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Postnatal Care Service Utilization and Associated Factors Among Mothers ISSN: 2474-1353 Chemir et al. Int J Womens Health Wellness 2018, 4:078 DOI: 10.23937/2474-1353/1510078 Volume 4 | Issue 2 International Journal of Open Access Women’s Health and Wellness RESEARCH ARTICLE Postnatal Care Service Utilization and Associated Factors among Mothers Who Delivered in Shebe Sombo Woreda, Jimma Zone, Ethiopia Fantaye Chemir1*, Melkamu Gelan2 and Makeda Sinaga3 Check for 1School of nursing and midwifery, Jimma University, Ethiopia updates 2School of nursing and midwifery, Jimma University, Ethiopia 3School of nursing and midwifery, Jimma University, Ethiopia *Corresponding author: Fantaye Chemir, School of Nursing and Midwifery, Jimma University, Ethiopia Abstract Conclusion: Though the finding showed that postnatal care service utilization was high when compared to other Background: Postnatal care is a critical period for both studies done in country, it was a lot behind from the national mothers and newborns survival. But, post-natal care is target of postnatal care service utilization in Ethiopia. The yet neglected; little attention and an effort have been paid initiative of provision of information, education, counseling by health care providers and policy makers in developing and communication both at the community and facility level countries. Post-natal care service utilization is still low and should be strengthened. maternal mortality rate is high. However, studies on post- natal care service utilization and associated factors are Keywords lacking in the study setting. Therefore, the aim of this study Postpartum care, Postnatal care, Service utilization, Women is to assess postnatal care service utilization and associat- ed factors among mothers who delivered in Shabe sombo Abbreviations woreda, Jimma zone, Oromiya region, South West Ethio- pia, 2018. A.A: Addis Ababa; AOR: Adjusted Odds Ratio; ANC: An- tenatal Care; COR: Crude Odds Ratio; EDHS: Ethiopia A community based cross-sectional study design Methods: Demographic and Health Survey; HEW: Health Extension was conducted in Shabe sombo woreda, Jimma zone. A Workers; MMR: Maternal Mortality Rate; PNC: Postnatal total of 564 study participants were included in the study us- Care; PPC: Postpartum care; TT: Tetanus Toxoid; SNNPR: ing simple random sampling technique. Data was collected Southern Nation and Nationality Representatives from March 1 - April 1, 2018. Data was entered into Epi data version 3.1 and exported into SPSS version 23.0 for analy- sis. Bivariate and multivariable logistic regression analysis Introduction was made in order to predict factors associated with post- natal care (PNC) service utilization. Postnatal care is the care provided to the mother Result: The study revealed that the magnitude of PNC ser- and their babies within 42 days after delivery [1]. vice utilizations is 58.5%. Multivariable logistic regression Most maternal and infant deaths occur in the first analysis showed that, mothers with younger age (adjusted odds ratio (AOR) = 2.243, (95% CI: 1.066, 4.721), having month after birth. About 45% of postnatal maternal antenatal care visit (AOR = 9.36, 95% CI: 5.605, 15.618), deaths occur within the first 24 hours and 66% occur experiencing obstetric complication during pregnancy (AOR during the first week [1,2]. Globally, the Maternal Mor- = 2.3373, 95% CI: 1.095, 5.142), who had information about tality Rate is 216 per 100,000 live births, in sub-Saharan PNC (AOR = 9.946, 95% CI: 6.009, 16.460) and appoint- Africa 546 per 100,000 live births in 2015 [3]. In Ethiopia ed for PNC follow-up (AOR = 2.114, 95% CI: 1.289, 3.466) were more likely to utilize postnatal care services. MMR was 412 per 100000 live births [4]. The post-natal period is a dangerous time for both Citation: Chemir F, Gelan M, Sinaga M (2018) Postnatal Care Service Utilization and Associated Factors among Mothers Who Delivered in Shebe Sombo Woreda, Jimma Zone, Ethiopia. Int J Womens Health Wellness 4:078. doi.org/10.23937/2474-1353/1510078 Accepted: September 27, 2018: Published: September 29, 2018 Copyright: © 2018 Chemir F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Chemir et al. Int J Womens Health Wellness 2018, 4:078 • Page 1 of 7 • DOI: 10.23937/2474-1353/1510078 ISSN: 2474-1353 mother and newborn infant. More than 500,000 wom- employed. en who die each year due to complications of pregnancy and childbirth in developing countries, most deaths oc- Source of population cur during or immediately after childbirth [5]. All mothers who gave births in last 12 months in The WHO recommends that a woman and her baby shebe Sombo woreda. should be assessed by health professionals within one Study population hour of birth and again after discharge from a facility. First visit should be during the first 24 hours after de- Sampled mothers who gave birth in the last 12 livery and follow-up contacts are recommended at 2-3 months in shebe Sombo woreda. days, 6-7 days and 6 weeks [6]. Sample size determination and sampling procedure According to study conducted in American Collage The sample size was determined using the single Obstetrician and Gynecologist 40% of the mothers do population proportion formula by considering 33.5% not attend post-natal care visits [6]. proportion of PNC service utilization from the study In Ethiopia it is reported that only 17% of the moth- conducted in Debre Markos Town, North western Ethi- ers received postpartum care within the critical first two opia [8] with a marginal error of 5% between the sample days after delivery and 81% of the women did not re- and the population at 95% confidence level. Consider- ceive postpartum care. In Oromiya region of Ethiopia, ing 10% non-response rate and design effect of 1.5, the only 9% of the mothers received postpartum care with- final sample size was 564. in the critical first two days after delivery [4]. From the total of 22 kebeles found in the district, 7 Reduce global maternal mortality to less than 70 per kebeles were selected by using lottery method. The total 100,000 live births between 2016 and 2030 is one of in- sample size was proportionally allocated for the selected ternational community’s political agenda especially in kebeles based on their catchment number of mothers view of the increased attention on the Sustainable De- to obtain required number of study participants. Then velopment Goals [7]. lists of eligible mothers who live in the selected Kebeles Safe motherhood remains a major challenge in were obtained from woreda health office to serve as a sub-Saharan Africa and Ethiopia is no exception as the sampling frame and the study participants were selected rates of maternal mortality (412 per 1,000 live births) by using simple random sampling method. and neonatal mortality rate (29 per 1,000 live births) still remains very high [4]. Measurement It was well known that most of maternal and new- The data was collected with face to face interview using born deaths could be prevented if essential interven- pretested and structured questionnaire which was adopt- tions like postnatal care service in existing health care ed from previously done similar researches, which contain packages reached all women and their new-born. How- four parts. The first part is socio-demographic character- ever, PNC service has been underutilized in Ethiopia in istics; the second part is reproductive and obstetrics char- general and in the study area in particular. So, this study acteristics of the mother, the third part is awareness of calls for identification of factors that influence women’s mothers and barriers to PNC service utilization and the utilization of postnatal care services in the study setting. final part was about health care provider and accessibil- ity related factors. The questionnaire was prepared in En- Methods and Materials glish language and then translated into Afan Oromo and Study area and period Amharic by language experts and again translated back to English to maintain consistency. Finally, both Afan Oromo Shebe Sombo woreda is one of the 18 districts of Jim- and Amharic version was used to collect data. The ques- ma zone. It is 52 km far from Jimma town to south West tionnaire was pre-tested by taking 5 percent of the sam- direction and 352 km far from Addis Ababa, the capital ple size at Seka woreda and necessary modification was city of Ethiopia. The boundaries of Shebe Woreda are Seka made based on the nature of gaps identified. woreda in the North, Manna Woreda in the East, SNNP in the South, and Kersa woreda in the West direction. The Data was double entered in to Epi data manager and word was administratively divided in to 22 kebeles. The to- was cleaned and explored for outliers, missing values tal population of shabe woreda is estimated to be 150,795 and any inconsistencies. of which 74500 are males and 76295 are females (Census Data Collection 2007). Numbers of women in reproductive age group (15- 49) are estimated to be 33,325 and numbers of mothers The data was collected by six midwives from other having birth in the past 12 month are 3244. This study was woreda using the predesigned questionnaire. Two su- conducted from March 1 to April 1, 2018. pervisors with first degree had trained and supervised the data collection process closely. To ensure the qual- Study design ity of data, two days training was given for data collec- A community based cross sectional study design was tors and supervisors on the objective and relevance of Chemir et al. Int J Womens Health Wellness 2018, 4:078 • Page 2 of 7 • DOI: 10.23937/2474-1353/1510078 ISSN: 2474-1353 the study, how to gather the appropriate information, Results procedures of data collection techniques and the whole A total of 544 mothers who gave birth for the last one contents of the questionnaire.
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