Science Journal of Public Health

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Postnatal Care Service Utilization and Associated Factors Among Women in Dembecha District, Northwest Ethiopia

Received: 09 July 2015    Accepted: 16 July 2015    Published: 29 July 2015
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Abstract

Women play a principal role in the raring of children and management ranges of family affairs. Meanwhile, it is a tragedy to witness mothers losing their life from manageable maternity related causes. Postnatal care service is one of the strategies to avoid this loss. The main aim of this study was to assess the level of utilization of Post Natal Care and associated factors Dembecha District, Northwest Ethiopia. Community-based cross-sectional study design was used. Using women having children of less than two years of age living in Dembecha district were selected. Multistage sampling technique was employed involving a total of 788 samples and semi-structured questionnaire was used as data collection tool. Epidata version 3.1. Software was used for data entry and clearance and then SPSS version 16 was used for data analysis. Bivariable and multivariable logistic regression was fitted and possible association and statistical significance were measured using odds ratio at 95% confidence interval and p-value less than 0.05. The study revealed that the level of Post Natal Care service utilizations was 34.8%. The Predicted probabilities, using logistic regression, showed that women who had formally education {AOR=2.122(1.372, 3.281)}, antenatal care service utilization for the last child {AOR=4.141(2.451, 6.995)}, Distance from the health institutions, had shown significant association {AOR=3.972(2.627, 6.008)}. About 73.9% of respondents answered their reason for not to use PNC service was lack of awareness followed by transportation problem (15.9%). Women did not know whether they were required to go to health institution or not after they had given birth at home unless complications happen to the newborns and themselves. PNC service utilization was less than what was planned by the district. Therefore intervention targeted to women’s awareness and empowerment, improving infrastructure in rural areas, expanding health care facilities to the currently unreached rural areas are recommendations’ of the study.

DOI 10.11648/j.sjph.20150305.24
Published in Science Journal of Public Health (Volume 3, Issue 5, September 2015)
Page(s) 686-692
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Postnatal Care, Dembecha, Utilization, Northwest Ethiopia

References
[1] The safe motherhood action agenda.(1997) Priorities for the next decade-Report on the safe motherhood technical consultation, 18-23 october1997, Colombo, srilanka
[2] FMOH. (2010) Management Protocol on Selected Obstetrics Topics January, 2010
[3] FMOH. PNC blended learning module for health extension program HEAT postnatal care Final print report.(www.moh.gov.et.)
[4] World Health Organization. (2005) Maternal mortality estimates developed by WHO, UNICEF, UNFPA and The World Bank 2005.
[5] Central Statistical Agency (CSA) [Ethiopia], MEASURE DHS, ICF Macro Calverton, Maryland, and USA. (2011) Ethiopia Demographic and Health Survey (2011): Preliminary Report. Addis Ababa, Ethiopia: 2011.
[6] Regassa N. (2011)Antenatal and postnatal care service utilization in southern Ethiopia: Institute of Environment, Gender and Development, Hawassa University, Hawassa, SNNPR, Ethiopia 2011
[7] Thaddeus S, Maine D. (1990) Too far to walk: Maternal mortality in context: Findings from a multidisciplinary literature review. Columbia University School of Public Health: Prevention of Maternal Mortality Program- Center for Population and Family Health, 1990.)
[8] Yared Mekonnen, Asnaketch Mekonnen. (2002) Utilization of Maternal Health Care Services in Ethiopia- Ethiopian Health and Nutrition Research Institute Addis Ababa, Ethiopia ORC Macro Calverton, Maryland, USA November 2002.
[9] David Doku Subas Neupane and Paul Narh Doku. (2012) Factors associated with reproductive health care utilization among Ghanaian women- BMC International Health and Human Rights, 2012
[10] Kabuya Aminah. (2006) Factors determining utilization of postpartum care services in Uganda, UDHS, 2006.
[11] Sulochana Dhakal, Glyn N Chapman, Padam P Simkhada, Edwin R van Teijlingen, Jane Stephens and Amalraj E Raja. (2007) Utilization of postnatal care among rural women in Nepal- BMC International Health and Human Rights, 2007.
[12] Habtamu A. (2002)Health status, health services and health related knowledge, attitude & practices (KAP) in Kafa Zone: Bonga, Ethiopia: SUPAK/DHV (2002).
[13] Ahmed Abdella. (2010) Maternal mortality trained in Ethiopia- Ethiopian Journal of Health Development, 2010.
[14] World Health Report. (2005) Make Every Mother and Child Count-Geneva (2005).
[15] Nankwanga annet. (2004) Factors influencing utilization of postnatal Services in mulago and mengo hospitals Kampala, Uganda 2004.
[16] Yigzaw Kebede. (2000) Contraceptive prevalence and factors associated with usage of contraceptives around Gondar Town -Ethiop. J. Health Dev, 2000.
[17] Indira Narayanan, Goldy Mazia. (2009) Newborn Health Maternal and Child Health Integrated Programe Global Maternal Health Conference Habitat Center, New Delhi, India (August 30 – September 1, 2009)
[18] Charlotte Warren, Pat Daly, Lalla Toure, Pyande Mongi. (2007) Opportunities for Africa’s Newborns (2007).
Author Information
  • Public Health, Debre Markos University College of medicine and health science, public health department, Debre Markos, Ethiopia

  • Dembecha Health Center, West Gojjam, Ethiopia

  • GAMBY College of Medical Sciences, Bahir Dar, Ethiopia

  • public health, nutrition, Hawasa University College of medicine and health science, public health department, Hawasa, Ethiopia

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    Mulatu Ayana Hordofa, Samrawit Shiferaw Almaw, Molla Gedefaw Berhanu, Habte Bolka Lemiso. (2015). Postnatal Care Service Utilization and Associated Factors Among Women in Dembecha District, Northwest Ethiopia. Science Journal of Public Health, 3(5), 686-692. https://doi.org/10.11648/j.sjph.20150305.24

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    Mulatu Ayana Hordofa; Samrawit Shiferaw Almaw; Molla Gedefaw Berhanu; Habte Bolka Lemiso. Postnatal Care Service Utilization and Associated Factors Among Women in Dembecha District, Northwest Ethiopia. Sci. J. Public Health 2015, 3(5), 686-692. doi: 10.11648/j.sjph.20150305.24

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    AMA Style

    Mulatu Ayana Hordofa, Samrawit Shiferaw Almaw, Molla Gedefaw Berhanu, Habte Bolka Lemiso. Postnatal Care Service Utilization and Associated Factors Among Women in Dembecha District, Northwest Ethiopia. Sci J Public Health. 2015;3(5):686-692. doi: 10.11648/j.sjph.20150305.24

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  • @article{10.11648/j.sjph.20150305.24,
      author = {Mulatu Ayana Hordofa and Samrawit Shiferaw Almaw and Molla Gedefaw Berhanu and Habte Bolka Lemiso},
      title = {Postnatal Care Service Utilization and Associated Factors Among Women in Dembecha District, Northwest Ethiopia},
      journal = {Science Journal of Public Health},
      volume = {3},
      number = {5},
      pages = {686-692},
      doi = {10.11648/j.sjph.20150305.24},
      url = {https://doi.org/10.11648/j.sjph.20150305.24},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.sjph.20150305.24},
      abstract = {Women play a principal role in the raring of children and management ranges of family affairs. Meanwhile, it is a tragedy to witness mothers losing their life from manageable maternity related causes. Postnatal care service is one of the strategies to avoid this loss. The main aim of this study was to assess the level of utilization of Post Natal Care and associated factors Dembecha District, Northwest Ethiopia. Community-based cross-sectional study design was used. Using women having children of less than two years of age living in Dembecha district were selected. Multistage sampling technique was employed involving a total of 788 samples and semi-structured questionnaire was used as data collection tool. Epidata version 3.1. Software was used for data entry and clearance and then SPSS version 16 was used for data analysis. Bivariable and multivariable logistic regression was fitted and possible association and statistical significance were measured using odds ratio at 95% confidence interval and p-value less than 0.05. The study revealed that the level of Post Natal Care service utilizations was 34.8%. The Predicted probabilities, using logistic regression, showed that women who had formally education {AOR=2.122(1.372, 3.281)}, antenatal care service utilization for the last child {AOR=4.141(2.451, 6.995)}, Distance from the health institutions, had shown significant association {AOR=3.972(2.627, 6.008)}. About 73.9% of respondents answered their reason for not to use PNC service was lack of awareness followed by transportation problem (15.9%). Women did not know whether they were required to go to health institution or not after they had given birth at home unless complications happen to the newborns and themselves. PNC service utilization was less than what was planned by the district. Therefore intervention targeted to women’s awareness and empowerment, improving infrastructure in rural areas, expanding health care facilities to the currently unreached rural areas are recommendations’ of the study.},
     year = {2015}
    }
    

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    T1  - Postnatal Care Service Utilization and Associated Factors Among Women in Dembecha District, Northwest Ethiopia
    AU  - Mulatu Ayana Hordofa
    AU  - Samrawit Shiferaw Almaw
    AU  - Molla Gedefaw Berhanu
    AU  - Habte Bolka Lemiso
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    DO  - 10.11648/j.sjph.20150305.24
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
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    EP  - 692
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20150305.24
    AB  - Women play a principal role in the raring of children and management ranges of family affairs. Meanwhile, it is a tragedy to witness mothers losing their life from manageable maternity related causes. Postnatal care service is one of the strategies to avoid this loss. The main aim of this study was to assess the level of utilization of Post Natal Care and associated factors Dembecha District, Northwest Ethiopia. Community-based cross-sectional study design was used. Using women having children of less than two years of age living in Dembecha district were selected. Multistage sampling technique was employed involving a total of 788 samples and semi-structured questionnaire was used as data collection tool. Epidata version 3.1. Software was used for data entry and clearance and then SPSS version 16 was used for data analysis. Bivariable and multivariable logistic regression was fitted and possible association and statistical significance were measured using odds ratio at 95% confidence interval and p-value less than 0.05. The study revealed that the level of Post Natal Care service utilizations was 34.8%. The Predicted probabilities, using logistic regression, showed that women who had formally education {AOR=2.122(1.372, 3.281)}, antenatal care service utilization for the last child {AOR=4.141(2.451, 6.995)}, Distance from the health institutions, had shown significant association {AOR=3.972(2.627, 6.008)}. About 73.9% of respondents answered their reason for not to use PNC service was lack of awareness followed by transportation problem (15.9%). Women did not know whether they were required to go to health institution or not after they had given birth at home unless complications happen to the newborns and themselves. PNC service utilization was less than what was planned by the district. Therefore intervention targeted to women’s awareness and empowerment, improving infrastructure in rural areas, expanding health care facilities to the currently unreached rural areas are recommendations’ of the study.
    VL  - 3
    IS  - 5
    ER  - 

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