Risk factors for women’s non-utilization of decentralized primary health care facilities for postnatal care in rural western Ethiopia

Tolera, Habtamu; Gebre-Egziabher, Tegegne; Kloos, Helmut

doi:10.1177/2633494120928340

Cited by 6 publications

(7 citation statements)

References 33 publications

(91 reference statements)

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“…In the case of mothers with a risky age, they tend to possess a 2,203 times higher risk of childbirth complications than mothers without risk (Astutik, 2018). In line with the study of Tolera, et. al, (2020), it was discovered that maternal age factors were associated with non-utilization of puerperal care, in which the risk of experiencing postpartum care visits was 3.4 times higher than women aged 15-19 years.…”

Section: Methodssupporting

confidence: 70%

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Factors Influencing Poor Postnatal Care in Sangihe Regency

Hinonaung¹,

Mahihody²,

Wuaten³

2021

j. info kesehat.

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Postpartum mothers from the first day of childbirth up to six weeks will undergo changes both physically and psychologically making intensive care indispensable. Conditions in which the postpartum mother does not get the correct and timely postnatal care lead to postpartum complications that can cause death. The objective of the study is to identify factors related to poor postnatal care in Sangihe Regency, North Sulawesi. This research was a correlation cross-sectional study. The population was postpartum mothers in the working area of The Kuma Health Center of Sangihe Regency. In this study, researchers sampled 62 respondents. The variables included age, culture, mode of delivery, support, and knowledge. The relationship between age, culture, mode of delivery, support, and knowledge with poor postnatal care was measured less using the chi-square test. In contrast, the determinants of poor postnatal care were identified employing logistics regression. The results showed that factors influencing poor postnatal care were age, culture, mode of delivery, support, and knowledge. Mode of delivery was discovered as the most dominant variable influencing poor postnatal care. This research concluded that age, culture, mode of delivery, support and knowledge had a correlation with poor postnatal care, and the most dominant variable was the mode of delivery. Researcher hopes that these findings could help health workers and local governments to direct appropriate postpartum care, especially other postnatal care requiring further research.

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Section: Methodssupporting

confidence: 70%

“…The lack of good postnatal care in this study was due to the fact that there were still respondents aged <19 years and >35 years who were at risk. Age affects the use of the mother to perform postpartum care (Tolera, et. al., 2020).…”

Section: Methodsmentioning

confidence: 99%

Factors Influencing Poor Postnatal Care in Sangihe Regency

Hinonaung¹,

Mahihody²,

Wuaten³

2021

j. info kesehat.

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“…The respondents noted that mothers only visit health facilities for postnatal care if experiencing complications. Sociocultural barriers, combined with a lack of awareness and understanding of the bene ts of preventive services, resulted in low coverage of postnatal care (11,37,38). Lack of home visits and counseling in remote rural settings also result in inadequate postnatal care (38,39).…”

Section: Discussionmentioning

confidence: 99%

Perceptions of Inequity in the Provision and Utilization of Maternal, Newborn, and Child Health Services in Tigray, Ethiopia. A Qualitative Explorative Study

Wuneh

Mulugeta

Persson

et al. 2021

Preprint

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Background: We have earlier shown that the utilization of Ethiopian maternal health services was distributed pro-rich, while child immunization was equitably distributed. Hence, this study aimed at exploring rural Ethiopian women’s and primary health care workers’ perceptions of inequities and their causes in the provision and utilization of maternal, newborn, and child health services. Methods: The study was conducted from August to December 2019 in two rural districts of Tigray, Ethiopia. We performed twenty-two in-depth interviews and three focus group discussions with women who had given birth the last year preceding the survey, women’s development group leaders, health extension workers from health posts, and health workers from health centers. The final sample was determined based on the concept of saturation. The interviews and focus group discussions were audiotaped, transcribed, translated, coded, and analyzed using thematic analysis. Results: The provision and utilization of antenatal care, facility-based delivery, and care-seeking for sick children were perceived inequitably distributed. Immunization was perceived as an equitable service. The inequity in the provision and utilization of maternal and child health services was linked to the economy, distance, social and cultural norms, low quality of service, maternal age, and education. Poor implementation of the Government’s equity-oriented policies, such as community-based health insurance, was perceived to result in health inequities. Conclusion: Mothers and primary healthcare providers in rural Ethiopia indicated weaknesses in delivering equitable services and reasons for inequitable utilization. The narratives could inform efforts to provide universal health coverage for mothers, newborns, and children. These problems require multisectoral actions to address the identified sources of inequities.

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“…The respondents considered a post-natal visit to health facilities only if mother or child were sick or experienced complications. Sociocultural barriers, combined with a lack of awareness of the bene ts of preventive services in uenced the low coverage of postnatal care (11,46,47). The lack of home visits and counseling in remote rural settings results in no or low coverage of postnatal care (47,48).…”

Section: Discussionmentioning

confidence: 99%

“…Sociocultural barriers, combined with a lack of awareness of the bene ts of preventive services in uenced the low coverage of postnatal care (11,46,47). The lack of home visits and counseling in remote rural settings results in no or low coverage of postnatal care (47,48). A way forward could be to strengthen home-based postnatal visits by health extension workers.…”

Section: Discussionmentioning

confidence: 99%

Perceptions and Experiences of Inequity in The Provision and Utilization of Maternal, Newborn, and Child Health Services in Tigray, Ethiopia: A Qualitative Exploratory Study

Wuneh

Bezabih

Persson

et al. 2021

Preprint

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Background In earlier studies, we could show that rural Ethiopian maternal health services were distributed pro-rich, while child immunization coverage was equitably distributed. Hence, this study aimed at exploring rural Ethiopian mothers’ and primary healthcare workers’ perceptions of inequities and their causes in the provision and utilization of maternal, newborn, and child health services. Methods The study was conducted from August to December 2019 in two rural districts in Tigray, Ethiopia. We performed 22 in-depth interviews and three focus group discussions with mothers who had given birth the last year before the survey. We also interviewed women’s development group leaders, health extension workers at health posts, and health workers at health centers. The final sample was determined based on the concept of saturation. The interviews and focus group discussions were audiotaped, transcribed, translated, coded, and analyzed using thematic analysis. Results Mothers perceived the provision and utilization of antenatal care, facility-based delivery, and care-seeking for sick children inequitably distributed, while immunization was seen as an equitable service. The inequity in providing and utilizing maternal and child health services was linked to the economy, distance, social and cultural norms, health systems, maternal age, and education. Poor implementation of the Government’s equity-oriented policies, such as community-based health insurance, was perceived to result in health inequities. Conclusions Mothers and primary health care providers in rural Ethiopia indicated weaknesses in delivering equitable services and reasons for inequitable utilization. The narratives could inform efforts to provide universal health coverage for mothers, newborns, and children. These problems require multisectoral actions to address the identified sources of inequities.

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Risk factors for women’s non-utilization of decentralized primary health care facilities for postnatal care in rural western Ethiopia

Cited by 6 publications

References 33 publications

Factors Influencing Poor Postnatal Care in Sangihe Regency

Factors Influencing Poor Postnatal Care in Sangihe Regency

Perceptions of Inequity in the Provision and Utilization of Maternal, Newborn, and Child Health Services in Tigray, Ethiopia. A Qualitative Explorative Study

Perceptions and Experiences of Inequity in The Provision and Utilization of Maternal, Newborn, and Child Health Services in Tigray, Ethiopia: A Qualitative Exploratory Study

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