Abuhay, Mulunesh (2008) Assessment of Factors Influencing Utilization of Postnatal Care in Gondar Town North West of Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Introduction:- The postnatal period starts an hour after the delivery of the placenta and includes the following six weeks. The postnatal period covers a critical transitional time for a woman, her newborn and her family on a physiological, emotional and social level. More than two third of maternal and new born deaths occur during the postnatal period and many of them develop disabilities The immediate cause of maternal deaths is the absence, inadequacy or underutilization of the health care system. In Ethiopia Maternal and Neonatal mortality still high and has received significant attention from the government. Routine essential postnatal care can help to reduce mortality and morbidity among mothers and their babies. Postnatal care program is one of the weakest programs among all reproductive heath programs of the country, but there is no sufficient research on how to improve the gap for low health service postnatal care utilization. The purpose of this study is to asses factors influencing utilization of health services for postnatal care during the first six weeks.Methods: - A cross sectional study was conducted from date January to date February 2008. Study subjects were mothers who lived in Gondar urban town for two years and above, and six weeks completed to one year after delivery who were identified by house to house registration from randomly selected twelve centers in Gondar town. Data were collected using structured questionnaire containing variable related to sociodemographic, obstetric characteristics, perception of women about the risk of postnatal period, their belief in having postnatal care and knowledge when to start postnatal care. Result:-Out of five hundred sixty participants, 409(73%) health institution and 151 (27%) homes delivered 28.6%perceived the risk of postnatal period, 81.1% belief on having postnatal care but 81.3% have knowledge on starting time after 45 days 0.5% said immediately where others no need of postnatal care. Out of seventy three percent health institution deliveries 88.3% mothers did not provide an appointment or information to have health service postnatal care. 38.2% utilized health service during post natal period .Main reason for initiation 28.5% maternal and 15% child health problems, 4.2% due to having an appointment the rest 52.3% for vaccination. Conclusion: - Health service postnatal care for mothers and babies was very weak in health institution.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 26 Nov 2018 12:52 |
| Last Modified: | 26 Nov 2018 12:52 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7675 |
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