Utilization of full postnatal care services among rural Myanmar women and its determinants: a cross-sectional study [version 1; referees: 2 approved]
Background: Mothers and their newborns are vulnerable to threats to their health and survival during the postnatal period. Full postnatal care (PNC) uptake decreases maternal deaths and is also essential for first 1,000 days of newborn’s life, but PNC usage is usually inadequate in rural areas. Litt...
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| Format: | Article |
| Language: | English |
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F1000 Research Ltd
2018-08-01
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| Series: | F1000Research |
| Online Access: | https://f1000research.com/articles/7-1167/v1 |
| _version_ | 1819080028686647296 |
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| author | Aye Sandar Mon Myo Kyi Phyu Wilaiphorn Thinkhamrop Bandit Thinkhamrop |
| author_facet | Aye Sandar Mon Myo Kyi Phyu Wilaiphorn Thinkhamrop Bandit Thinkhamrop |
| author_sort | Aye Sandar Mon |
| collection | DOAJ |
| description | Background: Mothers and their newborns are vulnerable to threats to their health and survival during the postnatal period. Full postnatal care (PNC) uptake decreases maternal deaths and is also essential for first 1,000 days of newborn’s life, but PNC usage is usually inadequate in rural areas. Little is known about the full PNC utilization among rural Myanmar women. This study, therefore, aimed to study the situation of the utilization of full PNC and examine its determinants. Methods: This community-based cross-sectional study was conducted in selected villages of the Magway Region, Myanmar. A total of 500 married women who had children aged under 2 years were selected using multistage cluster sampling and interviewed with semi-structured questionnaires. The determinants of full PNC usage were identified by generalized estimating equation (GEE) under a logistic regression framework. Results: Among 500 rural women, around a quarter (25.20%; 95% confidence interval (CI), 21.58-29.21%) utilized full PNC. Multivariable analysis revealed that factors associated with full PNC usage included mothers attaining educational level of secondary or higher (adjusted odds ratio (AOR), 2.16; 95% CI, 1.18-3.94), belonging to higher income level (AOR, 2.02; 95% CI, 1.11-3.68), having male involvement (AOR, 2.19; 95% CI, 1.02-4.69), being of low birth order (i.e. the first birth) (AOR, 3.26; 95% CI, 1.80-5.91), and having awareness of postnatal danger signs (AOR, 2.10; 95% CI, 1.15-3.83). Moreover, the presence of misconceptions on postnatal practice was identified as a strong barrier to adequate PNC usage (AOR, 0.12; 95% CI, 0.04-0.36). Conclusion: Most of the rural women practiced inadequate PNC in Myanmar. Maternal healthcare services at rural areas should be intensively promoted, particularly among women who had high birth order (greater number of births). Health education regarding perinatal misconceptions and danger signs, and benefits of full PNC services usage should be emphasized and urgently extended. |
| first_indexed | 2024-12-21T19:38:22Z |
| format | Article |
| id | doaj.art-168f67ebef0a41659e15a6619c64e85c |
| institution | Directory Open Access Journal |
| issn | 2046-1402 |
| language | English |
| last_indexed | 2024-12-21T19:38:22Z |
| publishDate | 2018-08-01 |
| publisher | F1000 Research Ltd |
| record_format | Article |
| series | F1000Research |
| spelling | doaj.art-168f67ebef0a41659e15a6619c64e85c2022-12-21T18:52:32ZengF1000 Research LtdF1000Research2046-14022018-08-01710.12688/f1000research.15561.116974Utilization of full postnatal care services among rural Myanmar women and its determinants: a cross-sectional study [version 1; referees: 2 approved]Aye Sandar Mon0Myo Kyi Phyu1Wilaiphorn Thinkhamrop2Bandit Thinkhamrop3Doctor of Philosophy in Epidemiology and Biostatistics Program, Faculty of Public Health, Khon Kaen University, Mueang Khon Kaen, Khon Kaen, 40002, ThailandDepartment of Preventive and Social Medicine, University of Medicine (2), Yangon, Yangon, 11031, MyanmarDoctor of Public Health Program, Data Management and Statistical Analysis Center, Faculty of Public Health, Khon Kaen University, Mueang Khon Kaen, Khon Kaen, 40002, ThailandDepartment of Epidemiology and Biostatistics, Data Management and Statistical Analysis Center, Faculty of Public Health, Khon Kaen University, Mueang Khon Kaen, Khon Kaen, 40002, ThailandBackground: Mothers and their newborns are vulnerable to threats to their health and survival during the postnatal period. Full postnatal care (PNC) uptake decreases maternal deaths and is also essential for first 1,000 days of newborn’s life, but PNC usage is usually inadequate in rural areas. Little is known about the full PNC utilization among rural Myanmar women. This study, therefore, aimed to study the situation of the utilization of full PNC and examine its determinants. Methods: This community-based cross-sectional study was conducted in selected villages of the Magway Region, Myanmar. A total of 500 married women who had children aged under 2 years were selected using multistage cluster sampling and interviewed with semi-structured questionnaires. The determinants of full PNC usage were identified by generalized estimating equation (GEE) under a logistic regression framework. Results: Among 500 rural women, around a quarter (25.20%; 95% confidence interval (CI), 21.58-29.21%) utilized full PNC. Multivariable analysis revealed that factors associated with full PNC usage included mothers attaining educational level of secondary or higher (adjusted odds ratio (AOR), 2.16; 95% CI, 1.18-3.94), belonging to higher income level (AOR, 2.02; 95% CI, 1.11-3.68), having male involvement (AOR, 2.19; 95% CI, 1.02-4.69), being of low birth order (i.e. the first birth) (AOR, 3.26; 95% CI, 1.80-5.91), and having awareness of postnatal danger signs (AOR, 2.10; 95% CI, 1.15-3.83). Moreover, the presence of misconceptions on postnatal practice was identified as a strong barrier to adequate PNC usage (AOR, 0.12; 95% CI, 0.04-0.36). Conclusion: Most of the rural women practiced inadequate PNC in Myanmar. Maternal healthcare services at rural areas should be intensively promoted, particularly among women who had high birth order (greater number of births). Health education regarding perinatal misconceptions and danger signs, and benefits of full PNC services usage should be emphasized and urgently extended.https://f1000research.com/articles/7-1167/v1 |
| spellingShingle | Aye Sandar Mon Myo Kyi Phyu Wilaiphorn Thinkhamrop Bandit Thinkhamrop Utilization of full postnatal care services among rural Myanmar women and its determinants: a cross-sectional study [version 1; referees: 2 approved] F1000Research |
| title | Utilization of full postnatal care services among rural Myanmar women and its determinants: a cross-sectional study [version 1; referees: 2 approved] |
| title_full | Utilization of full postnatal care services among rural Myanmar women and its determinants: a cross-sectional study [version 1; referees: 2 approved] |
| title_fullStr | Utilization of full postnatal care services among rural Myanmar women and its determinants: a cross-sectional study [version 1; referees: 2 approved] |
| title_full_unstemmed | Utilization of full postnatal care services among rural Myanmar women and its determinants: a cross-sectional study [version 1; referees: 2 approved] |
| title_short | Utilization of full postnatal care services among rural Myanmar women and its determinants: a cross-sectional study [version 1; referees: 2 approved] |
| title_sort | utilization of full postnatal care services among rural myanmar women and its determinants a cross sectional study version 1 referees 2 approved |
| url | https://f1000research.com/articles/7-1167/v1 |
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