Low utilization of postnatal care: searching the window of opportunity to save mothers and newborns lives in Islamabad capital territory, Pakistan

Sultana, Nighat; Shaikh, Babar Tasneem

doi:10.1186/s13104-015-1646-2

Cited by 31 publications

(33 citation statements)

References 10 publications

(9 reference statements)

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“…This finding is in line with studies done in rural Tanzania [15], Uganda [27], Kenya [8], and the Tigray region in Ethiopia [30]. This could be explained that the provision of counseling and health education to mothers by skilled health care providers at the time of ANC follow up is paramount [31]. Moreover, newborns delivered at the health facility were more likely to receive PNC than those delivered at home which is supported by studies done in rural Uttar Pradesh [29], Nepal [14], Tanzania [15], and Nigeria [32].…”

Section: Discussionsupporting

confidence: 88%

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

Seid

Ahmed

2020

BMC Pregnancy Childbirth

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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.

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Section: Discussionsupporting

confidence: 88%

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

Seid

Ahmed

2020

BMC Pregnancy Childbirth

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“…Maternal mortality remains a challenge in achieving the Sustainable Development Goal target of reducing the global maternal mortality ratio to fewer than 70 maternal deaths per 100,000 live births in low-resource settings like Uganda. Prior studies have noted the importance of early postnatal checkups in improving maternal survival [18,19,46,47]. This study investigated the determinants of early postnatal care attendance (receipt of postnatal care within 2 days after childbirth) among women in Uganda based on data from the 2016 UDHS.…”

Section: Discussionmentioning

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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“…Meanwhile, insignificant differences in the use of ANC services have been found among Jordanian women from urban areas and women from rural areas [20]. As with regards to the utilization of PNC services, health status, mode of delivery, level of education, number of children, awareness of need, cost, and distance have been found to be the most common predictors [46–48]. The percentage of Jordanian women who seek PNC services within the first two days of delivery ranged from 68% among uneducated women to 87% among highly-educated women.…”

Section: Discussionmentioning

confidence: 99%

The quality of maternal-fetal and newborn care services in Jordan: a qualitative focus group study

Alyahya

Khader

Batieha

et al. 2019

BMC Health Serv Res

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Background The antenatal, intrapartum, and postnatal periods are considered high-risk periods for the health of mothers and their newborns. Although the current utilization rate of some maternal and child care services in Jordan is encouraging, detailed information about the quality of these services is limited. Therefore, this study aimed to explore the quality of maternal-fetal and newborn antenatal care (ANC), delivery, and postnatal care (PNC) services in Jordan. Methods We conducted 12 focus group discussions (FGDs) with pregnant and postpartum women who attended maternal-child care services in three major hospitals in Jordan. All FGDs were recorded and transcribed verbatim. An inductive thematic analysis approach was used to identify themes and subthemes. Results The content analysis of the FGDs revealed a consensus among the discussants regarding the importance of ANC and PNC services for the health of mothers and their newborns. However, the participating women viewed ANC to be much more important than PNC. With regards to the choice between public and private antenatal care services, some of the discussants were disposed towards the private sector. Reasons for this included longer consultation time, a higher quality of services, better interpersonal and communication skills of healthcare providers, better treatment, more advanced equipment and devices, availability of female obstetricians, and more flexible appointment times. These women only perceived public hospital services to be necessary in cases of pregnancy-related complications and labor, as the costs of private sector services in such cases are too high. The findings also revealed that mothers usually only seek PNC services to check up on their newborn’s health and not their own. Conclusion Visiting private ANC clinics throughout pregnancy while giving birth in public facilities leads to the discontinuity and fragmentation in maternal-fetal and child healthcare services. To address this fragmentation, healthcare systems are proposed to establish interprofessional teamwork that requires different healthcare providers with complementary skills and practices in both public and private settings to work co-operatively and collectively. Investment in new technologies and interventions which enhance coordination and collaboration between public and private healthcare settings is necessary for the provision of non-traditional maternal healthcare. Electronic supplementary material The online version of this article (10.1186/s12913-019-4232-9) contains supplementary material, which is available to authorized users.

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Low utilization of postnatal care: searching the window of opportunity to save mothers and newborns lives in Islamabad capital territory, Pakistan

Cited by 31 publications

References 10 publications

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

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

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

The quality of maternal-fetal and newborn care services in Jordan: a qualitative focus group study

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