Home based postpartum care and determinants in Ethiopia: A multilevel analysis
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Authors
Birhane, Binyam Minuye
Bayih, Wubet Alebachew
Chanie, Muluken
Awoke, Getaneh
Simegn, Amare
Asnakew, Sintayehu
Mamuye, Melkalem
Yeshambel, Abebaw
Muche, Tewachew
Demis, Asmamaw
Issue Date
2022-08
Type
Article
Language
en_US
Keywords
Postpartum Care , Determinants , Multilevel Analysis
Alternative Title
Abstract
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.
Description
Citation
Minuye Birhane, B., Alebachew Bayih, W., Chanie, M., Awoke, G., Simegn, A., Asnakew, S., Mamuye, M., Yeshambel, A., Muche, T., Demis, A., Munye, T., Endalamaw, A., Eshetie, Y., Kefale, D., Chanie, E. S., Mengesha Yalew, Z., & Mesfin Belay, D. (2022). Home based postpartum care and determinants in Ethiopia: A multilevel analysis. PloS one, 17(8), e0272489. https://doi.org/10.1371/journal.pone.0272489
Publisher
PloS One