Mekelle University, School of Medicine and Health Sciences, Addis Adaba, Ethiopia.
St. Paul's Hospital Millennium Medical College, Addis Adaba, Ethiopia.
PLoS One. 2019 Aug 20;14(8):e0221161. doi: 10.1371/journal.pone.0221161. eCollection 2019.
Globally, 289,000 women die from complications related to pregnancy, childbirth, or the postnatal period every year. Two-thirds of all maternal deaths occur during the first six weeks following birth and more than two thirds of newborn deaths occur during the first week of life, These statistics underscore the importance of postnatal care, an often neglected service according to the World Health Organization (WHO). The purpose of this study was to assess the factors associated with postnatal service utilization in the Tigray region of Ethiopia.
The study was a community-based, cross-sectional study. A multi-stage sampling method was used to select study districts randomly from the entire region. A total of 1,690 participants were selected using systematic random sampling. Participants were 18-49 years old, had given birth within the last six months, and were residents of the district for at least six months. Using SPSS version 20 means, frequencies, and percentages were calculated for the sub-group of participants who did attend postnatal care. Barriers to non-attendance of postatal care were analyzed using descriptive statistics. Bivariate analysis was undertaken to assess the association between demographic, obstetric, and knowledge regarding PNC and attendance at antenatal care. Variables with a P value, <0.05 were included in the multivariate logistic regression analysis to identify the determinant factors of postnatal care utilization.
Of the women surveyed, 132 (8%) obtained postnatal care. Women who did not receive postnatal care reported lack of awareness of the services (n = 1110, 73.3%). Most mothers who received postnatal care reported that they were aware of the service prior to the birth of their child (n = 101, 76.5%). Women were more likely to receive postnatal services if they lived in an urban area (odds ratio 1.96, 95% confidence interval 1.07, 3.59), had greater than a secondary education (OR 3.60, 95% CI 1.32,9.83), delivered by cesarean section (OR 2.88 95% CI 1.32,6.29), had four or more antenatal visits (OR 4.84, 95% CI 1.57,14.9), or had a planned pregnancy (OR 6.47, 95% CI 2.04,20.5).
Postnatal care service utilization is very low in Tigray region. Interventions targeted at increasing women's awareness of the importance of postnatal services and improving accessibility, particularly in rural areas, is needed.
全球每年有 28.9 万名妇女死于与妊娠、分娩或产后期间有关的并发症。所有产妇死亡中有三分之二发生在分娩后六周内，超过三分之二的新生儿死亡发生在生命的第一周，这些统计数据突显了产后护理的重要性，根据世界卫生组织（WHO）的说法，这是一项经常被忽视的服务。本研究旨在评估在埃塞俄比亚提格雷地区与产后服务利用相关的因素。
该研究是一项基于社区的横断面研究。采用多阶段抽样方法从整个地区随机选择研究区。使用系统随机抽样方法总共选择了 1690 名参与者。参与者年龄在 18-49 岁之间，在过去六个月内分娩，并且在该地区居住至少六个月。使用 SPSS 版本 20 计算参加产后护理的参与者亚组的平均值、频率和百分比。使用描述性统计分析分析不参加产后护理的障碍。进行了双变量分析以评估与产妇、产科和关于 PNC 的知识与产前护理之间的关联。将 P 值<0.05 的变量纳入多变量逻辑回归分析，以确定产后护理利用的决定因素。
在所调查的妇女中，有 132 人（8%）接受了产后护理。未接受产后护理的妇女报告缺乏对服务的认识（n=1110，73.3%）。大多数接受产后护理的母亲表示，她们在孩子出生前就已经知道这项服务（n=101，76.5%）。如果女性居住在城市地区（优势比 1.96，95%置信区间 1.07，3.59）、接受过高中以上教育（OR 3.60，95%CI 1.32，9.83）、剖腹产（OR 2.88 95%CI 1.32，6.29）、接受了四次或更多次产前检查（OR 4.84，95%CI 1.57，14.9）或计划怀孕（OR 6.47，95%CI 2.04，20.5），她们更有可能获得产后服务。
提格雷地区的产后护理服务利用率非常低。需要针对提高妇女对产后服务重要性的认识并改善可及性，特别是在农村地区，开展干预措施。
