Volume 8, Issue 4, August 2019, Page: 141-147
Prevalence and Predictors of Postpartum Care Uptake Among Mothers Who Gave Birth in the Last Six Months in Mertule Mariam District Northwest Ethiopia
Solomon Demis Kebede, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
Kedir Teji Roba, School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia
Nega Assefa, School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia
Tigabu Munye, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
Wubet Alebachew, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
Received: Mar. 19, 2019;       Accepted: May 14, 2019;       Published: May 31, 2019
DOI: 10.11648/j.ajns.20190804.12      View  112      Downloads  25
Abstract
Background: In the majority of home and hospital based births, postpartum care is not delivered adequately and are highly limited in Ethiopia in terms of coverage and frequency with which the service should be provided. Objective: The aim of the study was to assess the prevalence and predictors of postpartum care uptake among mothers who gave birth in the last six months in Mertule Mariam District, Northwest Ethiopia. Methods and Materials: A Community based descriptive cross sectional study design was carried out through a cluster sampling method with a total sample size of 565 from January 30 to February 8, 2018. Structured interviewer administered pre-tested questionnaire was used to collect data. The collected data was entered into Epi data version 4.2 and then exported into SPSS window version 24. Bivariate and multivariate analysis were undertaken and information was presented by using simple frequency tables, graphs and pie charts. Result: The prevalence of postpartum care uptake was found to be 19% (95% CI: 15.2, 21.9). Fifty one percent of mothers reported that the main reason for not using postpartum care was an absence of any complication. Knowledge about postpartum care (AOR=6.35, 95% CI: 3.41, 11.82), having four or more antenatal care checkups (AOR=8.59, 95% CI: 4.59, 14.58), experiencing complications in the last delivery (AOR=4.89, 95% CI: 2.52, 9.49) and receiving health information after delivery (AOR=3.57, 95% CI: 1.69, 7.53) were found to be statistically associated with postpartum care uptake. Conclusion: This study revealed that postpartum care rates in this community was very low. Hence, there is an urgent need to assess the quality of Postpartum care (PPC) provided and a need for knowledge and ANC raising program focusing on the schedule.
Keywords
Postpartum, Postpartum Care, Postpartum Care Uptake, Mertule Mariam District
To cite this article
Solomon Demis Kebede, Kedir Teji Roba, Nega Assefa, Tigabu Munye, Wubet Alebachew, Prevalence and Predictors of Postpartum Care Uptake Among Mothers Who Gave Birth in the Last Six Months in Mertule Mariam District Northwest Ethiopia, American Journal of Nursing Science. Vol. 8, No. 4, 2019, pp. 141-147. doi: 10.11648/j.ajns.20190804.12
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
WHO (World Health Organization) 2010: Technical Consultation on Postpartum and Postnatal Care. Geneva: 2010:65. WHO Department of Making Pregnancy Safer: Pregnancy, Childbirth, Postpartum and Newborn Care - A Guide for Essential Practice. Geneva: World Health Organization; 2006: 180. World Health Organization 2010, available at: www.who.int/making_pregnancy_safer.
[2]
WHO (World Health Organization)2013. WHO recommendation on Postnatal Care of the Mothers and Newborns. Available at http://www.who.int/maternal_child_adolescent/en/, accessed in October 2017, ISBN 978 92 4 150664 9.
[3]
WHO (World Health Organization) 2015. Trends in maternal mortality: 1990 to 2015: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. ISBN 978 92 4 156514 1.
[4]
CSA & ICF (Central Statistical Agency) and ICF (International Classification of Functioning, Disability and Health) 2012. Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia, and Rockville, Maryland, USA: CSA and ICF international.
[5]
CSA & ICF (Central Statistical Agency) and ICF (International Classification of Functioning, Disability and Health) 2016. Ethiopia Demographic and Health Survey 2016. Addis Ababa, Ethiopia, and Rockville, Maryland, USA: CSA and ICF. P. 133, 139 and 152.
[6]
FDRE (Federal Democratic republic of Ethiopia), FMoH(Federal ministry of health) 2008. Postnatal Care Blended Learning Module for the Health Extension Programme. www.open.ac.uk/africa/heat.
[7]
Fikirte T, Walelegn W, Fekadu M, And Manay K, 2014. Knowledge, Perception and Utilization of Postnatal Care of Mothers in Gondar Zuria District, Ethiopia: A Cross-Sectional Study. Maternal and Child Health Journal, 18, 2341-2351. DOI 10. 1007/s10995-014-1474-3.
[8]
Jonathan I, & Dinah A, (2015). Use of early postnatal care among postpartum women in Eastern Uganda. International Journal of Gynecology & Obstetrics, 129, 161-164.
[9]
Zeine A, Mirkuzie W, And Shimeles O, 2015. Magnitude and predictors of postnatal care utilization in Hadiya Zone, Southern Ethiopia. https://www.researchgate.net/publication/281432531 DOI: 10.13140/RG.2.1.3530.67217.
[10]
Yinager G,, Desta A, 2014. Factors Affecting Utilization of Postnatal Care Service in Amhara Region, Jabitenan District Ethiopia Science Journal of Public Health.Vol. 2, No. 3, 2014, pp. 169-176. doi: 10. 11648/j.sjph. 20140203. 15.
[11]
Sulochana D, Chapman G. N, Simkhada P. P, Van T, Edwin R, Stephens, Jane R, Amal R. E. 2007. Utilisation of postnatal care among rural women in Nepal. BMC Pregnancy and Childbirth 2007, 7:19 doi:10.1186/1471-2393-7-197.http://www.biomedcentral.com/471-2353/7/19.
[12]
Miteku A, Zerfu M, Berihun A, 2016. Postnatal Care Service Utilization and Associated Factors among Women Who Gave Birth in the Last 12 Months prior to the Study in Debre Markos Town, Northwestern Ethiopia: A Community-Based Cross-Sectional Study, Hindawi Publishing Corporation International Journal of Reproductive Medicine; Volume 2016, Article ID 7095352, 7 pages http://dx.doi.org/10.1155/2016/7095352 2016, 1-7.
[13]
Mulatu A, Samrawit S, Molla G, Habte B, 2015. Postnatal Care Service Utilization and Associated Factors Among Women in Dembecha District, Northwest Ethiopia. Science Journal of Public Health. Vol. 3, No. 5, 2015, pp. 686-692. doi: 10. 11648/j.sjph. 20150305. 24.
[14]
Tefera B, Ayanos T, Tamiru B, 2016. Postnatal Care Service Utilization and Associated Factors among Mothers in Lemo Woreda, Ethiopia. Journal of Women's Health Care, 2016, Volume 5, Issue 3, 1000318 available at: http://dx.doi.org/10.4172/2167-0420.1000318 5.
[15]
Christiana R T, Cynthia L H, Peter H, Michael J D, 2010. Why don't some women attend antenatal and postnatal care services?: a qualitative study of community members' perspectives in Garut, Sukabumi and Ciamis districts of West Java Province, Indonesia. BMC Pregnancy and Childbirth 2010, 10:61. available at: http://www.biomedcentral.com/1471-2393/10/61.
[16]
Jessica N. Dibari, Yu, S. M, Chao, Shin M. & Lu M. C. 2014. Use of Postpartum Care: Predictors and Barriers. Hindawi Publishing Corporation Journal of Pregnancy Volume 2014, Article ID 530769, 8 pages http://dx.doi.org/10.1155/2014/5307692014, 1-8.
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