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Couples’ Opinion and Women’s Utilization of Postnatal Care Service in Wolaita Zone, Southern Ethiopia: A Community Based Mixed Study

Received: 6 April 2017     Accepted: 24 April 2017     Published: 20 May 2017
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Abstract

Postnatal period is the most neglected period though it is a critical phase in the lives of mothers and newborn babies. About 50 to 71 percent of maternal deaths occur during this period, particularly in the first few hours. Therefore, this study aimed to assess couples’ opinion & women’s utilization of postnatal care service in Wolaita zone, Southern Ethiopia, January 2016. A community based cross sectional study was employed using both quantitative and qualitative methods of data collection. Study subjects were women aged between 15-49 years old who delivered within the past one year before data collection time in the selected districts of Wolaita zone. Multistage sampling technique was used to select study subjects for quantitative study and purposive sampling was used to select participants for qualitative study. A total of 790 sample size for quantitative data was allocated proportionally to the population size of randomly selected kebele and 24 in-depth interviews with key informants was conducted to supplement quantitative study. Bivariate and multivariate analysis was performed to assess independent predictors of postnatal care service utilization. In-depth interview was audio recorded, transcribed, translated and triangulated with quantitative findings. The prevalence of postnatal care service utilization in this study was 34.9%. This study showed that younger mothers, [AOR = 1.82, (95% CI = 1.23, 2.69)]; those mothers who followed antenatal care service in their last pregnancy, [AOR = 10.39, (95% CI = 4.99, 21.60)]; who delivered their last child in health facilities, [AOR = 2.66, (95% CI = 1.75, 4.03)]; who have good knowledge on postnatal care service utilization, [AOR = 7.25, (95% CI = 4.30, 12.21)]; and whose couples’ have good attitude towards postnatal care service utilization, [AOR = 1.76, (95% CI = 1.16, 2.69)] were more likely utilized postnatal care service than their counter parts. Postnatal care service utilization was low in the study area. Maternal age, maternal health service utilization (antenatal care service and institutional delivery), maternal knowledge and couples’ attitude were major predictors for postnatal care service utilization in the study area. Concerned body should focus on the above issue to improve maternal and child health.

Published in Science Journal of Public Health (Volume 5, Issue 4)
DOI 10.11648/j.sjph.20170504.12
Page(s) 288-293
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Couples’ Opinion, Postnatal Care Service, Wolaita Zone, Southern Ethiopia

References
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[8] World Health Organization: WHO Technical Consultation on Postpartum and Postnatal Care. Geneva: WHO; 2010.
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[10] World Health Organization: Postpartum Care of the Mother and Newborn: A Practical Guide. Fourth edition. Geneva: WHO; 1998. WHO/RHT/MSM/983.
[11] Save the children. Postnatal Care: A Critical Opportunity to Save Mothers and Newborns. Washington, DC; population reference bureau:2007.Available at: http://www.prb.org/pdf07/snlpncbrie ffinal.pdf
[12] Central Statistical Agency. Ethiopia Demographic and Health Survey: Addis Ababa: Central statistical agency; 2011.
[13] WHO. World Health Statistics 2015. Available at: http://www.who.int/gho/publications/world _health_statistics/2015/en/
[14] Warren C, Daly P, Toure L, and Mongi P. 2006. Postnatal CarePractical Data Policy and Programmatic Support for Newborn Care in Africa. Cape Town, South Africa.
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[16] Regassa N.Antenatal and postnatal care service utilization in Southern Ethiopia: a population-based study. African Health Sciences.Sep 201; 11(3).
[17] Fikirte T, Walelegn W, Fekadu M et.al.Knowledge, Perception and Utilization of Postnatal Care of Mothers in Gondar Zuria District, Ethiopia: A Cross-Sectional Study. Matern Child Health J (2014) 18:2341–2351.
[18] Birhanu D, Nagasa D, Fikru T and Shimeles O. Institutional delivery and postnatal careservice utilizations in Abuna GindeberetDistrict, West Shewa, Oromiya Region, Central Ethiopia: BMC Pregnancy and Childbirth (2016) 16:149.
[19] Uppadhaya SK, Bhansali S, Sivodia SK, Agrawal N, Garg K, Singh M. Utilization of Postnatal Care Services in Rural Area of Western Rajasthan, India. Ntl J Community Med 2016; 7(7):569-572.
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[21] Almamy MK, Christine EC, Anna ML, Factors associated with compliance with the recommended frequency of postnatal care services in three rural districts of Tanzania. BMC Pregnancy and Childbirth. (2015) 15:341
[22] Dillee PP, Baburao Nilgar, Manisha B, Determinants of postnatal maternity care service utilization in rural Belgaum of Karnataka, India: A community based cross-sectional study. International Journal of Medicine and Public Health; Jan-Mar 2014; 4 (1).
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Cite This Article
  • APA Style

    Wolde Facha, Mihretu Alemayehu, Mengistu Meskele, Teshale Fikadu. (2017). Couples’ Opinion and Women’s Utilization of Postnatal Care Service in Wolaita Zone, Southern Ethiopia: A Community Based Mixed Study. Science Journal of Public Health, 5(4), 288-293. https://doi.org/10.11648/j.sjph.20170504.12

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    ACS Style

    Wolde Facha; Mihretu Alemayehu; Mengistu Meskele; Teshale Fikadu. Couples’ Opinion and Women’s Utilization of Postnatal Care Service in Wolaita Zone, Southern Ethiopia: A Community Based Mixed Study. Sci. J. Public Health 2017, 5(4), 288-293. doi: 10.11648/j.sjph.20170504.12

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    AMA Style

    Wolde Facha, Mihretu Alemayehu, Mengistu Meskele, Teshale Fikadu. Couples’ Opinion and Women’s Utilization of Postnatal Care Service in Wolaita Zone, Southern Ethiopia: A Community Based Mixed Study. Sci J Public Health. 2017;5(4):288-293. doi: 10.11648/j.sjph.20170504.12

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  • @article{10.11648/j.sjph.20170504.12,
      author = {Wolde Facha and Mihretu Alemayehu and Mengistu Meskele and Teshale Fikadu},
      title = {Couples’ Opinion and Women’s Utilization of Postnatal Care Service in Wolaita Zone, Southern Ethiopia: A Community Based Mixed Study},
      journal = {Science Journal of Public Health},
      volume = {5},
      number = {4},
      pages = {288-293},
      doi = {10.11648/j.sjph.20170504.12},
      url = {https://doi.org/10.11648/j.sjph.20170504.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20170504.12},
      abstract = {Postnatal period is the most neglected period though it is a critical phase in the lives of mothers and newborn babies. About 50 to 71 percent of maternal deaths occur during this period, particularly in the first few hours. Therefore, this study aimed to assess couples’ opinion & women’s utilization of postnatal care service in Wolaita zone, Southern Ethiopia, January 2016. A community based cross sectional study was employed using both quantitative and qualitative methods of data collection. Study subjects were women aged between 15-49 years old who delivered within the past one year before data collection time in the selected districts of Wolaita zone. Multistage sampling technique was used to select study subjects for quantitative study and purposive sampling was used to select participants for qualitative study. A total of 790 sample size for quantitative data was allocated proportionally to the population size of randomly selected kebele and 24 in-depth interviews with key informants was conducted to supplement quantitative study. Bivariate and multivariate analysis was performed to assess independent predictors of postnatal care service utilization. In-depth interview was audio recorded, transcribed, translated and triangulated with quantitative findings. The prevalence of postnatal care service utilization in this study was 34.9%. This study showed that younger mothers, [AOR = 1.82, (95% CI = 1.23, 2.69)]; those mothers who followed antenatal care service in their last pregnancy, [AOR = 10.39, (95% CI = 4.99, 21.60)]; who delivered their last child in health facilities, [AOR = 2.66, (95% CI = 1.75, 4.03)]; who have good knowledge on postnatal care service utilization, [AOR = 7.25, (95% CI = 4.30, 12.21)]; and whose couples’ have good attitude towards postnatal care service utilization, [AOR = 1.76, (95% CI = 1.16, 2.69)] were more likely utilized postnatal care service than their counter parts. Postnatal care service utilization was low in the study area. Maternal age, maternal health service utilization (antenatal care service and institutional delivery), maternal knowledge and couples’ attitude were major predictors for postnatal care service utilization in the study area. Concerned body should focus on the above issue to improve maternal and child health.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Couples’ Opinion and Women’s Utilization of Postnatal Care Service in Wolaita Zone, Southern Ethiopia: A Community Based Mixed Study
    AU  - Wolde Facha
    AU  - Mihretu Alemayehu
    AU  - Mengistu Meskele
    AU  - Teshale Fikadu
    Y1  - 2017/05/20
    PY  - 2017
    N1  - https://doi.org/10.11648/j.sjph.20170504.12
    DO  - 10.11648/j.sjph.20170504.12
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 288
    EP  - 293
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20170504.12
    AB  - Postnatal period is the most neglected period though it is a critical phase in the lives of mothers and newborn babies. About 50 to 71 percent of maternal deaths occur during this period, particularly in the first few hours. Therefore, this study aimed to assess couples’ opinion & women’s utilization of postnatal care service in Wolaita zone, Southern Ethiopia, January 2016. A community based cross sectional study was employed using both quantitative and qualitative methods of data collection. Study subjects were women aged between 15-49 years old who delivered within the past one year before data collection time in the selected districts of Wolaita zone. Multistage sampling technique was used to select study subjects for quantitative study and purposive sampling was used to select participants for qualitative study. A total of 790 sample size for quantitative data was allocated proportionally to the population size of randomly selected kebele and 24 in-depth interviews with key informants was conducted to supplement quantitative study. Bivariate and multivariate analysis was performed to assess independent predictors of postnatal care service utilization. In-depth interview was audio recorded, transcribed, translated and triangulated with quantitative findings. The prevalence of postnatal care service utilization in this study was 34.9%. This study showed that younger mothers, [AOR = 1.82, (95% CI = 1.23, 2.69)]; those mothers who followed antenatal care service in their last pregnancy, [AOR = 10.39, (95% CI = 4.99, 21.60)]; who delivered their last child in health facilities, [AOR = 2.66, (95% CI = 1.75, 4.03)]; who have good knowledge on postnatal care service utilization, [AOR = 7.25, (95% CI = 4.30, 12.21)]; and whose couples’ have good attitude towards postnatal care service utilization, [AOR = 1.76, (95% CI = 1.16, 2.69)] were more likely utilized postnatal care service than their counter parts. Postnatal care service utilization was low in the study area. Maternal age, maternal health service utilization (antenatal care service and institutional delivery), maternal knowledge and couples’ attitude were major predictors for postnatal care service utilization in the study area. Concerned body should focus on the above issue to improve maternal and child health.
    VL  - 5
    IS  - 4
    ER  - 

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Author Information
  • School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia

  • School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia

  • School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia

  • School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia

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