FACTORS INFLUENCING UTILIZATION OF POSTNATAL CARE SERVICES AMONG MOTHERS WITH CHILDREN AGED BETWEEN 7-14 WEEKS ATTENDING CHILD WELFARE CLINIC AT KISII TEACHING AND REFERRAL HOSPITAL-KENYA
Keywords:
Postnatal Care, Child Welfare Clinic, Age, Maternal child healthAbstract
Purpose: The postnatal period is an important link in the continuum of maternal and neonatal health. The study’s main objective was to determine the factors influencing utilization of postnatal care services among mothers with children aged 7-14 weeks attending child welfare clinic at Kisii Teaching and Referral Hospital.
Methods: This study was Descriptive Cross-sectional study. The target population was 268 mothers with children aged between 7-14 weeks who attended child welfare clinic. Semi-structured interviewer administered questionnaire were used in data collection. Data from questionnaires was analyzed using IBM SPSS version 23. Logistic regression was fitted, Possible association and statistical significance were measured using odds ratio at 95% confidence interval and p<0.05.
Results: The proportion of mothers who utilized postnatal services was 35.8%. Mothers who received very friendly reception were more likely to utilize postnatal care services (OR 8.5, 95% CI 2.4 to 11.5, P=0.006). Furthermore, mothers who were taught about postnatal care services during antenatal clinic were more likely to utilize postnatal care services (OR 2.3, 95% CI 1.2 to 4.4, P=0.008).
Unique Contribution to Theory, Practice and Policy: The study shows unacceptably low utilization of postnatal care services. Education, parity, place of delivery and awareness were found to be significantly associated with utilization of postnatal care services. Benefits of postnatal care services utilization should be urgently emphasized through strengthening the provision of information, education and communication.
Downloads
References
Bowser D, Hill K. Exploring Evidence for Disrespect and Abuse in Facility-Based Childbirth. Harvard School of Public Health University Research Co., LLC.; 2010.
Dhakal S, Chapman GN, Simkhada PP, van Teijlingen ER, Stephens J, Raja AE. Utilisation of postnatal care among rural women in Nepal. BMC pregnancy and childbirth. 2007;7:19.
Gabrysch S, Campbell OM. Still too far to walk: literature review of the determinants of delivery service use. BMC pregnancy and childbirth. 2009;9:34.
Izudi J, Amongin D. Use of early postnatal care among postpartum women in Eastern Uganda. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 2015;129(2):161-4.
Izugbara CO, Ngilangwa DP. Women, poverty and adverse maternal outcomes in Nairobi, Kenya. BMC women's health. 2010;10:33.
Kamau M, Donoghue D. Transforming our world: the 2030 Agenda for global Action. Final draft of the outcome document for the UN Summit to adapt the post. 2015.
KDHS. Kenya Demographic Health Survey. Nairobi, Kenya; 2014.
Khan KS, Wojdyla D, Say L, Gulmezoglu AM, Van Look PF. WHO analysis of causes of maternal death: a systematic review. Lancet (London, England). 2006;367(9516):1066-74.
Kinuthia P. Factors affecting utilization of postnatal care services in kenya a case study. South American Journal of Public Health. 2014;2(3).
Kruk ME, Rockers PC, Mbaruku G, Paczkowski MM, Galea S. Community and health system factors associated with facility delivery in rural Tanzania: a multilevel analysis. Health policy (Amsterdam, Netherlands). 2010;97(2-3):209-16.
Lawn JE, Blencowe H, Oza S, You D, Lee AC, Waiswa P, et al. Every Newborn: progress, priorities, and potential beyond survival. Lancet (London, England). 2014;384(9938):189-205.
Njoka N. Utilization of post natal care services in Kiambaa Sub-County, Kiambu County, Kenya: Kenyatta University; 2015.
Pathfinder. Recommendations on Postnatal Care of the Mother and Newborn: Pathfinder international; 2014 [Available from: http://www.pathfinder.org/countries/kenya/.
Rutaremwa G. Under-five mortality differentials in urban East Africa: a study of three capital cities. African Population Studies. 2012;26(1):30-49.
Tesfahun F, Worku W, Mazengiya F, Kifle M. Knowledge, perception and utilization of postnatal care of mothers in Gondar Zuria District, Ethiopia: a cross-sectional study. Maternal and child health journal. 2014;18(10):2341-51.
Titaley CR, Dibley MJ, Roberts CL. Factors associated with non-utilisation of postnatal care services in Indonesia. Journal of epidemiology and community health. 2009;63(10):827-31.
WHO. Recommendations on Postnatal Care of the Mother and Newborn. Geneva, Switzerland: World Health Organization; 2014.
WHO. technical consultation on postpartum and postnatal care in Department of making pregnancy safer. 2010.
WHO., UNICEF., UNFPA. The World Bank and the United Nations Population Division: Trends in maternal mortality: 1990 – 2013 – 2014.; 2014.
Downloads
Published
How to Cite
Issue
Section
License
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work’s authorship and initial publication in this journal.
