Use of postnatal care services and determinant actors among women who gave birth in Addis Ababa

Abstract

Background: A large proportion of maternal and neonatal deaths occur during the first 48 hours after birth. Prompt postnatal care (PNC)  for both the mother and the child is important to treat any complications arising during and after delivery. There is limited information about postnatal care services use and associated factors among women who gave birth in Addis Ababa. Therefore, this study  aimed to assess postnatal care services use and determinant factors among women who gave birth in Addis Ababa, Ethiopia.  

Methods: Community-based cross-sectional study was conducted in Addis Ababa from October 05 to November 30, 2019. Multistage  sampling technique was employed to select the study participants. The data was collected using interviewer administered structured questionnaires and analyzed using Statistical Product and Service Solutions (SPSS) version 23.0. Binary and multivariable logistic  regression was used to see the association between independent and dependent variables and p-value ≤ 0.05 were considered as statistically significant.

Results: A total of 731 participants were included in the study, making the response rate of 97.2%. The prevalence  of postnatal care services utilization was 92.1%. Family size (AOR=2.76, 95%CI: 1.28-5.91), husband’s occupation (AOR=0.07, 95%CI:  0.001-0.57), (AOR=2.59, 95%CI: 1.12-6.02), number of antenatal care visit (AOR=2.59, 95%CI: 1.12-6.02), presence of danger signs  (AOR=0.07, 95%CI: 0.03-0.17), were significantly associated with postnatal services utilization.

Conclusion: The prevalence of Postnatal  care services use was high (92.1%)compared to most international data. Family size, husband’s occupation, number of ANC visit, and experiencing danger signs were significantly associated with Post natal care service utilization.