Factors associated with quality of Postnatal Care in Kenya: An analysis of the 2022 Kenya demographic and health survey

Abstract

Abstract Despite the relevance of the postnatal period (PNC) to the survival of the mother and the newborn, there is limited research exploring the quality of postnatal care received by the mothers during this period. Therefore, this study aimed to determine the prevalence and factors associated with the quality of PNC, using the 2022 Kenya Demographic and Health Survey (KDHS). Methods In this study, secondary data from the KDHS of 2022 were analyzed, comprising 11,863 women, aged 15 to 49 years. The quality of PNC was indicated as receiving all components of postnatal care in the first two days after childbirth. Multivariable logistic regression was conducted to determine the factors associated with the quality of PNC, using SPSS, version 20. Results Out of the 11,863 women, 39% (95% CI: 37.0-40.9) had received all components of postnatal care in the first two days after childbirth. Additionally, older women aged 35- 49 years (AOR 1.88, 95%CI: 1.07-3.29), those who made decisions to seek health care jointly (AOR 1.48, 95%CI: 1.18-1.85), those who owned a telephone (AOR 1.36, 95%CI: 1.05-1.76), women who received quality antenatal care (AOR 4.62, 95%CI: 3.69-5.76), older women aged 30-34 years at the time of their first childbirth (AOR 2.25, 95%CI: 1.11-4.55), those who gave birth through cesarean section birth (AOR 1.93, 95%CI: 1.49-2.49), gave birth at public health facilities (AOR 1.69, 95%CI: 1.01-2.82) and those who received quality intrapartum care (AOR 1.87, 95%CI: 1.43-2.43) were more likely to receive quality postnatal care. On the other hand, women from other provinces of Kenya i.e. Western (AOR 0.51, 95%CI: 0.33-0.80), and Rift Valley (AOR 0.57, 95%CI: 0.39-0.81), those who gave birth to female children (AOR 0.75, 95%CI: 0.61-0.91) and those who reported to have not been respected at all times during their hospital stay (AOR 0.49, 95%CI: 0.29-0.82) were less likely to receive quality postnatal care. Conclusion The proportion of mothers receiving quality postnatal care was found to be low. The study also highlights the need to continue encouraging mothers to attend numerous ANC visits. Moreover, emphasis should be placed on providing quality ANC, intrapartum care, and respectful maternity care by health workers. Targeted interventions to increase access to quality PNC may need to focus on young mothers, mothers living in certain regions of Kenya, and those giving birth to female babies, most especially at private facilities, and through vaginal birth.