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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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| Published in: | PloS one 2019-08, Vol.14 (8), p.e0221161-e0221161 |
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| creator | Berhe, Almaz Bayray, Alemayehu Berhe, Yibrah Teklu, Alula Desta, Amanuel Araya, Tsige Zielinski, Ruth Roosevelt, Lee |
| description | 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, |
| doi_str_mv | 10.1371/journal.pone.0221161 |
| format | article |
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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, <0.05 were included in the multivariate logistic regression analysis to identify the determinant factors of postnatal care utilization.
Of the women surveyed, 132 (8%) obtained postnatal care. Women who did not receive postnatal care reported lack of awareness of the services (n = 1110, 73.3%). Most mothers who received postnatal care reported that they were aware of the service prior to the birth of their child (n = 101, 76.5%). Women were more likely to receive postnatal services if they lived in an urban area (odds ratio 1.96, 95% confidence interval 1.07, 3.59), had greater than a secondary education (OR 3.60, 95% CI 1.32,9.83), delivered by cesarean section (OR 2.88 95% CI 1.32,6.29), had four or more antenatal visits (OR 4.84, 95% CI 1.57,14.9), or had a planned pregnancy (OR 6.47, 95% CI 2.04,20.5).
Postnatal care service utilization is very low in Tigray region. Interventions targeted at increasing women's awareness of the importance of postnatal services and improving accessibility, particularly in rural areas, is needed.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0221161</identifier><identifier>PMID: 31430356</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>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</subject><ispartof>PloS one, 2019-08, Vol.14 (8), p.e0221161-e0221161</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Berhe et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Berhe et al 2019 Berhe et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-7fcb8e87d56400fe8a602a94c08ea166419d12030fd7f17aabd1f5267d4e24c53</citedby><cites>FETCH-LOGICAL-c692t-7fcb8e87d56400fe8a602a94c08ea166419d12030fd7f17aabd1f5267d4e24c53</cites><orcidid>0000-0001-6756-0422</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2276832574/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2276832574?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31430356$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Enuameh, Yeetey Akpe Kwesi</contributor><creatorcontrib>Berhe, Almaz</creatorcontrib><creatorcontrib>Bayray, Alemayehu</creatorcontrib><creatorcontrib>Berhe, Yibrah</creatorcontrib><creatorcontrib>Teklu, Alula</creatorcontrib><creatorcontrib>Desta, Amanuel</creatorcontrib><creatorcontrib>Araya, Tsige</creatorcontrib><creatorcontrib>Zielinski, Ruth</creatorcontrib><creatorcontrib>Roosevelt, Lee</creatorcontrib><title>Determinants of postnatal care utilization in Tigray, Northern Ethiopia: A community based cross-sectional study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>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, <0.05 were included in the multivariate logistic regression analysis to identify the determinant factors of postnatal care utilization.
Of the women surveyed, 132 (8%) obtained postnatal care. Women who did not receive postnatal care reported lack of awareness of the services (n = 1110, 73.3%). Most mothers who received postnatal care reported that they were aware of the service prior to the birth of their child (n = 101, 76.5%). Women were more likely to receive postnatal services if they lived in an urban area (odds ratio 1.96, 95% confidence interval 1.07, 3.59), had greater than a secondary education (OR 3.60, 95% CI 1.32,9.83), delivered by cesarean section (OR 2.88 95% CI 1.32,6.29), had four or more antenatal visits (OR 4.84, 95% CI 1.57,14.9), or had a planned pregnancy (OR 6.47, 95% CI 2.04,20.5).
Postnatal care service utilization is very low in Tigray region. Interventions targeted at increasing women's awareness of the importance of postnatal services and improving accessibility, particularly in rural areas, is needed.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Birth</subject><subject>Bivariate analysis</subject><subject>Censuses</subject><subject>Cesarean section</subject><subject>Childbirth & labor</subject><subject>Communities</subject><subject>Complications</subject><subject>Complications and side effects</subject><subject>Confidence intervals</subject><subject>Cross-Sectional Studies</subject><subject>Delivery (Childbirth)</subject><subject>Demographics</subject><subject>Education</subject><subject>Ethiopia</subject><subject>Fatalities</subject><subject>Female</subject><subject>Health</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health sciences</subject><subject>Health surveys</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Immunization</subject><subject>Infant mortality</subject><subject>Infant, Newborn</subject><subject>Maternal & child health</subject><subject>Maternal child nursing</subject><subject>Maternal mortality</subject><subject>Mathematical analysis</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Mothers</subject><subject>Newborn infants</subject><subject>Nursing schools</subject><subject>Obstetrics</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Patient care</subject><subject>People and Places</subject><subject>Population</subject><subject>Postnatal Care - psychology</subject><subject>Postnatal Care - statistics & numerical data</subject><subject>Postpartum period</subject><subject>Pregnancy</subject><subject>Pregnancy complications</subject><subject>Prenatal care</subject><subject>Public health</subject><subject>Random sampling</subject><subject>Regression analysis</subject><subject>Risk factors</subject><subject>Rural areas</subject><subject>Rural Population - statistics & numerical data</subject><subject>Sampling</subject><subject>Sampling methods</subject><subject>Secondary education</subject><subject>Social Sciences</subject><subject>Statistical analysis</subject><subject>Statistical sampling</subject><subject>Urban areas</subject><subject>Utilization</subject><subject>Womens health</subject><subject>Young 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of postnatal care utilization in Tigray, Northern Ethiopia: A community based cross-sectional study</title><author>Berhe, Almaz ; Bayray, Alemayehu ; Berhe, Yibrah ; Teklu, Alula ; Desta, Amanuel ; Araya, Tsige ; Zielinski, Ruth ; Roosevelt, Lee</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-7fcb8e87d56400fe8a602a94c08ea166419d12030fd7f17aabd1f5267d4e24c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Birth</topic><topic>Bivariate analysis</topic><topic>Censuses</topic><topic>Cesarean section</topic><topic>Childbirth & labor</topic><topic>Communities</topic><topic>Complications</topic><topic>Complications and side effects</topic><topic>Confidence intervals</topic><topic>Cross-Sectional Studies</topic><topic>Delivery 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Alula</au><au>Desta, Amanuel</au><au>Araya, Tsige</au><au>Zielinski, Ruth</au><au>Roosevelt, Lee</au><au>Enuameh, Yeetey Akpe Kwesi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of postnatal care utilization in Tigray, Northern Ethiopia: A community based cross-sectional study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2019-08-20</date><risdate>2019</risdate><volume>14</volume><issue>8</issue><spage>e0221161</spage><epage>e0221161</epage><pages>e0221161-e0221161</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>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, <0.05 were included in the multivariate logistic regression analysis to identify the determinant factors of postnatal care utilization.
Of the women surveyed, 132 (8%) obtained postnatal care. Women who did not receive postnatal care reported lack of awareness of the services (n = 1110, 73.3%). Most mothers who received postnatal care reported that they were aware of the service prior to the birth of their child (n = 101, 76.5%). Women were more likely to receive postnatal services if they lived in an urban area (odds ratio 1.96, 95% confidence interval 1.07, 3.59), had greater than a secondary education (OR 3.60, 95% CI 1.32,9.83), delivered by cesarean section (OR 2.88 95% CI 1.32,6.29), had four or more antenatal visits (OR 4.84, 95% CI 1.57,14.9), or had a planned pregnancy (OR 6.47, 95% CI 2.04,20.5).
Postnatal care service utilization is very low in Tigray region. Interventions targeted at increasing women's awareness of the importance of postnatal services and improving accessibility, particularly in rural areas, is needed.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31430356</pmid><doi>10.1371/journal.pone.0221161</doi><tpages>e0221161</tpages><orcidid>https://orcid.org/0000-0001-6756-0422</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2019-08, Vol.14 (8), p.e0221161-e0221161 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2276832574 |
| source | Publicly Available Content Database; PubMed Central |
| 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 |
| title | Determinants of postnatal care utilization in Tigray, Northern Ethiopia: A community based cross-sectional study |
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