Prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, Gurage zone, Southern Ethiopia: a community-based cross-sectional study

Objective Early postnatal care service usage in developing countries is one of the healthcare service usage problems among postnatal women, which is related to extensive maternal and neonatal complications and mortality. Identification of the prevalence of early postnatal care services usage and ass...

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Main Authors: Shegaw Geze, Yirgalem Yosef, Mebratu Demissie, Seblework Abeje, Fantahun Walle, Aberash Beyene, Mariama Shifa
Format: Article
Language:English
Published: BMJ Publishing Group 2023-01-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/1/e061326.full
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author Shegaw Geze
Yirgalem Yosef
Mebratu Demissie
Seblework Abeje
Fantahun Walle
Aberash Beyene
Mariama Shifa
author_facet Shegaw Geze
Yirgalem Yosef
Mebratu Demissie
Seblework Abeje
Fantahun Walle
Aberash Beyene
Mariama Shifa
author_sort Shegaw Geze
collection DOAJ
description Objective Early postnatal care service usage in developing countries is one of the healthcare service usage problems among postnatal women, which is related to extensive maternal and neonatal complications and mortality. Identification of the prevalence of early postnatal care services usage and associated factors among postnatal women is imperative to develop intervention measures to mitigate their complications and public health impact, which is not well known in Ethiopia, particularly in the selected study area. Thus, this study aimed to assess the prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, southeast Ethiopia.Design A community-based cross-sectional study design was conducted among 301 postnatal women from 15 May to 15 June 2021.Measurements Data were collected using a pretested structured questionnaire. The collected data were cleaned and entered in EpiData V.3.1 and then exported to SPSS V.23 for analysis. Finally, a multivariate logistic regression model was fitted to identify the factors associated with early postnatal care services usage. The p value<0.05 was considered statistically significant.Results The finding showed that the prevalence of early postnatal care services usage was 23.3% (95% CI 18.9% to 27.9%). Wanted pregnancy (adjusted OR (AOR)=4.17, 95% CI 1.93 to 9.03), had over four histories of pregnancy (gravida >4) (AOR=2.90, 95% CI 1.18 to 7.11) and had spontaneous vertex delivery (AOR=2.18, 95% CI 1.07 to 9.39) were statistically significant factors of early postnatal care service usage.Conclusion This study has shown that the prevalence of early postnatal care services usage was slightly low when compared with other studies. Thus, community-based health promotion should be an important recommendation to increase early postnatal care service usage among postnatal mothers to improve the level of awareness of early postnatal check-up schedules; done by healthcare providers.
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spelling doaj.art-f746e8824eb34bf7a4ff6c9b7ce0e1312023-07-28T16:40:07ZengBMJ Publishing GroupBMJ Open2044-60552023-01-0113110.1136/bmjopen-2022-061326Prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, Gurage zone, Southern Ethiopia: a community-based cross-sectional studyShegaw Geze0Yirgalem Yosef1Mebratu Demissie2Seblework Abeje3Fantahun Walle4Aberash Beyene5Mariama Shifa6Department of Midwifery, College of Health and Medical Sciences, Wolkite University, Wolkite, EthiopiaCollege of Health Science, Department of Midwifery, Wolkite University, Wolkite, SNNPR, EthiopiaCollege of Health Science, Department of Midwifery, Wolkite University, Wolkite, SNNPR, EthiopiaCollege of Health Science, Department of Medical Biochemistry, Wolkite University, Wolkite, EthiopiaCollege of Health Science, Department of Nursing, Wolkite University, Wolkite, EthiopiaCollege of Health Science, Department of Midwifery, Wolkite University, Wolkite, SNNPR, EthiopiaCollege of Health Science, Department of Midwifery, Wolkite University, Wolkite, SNNPR, EthiopiaObjective Early postnatal care service usage in developing countries is one of the healthcare service usage problems among postnatal women, which is related to extensive maternal and neonatal complications and mortality. Identification of the prevalence of early postnatal care services usage and associated factors among postnatal women is imperative to develop intervention measures to mitigate their complications and public health impact, which is not well known in Ethiopia, particularly in the selected study area. Thus, this study aimed to assess the prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, southeast Ethiopia.Design A community-based cross-sectional study design was conducted among 301 postnatal women from 15 May to 15 June 2021.Measurements Data were collected using a pretested structured questionnaire. The collected data were cleaned and entered in EpiData V.3.1 and then exported to SPSS V.23 for analysis. Finally, a multivariate logistic regression model was fitted to identify the factors associated with early postnatal care services usage. The p value<0.05 was considered statistically significant.Results The finding showed that the prevalence of early postnatal care services usage was 23.3% (95% CI 18.9% to 27.9%). Wanted pregnancy (adjusted OR (AOR)=4.17, 95% CI 1.93 to 9.03), had over four histories of pregnancy (gravida >4) (AOR=2.90, 95% CI 1.18 to 7.11) and had spontaneous vertex delivery (AOR=2.18, 95% CI 1.07 to 9.39) were statistically significant factors of early postnatal care service usage.Conclusion This study has shown that the prevalence of early postnatal care services usage was slightly low when compared with other studies. Thus, community-based health promotion should be an important recommendation to increase early postnatal care service usage among postnatal mothers to improve the level of awareness of early postnatal check-up schedules; done by healthcare providers.https://bmjopen.bmj.com/content/13/1/e061326.full
spellingShingle Shegaw Geze
Yirgalem Yosef
Mebratu Demissie
Seblework Abeje
Fantahun Walle
Aberash Beyene
Mariama Shifa
Prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, Gurage zone, Southern Ethiopia: a community-based cross-sectional study
BMJ Open
title Prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, Gurage zone, Southern Ethiopia: a community-based cross-sectional study
title_full Prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, Gurage zone, Southern Ethiopia: a community-based cross-sectional study
title_fullStr Prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, Gurage zone, Southern Ethiopia: a community-based cross-sectional study
title_full_unstemmed Prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, Gurage zone, Southern Ethiopia: a community-based cross-sectional study
title_short Prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, Gurage zone, Southern Ethiopia: a community-based cross-sectional study
title_sort prevalence of early postnatal care services usage and associated factors among postnatal women of wolkite town gurage zone southern ethiopia a community based cross sectional study
url https://bmjopen.bmj.com/content/13/1/e061326.full
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