Department of Reproductive Health, School of Public Health, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia.
School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
PLoS One. 2021 Feb 3;16(2):e0246243. doi: 10.1371/journal.pone.0246243. eCollection 2021.
Postnatal care services are a constellation of preventive care, practices, and assessments designed to identify and manage maternal and newborn complications during the first six weeks after birth. Recognizing the role of the appropriate PNC at this critical time, the World Health Organization recommended four visits as a complete PNC for all post-partum mothers and newborns to ensure their survival. Although there have been numerous studies on the factors affecting the general PNC service in Ethiopia, there is a shortage of evidence on the use of complete postnatal care services and its determinants. Therefore, the objective of this study was to assess the uptake of full postnatal care service and its determinants among women who recently gave birth in the Ezha district of southern Ethiopia.
A community-based cross-sectional study was conducted in Ezha district. A two-stage sampling technique was applied. A total of 568 mothers who stayed for at least 6 weeks after childbirth from selected Kebeles were included in the study using computer-generated random numbers. Data collected through pre-established, structured, and interviewer-administered questionnaires were entered into EpiData3.1 and exported to SPPS version 23 for analysis. The Principal Components Analysis (PCA) was carried out to assess the wealth status of participants. The Multivariable logistic regression model has been fitted to identify the determinants of complete post-natal care service uptake.
The overall uptake of complete postnatal care services in the study area was 23.9% [95% CI: (19.9, 27.5)]. The factors namely; maternal education of secondary and above [AOR: 4.31, 95%CI: 2.15, 8.05], having four and more antenatal visits [AOR: 4.03, 95%CI: 1.83, 8.85], Caesarean delivery [AOR: 3.75, 95%CI: 1.78, 7.92], having good knowledge on PNC [AOR: 4.31, 95%CI: 2.34, 9.04], and being a model household [AOR: 3.61, 95%CI: 1.97, 6.64] were recognized as determinants complete postnatal care uptake.
Complete post-natal care services uptake in the study area was low. Thus, a due emphasis should be given to behavioral change communication activities to improve maternal knowledge on PNC and enhancing adequate ANC uptake by health workers in the district. Besides, health extension workers in the district need to work on creating a model household through continuing education, support, and follow-up.
产后护理服务是一系列预防保健措施和评估，旨在识别和管理产妇和新生儿在产后六周内的并发症。认识到在这个关键时期适当的 PNC 的作用，世界卫生组织建议所有产后母亲和新生儿进行四次访视为完整的 PNC，以确保他们的生存。尽管在埃塞俄比亚已经有许多关于影响一般 PNC 服务的因素的研究，但缺乏关于完整产后护理服务的使用及其决定因素的证据。因此，本研究的目的是评估在埃塞俄比亚南部 Ezha 区最近分娩的妇女中完全接受产后护理服务的情况及其决定因素。
在 Ezha 区进行了一项基于社区的横断面研究。采用两阶段抽样技术。从选定的 Kebeles 中选择了至少在产后 6 周内停留的 568 名母亲参加了这项研究，使用计算机生成的随机数。通过预先建立的、结构化的和访谈者管理的问卷收集的数据被输入到 EpiData3.1 中，并导出到 SPPS 版本 23 进行分析。采用主成分分析（PCA）评估参与者的财富状况。采用多变量逻辑回归模型确定完全产后护理服务利用率的决定因素。
在研究区域，完全接受产后护理服务的总体比例为 23.9%[95%置信区间：（19.9，27.5）]。以下因素被认为是完全接受产后护理服务的决定因素：母亲接受过中学及以上教育[优势比：4.31，95%置信区间：2.15，8.05]、接受过 4 次及以上产前检查[优势比：4.03，95%置信区间：1.83，8.85]、剖宫产[优势比：3.75，95%置信区间：1.78，7.92]、对 PNC 有较好的知识[优势比：4.31，95%置信区间：2.34，9.04]、是模范家庭[优势比：3.61，95%置信区间：1.97，6.64]。
研究区域完全接受产后护理服务的比例较低。因此，应重视开展行为改变沟通活动，提高产妇对 PNC 的认识，并增强卫生工作者提供充分 ANC 的能力。此外，区卫生推广工作者需要通过继续教育、支持和后续行动，致力于创建模范家庭。
