Analysis of Influential Factors on Postnatal Care Utilization: A Community-based Cross-sectional Study in Kwadaso Municipality, Ghana
DOI:
https://doi.org/10.26911/thejmch.2024.09.04.01Abstract
Background: Postnatal care is central to maternal well-being as it averts cognitive complications and illnesses that come from childbirth. Non-utilization of postnatal care hinders initiatives aimed at improving maternal morbidity and mortality because postnatal care is an essential component of those initiatives. This study sought to determine factors associated with the utilization of postnatal care services among mothers in Kwadaso Municipality.
Subjects and Method: Community-based cross-sectional study to assess the factors associated with utilization of postnatal care services among mothers in Kwadaso Municipality. A multistage sampling technique was used to recruit 568 women for the study. The dependent variable was mothers' utilization of postnatal care (PNC). The independent variable was demographic characteristics of mothers, socio-economic status, educational level, accessibility to healthcare facilities, knowledge of PNC Services, and awareness of PNC services. The data were collected using a structured questionnaire, the data obtained were analyzed using STATA version 14.0, and the variables were analyzed using the chi-square test and multiple logistic regression and p=0.050 was considered statistically significant.
Results: The mean age was 20-25 years 22.4 (SD=3.7 years) and 55.5% were married. The level of knowledge of the mothers on postnatal care services was 71.8% and 82.3% of the subjects knew postnatal period is more dangerous to the lives of mothers and their babies. The unadjusted odds of women who were married (OR= 2.11; 95% CI= 0.86 to 7.46; p=0.042), with two children (OR=4.17; 95% CI= 0.03 to 5.30; p= 0.025), earned GHC 500.00 monthly (OR= 3.47; 95% CI= 0.26 to 5.73; p=0.038), or delivered at the hospital (OR= 3.18= 95%CI= 0.02 to 8.06; p=0.014) were statistically significantly higher in women who were not married, had more than or less than four children, earned less than GHC 500.00 or delivered at other places aside the hospital.
Conclusion: This study contributes to the ongoing discourse on maternal health and underscores the importance of evidence-based interventions to improve the health and well-being of mothers and infants.
Keywords:
postnatal care, new-born, knowledge, utilization, immunizationReferences
Abera B, Araya F, Rad M, Ysuf EA (2020). Postnatal service utilization and associated factors among women who gave birth in the last 12 months prior to study period in Jimma Town, Southwest Ethiopia. doi.org/10.21203/rs.3.rs54730/v1
Ahinkorah BO, Seidu A-A, Agbaglo E, Adu C, Budu E, Hagan JEJ, et al. (2021). Determinants of antenatal care and skilled birth attendance services utilization among childbearing women in Guinea: evidence from the 2018 Guinea Demographic and Health Survey data. BMC Pregnancy Childbirth. 21(1): 2. doi.org/10.1186/s12884020034894
Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A, et al. (2016). Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 387(10017):462–74. doi: 10.1016/S01406736(15)008387
Angore BN, Tufa EG, Bisetegen FS (2018). Determinants of postnatal care utilization in urban community among women in Debre Birhan Town, Northern Shewa, Ethiopia. J Heal Popul Nutr. 37:1–9. doi.org/10.1186/s4104301801406
Appiah F, Salihu T, Fenteng JOD, Darteh AO, Kannor P, Ayerakwah PA, et al. (2021). Postnatal care utilisation among women in rural Ghana: analysis of 2014 Ghana demographic and health survey. BMC Pregnancy Childbirth. 21:1–9. doi.org/10.1186/s12884020034974
Ayanore MA, Pavlova M, Groot W (2016). Unmet reproductive health needs among women in some West African countries: a systematic review of outcome measures and determinants. Reprod Health. Jan;13:5. doi.org/10.1186/s129780150104x
Belachew T, Taye A, Belachew T (2016). Postnatal care service utilization and associated factors among mothers in Lemo Woreda, Ethiopia. J Women’s Heal Care. 5(10.4172):420–2167. doi.org/10.4172/21670420.1000318
Beraki GG, Tesfamariam EH, Gebremichael A, Yohannes B, Haile K, Tewelde S, et al. (2020). Knowledge on postnatal care among postpartum mothers during discharge in maternity hospitals in Asmara: a cross-sectional study. BMC Pregnancy Childbirth. 20:1–10. doi.org/10.1186/s128840192698
Berhanu Sr S, Asefa Y, Giru BW (2016). Prevalence of postnatal care utilization and associated factors among women who gave birth and attending immunization clinic in selected government health centers in Addis Ababa, Ethiopia, 2016. Prevalence. 26.
Bhutta ZA, Das JK, Bahl R, Lawn JE, Salam RA, Paul VK, et al. (2014). Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? Lancet. 384(9940):347–70. doi.org/10.1016/S01406736(14)607923
Chembe BC, Siziya S (2017). Level of knowledge on postnatal care and its associated factors in Ndola, Zambia.
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 Heal Wellness. 4(2). doi: 10.23937/24741353/1510078
Dairo MD, Atanlogun A (2018). Utilization of antenatal and postnatal care services among adolescents and young mothers in rural communities in South-Western Nigeria. African J Biomed Res. 21(2):133–7.
DiBari JN, Yu SM, Chao SM, Lu MC (2014). Use of postpartum care: predictors and barriers. J Pregnancy. doi.org/10.1155/2014/530769
Dutta DC (2014). Text Book of Obstetrics. 9th Editio.
Foreman KJ, Marquez N, Dolgert A, Fukutaki K, Fullman N, McGaughey M, et al. (2018). Forecasting life expectancy, years of life lost, and all-cause and cause-specific mortality for 250 causes of death: reference and alternative scenarios for 2016–40 for 195 countries and territories. Lancet. 392(10159):2052–90. doi.org/10.1016/S01406736(18)316945
Khaki J (2019). Factors associated with the utilization of postnatal care services among Malawian women. Malawi Med J. 31(1):2–11. doi:10.4314/mmj.v31i1.2
Kikuchi K, Yasuoka J, Nanishi K, Ahmed A, Nohara Y, Nishikitani M, et al. (2018). Postnatal care could be the key to improving the continuum of care in maternal and child health in Ratanakiri, Cambodia. PLoS One. 13(6): e0198829. doi.org/10.1371/journal.pone.0198829
Mirzaee K, Oladi Ghadikolaee S, Taghi Shakeri M, Mousavi Bazzaz SM (2015). Maternal knowledge on postpartum care in healthcare centers of Mashhad, Iran in 2013. J Midwifery Reprod Heal. 3(4):456–64. doi: 10.22038/JMRH.2015.4810
Ndugga P, Namiyonga NK, Sebuwufu D (2020). Determinants of early postnatal care attendance: analysis of the 2016 Uganda demographic and health survey. BMC Pregnancy Childbirth. 20(1):1–14. doi.org/10.1186/s12884020028663
Rwabufigiri BN, Mukamurigo J, Thomson DR, Hedt-Gautier BL, Semasaka JPS (2016). Factors associated with postnatal care utilisation in Rwanda: A secondary analysis of 2010 Demographic and Health Survey data. BMC Pregnancy Childbirth. 16:1–8. doi.org/10.1186/s1288401609130
Sakeah E, Aborigo R, Sakeah JK, Dalaba M, Kanyomse E, Azongo D, et al. (2018). The role of community-based health services in influencing postnatal care visits in the Builsa and the West Mamprusi districts in rural Ghana. BMC Pregnancy Childbirth. 18:1–9. doi.org/10.1186/s1288401819267
Sarkar J, Konwar G, Das LK (2014). Assessment of knowledge and practice regarding postnatal exercises among mothers admitted in postnatal ward in Gauhati medical college and hospital. Obs Gynaecol Barpeta. 1(1):52–6.
Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, et al. (2014). Global causes of maternal death: a WHO systematic analysis. Lancet Glob Heal. 2(6):e323–33. doi.org/10.1016/S2214109X(14)70227X
Somefun OD, Ibisomi L (2016). Determinants of postnatal care non-utilization among women in Nigeria. BMC Res Notes. 9:1–11. doi.org/10.1186/s1310401518233
Tesfahun F, Worku W, Mazengiya F, Kifle M (2014). Knowledge, perception and utilization of postnatal care of mothers in Gondar Zuria District, Ethiopia: a cross-sectional study. Matern Child Health J. 18:2341–51. doi.org/10.1007/s1099501414743
Tolera H, Gebre-Egziabher T, Kloos H (2020). Risk factors for women’s non-utilization of decentralized primary health care facilities for postnatal care in rural western Ethiopia. Ther Adv Reprod Heal. 14:2633494. doi: 10.1177/1179558120928340
World Health Organization (2014a). WHO recommendations on postnatal care of the mother and newborn [Internet]. World Health Organization. Available from: https://apps.who.int/iris/handle/10665/97603
World Health Organization (2014b). World Health Statistics 2014. World Health Organization.
World Health Organization (2015). Postnatal care for mothers and newborns highlights from the World Health Organization 2013 Guidelines. World Health Organization.
Warren CE (2015). Exploring the quality and effect of comprehensive postnatal care models in East and Southern Africa. ICRH Monogr.
Wudineh KG, Nigusie AA, Gesese SS, Tesu AA, Beyene FY (2018). 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. 18:1–9. doi.org/10.1186/s128840182138x.