Assessment of Comprehensive Postnatal Care Service Utilization and Associated Factors during Discharge at Three Teaching Hospitals, Addis Ababa, Ethiopia:A Cross Sectional Study,2021.
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Date
2021-10
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Addis Abeba University
Abstract
Background – Comprehensive postnatal care (CPNC) includes full assessment of physical,
social and psychological well-being determining the health and survival of the mother and her
newborn. Ethiopia is one of the low income countries with high maternal and neonatal mortality
and morbidity and low utilization of postnatal care (PNC) services. The inconsistent transition
from inpatient to outpatient may end up in missed opportunities to counsel on various healthy
behaviors and behaviors with long term health risks and manage postpartum problems early to
prevent presenting late with severe complications and even death of the mother and her
newborn.
Objectives - Assessing CPNC service utilization and associated factors among postpartum
women during discharge at 3 teaching hospitals to identify gaps and recommend areas for
actions to be undertaken to improve quality of care.
Methods - An institution based cross-sectional study was conducted in three teaching hospitals
in Addis Ababa, Ethiopia. Medical records and pretested structured questionnaire for
interviewing postpartum mothers were used to collect data and convenience sampling method
was used to select among postpartum mothers at three teaching hospitals. The collected data
was entered and analyzed by Statistical package for social sciences (SPSS) version 25.
Results – The study participants were 398. The overall comprehensive postnatal care utilization
of all components was 0. Factors that affect comprehensive postnatal care utilization were
educational level, ANC, time of information about comprehensive post-natal care utilization,
mode of delivery and length of hospital stay. Those who delivered via CD had twice the
likelihood of getting good counseling services.
Conclusion and recommendations – CPNC utilization according to this study is very low. It is
recommended that all postpartum women at any educational level should be informed about
postnatal care and those informed during pregnancy are more likely to get full package of the
postnatal care and therefore encouraging further effort at the antenatal care services. Additional
effort is needed on counseling messages and measures have to be taken at each step to develop
minimal standard of quality of care, quality indicators and pre-discharge checklist to avoid too
early discharges prior to completion of the care.
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Keywords
Comprehensive Postnatal care, Teaching Hospitals