=1.68; 95% CI=1.56-1.84); distance to a health facility (aOR=1.35; 95% CI=1.23-1.73) and costs (aOR=1.85; 95% CI=1.31-2.12) not being a problem, available community workers (aOR=1.06; 95% CI=1.04-1.17), pregnancy complications (aOR=2.04; 95% CI=1.85-2.26) and desire for pregnancy (aOR=1.15; 95% CI=1.07-1.36). Through early ANC utilization, being married (aOR=1.16; (=1.04*1.10)), no distance issues ((aOR=1.40; (=1.04*1.35)) and complications (aOR=2.12; (=1.04*2.04)) indirectly influenced utilization of health facility delivery. Women aged 20-34 (aOR=1.01; (=0.92*1.1)), completing primary seven (aOR=1.85; (=1.69*1.1)) and no cost problems (aOR=2.04; (=1.85*1.1)) indirectly influenced EPNC. Conclusion Early antenatal care was a mediating factor for health facility delivery and EPNC; and hence, there is need for more focus on factors for increased early antenatal care utilization. Women with higher education and those with no cost problems were more likely to have early ANC utilization, skilled delivery and EPNC; therefore there is need to design and implement policies targeting social and economically disadvantaged women.

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Factors associated with the compliance of recommended first postnatal care services utilization among reproductive age women in Benin Republic: an analysis of 2011/2012 BDHS data

Cited by 9 publications

References 13 publications

Determinants of early postnatal care attendance: analysis of the 2016 Uganda Demographic and Health Survey

Determinants of early postnatal care attendance: analysis of the 2016 Uganda Demographic and Health Survey

Determinants of early postnatal care attendance: analysis of the 2016 Uganda demographic and health survey

Interrelationships between early antenatal care, health facility delivery and early postnatal care among women in Uganda: a structural equation analysis

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