Determinants of postnatal care utilization in Tigray, Northern Ethiopia: A community based cross-sectional study

Globally, 289,000 women die from complications related to pregnancy, childbirth, or the postnatal period every year. Two-thirds of all maternal deaths occur during the first six weeks following birth and more than two thirds of newborn deaths occur during the first week of life, These statistics und...

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Bibliographic Details
Published in:PloS one 2019-08, Vol.14 (8), p.e0221161-e0221161
Main Authors: Berhe, Almaz, Bayray, Alemayehu, Berhe, Yibrah, Teklu, Alula, Desta, Amanuel, Araya, Tsige, Zielinski, Ruth, Roosevelt, Lee
Format: Article
Language:English
Subjects:
Adolescent
Adult
Birth
Bivariate analysis
Censuses
Cesarean section
Childbirth & labor
Communities
Complications
Complications and side effects
Confidence intervals
Cross-Sectional Studies
Delivery (Childbirth)
Demographics
Education
Ethiopia
Fatalities
Female
Health
Health Knowledge, Attitudes, Practice
Health sciences
Health surveys
Hospitals
Humans
Immunization
Infant mortality
Infant, Newborn
Maternal & child health
Maternal child nursing
Maternal mortality
Mathematical analysis
Medicine
Medicine and Health Sciences
Middle Aged
Mortality
Mothers
Newborn infants
Nursing schools
Obstetrics
Patient Acceptance of Health Care - psychology
Patient Acceptance of Health Care - statistics & numerical data
Patient care
People and Places
Population
Postnatal Care - psychology
Postnatal Care - statistics & numerical data
Postpartum period
Pregnancy
Pregnancy complications
Prenatal care
Public health
Random sampling
Regression analysis
Risk factors
Rural areas
Rural Population - statistics & numerical data
Sampling
Sampling methods
Secondary education
Social Sciences
Statistical analysis
Statistical sampling
Urban areas
Utilization
Womens health
Young Adult
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Summary:Globally, 289,000 women die from complications related to pregnancy, childbirth, or the postnatal period every year. Two-thirds of all maternal deaths occur during the first six weeks following birth and more than two thirds of newborn deaths occur during the first week of life, These statistics underscore the importance of postnatal care, an often neglected service according to the World Health Organization (WHO). The purpose of this study was to assess the factors associated with postnatal service utilization in the Tigray region of Ethiopia. The study was a community-based, cross-sectional study. A multi-stage sampling method was used to select study districts randomly from the entire region. A total of 1,690 participants were selected using systematic random sampling. Participants were 18-49 years old, had given birth within the last six months, and were residents of the district for at least six months. Using SPSS version 20 means, frequencies, and percentages were calculated for the sub-group of participants who did attend postnatal care. Barriers to non-attendance of postatal care were analyzed using descriptive statistics. Bivariate analysis was undertaken to assess the association between demographic, obstetric, and knowledge regarding PNC and attendance at antenatal care. Variables with a P value,
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0221161