Home based postpartum care and determinants in Ethiopia: A multilevel analysis.

Autor: Minuye Birhane B; College Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia., Alebachew Bayih W; College Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia., Chanie M; Debre Tabor Health Science College, Debre Tabor, Ethiopia., Awoke G; Debre Tabor Health Science College, Debre Tabor, Ethiopia., Simegn A; College Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia., Asnakew S; College Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia., Mamuye M; College Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia., Yeshambel A; College Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia., Muche T; College Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia., Demis A; College of Health Sciences, Woldia University, Ethiopia., Munye T; College Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia., Endalamaw A; School of Health Sciences, College Medicine and Health Sciences, Bahirdar University, Bahirdar, Ethiopia.; School of Public Health, The University of Queensland, Brisbane, Australia., Eshetie Y; College Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia., Kefale D; College Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia., Chanie ES; College Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia., Mengesha Yalew Z; Department Comprehensive Nursing, College of Health Sciences, Wollo University, Ethiopia., Mesfin Belay D; College Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2022 Aug 25; Vol. 17 (8), pp. e0272489. Date of Electronic Publication: 2022 Aug 25 (Print Publication: 2022).
DOI: 10.1371/journal.pone.0272489
Abstrakt: Introduction: Neonatal mortality remains a persisting public health challenge in Ethiopia. Timely intervention to neonatal morbidity and early neonatal care visit could reduce the burden of mortality. Studies related to home based postnatal care is limited in Ethiopia. Therefore, this study aimed to assess home based postnatal care visits and determinants in Ethiopia.
Methods: A secondary data analysis using 2016 EDHS data was conducted among 7590 women who had live births two years preceding the survey. A multilevel mixed-effect logistic regression analysis model was used and those variables with a P-value ≤ of 0.05 in multivariable analysis were considered as predictors. Results: Home based postpartum care by health care providers was 6.3% and 67.9% of women gave birth at home. Women perceived that distance is not big problem [AOR = 1.37; 95% CI: 1.06, 1.68], richer wealth index [AOR = 1.69; 95% CI: 1.15, 2.48], attending antenatal care visit [AOR = 2.17; 95% CI:1.57, 2.99], giving birth in health institution [AOR = 2.07; 95% CI:1.53, 2.80], giving birth by cesarean section [AOR = 3.41; 95% CI: 2.33, 4.99], and having awareness about neonatal danger sign [AOR = 3.68; 95% CI: 2.90,4.70] were factors associated with home based postpartum care.
Conclusion: Home based care by health care providers was low. Therefore, measures should be taken in increasing the number of nearby health care facility, strengthen the continuum of care on antenatal care follow-up, institutional delivery and improve mother's knowledge about neonatal danger sign.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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