Yoseph Shambel, Dache Azmach, Dona Aregahegn
Hawassa Zuria District Health Office, Hawassa Zuria, Sidama Regional State, Ethiopia.
Department of Social and Population Health, Yirgalem Hospital Medical College, Yirgalem, Sidama, Ethiopia.
Obstet Gynecol Int. 2021 May 13;2021:5596110. doi: 10.1155/2021/5596110. eCollection 2021.
A postnatal care given after childbirth is a critical care to promote health and to prevent complications of the mother and newborn. However, utilization of this service is low in Ethiopia, and little is known about its coverage and determinants. Thus, this study aimed to assess the prevalence of early postnatal-care service utilization and its associated factors among mothers in Hawassa Zuria district, Sidama Regional State, Ethiopia.
A cross-sectional study was conducted from 20 February to 20 March 2020 in Hawassa Zuria District among randomly selected 320 mothers. Data were collected by using interviewer-administered structured questionnaires. Data entered were into Epi data version 3.1 and exported to SPSS version 26 for analysis. Descriptive, bivariable, and multivariable logistic regression analysis with odds ratio and 95% confidence interval were conducted. A value <0.05 was considered a statistically significant association. Finally, the results were presented by texts, tables, and figures.
The prevalence of early postnatal-care service utilization was 29.7% (95% CI = 24.7, 35.5). Age below 25 years [AOR = 3.2 (95% CI = 1.37, 7.48)], having planned and supported pregnancy for last birth [AOR = 2.2 (95% CI = 1.13, 4.38)], having information about obstetric danger signs [AOR = 2.1 (95% CI = 1.25, 3.78)], and having positive attitude on use postnatal services [AOR = 3.5 (95% CI = 1.94, 6.32)] were factors associated with early postnatal-care utilization.
The finding revealed that early postnatal-care utilization in the study area was low. Strengthening family planning services, giving information on obstetrics danger signs, and creating awareness about postnatal care will improve uptake of the service in a timely manner.
产后给予的产后护理是促进健康以及预防母亲和新生儿并发症的关键护理。然而，埃塞俄比亚对这项服务的利用率较低，且对其覆盖范围和决定因素知之甚少。因此，本研究旨在评估埃塞俄比亚锡达马州胡阿萨祖里亚区母亲中产后早期护理服务的利用率及其相关因素。
2020年2月20日至3月20日在胡阿萨祖里亚区对随机抽取的320名母亲进行了一项横断面研究。通过使用由访谈员管理的结构化问卷收集数据。输入的数据录入Epi数据3.1版本，并导出到SPSS 26版本进行分析。进行了描述性、双变量和多变量逻辑回归分析，并给出比值比和95%置信区间。P值<0.05被认为具有统计学显著关联。最后，通过文本、表格和图表展示结果。
产后早期护理服务的利用率为29.7%（95%置信区间=24.7，35.5）。25岁以下年龄[AOR=3.2（95%置信区间=1.37，7.48）]、上次生育时有计划且得到支持的妊娠[AOR=2.2（95%置信区间=1.13，4.38）]、了解产科危险信号[AOR=2.1（95%置信区间=1.25，3.78）]以及对使用产后服务持积极态度[AOR=3.5（95%置信区间=1.94，6.32）]是与产后早期护理利用相关的因素。
研究结果显示，研究地区产后早期护理的利用率较低。加强计划生育服务、提供产科危险信号信息以及提高对产后护理的认识将及时改善该服务的使用率。
