Association between antenatal care utilization pattern and timely initiation of postnatal care checkup: Analysis of 2016 Ethiopian Demographic and Health Survey.

<h4>Background</h4>Despite significant public health intervention, maternal mortality remains high in low- and middle-income countries, including Ethiopia. Effective postnatal care is a critical service to reduce maternal mortality. In Ethiopia, only 17% of mothers received postnatal car...

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Autores principales:	Gizachew Tadesse Wassie, Minyichil Birhanu Belete, Azimeraw Arega Tesfu, Simachew Animen Bantie, Asteray Assmie Ayenew, Belaynew Adugna Endeshaw, Semaw Minale Agdie, Mengistu Desalegn Kiros, Zelalem T Haile, Mohammad Rifat Haider, Gillian H Ice
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a474f7b9c9e3400292248c42269da8f0
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spelling	oai:doaj.org-article:a474f7b9c9e3400292248c42269da8f02021-12-02T20:19:17ZAssociation between antenatal care utilization pattern and timely initiation of postnatal care checkup: Analysis of 2016 Ethiopian Demographic and Health Survey.1932-620310.1371/journal.pone.0258468https://doaj.org/article/a474f7b9c9e3400292248c42269da8f02021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258468https://doaj.org/toc/1932-6203<h4>Background</h4>Despite significant public health intervention, maternal mortality remains high in low- and middle-income countries, including Ethiopia. Effective postnatal care is a critical service to reduce maternal mortality. In Ethiopia, only 17% of mothers received postnatal care services in 2016.<h4>Objective</h4>This study examined the association between antenatal care and timely postnatal care checkup among reproductive-age women in Ethiopia.<h4>Methods</h4>The study used the 2016 Ethiopian Demographic and Health Survey data. The current study included 4,081 women who give birth in the two years preceding the survey. Chi-square test and multivariable logistic regression analyses were used to examine the association between antenatal care and timely initiation of postnatal care.<h4>Results</h4>Postnatal care services within 2 days of delivery were received by 16.5% of women. Women who had at least four timely antenatal care visits had higher odds of timely postnatal checkups compared to women who had no antenatal care [adjusted Odds Ratio (aOR): 2.50; 95% CI 1.42-4.42]. Women who had at least four antennal care visits without timely initiation also had higher odds of postnatal check-up than their counterparts (aOR: 2.46; 95%CI: 1.22-4.97). Other factors significantly associated with timely initiation of PNC were secondary and above education (aOR: 1.64; 95%CI: 1.03-2.60), perceived distance to the nearby health facility as a significant barrier (aOR: 1.55; 95%CI: 1.15-2.09), primiparous (aOR: 0.34; 95%CI: 0.19-0.61) and institutional delivery (aOR: 14.55; 95%CI: 2.21-95.77).<h4>Conclusion</h4>The prevalence of timely initiation of postnatal care in Ethiopia is very low. Women who received recommended antenatal care services had higher odds of timely initiation of postnatal care. Thus, strengthening the existing maternal and child health programs to adhere to the recommended ANC care guidelines may improve the timely initiation of postnatal care.Gizachew Tadesse WassieMinyichil Birhanu BeleteAzimeraw Arega TesfuSimachew Animen BantieAsteray Assmie AyenewBelaynew Adugna EndeshawSemaw Minale AgdieMengistu Desalegn KirosZelalem T HaileMohammad Rifat HaiderGillian H IcePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258468 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Gizachew Tadesse Wassie Minyichil Birhanu Belete Azimeraw Arega Tesfu Simachew Animen Bantie Asteray Assmie Ayenew Belaynew Adugna Endeshaw Semaw Minale Agdie Mengistu Desalegn Kiros Zelalem T Haile Mohammad Rifat Haider Gillian H Ice Association between antenatal care utilization pattern and timely initiation of postnatal care checkup: Analysis of 2016 Ethiopian Demographic and Health Survey.
description	<h4>Background</h4>Despite significant public health intervention, maternal mortality remains high in low- and middle-income countries, including Ethiopia. Effective postnatal care is a critical service to reduce maternal mortality. In Ethiopia, only 17% of mothers received postnatal care services in 2016.<h4>Objective</h4>This study examined the association between antenatal care and timely postnatal care checkup among reproductive-age women in Ethiopia.<h4>Methods</h4>The study used the 2016 Ethiopian Demographic and Health Survey data. The current study included 4,081 women who give birth in the two years preceding the survey. Chi-square test and multivariable logistic regression analyses were used to examine the association between antenatal care and timely initiation of postnatal care.<h4>Results</h4>Postnatal care services within 2 days of delivery were received by 16.5% of women. Women who had at least four timely antenatal care visits had higher odds of timely postnatal checkups compared to women who had no antenatal care [adjusted Odds Ratio (aOR): 2.50; 95% CI 1.42-4.42]. Women who had at least four antennal care visits without timely initiation also had higher odds of postnatal check-up than their counterparts (aOR: 2.46; 95%CI: 1.22-4.97). Other factors significantly associated with timely initiation of PNC were secondary and above education (aOR: 1.64; 95%CI: 1.03-2.60), perceived distance to the nearby health facility as a significant barrier (aOR: 1.55; 95%CI: 1.15-2.09), primiparous (aOR: 0.34; 95%CI: 0.19-0.61) and institutional delivery (aOR: 14.55; 95%CI: 2.21-95.77).<h4>Conclusion</h4>The prevalence of timely initiation of postnatal care in Ethiopia is very low. Women who received recommended antenatal care services had higher odds of timely initiation of postnatal care. Thus, strengthening the existing maternal and child health programs to adhere to the recommended ANC care guidelines may improve the timely initiation of postnatal care.
format	article
author	Gizachew Tadesse Wassie Minyichil Birhanu Belete Azimeraw Arega Tesfu Simachew Animen Bantie Asteray Assmie Ayenew Belaynew Adugna Endeshaw Semaw Minale Agdie Mengistu Desalegn Kiros Zelalem T Haile Mohammad Rifat Haider Gillian H Ice
author_facet	Gizachew Tadesse Wassie Minyichil Birhanu Belete Azimeraw Arega Tesfu Simachew Animen Bantie Asteray Assmie Ayenew Belaynew Adugna Endeshaw Semaw Minale Agdie Mengistu Desalegn Kiros Zelalem T Haile Mohammad Rifat Haider Gillian H Ice
author_sort	Gizachew Tadesse Wassie
title	Association between antenatal care utilization pattern and timely initiation of postnatal care checkup: Analysis of 2016 Ethiopian Demographic and Health Survey.
title_short	Association between antenatal care utilization pattern and timely initiation of postnatal care checkup: Analysis of 2016 Ethiopian Demographic and Health Survey.
title_full	Association between antenatal care utilization pattern and timely initiation of postnatal care checkup: Analysis of 2016 Ethiopian Demographic and Health Survey.
title_fullStr	Association between antenatal care utilization pattern and timely initiation of postnatal care checkup: Analysis of 2016 Ethiopian Demographic and Health Survey.
title_full_unstemmed	Association between antenatal care utilization pattern and timely initiation of postnatal care checkup: Analysis of 2016 Ethiopian Demographic and Health Survey.
title_sort	association between antenatal care utilization pattern and timely initiation of postnatal care checkup: analysis of 2016 ethiopian demographic and health survey.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/a474f7b9c9e3400292248c42269da8f0
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Association between antenatal care utilization pattern and timely initiation of postnatal care checkup: Analysis of 2016 Ethiopian Demographic and Health Survey.

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