Tafesse, Mulatu (2015) Assessment of Postnatal Care Utilization and Associated Factors in Asella Town, Regional State of Oromia, Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
BACKGROUND: Most maternal and neonatal deaths occur during the first 24 hours after childbirth. Utilization of postnatal care prevents the maternal mortality and morbidity. OBJECTIVES: The objective of this study is to assess the postnatal care utilization and associated factors in Asella town, Regional State of Oromia, Ethiopia. METHODS: A community based cross-sectional study supported by a qualitative study conducted from March-April, 2015 in Asella town to assess the utilization of postnatal care services and associated factors among women who had given birth in the last one year prior to the study. A multistage sampling technique was used to select participants in the study. The total sample size in this study was 630 mothers. A structured questionnaires and focus group discussions were used to collect the data. Data were entered, cleaned and coded into EPI info and exported to SPSS version 20 for the quantitative study. Thematic framework analysis was implemented manually for the qualitative type of study. RESULTS: Results of this study revealed that majority of mothers were sought ANC visit during their recent pregnancy and 98.6% of the respondents were delivered at health facilities. However 65% of women did not received PNC services. The most frequent reasons for not obtaining PNC services were due to lack of awareness, apparently healthy, shortage of money and cultural barriers. In this study the following factors were identified as having an important predictors in the utilization of PNC services Husband’s occupation (self employed husbands) with (AOR=6.433, 95% CI=1.72- 24.03), number of ANC visit (four times and above) (AOR=2.614, 95%CI= 1.71-9.57), and decision making power of the mother (AOR=13.828, 95%CI= 1.39-137.28) were statistically significant associations with the utilization of PNC service. Another important reason which was indicated by FGD participants was lack of willingness and unfriendly approach by some health professionals in government health facilities may hinder mothers from utilization of PNC services. Conclusion: This study revealed that utilization of PNC in Asella town is low compared to other studies previously done in Ethiopia. To increase utilization of PNC coverage and reduce maternal and neonatal mortality mothers should obtain more appropriate education and quality ANC, delivery and PNC services. The results of this study may be useful for policy makers to develop appropriate strategies to improve utilization of PNC services.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | PNC services. Utilization. ANC visit. Asella town |
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 21 Nov 2018 08:49 |
| Last Modified: | 21 Nov 2018 08:49 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7616 |
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