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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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 thehealth and survival of both a mother and newborn. Most maternal and infant deaths occur duringthis time. Yet, this is the most neglected period for the provision of quality care. More than half amillion women die every year worldwide from complications in pregnancy and childbirth; mostof 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 serviceutilization is generally believed to be low in Ethiopia. Therefore, this study designed to identifythe prevalence and associated factors of postnatal care service utilization.
Objective: The main objective of the study was the prevalence and associated factors of postnatalcare 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 Womenwho delivered a baby 10 weeks before the survey and who come for child immunization up to14th weeks of delivery were included in the study. Data was collected through face to faceinterview using a pre–tested Amharic questionnaire. Data was entered cleaned and analyzedusing SPSS version 20. Frequency distributions, measures of central tendency and logisticregression were calculated and interpreted accordingly.
Result:A total of 422 participants were included in the analysis which was a the response rate98.3 %. The mean age of the participants was 26.7 %( +SD=4.4 years). The prevalence os thisfinding was277(65.6%) having utilization ofpostnatal care service. PNC counseling and provisionof appointment, counseling on danger sign, past experience of PNC utilization, and less than 6hours 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 thisstudy was relatively good as compared to the HSDP IV report for Addis Ababa in the2006Ethiopian feasibility year. To enhance PNC service utilization all women should becounseled about the danger signs of postnatal period and provided appointment. Further alldelivering mothers should be stayed at least for 24 hours following delivery.
Key words: postnatal care utilization, prevalence, Addis Abab
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Postnatal care utilization Prevalence