Predictors of Postnatal Care Supplements in Bole Sub-City Health Centers Under the COVID-19 Environment: Analysis of Service User’s Perspective

Nolawit Kebede; Nigatu Regassa

doi:doi:10.11648/j.sjph.20210906.12

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Predictors of Postnatal Care Supplements in Bole Sub-City Health Centers Under the COVID-19 Environment: Analysis of Service User’s Perspective

Nolawit Kebede, Nigatu Regassa

Published in Science Journal of Public Health (Volume 9, Issue 6)

Received: 15 October 2021 Accepted: 2 November 2021 Published: 19 November 2021

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Abstract

Background: Postnatal Care (PNC) visits help decrease maternal morbidity and mortality right after delivery. However, the services are severely affected during crisis time, such as the recent COVID-19 pandemic, as most health care services were suspended and shifted to combat the pandemic. Objective: to assess the determinants and challenges of postnatal care service utilization, specifically intake of key supplements (iron, folic acid, and antibiotics) among pregnant women attending Bole Sub City Health Centers, Addis Ababa, under the COVID-19 pandemic. Method: A sample size of 405 mothers with the most recent births who got the service in selected health centers in Bole Sub-City were interviewed. A Negative Binomial (NB) regression analysis was used to assess the determinants of postnatal supplement intake. Results: 44.9 percent of the respondents used Post Natal Care (PNC) services but only 10.6 percent of them took the postnatal supplements. For respondents in the age group 25-34, the expected mean number of postpartum intakes increased by 1.22 times (95%CI: 1.121-1.346) compared to women aged 35 and above. The mean number of postpartum intakes decreased by 38.1 percent (IRR=0.619; 95%CI: 0.548-0.700) for women who were currently living with their husbands compared to the reference category. For women who had 2-3 children, postpartum supplement intake decreased by 32.8 percent (IRR=0.672; 95%CI: 0.618-0.730). Women with primary education had lower intake (IRR=0.903, 95%CI: 0.825-0.987) than those who had college or university education. Postnatal supplement intake decreased by 25.7 percent (IRR=0.743, 95%CI: 0.678-0.814) and 22.9 percent (IRR=0.771, 95%CI: 0.706-0.841) among those with very low and low household income, respectively. Intake was higher among Orthodox Christian and Muslim women by 1.092 times (95%CI: 1.010-1.180) and 1.24 times (95%CI: 1.136-1.354), respectively when compared to followers of other religion (i.e., Catholics and Protestants). Women who were not engaged in gainful employment had significantly higher mean score of intakes (IRR=1.130; 95%CI: 1.063-1.202) compared to those working during the survey period. Conclusion: Given the higher likelihood of maternal morbidity and mortality during the postpartum period, the findings suggest that continued awareness creation and health education to mothers could make a significant increase in the access and uptake of both supplement intake and PNC services.

Published in	Science Journal of Public Health (Volume 9, Issue 6)
DOI	10.11648/j.sjph.20210906.12
Page(s)	190-197
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), 2024. Published by Science Publishing Group

Keywords

Delivery, Postnatal Service, Iron, Folate, Supplement, Ethiopia

References

[1]	Zemenu TT, Lake Y, Getayeneh AT, and Achamyeleh BT. Determinants of postnatal care utilization in sub-Saharan Africa: a meta and multilevel analysis of data from 36 sub-Saharan countries. Italian Journal of Pediatrics. 2020; 46 (175). https://doi.org/10.1186/s13052-020-00944-y
[2]	WHO.com. Maternal mortality [Internet]. [Cited 2019]. Available at: https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
[3]	WHO.com. Standard of maternal and neonatal care, Iron and folate Supplementation. Integrated management of pregnancy and childbirth (IMPAC) [Internet]. [Cited 2006] Available at: Http://www.who.int/making_pregnancy_safer/publication/en/ 2006
[4]	Bonet M, Ota E, Chibueze CE, Oladapo OT. Routine antibiotic prophylaxis after normal vaginal birth for reducing maternal infectious morbidity. Cochrane Database of Systematic Reviews. 2017; 11 (CD012137). doi: 10.1002/14651858.CD012137.pub2.
[5]	Netsanet Abera Asseffa, Bukola F, and Ayodele A. Determinants of use of health facility for childbirth in rural Hadiya zone, Southern Ethiopia. BMC Pregnancy and childbirth. 2016; 16 (355) https://doi.org/10.1186/s12884-016-1151-1.
[6]	Shambel Y, Azmach D, and Aregahegn D. Prevalence of early postnatal care service utilization and its associated factors among mothers in Hawassa Zuria District, Sidama Regional State Ethiopia: A cross-sectional study. Hindawi Obstetrics and Gynecology International. 2021. https://doi.org/10.1155/2021/5596110
[7]	Gudu. W and Addo. B. Factors associated with utilization of skilled service delivery among women in rural Northern Ghana: A cross-sectional study. BMC Pregnancy and Childbirth. 2017; 17 (159). https://doi.org/10.1186/s12884-017-1344-2
[8]	Berhan T, Belay A, and Mulu R. Prevalence and Factors associated with immediate postnatal care utilization in Ethiopia: Analysis of Ethiopia Demographic Health Survey. International Journal of Women’s Health. 2021; 13: 257-266. https://doi.org/10.2147/IJWH.S294058
[9]	Banke-Thomas OE, Banke-Thomas, AO, and Ameh, CA. Factors influencing utilization of maternal health services by adolescent mothers in Low-and middle-income countries: a systematic review. BMC Pregnancy and Childbirth. 2017; 17 (65). https://doi.org/10.1186/s12884-017-1246-3
[10]	Eshetu EC, Ahmed AA, Nedjat S, and Majdzadeh R. Utilization and determinants of postnatal care services in Ethiopia: A systematic review and Meta-Analysis. Ethiop J Health Sci. 2019; 29 (1): 935-944. doi: 10.4314/ejhs.v29i1.16.
[11]	Eyerusalem Dagne. Role of socio-demographic factors on utilization of maternal health care services in Ethiopia, MSc. 2010; Thesis (Unpublished).
[12]	Fantaye C, Melkamu G, and Makeda S. Postnatal Care Services utilization and associated factors among mothers who delivered in Shebe Sombo Woreda, Jimma Zone, Ethiopia. Clinmed, International Journal of women health and wellness. 2019; 4 (078). DOI: 10.23937/2474-1353/151007.
[13]	Kassu M and Eshetu W. Factors affecting maternal health care services utilization in rural Ethiopia: A study based on the 2011 EDHS data. Ethiop. J. Health Dev. 2013; 21 (1).
[14]	Bezawit A, Girmatsion F, Getaw W, and Melaku Y. Factors associated with postnatal care utilization among postpartum women in Ethiopia: a multilevel analysis of the 2016 Ethiopian demographic and health survey. Arch Public Health. 2020; 78 (34). https://doi.org/10.1186/s13690-020-00415-0
[15]	Maleda MS, Tesfahun TG, Yeshamble WD, Asaye TA, Desalew KB, Melkitu FM, Kassahun AG, Tadesse AA, and Asrat AA. Spatial patterns and determinants of postnatal care use in Ethiopia: Findings from the 2016 Demographic and Health Survey. BMJ Open. 2019; 9 (6). DOI: 10.1136/bmjopen-2018-025066.
[16]	Wilunda C, Quaglio G, Putoto G, Takahashi R, Calia F, Abebe D, Manenti F, Riva DD, Betrán AP, and Atzori A. Determinants of utilization of antenatal care and skilled birth attendant at delivery in South West Shoa Zone, Ethiopia: a cross-sectional study. Reproductive Health. 2015; 17 (74). https://doi.org/10.1186/s12978-015-0067-y
[17]	ShegawMulu T, Lieberman LS, and Giedraiti, V. Determinants of maternal health services utilization in Ethiopia: Analysis of the 2011 EDHS. BMC Pregnancy and Childbirth. 2014; 14 (161). https://doi.org/10.1186/1471-2393-14-161
[18]	Ahmed S, Creanga AA, Gillespie DG, Tsui A. Economic Status, Education and Empowerment: Implications for Maternal Health Service Utilization in Developing Countries. PLoS One Journal. 2010; 5 (6). https://doi.org/10.1371/journal.pone.0011190
[19]	Headey D, Cho A, Goudet S, Oketch JA, and Oo TZ. The impacts of the COVID-19 crisis on maternal and child malnutrition in Myanmar. International Food Policy Research Institute (IFPRI). 2020. https://doi.org/10.2499/p15738coll2.133814
[20]	Church K, Gassner J, and Elliot M. Reproductive health under COVID-19- challenges of responding in a global crisis. Sex Reprod Health Matters. 2020; 28 (1): 1-3. doi: 10.1080/26410397.2020.1773163.
[21]	Lemi BT, Garumma TF, and Wondimu GJ. Guidelines and best practice recommendations on reproductive health services provision amid COVID-19 pandemic. BMC Public Health. 2020; 21 (276). https://doi.org/10.1186/s12889-021-10346-2
[22]	Addis Ababa City Administration Health Bureau 2012 E.C Annual report
[23]	CSA and ICF International. Ethiopia Demographic and Health Survey. Addis Ababa, Ethiopia & Calverton, MD: Central Statistical Agency & ICF International. 2011.
[24]	Central Statistical Agency. Ethiopia Demographic and Health Survey 2016. Addis Ababa and Rockville, Maryland: CSA and ICF. 2017: pp 103-121 (#6).
[25]	Tafesse LA and Niguse TA. Postnatal care Utilization and Associated Factors among Married Women in Benchi-Maji, Zone, Southwest Ethiopia: A Community-based cross-sectional study. Ethiop J Health Sci. 2018; 28 (3): 267-276. doi: 10.4314/ejhs.v28i3.4.

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APA Style

Nolawit Kebede, Nigatu Regassa. (2021). Predictors of Postnatal Care Supplements in Bole Sub-City Health Centers Under the COVID-19 Environment: Analysis of Service User’s Perspective. Science Journal of Public Health, 9(6), 190-197. https://doi.org/10.11648/j.sjph.20210906.12

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ACS Style

Nolawit Kebede; Nigatu Regassa. Predictors of Postnatal Care Supplements in Bole Sub-City Health Centers Under the COVID-19 Environment: Analysis of Service User’s Perspective. Sci. J. Public Health 2021, 9(6), 190-197. doi: 10.11648/j.sjph.20210906.12

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AMA Style

Nolawit Kebede, Nigatu Regassa. Predictors of Postnatal Care Supplements in Bole Sub-City Health Centers Under the COVID-19 Environment: Analysis of Service User’s Perspective. Sci J Public Health. 2021;9(6):190-197. doi: 10.11648/j.sjph.20210906.12

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@article{10.11648/j.sjph.20210906.12,
  author = {Nolawit Kebede and Nigatu Regassa},
  title = {Predictors of Postnatal Care Supplements in Bole Sub-City Health Centers Under the COVID-19 Environment: Analysis of Service User’s Perspective},
  journal = {Science Journal of Public Health},
  volume = {9},
  number = {6},
  pages = {190-197},
  doi = {10.11648/j.sjph.20210906.12},
  url = {https://doi.org/10.11648/j.sjph.20210906.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20210906.12},
  abstract = {Background: Postnatal Care (PNC) visits help decrease maternal morbidity and mortality right after delivery. However, the services are severely affected during crisis time, such as the recent COVID-19 pandemic, as most health care services were suspended and shifted to combat the pandemic. Objective: to assess the determinants and challenges of postnatal care service utilization, specifically intake of key supplements (iron, folic acid, and antibiotics) among pregnant women attending Bole Sub City Health Centers, Addis Ababa, under the COVID-19 pandemic. Method: A sample size of 405 mothers with the most recent births who got the service in selected health centers in Bole Sub-City were interviewed. A Negative Binomial (NB) regression analysis was used to assess the determinants of postnatal supplement intake. Results: 44.9 percent of the respondents used Post Natal Care (PNC) services but only 10.6 percent of them took the postnatal supplements. For respondents in the age group 25-34, the expected mean number of postpartum intakes increased by 1.22 times (95%CI: 1.121-1.346) compared to women aged 35 and above. The mean number of postpartum intakes decreased by 38.1 percent (IRR=0.619; 95%CI: 0.548-0.700) for women who were currently living with their husbands compared to the reference category. For women who had 2-3 children, postpartum supplement intake decreased by 32.8 percent (IRR=0.672; 95%CI: 0.618-0.730). Women with primary education had lower intake (IRR=0.903, 95%CI: 0.825-0.987) than those who had college or university education. Postnatal supplement intake decreased by 25.7 percent (IRR=0.743, 95%CI: 0.678-0.814) and 22.9 percent (IRR=0.771, 95%CI: 0.706-0.841) among those with very low and low household income, respectively. Intake was higher among Orthodox Christian and Muslim women by 1.092 times (95%CI: 1.010-1.180) and 1.24 times (95%CI: 1.136-1.354), respectively when compared to followers of other religion (i.e., Catholics and Protestants). Women who were not engaged in gainful employment had significantly higher mean score of intakes (IRR=1.130; 95%CI: 1.063-1.202) compared to those working during the survey period. Conclusion: Given the higher likelihood of maternal morbidity and mortality during the postpartum period, the findings suggest that continued awareness creation and health education to mothers could make a significant increase in the access and uptake of both supplement intake and PNC services.},
 year = {2021}
}

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TY  - JOUR
T1  - Predictors of Postnatal Care Supplements in Bole Sub-City Health Centers Under the COVID-19 Environment: Analysis of Service User’s Perspective
AU  - Nolawit Kebede
AU  - Nigatu Regassa
Y1  - 2021/11/19
PY  - 2021
N1  - https://doi.org/10.11648/j.sjph.20210906.12
DO  - 10.11648/j.sjph.20210906.12
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 190
EP  - 197
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20210906.12
AB  - Background: Postnatal Care (PNC) visits help decrease maternal morbidity and mortality right after delivery. However, the services are severely affected during crisis time, such as the recent COVID-19 pandemic, as most health care services were suspended and shifted to combat the pandemic. Objective: to assess the determinants and challenges of postnatal care service utilization, specifically intake of key supplements (iron, folic acid, and antibiotics) among pregnant women attending Bole Sub City Health Centers, Addis Ababa, under the COVID-19 pandemic. Method: A sample size of 405 mothers with the most recent births who got the service in selected health centers in Bole Sub-City were interviewed. A Negative Binomial (NB) regression analysis was used to assess the determinants of postnatal supplement intake. Results: 44.9 percent of the respondents used Post Natal Care (PNC) services but only 10.6 percent of them took the postnatal supplements. For respondents in the age group 25-34, the expected mean number of postpartum intakes increased by 1.22 times (95%CI: 1.121-1.346) compared to women aged 35 and above. The mean number of postpartum intakes decreased by 38.1 percent (IRR=0.619; 95%CI: 0.548-0.700) for women who were currently living with their husbands compared to the reference category. For women who had 2-3 children, postpartum supplement intake decreased by 32.8 percent (IRR=0.672; 95%CI: 0.618-0.730). Women with primary education had lower intake (IRR=0.903, 95%CI: 0.825-0.987) than those who had college or university education. Postnatal supplement intake decreased by 25.7 percent (IRR=0.743, 95%CI: 0.678-0.814) and 22.9 percent (IRR=0.771, 95%CI: 0.706-0.841) among those with very low and low household income, respectively. Intake was higher among Orthodox Christian and Muslim women by 1.092 times (95%CI: 1.010-1.180) and 1.24 times (95%CI: 1.136-1.354), respectively when compared to followers of other religion (i.e., Catholics and Protestants). Women who were not engaged in gainful employment had significantly higher mean score of intakes (IRR=1.130; 95%CI: 1.063-1.202) compared to those working during the survey period. Conclusion: Given the higher likelihood of maternal morbidity and mortality during the postpartum period, the findings suggest that continued awareness creation and health education to mothers could make a significant increase in the access and uptake of both supplement intake and PNC services.
VL  - 9
IS  - 6
ER  -

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Author Information

Nolawit Kebede

Hidase Health Center, Department of Maternal and Child Health Care Service, Addis Ababa, Ethiopia
Nigatu Regassa

Center for Population Studies, College of Development Studies, Addis Ababa University, Addis Ababa, Ethiopia

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APA Style

Nolawit Kebede, Nigatu Regassa. (2021). Predictors of Postnatal Care Supplements in Bole Sub-City Health Centers Under the COVID-19 Environment: Analysis of Service User’s Perspective. Science Journal of Public Health, 9(6), 190-197. https://doi.org/10.11648/j.sjph.20210906.12

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ACS Style

Nolawit Kebede; Nigatu Regassa. Predictors of Postnatal Care Supplements in Bole Sub-City Health Centers Under the COVID-19 Environment: Analysis of Service User’s Perspective. Sci. J. Public Health 2021, 9(6), 190-197. doi: 10.11648/j.sjph.20210906.12

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AMA Style

Nolawit Kebede, Nigatu Regassa. Predictors of Postnatal Care Supplements in Bole Sub-City Health Centers Under the COVID-19 Environment: Analysis of Service User’s Perspective. Sci J Public Health. 2021;9(6):190-197. doi: 10.11648/j.sjph.20210906.12

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@article{10.11648/j.sjph.20210906.12,
  author = {Nolawit Kebede and Nigatu Regassa},
  title = {Predictors of Postnatal Care Supplements in Bole Sub-City Health Centers Under the COVID-19 Environment: Analysis of Service User’s Perspective},
  journal = {Science Journal of Public Health},
  volume = {9},
  number = {6},
  pages = {190-197},
  doi = {10.11648/j.sjph.20210906.12},
  url = {https://doi.org/10.11648/j.sjph.20210906.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20210906.12},
  abstract = {Background: Postnatal Care (PNC) visits help decrease maternal morbidity and mortality right after delivery. However, the services are severely affected during crisis time, such as the recent COVID-19 pandemic, as most health care services were suspended and shifted to combat the pandemic. Objective: to assess the determinants and challenges of postnatal care service utilization, specifically intake of key supplements (iron, folic acid, and antibiotics) among pregnant women attending Bole Sub City Health Centers, Addis Ababa, under the COVID-19 pandemic. Method: A sample size of 405 mothers with the most recent births who got the service in selected health centers in Bole Sub-City were interviewed. A Negative Binomial (NB) regression analysis was used to assess the determinants of postnatal supplement intake. Results: 44.9 percent of the respondents used Post Natal Care (PNC) services but only 10.6 percent of them took the postnatal supplements. For respondents in the age group 25-34, the expected mean number of postpartum intakes increased by 1.22 times (95%CI: 1.121-1.346) compared to women aged 35 and above. The mean number of postpartum intakes decreased by 38.1 percent (IRR=0.619; 95%CI: 0.548-0.700) for women who were currently living with their husbands compared to the reference category. For women who had 2-3 children, postpartum supplement intake decreased by 32.8 percent (IRR=0.672; 95%CI: 0.618-0.730). Women with primary education had lower intake (IRR=0.903, 95%CI: 0.825-0.987) than those who had college or university education. Postnatal supplement intake decreased by 25.7 percent (IRR=0.743, 95%CI: 0.678-0.814) and 22.9 percent (IRR=0.771, 95%CI: 0.706-0.841) among those with very low and low household income, respectively. Intake was higher among Orthodox Christian and Muslim women by 1.092 times (95%CI: 1.010-1.180) and 1.24 times (95%CI: 1.136-1.354), respectively when compared to followers of other religion (i.e., Catholics and Protestants). Women who were not engaged in gainful employment had significantly higher mean score of intakes (IRR=1.130; 95%CI: 1.063-1.202) compared to those working during the survey period. Conclusion: Given the higher likelihood of maternal morbidity and mortality during the postpartum period, the findings suggest that continued awareness creation and health education to mothers could make a significant increase in the access and uptake of both supplement intake and PNC services.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Predictors of Postnatal Care Supplements in Bole Sub-City Health Centers Under the COVID-19 Environment: Analysis of Service User’s Perspective
AU  - Nolawit Kebede
AU  - Nigatu Regassa
Y1  - 2021/11/19
PY  - 2021
N1  - https://doi.org/10.11648/j.sjph.20210906.12
DO  - 10.11648/j.sjph.20210906.12
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 190
EP  - 197
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20210906.12
AB  - Background: Postnatal Care (PNC) visits help decrease maternal morbidity and mortality right after delivery. However, the services are severely affected during crisis time, such as the recent COVID-19 pandemic, as most health care services were suspended and shifted to combat the pandemic. Objective: to assess the determinants and challenges of postnatal care service utilization, specifically intake of key supplements (iron, folic acid, and antibiotics) among pregnant women attending Bole Sub City Health Centers, Addis Ababa, under the COVID-19 pandemic. Method: A sample size of 405 mothers with the most recent births who got the service in selected health centers in Bole Sub-City were interviewed. A Negative Binomial (NB) regression analysis was used to assess the determinants of postnatal supplement intake. Results: 44.9 percent of the respondents used Post Natal Care (PNC) services but only 10.6 percent of them took the postnatal supplements. For respondents in the age group 25-34, the expected mean number of postpartum intakes increased by 1.22 times (95%CI: 1.121-1.346) compared to women aged 35 and above. The mean number of postpartum intakes decreased by 38.1 percent (IRR=0.619; 95%CI: 0.548-0.700) for women who were currently living with their husbands compared to the reference category. For women who had 2-3 children, postpartum supplement intake decreased by 32.8 percent (IRR=0.672; 95%CI: 0.618-0.730). Women with primary education had lower intake (IRR=0.903, 95%CI: 0.825-0.987) than those who had college or university education. Postnatal supplement intake decreased by 25.7 percent (IRR=0.743, 95%CI: 0.678-0.814) and 22.9 percent (IRR=0.771, 95%CI: 0.706-0.841) among those with very low and low household income, respectively. Intake was higher among Orthodox Christian and Muslim women by 1.092 times (95%CI: 1.010-1.180) and 1.24 times (95%CI: 1.136-1.354), respectively when compared to followers of other religion (i.e., Catholics and Protestants). Women who were not engaged in gainful employment had significantly higher mean score of intakes (IRR=1.130; 95%CI: 1.063-1.202) compared to those working during the survey period. Conclusion: Given the higher likelihood of maternal morbidity and mortality during the postpartum period, the findings suggest that continued awareness creation and health education to mothers could make a significant increase in the access and uptake of both supplement intake and PNC services.
VL  - 9
IS  - 6
ER  -

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