Department of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Health Informatics, College of Health Sciences, Hawassa, Ethiopia.
Sci Rep. 2024 Nov 5;14(1):26809. doi: 10.1038/s41598-024-64244-9.
Postnatal care immediately after birth is a crucial component to save lives of mothers and the newborns. A paucity of evidence indicated that women's unwillingness to receive care after birth is a remained challenge in resource-limited settings in general and in Ethiopia in particular. This study aimed to assess the utilization of postnatal care within 48 h after birth and its determinants in northwest Ethiopia. A community-based cross-sectional study was conducted from October to November 2020. A total of 811 women who had birth within the last one year were involved in the study. Both random and fixed effects were reported using an adjusted odds ratio with a 95% confidence interval and p value of 0.05. The study revealed that 13.3% (95% CI 10.9-15.7%) of women attended postnatal care visits within 48 h after birth. Attending secondary and above education (AOR = 2.39; 95% CI 1.18, 4.84); health extension workers home visiting during pregnancy (AOR = 1.74; 95% CI 1.08, 2.82); birth order (AOR = 2.07; 95% CI 1.03, 4.14); place of delivery (AOR = 7.49; 95% CI 3.73, 15.06); and short distance to health facility (AOR = 4.19; 95% CI 1.64, 10.70) were significantly associated with postnatal care utilization within 48 h after birth. Postnatal care utilization within 48 h is low in rural northwest Ethiopia compared to findings from most resource-limited settings. The existing health system should consider multilevel intervention strategies focusing on maternal health education, engaging community health workers in health promotion, and ensuring physical accessibility of healthcare facilities to be more effective in improving postnatal care utilization within 48 h.
产后立即护理是拯救母婴生命的关键环节。有证据表明，在资源有限的环境中，尤其是在埃塞俄比亚，产妇不愿意接受产后护理仍然是一个挑战。本研究旨在评估埃塞俄比亚西北部产后 48 小时内接受护理的情况及其决定因素。这是一项 2020 年 10 月至 11 月进行的基于社区的横断面研究。共有 811 名在过去一年中分娩的妇女参与了这项研究。使用调整后的优势比（95%置信区间和 p 值为 0.05）报告了随机和固定效应。研究表明，13.3%（95%CI 10.9-15.7%）的妇女在产后 48 小时内接受了产后护理。接受中等和高等教育（AOR=2.39；95%CI 1.18,4.84）；怀孕期间家访的健康推广工作者（AOR=1.74；95%CI 1.08,2.82）；分娩顺序（AOR=2.07；95%CI 1.03,4.14）；分娩地点（AOR=7.49；95%CI 3.73,15.06）；距离保健设施较近（AOR=4.19；95%CI 1.64,10.70）与产后 48 小时内接受护理显著相关。与大多数资源有限的地区相比，埃塞俄比亚农村地区产后 48 小时内接受护理的比例较低。现有的卫生系统应考虑采取多层次的干预策略，重点开展孕产妇健康教育，让社区卫生工作者参与促进健康工作，并确保医疗设施的实际可达性，以更有效地提高产后 48 小时内接受护理的比例。
