Limenih Miteku Andualem, Endale Zerfu Mulaw, Dachew Berihun Assefa
College of Medicine and Health Science, Department of Midwifery, University of Gondar, P.O. Box 196, Gondar, Ethiopia.
College of Medicine and Health Science, Institute of Public Health, Department of Epidemiology and Biostatistics, University of Gondar, P.O. Box 196, Gondar, Ethiopia.
Int J Reprod Med. 2016;2016:7095352. doi: 10.1155/2016/7095352. Epub 2016 Jun 28.
Improving maternal and newborn health through proper postnatal care services under the care of skilled health personnel is the key strategy to reduce maternal and neonatal mortality. However, there were limited evidences on utilization of postnatal care services in Ethiopia. A community based cross-sectional study was conducted in Debremarkos town, Northwest Ethiopia. Cluster sampling technique was used to select 588 study participants. Bivariate and multivariable logistic regression model was fitted to identify factors associated with postnatal care utilization. Odds ratio with 95% confidence interval was computed to determine the level of significance. Postnatal care service utilization was found to be 33.5%. Awareness about maternal complication (AOR: 2.72, 95% CI (1.71, 4.34)), place of delivery of last child (AOR: 1.68, 95% CI: (1.01, 2.79)), outcome of birth (AOR: 2.71, 95% CI (1.19, 6.19)), delivery by cesarean section (AOR: 4.82, 95% CI (1.86, 12.54)), and delivery complication that occurred during birth (AOR: 2.58, 95% CI (1.56, 4.28)) were factors associated with postnatal care service utilization. Postnatal care service utilization was found to be low. Increasing awareness about postnatal care, preventing maternal and neonatal complication, and scheduling mothers based on the national postnatal care follow-up protocol would increase postnatal care service utilization.
在熟练卫生人员的照料下,通过适当的产后护理服务改善孕产妇和新生儿健康是降低孕产妇和新生儿死亡率的关键策略。然而,关于埃塞俄比亚产后护理服务利用情况的证据有限。在埃塞俄比亚西北部的德布雷马科斯镇开展了一项基于社区的横断面研究。采用整群抽样技术选取了588名研究参与者。采用双变量和多变量逻辑回归模型来确定与产后护理利用相关的因素。计算95%置信区间的比值比以确定显著性水平。发现产后护理服务利用率为33.5%。对孕产妇并发症的认知(调整后比值比:2.72,95%置信区间(1.71,4.34))、最后一个孩子的分娩地点(调整后比值比:1.68,95%置信区间:(1.01,2.79))、分娩结局(调整后比值比:2.71,95%置信区间(1.19,6.19))、剖宫产分娩(调整后比值比:4.82,95%置信区间(1.86,12.54))以及分娩期间发生的分娩并发症(调整后比值比:2.58,95%置信区间(1.56,4.28))是与产后护理服务利用相关的因素。发现产后护理服务利用率较低。提高对产后护理的认知、预防孕产妇和新生儿并发症以及根据国家产后护理随访方案安排母亲的随访将提高产后护理服务利用率。