Factors Affecting Utilization of Postnatal Care Service in Amhara Region, Jabitena District, Ethiopia
Science Journal of Public Health
Volume 2, Issue 3, May 2014, Pages: 169-176
Received: Mar. 29, 2014;
Accepted: Apr. 9, 2014;
Published: Apr. 20, 2014
Views 6250 Downloads 1039
Yinager Gebeyehu Workineh, Department of Nursing, College of Medicine & Health science, Arba Minch University, Arba Minch, Ethiopia
Desta Aregawi Hailu, Department of Nursing, College of Medicine & Health science, Arba Minch University, Arba Minch, Ethiopia
Background: Each year, 287,000 women die from complications related to pregnancy and childbirth, and about 99% of these deaths occur in developing countries. The first hours, days and weeks after childbirth are a dangerous time for both the mother and newborn infant. Post natal care prevents the great majority of maternal and child morbidity and mortality. Despite its importance, this period is generally the most neglected in developing countries. This study therefore aims to identify factors affecting PNC service utilization among child bearing age women who gave birth in the past two years in Jabitena district, Amhara region, Ethiopia. Method: Community based cross-sectional study was conducted from March to June 2013. Multistage sampling technique was employed to select the study participants. A pre-tested questionnaire was used .Bivariate and multivariate data analysis was performed using SPSS version 17.0 software. Result: In this study 20.2% mothers utilized postnatal care service. Educational status of the mother, final decision maker on health care service utilization, number of pregnancy, place of delivery and being aware of at least one postpartum obstetric danger sign were found to be significantly associated with post natal care service utilization. Conclusion: proportion of postnatal care service was very small. Educational status, women’s autonomy, number of pregnancy, place of delivery and knowledge of postpartum obstetric danger sign were the factors making a difference in utilizing post natal care service. Thus, strengthening the provision of information, education and communication (IEC) was recommended
Yinager Gebeyehu Workineh,
Desta Aregawi Hailu,
Factors Affecting Utilization of Postnatal Care Service in Amhara Region, Jabitena District, Ethiopia, Science Journal of Public Health.
Vol. 2, No. 3,
2014, pp. 169-176.
Maternal mortality estimation interagency Group (MMEIG). Trends in maternal mortality 1990 to 2010: WHO, UNICEF, UNFPA and World Bank estimates: Switzerland; World Health Organization; 2010.Availableat: http:// www. unfpa. org/webdav/site/global/shared/documents/publications/2012/ pdf.
Save the children. Postnatal Care: A Critical Opportunity to Save Mothers and Newborns. Washington, DC; population reference bureau:2007.Available at: http://www.prb.org/ pdf07/snl_pncbrieffinal.pdf-Postnatal Care:
World health organizations. Technical Consultation on Postpartum and Postnatal Care: Department of making pregnancy safer; Switzerland; World Health Organization; 2008:Available at: http://whqlibdoc.who.int/hq/2010/ WHO _MPS_10.03_eng.pdf
State of Victoria. Postnatal Care Program Guidelines for Victorian Health Services: Victoria: State of victory department of health; 2012.Available at: http://docs.health. vic.gov.au/docs/doc/715A53A28AA4E8CACA257ACC006 D257E/$FILE/121022%20Postnatal%20care%20guidelines_web.pdf
World health organization. Make every mother and child count. Switzerland: World Health Organization; 2005. Available at: http://www.who.int/ whr/ 2005/pdf.
Federal Democratic Republic of Ethiopia, MOH. Health Sector Development Programme IV2010/11 – 2014/15. 2010.
Central Statistical Agency. Ethiopia Demographic and Health Survey: Addis Ababa: Central statistical agency; 2011.
Catalyst Consortium. Key Elements of Postpartum Care at the Community Level Based on WHO Guidelines. Available at:http://www.pathfinder.org/publications-tools/pdfs/ CATALYST-Key-Elements-of-Postpartum-Care-at-the-Community-Level-Based-on-WHO-Guidelines.pdf
United Nations Children’s Fund (UNICEF). Maternal and Newborn Health where do we stand: New York ;Unicef; 2009.Available at: http://www.unicef.org/sowc 09/ docs/ SOWC09-FullReport-EN.pdf
Jabitena district Health office: Report of the district Health department; 2011
Federal Democratic Republic of Ethiopia, MOH. Health and Health related indicators: Policy planning directorate. Ethiopia: FMOH; 2011.
Koblinsky M. Reducing maternal mortality and increasing use of skilled birth attendance .Ethiopian Journal of Reproductive Health 2012; 4(1), 9-10:
Mekonnen, Yared, and Asnaketch M. Utilization of Maternal Health Care Services in Ethiopia. Calverton, Maryland, USA: ORC Macro, 2002.
Araya M., Mark S., & Yohannes K. The role of health extension workers in improving utilization of maternal health services. BMC Health Services Research 2012; 12(35), 6-7.
Worku et al.: Factors affecting utilization of skilled maternal care in Northwest Ethiopia: a multilevel analysis. BMC International Health and Human Rights 201313:20
Titaley CR., Dibley MJ., & Roberts CL. Factors associated with non-utilization of postnatal care services in Indonesia. J Epidemiol CommunityHealth2009;63:827–831.doi:10.1136 / jech. 2008.081604
Annet N. Factors influencing utilization of postnatal services. University of the Western Cape; 2004. Available at: http:etd. uwc.ac.za/usrfiles/modules/ etd/.../ etd_ init_ 6986 _1174047746.pdf.
Digambar A., & Sahoo H. Factors influencing utilization of maternal health care services in uttarakhand ,India: Etho Med 2012; 5(3), 209-216.
Jat R., Nawi Ng., and Sebastian S. Factors affecting the use of maternal health services. Madhya Pradesh state in India. International Journal for Equity in Health 2012; 10(59), 7-9.
Demographic and health survey comparative reports of 26countries. Level & trends in the use of maternal health services in developing countries. USAID ICF Macro; 2011
Dhakal et al.: Utilization of postnatal care among rural women. BMC Pregnancy and Childbirth 2007; 7(19), 3-6.
Ntambue M., Malonga K., Dramaix W., and Donnen P. Determinants of maternal health services utilization in Democratic Republic of Congo. BMC Pregnancy and Childbirth 2012; 12(66), 6-7.
Sakala B., Kazembe A. Factors influencing the utilization of postnatal care at one week and six weeks among mothers at Zomba Central Hospital in Malawi. Evidence Based Midwifery 2011: 9(4): 113-136.
Sulochana D., Glyn N., Padam P., Edwin R.,Teijlingen, Jane S., and Amalraj R. .Utilization of postnatal care among rural women in Nepal. BMC Pregnancy and Childbirth2007, 7:19 doi:10.1186/1471-2393-7-19