Health Services Academy, Islamabad, Pakistan.
Ministry of Planning Development and Special Initiatives, Islamabad, Pakistan.
Int J Soc Determinants Health Health Serv. 2023 Jul;53(3):294-302. doi: 10.1177/27551938231170834. Epub 2023 May 2.
This study aimed to assess the coverage of essential postnatal maternal care services among women residing in the slums of Islamabad. A community-based, cross-sectional study was conducted to assess the coverage of essential postnatal care (PNC) services. Using random sampling, 416 women living in the squatter settlements of Islamabad Capital Territory were selected as study participants. Data was analyzed by using SPSS version 22. Descriptive statistics were employed to display frequencies for categorical variables, whereas mean, median, and standard deviation were calculated for continuous variables. The analysis of data showed that 93.5 percent of the women utilized postnatal services at least once after delivery. Approximately 9 percent and 4 percent of women received all eight recommended services within 24 h of birth and beyond 24 h of birth, respectively. Effective PNC services were received by only 1 percent of the women. The study revealed that the utilization of effective PNC was very low. The majority of the women delivered in health institutions and received their first PNC checkups, but follow-up for the recommended checkups was very low. These results can help health professionals and policymakers in designing programs and developing efficient strategies that would improve PNC service utilization in Pakistan.
本研究旨在评估居住在伊斯兰堡贫民区的妇女对基本产后母婴保健服务的覆盖情况。本研究采用基于社区的横断面研究方法,评估基本产后护理(PNC)服务的覆盖情况。通过随机抽样,选择了居住在伊斯兰堡首都特区棚户区的 416 名妇女作为研究对象。使用 SPSS 版本 22 进行数据分析。使用描述性统计方法显示分类变量的频率,使用均值、中位数和标准差计算连续变量。数据分析结果显示,93.5%的妇女在分娩后至少接受过一次产后服务。大约 9%和 4%的妇女在出生后 24 小时内和出生后 24 小时后分别接受了所有八项推荐的服务。只有 1%的妇女接受了有效的 PNC 服务。研究表明,有效 PNC 的利用率非常低。大多数妇女在医疗机构分娩并接受第一次 PNC 检查,但对推荐的检查的后续跟进非常低。这些结果可以帮助卫生专业人员和政策制定者设计方案和制定有效的策略,以提高巴基斯坦的 PNC 服务利用率。