Birhane Binyam Minuye, Bayih Wubet Alebachew, Mekonen Demewoz Kefale, Chanie Ermias Sisay, Demis Solomon, Shimelis Habtamu, Asferie Worku Necho, Abebe Eskeziaw, Addisu Dagne, Nibret Gedefaye, Endalamaw Aklilu, Munye Tigabu, Jember Desalegn Abebaw, Nebiyu Samuel, Tiruneh Yenework Mulu, Belay Demeke Mesfin
College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
College of Health Sciences, Woldia University, Woldia, Ethiopia.
Front Pediatr. 2022 Jun 14;10:895339. doi: 10.3389/fped.2022.895339. eCollection 2022.
High neonatal mortality rates continue to be a major public health issue in Ethiopia. Despite different maternal and neonatal care interventions, neonatal mortality in Ethiopia is at a steady state. This could be due to the low utilization of neonatal checkups. Thus, nationally assessing the level and predictors of postnatal checkups could provide important information for further improving neonatal healthcare services.
A secondary data analysis of the 2016 Ethiopia Demographic and Health Survey (EDHS) was performed on 7,586 women who had live births in the 2 years before the survey. All variables with a -value of ≤0.25 in the bivariable analysis were entered into the final model for multivariable analysis, and the level of statistical significance was declared at a -value of <0.05.
According to the national survey, only 8.3% [95% CI: 8.19, 8.41] of neonates received postnatal checkups. About two-thirds of women, 62.8% had antenatal care visits, 67.9%, gave birth at home, and 95.7% were unaware of neonatal danger signs. Distance from health care institutions [AOR = 1.42; 95% CI: 1.06, 1.89], giving birth in a healthcare facility [AOR = 1.55; 95% CI: 1.12, 2.15], antenatal care visit [AOR = 3.0; 95% CI: 1.99, 4.53], and neonatal danger signs awareness [AOR = 3.06; 95% CI: 2.09, 4.5] were all associated with postnatal care visits.
The number of neonates who had a postnatal checkup was low. Increasing antenatal care visit utilization, improving institutional delivery, raising awareness about neonatal danger signs, increasing access to health care facilities, and implementing home-based neonatal care visits by healthcare providers could all help to improve postnatal checkups.
新生儿高死亡率仍是埃塞俄比亚的一个主要公共卫生问题。尽管采取了不同的孕产妇和新生儿护理干预措施，但埃塞俄比亚的新生儿死亡率仍处于稳定状态。这可能是由于新生儿检查的利用率较低。因此，在全国范围内评估产后检查的水平和预测因素可为进一步改善新生儿医疗服务提供重要信息。
对2016年埃塞俄比亚人口与健康调查（EDHS）进行二次数据分析。研究对象为在调查前2年内有活产的7586名妇女。双变量分析中P值≤0.25的所有变量都纳入最终模型进行多变量分析，统计学显著性水平设定为P值<0.05。
根据全国调查，只有8.3%[95%置信区间：8.19，8.41]的新生儿接受了产后检查。约三分之二的妇女（62.8%）进行了产前检查，67.9%在家分娩，95.7%不知道新生儿危险信号。与医疗机构的距离[AOR = 1.42；95%置信区间：1.06，1.89]、在医疗机构分娩[AOR = 1.55；95%置信区间：1.12，2.15]、产前检查[AOR = 3.0；95%置信区间：1.99，4.53]以及对新生儿危险信号的知晓情况[AOR = 3.06；95%置信区间：2.09，4.5]均与产后检查有关。
接受产后检查 的新生儿数量较少。提高产前检查利用率、改善机构分娩、提高对新生儿危险信号的认识、增加获得医疗设施的机会以及由医疗服务提供者开展家庭新生儿护理访视，都有助于改善产后检查。
