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Determinants of postnatal care utilization in urban community among women in Debre Birhan Town, Northern Shewa, Ethiopia
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Determinants of postnatal care utilization in urban community among women in Debre Birhan Town, Northern Shewa, Ethiopia
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Journal Article
Determinants of postnatal care utilization in urban community among women in Debre Birhan Town, Northern Shewa, Ethiopia
2018
Overview
Background: Reducing maternal mortality and improving maternal health
care through increased utilization of postnatal care utilization is a
global and local priority. However studies that have been carried out
in Ethiopia regarding determinants are limited. So This study aims to
assess the magnitude of postnatal care utilization and its determinants
in Debre Birhan Town, North Ethiopia. Methods: A community-based
cross-sectional study was conducted from March 1 to April 25, 2015, in
Debre Birhan Town. Data were collected through face-to-face interviews
using structured pre-tested questionnaires. The data were entered and
cleaned in Epi Info version 3.5 and analyzed using SPSS version 20.
Bivariate and multiple logistic regression analyses were used. Variable
with p value less than or equal to 0.2 at bivariate analysis were
entered into multiple logistic regression. Significance was declared at
0.05 in multiple logistic regressions and considered to be an
independent factor. Result: From the total respondents, we found that
327 (83.3%) mothers utilized the postnatal care services. Single
mothers were less likely to utilize postnatal care services than those
mothers who are married and live together [adjusted odds ratio (AOR) =
0.06, 95% CI (0.01, 0.45)]. This study revealed that respondent's
knowledge about postnatal care services is an important predictor of
postnatal care utilization [AOR = 0.03, 95% CI (0.00, 0.44)] and
mothers who delivered in a health care facility were more likely to
receive PNC than mothers who did not deliver in a health care facility
[AOR = 0.65, 95% CI (0.58, 0.94)]. Conclusion: The postnatal care
utilization rate in Debre Birhan town was 83.3%. Marital status,
maternal knowledge, and place of delivery were predictors of postnatal
care service utilization. So specific attention should be directed
towards the improvement of women's education since the perception
of the need for PNC services were positively correlated with the
mother's education.
Publisher
icddr,b,Springer Nature,BioMed Central,BioMed Central Ltd,BMC
