Dibaba Degefa Bekem, Feyisa Gizu Tola, Dinagde Dagne Deresa, Kitil Gemeda Wakgari, Walle Agmasie Damtew
Department of Midwifery, College of Health Science, Mattu University, Mattu, Ethiopia.
Department of Health Informatics, College of Health Science, Mattu University, Mattu, Ethiopia.
Front Glob Womens Health. 2023 Oct 25;4:1272943. doi: 10.3389/fgwh.2023.1272943. eCollection 2023.
The most effective maternal health intervention for enhancing mother and baby survival is postnatal care, yet it is also the most neglected service in Ethiopia. Less is known about postnatal care despite earlier studies concentrating on pregnancy and delivery service utilization. Postnatal care is the subject of few national and local area studies. Therefore this research aims to evaluate postnatal care utilization and barriers and associated characteristics among women in Ilubabor Zone and Buno Bedele Zone.
A mixed-methods study involving women who visited immunization clinics was conducted in Southwest Ethiopia. For the quantitative part, a cross-sectional survey was conducted between June 12 and July 12, 2022. The data collected through interviews was analyzed using SPSS version 26. An adjusted odds ratio (AOR) with a 95% confidence interval (CI) and -value was constructed to evaluate the associations between postnatal care service utilization and explanatory variables. The usage of postnatal care services was determined to be significantly correlated with explanatory variables in multivariable logistic regression with a -value less than 0.05. This qualitative study used two focused group discussions and two in-depth interviews to gather data from purposely selected mothers, and thematic analysis was used to analyze the data.
A total of 422 participants with a 100% response rate were included in the analysis. 234 (55.5%) of these underwent postnatal checks. In the quantitative section, postnatal care counseling and appointment setting, counseling on danger signs, and prior postnatal care utilization all demonstrated a statistically significant association with the use of postnatal care services (AOR = 3.6, 95% CI (1.47-7.23)), [AOR = 2, 95% CI (1.05-3.64)], and [AOR = 3, 95% CI (1.36-58), respectively). At the qualitative level, it was determined that the themes of knowledge and access were obstacles to the use of postpartum care services. Generally this study revealed that the Ilubabor Zone and Buno Bedele Zone have a poor total PNC service utilization rate. Furthermore, ignorance, conventional wisdom, religious activity, distance from facilities, environmental exposure, and waiting time were identified as barriers to postnatal care service utilization. To optimize this service, all parties involved should address these factors.
提高母婴存活率最有效的孕产妇保健干预措施是产后护理，但它也是埃塞俄比亚最被忽视的服务。尽管早期研究集中在妊娠和分娩服务的利用上，但关于产后护理的了解却较少。产后护理是少数国家和地区研究的主题。因此，本研究旨在评估伊卢巴博尔区和布诺贝代勒区妇女的产后护理利用情况、障碍及相关特征。
在埃塞俄比亚西南部开展了一项涉及到前往免疫诊所就诊妇女的混合方法研究。对于定量部分，于2022年6月12日至7月12日进行了横断面调查。使用SPSS 26版对通过访谈收集的数据进行分析。构建了具有95%置信区间（CI）和P值的调整优势比（AOR），以评估产后护理服务利用与解释变量之间的关联。在多变量逻辑回归中，当P值小于0.05时，确定产后护理服务的使用与解释变量显著相关。本定性研究使用了两次焦点小组讨论和两次深入访谈，从特意挑选的母亲那里收集数据，并采用主题分析来分析数据。
共有422名回复率为100%的参与者纳入分析。其中234人（55.5%）接受了产后检查。在定量部分，产后护理咨询与预约安排、危险信号咨询以及之前的产后护理利用情况均显示与产后护理服务的使用存在统计学上的显著关联（AOR分别为3.6，95% CI（1.47 - 7.23）），[AOR为2，95% CI（1.05 - 3.64）]，以及[AOR为3，95% CI（1.36 - 5.8）]。在定性层面，确定知识和获取途径的主题是产后护理服务使用的障碍。总体而言，本研究表明伊卢巴博尔区和布诺贝代勒区的产后护理服务总利用率较低。此外，无知、传统观念、宗教活动、距离医疗机构的远近、环境暴露以及等待时间被确定为产后护理服务利用的障碍。为了优化这项服务，所有相关方都应解决这些因素。
