Abstract
Abstract
Background
The World Health Organisation recommends that all mothers seek postnatal care (PNC) within the first two months after childbirth. This study examined PNC utilisation for babies within the first two months after childbirth.
Methods
We used data from the most recent Demographic and Health Surveys (DHS) (2018–2020) of eleven countries in SSA. Descriptive and a multivariate analysis were carried out, and presented in adjusted odds ratios. The explanatory variables included: age, place of residence, level of formal education, wealth quintile, antenatal care visits, marital status, frequency of watching TV, listening to radio and reading newspaper, getting permission to go medical help for self, getting money needed for treatment, and distance to facility.
Results
PNC utilisation was 37.5% and 33% in urban and rural residences, respectively. Higher level of education (Urban: AOR = 1.39, CI = 1.25, 1.56; Rural: AOR = 1.31, CI = 1.10, 1.58), 4 or more ANC visits (Urban: AOR = 1.32, CI = 1.23, 1.40; Rural: AOR = 1.49, CI = 1.43, 1.56 0.86), requiring permission to go to the health facility (Urban: AOR = 0.67, CI = 0.61, 0.74; Rural: AOR = 0.86, CI = 0.81, 0.91), listening to the radio at least once a week (Urban: AOR = 1.32, CI = 1.23, 1.41; Rural: AOR = 0.86, CI = 0.77, 0.95), and watching television at least once a week (Urban: AOR = 1.11, CI = 1.03, 1.21; Rural: AOR = 1.15, CI = 1.07, 1.24) were significantly associated with PNC service utilisation in both rural and urban areas. However, belonging to a richer wealth status (AOR = 1.11, CI = 1.02, 1.20) and having a problem with distance (AOR = 1.13, CI = 1.07, 1.18) were significant in only rural areas, while having a problem with money for treatment was significant only in urban areas (AOR = 1.15, CI = 1.08, 1.23).
Conclusion
In this study, we conclude that the PNC service utilisation within the first 2 months after delivery was low across rural and urban residences. There is, therefore, a need for SSA countries to develop population tailored interventions such as advocacy and health education targeted at women with no formal education in both rural and urban areas. Our study also suggests that SSA countries must intensify radio programs and advertisements on the health benefits of PNC to improve maternal and child health.
Publisher
Springer Science and Business Media LLC
Subject
Obstetrics and Gynecology
Reference33 articles.
1. World Health Organization. WHO recommendations on postnatal care of the mother and newborn. World Health Organization; 2014.
2. World Health Organization. Neonatal mortality: Key facts. January, 2022. Available at: https://www.who.int/news-room/fact-sheets/detail/levels-and-trends-in-child-mortality-report-2021#:~:text=There%20are%20approximately%206700%20newborn,to%202.4%20million%20in%202020.
3. Chhetri S, Shah R, Rajbanshi L. Factors associated with utilisation of complete postnatal care service in Baglung Municipality, Nepal Int J reproductive Med 2020.
4. Maswime S, Buchmann E. Causes and avoidable factors in maternal death due to cesarean-related hemorrhage in South Africa. International Journal of Gynecology & Obstetrics. 2016;134(3):320-3.
5. World Health Organization. Report of Regional TAG meeting to accelerate reduction in newborn and child mortality towards achieving SDG 2030 targets: 16–19 November 2021. World Health Organization. Regional Office for South-East Asia; 2022.
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