Chaka Eshetu E, Abdurahman Ahmed A, Nedjat S, Majdzadeh R
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences International Campus (TUMS-IC), Tehran, Iran.
Department of Public Health, College of Medicine and Health Sciences, Ambo University, Ambo Oromia, Ethiopia.
Ethiop J Health Sci. 2019 Jan;29(1):935-944. doi: 10.4314/ejhs.v29i1.16.
Postnatal care use is vital in saving mother and newborn lives which is a continuum of care for maternal, neonatal and child health. This review aimed to determine the utilization and determinants of postnatal care use in Ethiopia.
PubMed, Scopus, Web of Science, and Embase databases were searched on June 25, 2017. The study screening, data extraction and quality assessment were done independently by two reviewers. Effect sizes were pooled using a random-effects model.
Nine articles were included in the review. The pooled estimate for utilization of the service was 32% (95% CI: 21%, 43%). The pooled results of determinants of postnatal care use was statistically significant among those mothers who had ability to make decisions (1.89; 1.25, 2.54), had a history of antenatal care utilization (2.55; 1.42, 3.68), received more than two antenatal care visits (1.84; 1.28, 2.40), and received the service from skilled service provider (3.16; 1.62, 4.70). It was also found that mothers who gave birth in health faciliteis (2.13; 1.14, 3.12), had middle monthly income, richer, were from urban areas, and had knowledge of obstetric danger signs were significantly associated with increased odds of postnatal care use.
Utilization of the services is low in Ethiopia. Antenatal care utilization, skilled service provider, being from urban area and delivery in health facility had a significant effect on postnatal care utilization. More rigorous studies are needed to identify determinant with the causal association to postnatal care utilization. The review was registered on PROSPERO CRD42017060266.
产后护理对于挽救母亲和新生儿的生命至关重要，它是孕产妇、新生儿和儿童健康连续护理的一部分。本综述旨在确定埃塞俄比亚产后护理的利用情况及其决定因素。
于2017年6月25日检索了PubMed、Scopus、科学网和Embase数据库。由两名评审员独立进行研究筛选、数据提取和质量评估。使用随机效应模型汇总效应量。
该综述纳入了9篇文章。该服务利用情况的汇总估计为32%（95%置信区间：21%，43%）。产后护理利用决定因素的汇总结果在有决策能力的母亲（1.89；1.25，2.54）、有产前护理利用史的母亲（2.55；1.42，3.68）、接受过两次以上产前检查的母亲（1.84；1.28，2.40）以及从熟练服务提供者处接受服务的母亲（3.16；1.62，4.70）中具有统计学意义。还发现，在医疗机构分娩的母亲（2.13；1.14，3.12）、月收入中等、较富裕、来自城市地区且了解产科危险信号的母亲与产后护理利用几率增加显著相关。
埃塞俄比亚的服务利用率较低。产前护理利用情况、熟练服务提供者、来自城市地区以及在医疗机构分娩对产后护理利用有显著影响。需要更严格的研究来确定与产后护理利用存在因果关联的决定因素。该综述已在PROSPERO（注册号：CRD42017060266）上注册。
