Health care providers’ adherence to immediate postpartum care guideline and associated factors among women who gave birth in Mekele public teaching hospitals, Tigray 2018

Haftu, Abera; Hagos, Hadgay; Mehari, Mhiret-AB; Brhane, G; her,

doi:10.1186/s13104-018-3845-0

Cited by 4 publications

(12 citation statements)

References 7 publications

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“…In the present study, about two-fifths (42.4%) of healthcare providers adhered to IPPCG. This finding is higher than a study conducted in Mekelle, Ethiopia-22.8% [ 22 ]. This higher proportion might be ascribed to maternal and neonatal health is a major public health issue and getting attention worldwide.…”

Section: Discussioncontrasting

confidence: 71%

“…Likewise, the healthcare provider’s adherence to IPPCG was dichotomized as complete adherence if the healthcare provider performs all the offered checklists (which was coded as “1”) and incomplete adherence if the provider fails to perform all the offered checklists (which was coded as ‘‘0”). The immediate postpartum period is 6 hours after delivery in the Ethiopian context [ 22 ].…”

Section: Methodsmentioning

confidence: 99%

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Healthcare provider’s adherence to immediate postpartum care guidelines in Gondar province hospitals, northwest Ethiopia: A multicenter study

et al. 2021

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Background The immediate postpartum period is the most critical time for both the mother and the newborn. However, it is the most neglected part of the maternal continuum of care, and evidence in this regard was scarce in Ethiopia. Therefore, this study aimed to assess the healthcare provider’s adherence to immediate postpartum care guidelines and associated factors in hospitals of Gondar province. Methods A multicenter observational cross-sectional study was conducted among 406 healthcare providers from 15th November 2020 to 10th March 2021. Data were collected through face-to-face interviews and direct observation using a structured questionnaire and standardized checklist respectively. Data was entered into EPI INFO 7.1.2 and analyzed by SPSS version 25. Both bivariable and multivariable logistic regression analyses were carried out. The level of significance was declared based on the adjusted odds ratio (AOR) with a 95% confidence interval (CI) at a p-value of ≤ 0.05. Results Overall, 42.4% (95% CI: 37.5, 47.2) of healthcare providers had complete adherence to immediate postpartum care guidelines. Having birth assistant (AOR = 1.87; 95% CI: 1.10, 9.67), being married (AOR = 1.59; 95% CI: 1.15, 3.31), availability of postpartum care guidelines at the maternity ward (AOR = 2.39; 95% CI: 1.44, 3.98), received basic emergency obstetric and newborn care (BEmONC) training (AOR = 2.1; 95% CI: 1.2, 3.6), monthly income of ≥ 10001 Ethiopian birr (AOR = 3.55; 95% CI: 1.30, 9.67), and work experience of ≥ 6 years (AOR = 0.15; 95% CI: 0.06, 0.38) were significantly associated with healthcare providers adherence to immediate postpartum care guidelines. Conclusion This study indicated that health worker’s adherence to immediate postpartum care guidelines was low. Hiring adequate health workers, availing postpartum guidelines at the maternity ward, improving the salary and education opportunities for healthcare workers of healthcare workers, and provision of BEmONC training will have a great role in improving healthcare provider’s adherence to immediate postpartum care guidelines.

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Section: Discussioncontrasting

confidence: 71%

Section: Methodsmentioning

confidence: 99%

Healthcare provider’s adherence to immediate postpartum care guidelines in Gondar province hospitals, northwest Ethiopia: A multicenter study

et al. 2021

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“…The data collection tool was developed by reviewing literature and guidelines [22,24] and data were collected using a structured questionnaire and checklists through face-to-face interviews and direct observation respectively. The questionnaire was assessed by a group of researchers to evaluate and enhance the items in the question.…”

Section: Data Collection Tools Methods and Proceduresmentioning

confidence: 99%

“…Likewise, the healthcare provider's adherence to IPPCG was dichotomized as complete adherence if the healthcare provider performs all the offered checklists (which was coded as "1") and incomplete adherence if the provider fails to perform all the offered checklists (which was coded as ''0"). The immediate postpartum period is 6 hours after delivery in the Ethiopian context [22]. Job satisfaction.…”

Section: Operational Definitions and Measurementsmentioning

confidence: 99%

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Immediate postnatal care guidelines implementation and associated factors among healthcare providers in East Shewa zone public health facilities, Oromia, Ethiopia, 2022: a multicentre cross-sectional study

Bune,

Girmaye,

Lemma

et al. 2023

BMJ Open

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ObjectivesImmediate postnatal care is a critical intervention to reduce maternal and neonatal morbidity and mortality; however, many women and newborns receive inadequate postnatal care timely and effectively during the first 24 hours following childbirth. Therefore, this study aimed to assess the immediate postnatal care guidelines implementation and its associated factors among healthcare providers in the East Shewa zone public health facilities, Oromia, Ethiopia.DesignFacility-based cross-sectional study was conducted from 13 September 2022 to 28 October 2022.SettingThe study was conducted in 6 hospitals and 19 health centres in the East Shewa zone.ParticipantsAll healthcare providers who work in the maternity ward of the East Shewa zone public health facilities were the source population while all healthcare providers who work in the maternity ward of the randomly selected East Shewa zone public health facilities were the study population. Healthcare providers who were assigned to the delivery and postnatal ward during data collection were included in the study. Healthcare providers, who are not on duty for annual, maternity, sick and study leave, were excluded from the study.MeasuresA structured self-administered questionnaire and observational checklist were used for data collection. The questionnaires were pretested and data were collected by the Kobo toolbox software. Data were analysed by using the SPSS V.25. Binary logistic regression (bivariate and multivariable) analyses were done to identify significantly associated variables, and finally, an adjusted OR (AOR) at a 95% CI was used to declare significant variables depending on a p<0.05.ResultThe study revealed that 196 healthcare providers with a response rate of 97.03% were included in this study. The overall proportion of healthcare providers who have a good implementation of immediate postnatal care guidelines was 44.4% (95% CI 37.3% to 51.6%). Providers who received basic emergency obstetrics and newborn care training (AOR 3.72, 95% CI 1.7 to 8.1), working in a tertiary-level hospital (AOR 3.85, 95% CI 1.3 to 11.2), and who had maternal and newborn care guidelines in their facility (AOR 3.2, 95% CI 1.5 to 6.6) were significantly associated factors with good implementation of immediate postnatal care guidelines.ConclusionsImplementation of the immediate postnatal care guideline by healthcare providers in the maternity ward was found low as less than half of healthcare providers have good implementation. Receiving basic emergency obstetrics and newborn care training, having maternal and newborn care guidelines in their facility, and working in a tertiary-level hospital were significantly associated factors with good implementation of immediate postnatal care guidelines.

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Health care providers’ adherence to immediate postpartum care guideline and associated factors among women who gave birth in Mekele public teaching hospitals, Tigray 2018

Cited by 4 publications

References 7 publications

Healthcare provider’s adherence to immediate postpartum care guidelines in Gondar province hospitals, northwest Ethiopia: A multicenter study

Healthcare provider’s adherence to immediate postpartum care guidelines in Gondar province hospitals, northwest Ethiopia: A multicenter study

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Immediate postnatal care guidelines implementation and associated factors among healthcare providers in East Shewa zone public health facilities, Oromia, Ethiopia, 2022: a multicentre cross-sectional study

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