Department of Community Medicine, ESIC Medical College & PGIMSR, Chennai, Tamil Nadu, India.
Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Int J Health Plann Manage. 2021 Jul;36(4):1276-1286. doi: 10.1002/hpm.3179. Epub 2021 Apr 17.
Despite efforts taken by the Government of India, still mothers and new-borns are excluded from the postnatal care services, especially during the critical first 24 h after delivery. Hence, we have done this study to find the determinants of postnatal care for mothers and new-borns in India. We have analysed the NFHS-4 data gathered from Demographic Health Survey programme. Stratification and clustering in the sample design was accounted using svyset command. Point estimates were reported as proportions with 95% Confidence Interval (CI). In total, 190,797 women who had at least one live birth were included. About 25.2% and 27.1% of the new-born received post-natal care within 24 and 48 h of delivery. The proportion of women who received post-natal care within 24 and 48 h after delivery was 63.4% and 65.2% respectively. Higher socioeconomic status, women living in Southern region, utilization of proper antenatal and intranatal care, and Caesarian mode of delivery had significantly higher postnatal care coverage among mothers and new-borns. This finding informs the policy makers regarding the status of postnatal care coverage, that can be incorporated to identify target populations for further strengthening of service delivery.
尽管印度政府已经做出了努力,但仍有母亲和新生儿无法获得产后护理服务,尤其是在分娩后关键的 24 小时内。因此,我们进行了这项研究,以了解印度母亲和新生儿获得产后护理的决定因素。我们分析了来自人口健康调查计划的 NFHS-4 数据。在样本设计中使用 svyset 命令对分层和聚类进行了处理。点估计以比例和 95%置信区间(CI)报告。总共纳入了 190797 名至少有一次活产的妇女。大约 25.2%和 27.1%的新生儿在分娩后 24 小时和 48 小时内接受了产后护理。分娩后 24 小时和 48 小时内接受产后护理的妇女比例分别为 63.4%和 65.2%。较高的社会经济地位、生活在南部地区的妇女、适当的产前和产时护理的利用以及剖腹产分娩方式,显著提高了母亲和新生儿的产后护理覆盖率。这一发现为政策制定者提供了有关产后护理覆盖状况的信息,这可以用来确定目标人群,以进一步加强服务提供。