Magnitude and associated factors of postnatal care service utilization among postpartum mothers in Banke district, Nepal
DOI:
https://doi.org/10.62992/ijphap.v1i1.2Keywords:
Postnatal care, Utilization, Postpartum, NepalAbstract
Background: Postnatal care is a care provided to postpartum mothers after the delivery of child for at least 42 days. Postnatal care services play an important role in improving maternal and newborn health and prevent long- term complications.
Objectives: The study aimed to assess the utilization of postnatal care services among postpartum mothers in Janaki rural municipality of Banke district.
Methods: A community-based cross-sectional study was conducted among 203 postpartum mothers who had children less than 12 months. Proportionate stratified random sampling method was used to reach the sample. Interview schedule as structured questionnaire was used as a data collection tool. Data was entered and analyzed in SPSS v.16. Descriptive statistics was computed to describe socio-demographic profile of participants and factors related to postnatal care utilization. Univariate logistic regression analysis was done to identify the most independent factors related postnatal care utilization.
Result: A total of 203 postpartum mothers who had child less than 12 months were enrolled in the study. The prevalence of the low postnatal service utilization was 82%. The mean age with standard deviation of the respondents was 24.55+ 3.95. There was no statistical association between postnatal care utilization and sociodemographic variables. No health service received after delivery (p<0.001) was found statistically significant with low utilization of postnatal care services.
Conclusion: The study concluded that low utilization of the postnatal care services was high. Providing awareness on importance of postnatal care services during antenatal care visit and increasing the availability and accessibility of health care to postnatal women is crucial. Strengthening the health services and empowering the mother’s groups to increase postnatal care services is a key intervention to increase services.
References
WHO. Postnatal Care for Mothers and Newborns. WHO and USAID; 2015.
Wudineh KG, Nigusie AA, Gesese SS, Tesu AA, Beyene FY. Postnatal care service utilization and associated factors among women who gave birth in Debretabour town, North West Ethiopia: a community- based cross-sectional study. BMC Pregnancy Childbirth [Internet]. 2018 Dec 27 [cited 2022 Jul 16];18(1):508. Available from: https://doi.org/10.1186/s12884-018-2138-x
Warren C, Daly P, Toure L, Mongi P. Postnatal care. In: Opportunities for Africa’s newborns: practical data, policy and programmatic support for newborn care in Africa [Internet]. WHO on behalf of The Partnership for Maternal, Newborn and Child Health; 2006 [cited 2022 Jul 16]. p. 79–90. Available from: http://hdl.handle.net/1854/LU-5897296
Abuka Abebo T, Jember Tesfaye D. Postnatal care utilization and associated factors among women of reproductive age Group in Halaba Kulito Town, Southern Ethiopia. Arch Public Health [Internet]. 2018 Feb 8 [cited 2022 Jul 16];76(1):9. Available from: https://doi.org/10.1186/s13690-018-0256-6
Tesfaye G, Chojenta C, Smith R, Loxton D. Magnitude and correlates of postnatal care utilization among reproductive aged women in a rural district in eastern Ethiopia: A cross-sectional study. Midwifery. 2019 Mar;70:22–30.
WHO. WHO Guidelines on maternal, newborn, child and adolescent health [Internet]. WHO; 2018. Available from: http://www.who.int/maternal_child_adolescent/guidelines/en/
Baral Y, Lyons K, Skinner J, Van Teijlingen E. Maternal health services utilisation in Nepal: Progress in the new millennium? Health Sci J. 2012 Oct 1;6:618–33.
MoHP. Inequalities in Maternal health service utilisation in Nepal. Kathmandu, Nepal: MoHP abd NHSSP; 2018.
Banstola A. Maternal Health Task Force [Internet]. 2017 [cited 2022 Jul 16]. Available from: https://www.mhtf.org/2017/12/29/the-current-state-of-maternal-health-in-nepal/%20(accessed%205.18.21
DoHS. Annual Report 2074/75. Kathmandu: Ministry of Health and Population, Department of Health Services; 2019.
Shrestha N, Tiwari B, Piryani S, Khanal G. Postnatal Care Services Utilization in Bharatpur Sub Metropolitan City, Chitwan, Nepal. J Chitwan Med Coll [Internet]. 2019 Sep 25 [cited 2022 Jul 16];9(3):43–50. Available from: https://www.nepjol.info/index.php/JCMC/article/view/25781
Simataa M, Makani A. Factors Associated with Utilization of Postpartum Care Services in Luanshya District. Food Public Health [Internet]. 2020 [cited 2022 Jul 16];10(1):7–8. Available from: http://article.sapub.org/10.5923.j.fph.20201001.02.html
Kaphle H, Gupta N, Bose D, Paul A, Singh A, Kumar D. Factors Associated with Utilization of Postnatal Care in Myagdi District of Western Nepal. 2018 Nov 1;11.
Mon AS, Phyu MK, Thinkhamrop W, Thinkhamrop B. Utilization of full postnatal care services among rural Myanmar women and its determinants: a cross-sectional study. F1000Research. 2018;7:1167.
Tesfahun F, Worku W, Mazengiya F, Kifle M. Knowledge, perception and utilization of postnatal care of mothers in Gondar Zuria District, Ethiopia: a cross-sectional study. Matern Child Health J. 2014 Dec;18(10):2341–51.
Downloads
Published
Issue
Section
Categories
License
Copyright (c) 2022 International Journal of Public Health Asia Pacific

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
International Journal of Public Health Asia Pacific (IJPHAP) is licensed under a Creative Commons Attribution-Non-Commercial-No Derivatives 4.0 international (CC BY-NC-ND 4.0) license, unless otherwise stated. Please read our Policies page for more information on Open Access, copyright, and permissions.


