Assessment of Prevalence of Postnatal Care Utilization And Associated Factors Among Women who Gave Birth and Attending Immunization Clinic in Selected Government Health Centers in Addis Ababa, Ethiopia, 2015
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Date
2015-06
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Addis Ababa University
Abstract
Background: Postnatal period is defined as the first six weeks after birth and is critical to the
health and survival of both a mother and newborn. Most maternal and infant deaths occur during
this time. Yet, this is the most neglected period for the provision of quality care. More than half a
million women die every year worldwide from complications in pregnancy and childbirth; most
of these deaths are happening during the postnatal period. Despite the fact that Post Natal Care
(PNC) service utilization would avert the death of mothers and their new born; the PNC service
utilization is generally believed to be low in Ethiopia. Therefore, this study designed to identify
the prevalence and associated factors of postnatal care service utilization.
Objective: The main objective of the study was the prevalence and associated factors of postnatal
care utilization inAddis Ababa 2015.
Methods: An Institution based cross-sectional study was conducted from April 20 to May 20,
2015 at ten randomly selected government health centers in Addis Ababa. A total of 422 Women
who delivered a baby 10 weeks before the survey and who come for child immunization up to
14th weeks of delivery were included in the study. Data was collected through face to face
interview using a pre–tested Amharic questionnaire. Data was entered cleaned and analyzed
using SPSS version 20. Frequency distributions, measures of central tendency and logistic
regression were calculated and interpreted accordingly.
Result:A total of 422 participants were included in the analysis which was a the response rate
98.3 %. The mean age of the participants was 26.7 %( +SD=4.4 years). The prevalence os this
finding was277(65.6%) having utilization ofpostnatal care service. PNC counseling and provision
of appointment, counseling on danger sign, past experience of PNC utilization, and less than 6
hours stay at health institution before discharge were showed statistical significant association for
the current PNC service Utilization [(AOR=32.6, 95% CI (14.7-72.3)], [ AOR (1.95, 95% CI
(1.05-3.64)], [AOR=2.8, 95% CI (1.36-5.8)], [AOR= 0.22, 95% CI (0.06-0.83)] respectively.
Conclusion and recommendations: The overall prevalence of PNC service utilization in this
study was relatively good as compared to the HSDP IV report for Addis Ababa in the
2006Ethiopian feasibility year. To enhance PNC service utilization all women should be
counseled about the danger signs of postnatal period and provided appointment. Further all
delivering mothers should be stayed at least for 24 hours following delivery.
Key words: postnatal care utilization, prevalence, Addis Abab
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Keywords
Postnatal care utilization, Prevalence