Couples’ Opinion and Women’s Utilization of Postnatal Care Service in Wolaita Zone, Southern Ethiopia: A Community Based Mixed Study
Science Journal of Public Health
Volume 5, Issue 4, July 2017, Pages: 288-293
Received: Apr. 6, 2017;
Accepted: Apr. 24, 2017;
Published: May 20, 2017
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Wolde Facha, School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia
Mihretu Alemayehu, School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia
Mengistu Meskele, School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia
Teshale Fikadu, School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia
Postnatal period is the most neglected period though it is a critical phase in the lives of mothers and newborn babies. About 50 to 71 percent of maternal deaths occur during this period, particularly in the first few hours. Therefore, this study aimed to assess couples’ opinion & women’s utilization of postnatal care service in Wolaita zone, Southern Ethiopia, January 2016. A community based cross sectional study was employed using both quantitative and qualitative methods of data collection. Study subjects were women aged between 15-49 years old who delivered within the past one year before data collection time in the selected districts of Wolaita zone. Multistage sampling technique was used to select study subjects for quantitative study and purposive sampling was used to select participants for qualitative study. A total of 790 sample size for quantitative data was allocated proportionally to the population size of randomly selected kebele and 24 in-depth interviews with key informants was conducted to supplement quantitative study. Bivariate and multivariate analysis was performed to assess independent predictors of postnatal care service utilization. In-depth interview was audio recorded, transcribed, translated and triangulated with quantitative findings. The prevalence of postnatal care service utilization in this study was 34.9%. This study showed that younger mothers, [AOR = 1.82, (95% CI = 1.23, 2.69)]; those mothers who followed antenatal care service in their last pregnancy, [AOR = 10.39, (95% CI = 4.99, 21.60)]; who delivered their last child in health facilities, [AOR = 2.66, (95% CI = 1.75, 4.03)]; who have good knowledge on postnatal care service utilization, [AOR = 7.25, (95% CI = 4.30, 12.21)]; and whose couples’ have good attitude towards postnatal care service utilization, [AOR = 1.76, (95% CI = 1.16, 2.69)] were more likely utilized postnatal care service than their counter parts. Postnatal care service utilization was low in the study area. Maternal age, maternal health service utilization (antenatal care service and institutional delivery), maternal knowledge and couples’ attitude were major predictors for postnatal care service utilization in the study area. Concerned body should focus on the above issue to improve maternal and child health.
Couples’ Opinion and Women’s Utilization of Postnatal Care Service in Wolaita Zone, Southern Ethiopia: A Community Based Mixed Study, Science Journal of Public Health.
Vol. 5, No. 4,
2017, pp. 288-293.
World health organizations. Technical Consultation on Postpartum and Postnatal Care: Department of making pregnancy safer; Switzerland; WHO; 2008. Available at: http://whqlibdoc.who.int/hq/2010/ WHOMPS10.03eng
World health organizations. Recommendations on postnatal care of the mother and newborn: Switzerland; World Health Organization; October 2013.
World health organizations. World Health Statistics 2014. Geneva: Available at: http://www.who.int/gho/publications/world_health_statistics/2014/en/
World health organization. Make every mother and child count. Switzerland: World Health Organization; 2005. Available at: http://www.who.int/whr/2005/pdf.
Ministry of Health. Health and Health Related Indicators. Policy Plan Directorate Monitoring and Evaluation Case Team. Federal Democratic Republic of Ethiopia; Addis Ababa, Ethiopia; 2008/9:12.
Catalyst Consortium. Key Elements of Postpartum Care at the Community Level Based on WHO Guidelines. Available at: http://www.pathfinder.org/publications-tools/pdfs/
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. Available at http://www.unfpa.org/webdav/site/global/shared/documents/publications /2012/pdf
World Health Organization: WHO Technical Consultation on Postpartum and Postnatal Care. Geneva: WHO; 2010.
Agency for Health research and quality. WHO recommendation on postnatal care of the mother and newborn.Oct2013.Available at: https://www.guideline.gov/summaries/summary/47900/who-recommendations-on-postnatal-care-of-the-mother-and-newborn
World Health Organization: Postpartum Care of the Mother and Newborn: A Practical Guide. Fourth edition. Geneva: WHO; 1998. WHO/RHT/MSM/983.
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/snlpncbrie ffinal.pdf
Central Statistical Agency. Ethiopia Demographic and Health Survey: Addis Ababa: Central statistical agency; 2011.
WHO. World Health Statistics 2015. Available at: http://www.who.int/gho/publications/world _health_statistics/2015/en/
Warren C, Daly P, Toure L, and Mongi P. 2006. Postnatal CarePractical Data Policy and Programmatic Support for Newborn Care in Africa. Cape Town, South Africa.
Yinager G, Workineh, D. Factors Affecting Utilization of Postnatal Care Service in Amhara Region, Jabitena District, Ethiopia. Science Journal of Public Health. 2014; 2(3):169-176.
Regassa N.Antenatal and postnatal care service utilization in Southern Ethiopia: a population-based study. African Health Sciences.Sep 201; 11(3).
Fikirte T, Walelegn W, Fekadu M et.al.Knowledge, Perception and Utilization of Postnatal Care of Mothers in Gondar Zuria District, Ethiopia: A Cross-Sectional Study. Matern Child Health J (2014) 18:2341–2351.
Birhanu D, Nagasa D, Fikru T and Shimeles O. Institutional delivery and postnatal careservice utilizations in Abuna GindeberetDistrict, West Shewa, Oromiya Region, Central Ethiopia: BMC Pregnancy and Childbirth (2016) 16:149.
Uppadhaya SK, Bhansali S, Sivodia SK, Agrawal N, Garg K, Singh M. Utilization of Postnatal Care Services in Rural Area of Western Rajasthan, India. Ntl J Community Med 2016; 7(7):569-572.
Zeleke D, Nega A, Gudina E, Maternal health care use among married women in Hossaina, Ethiopia. BMC Health Services Research (2015) 15:365.
Almamy MK, Christine EC, Anna ML, Factors associated with compliance with the recommended frequency of postnatal care services in three rural districts of Tanzania. BMC Pregnancy and Childbirth. (2015) 15:341
Dillee PP, Baburao Nilgar, Manisha B, Determinants of postnatal maternity care service utilization in rural Belgaum of Karnataka, India: A community based cross-sectional study. International Journal of Medicine and Public Health; Jan-Mar 2014; 4 (1).
Shegaw M, Leslie S, Vincentas G, Determinants of maternal health service utilization in Ethiopia: analysis of the 2011 Ethiopian Demographic and Health Survey.BMC Pregnancy and Childbirth 2014, 14:161.
Diwakar M, Shivam G, Amnesty L, et al, Determinants of postnatal care use at health facilities in rural Tanzania: multilevel analysis of a household survey. BMC Pregnancy and Childbirth (2015) 15:282.
Yinager Gebeyehu Workineh, Desta Aregawi Hailu. Factors affecting utilization of postnatal care service in Amhara Region, Jabitena District, Ethiopia. Science Journal of Public Health; 2014; 2(3): 169-176. doi: 10.11648/j.sjph.20140203.15.
Miteku A, ZerfuMulaw E, Berihun A, Postnatal Care Service Utilization and Associated Factors among Women Who Gave Birth in the Last 12 Months prior to the Study in Debre Markos Town, Northwestern Ethiopia: A Community-Based Cross-Sectional Study. International Journal of Reproductive Medicine; 2016.
Tefera B, Ayanos T, Tamiru B, Postnatal Care Service Utilization and Associated Factors among Mothers in Lemo district, Ethiopia. J Women’s Health Care 2016, 5:3.