Utilization and determinants of postnatal care services in Ethiopia: a systematic review and meta-analysis

BACKGROUND: Postnatal care use is vital in saving mother and newborn lives which is a continuum of care for maternal, neonatal and child health. This reviewaimed to determine the utilization and determinants of postnatal care use in Ethiopia. METHODS: PubMed, Scopus, Web of Science, and Embase databases were searched on June 25, 2017. The study screening, data extraction and quality assessment were done independently by two reviewers. Effect sizes were pooled using a random-effects model. RESULTS: Nine articles were included in the review. The pooled estimate for utilization of the service was 32% (95% CI: 21%, 43%). The pooled results of determinants of postnatal care use was statistically significant among those mothers who had ability to make decisions (1.89; 1.25, 2.54), had a history of antenatal care utilization (2.55; 1.42, 3.68), received more than two antenatal care visits (1.84; 1.28, 2.40), and received the service from skilled service provider (3.16; 1.62, 4.70). It was also found that mothers who gave birth in health faciliteis (2.13; 1.14, 3.12), had middle monthly income, richer, were from urban areas, and had knowledge of obstetric danger signs were significantly associated with increased odds of postnatal care use. CONCLUSION: Utilization of the services is low in Ethiopia. Antenatal care utilization, skilled service provider, being from urban area and delivery in health facility had a significant effect on postnatal care utilization. More rigorous studies are needed to identify determinant with the causal association to postnatal care utilization. The reviewwas registered on PROSPERO CRD42017060266

Impact of health education intervention on knowledge and utilization of postnatal care services among women in Edu local Government of Kwara State, Nigeria

Background: This study examined the impact of health education intervention (HEI) on the knowledge and utilization of postnatal care services among women in Edu, Nigeria.Methods: A quasi-experimental research design using pre-test and post-test control group to examine impact of HEI among women. Researchers-developed questionnaire was used for data collection.Intervention: One hundred and twenty women were exposed to ten weeks health education intervention; sixty (n=60) experimental group exposed to postnatal care services lectures and sixty (n=60) control group were exposed to HIV/AIDS prevention lectures. The results were analyzed using descriptive and inferential statistics to answer research question and test null hypothesis at 0.05 significant levels.Results: The findings showed an improvement from pre intervention mean scores of 64.26 to post intervention scores of 98.15 for the experimental group against 68.88 post intervention mean score of control group. While, the pre intervention mean score of utilization was 56.67 compared with post intervention mean scores of 92.91 for the experimental group and 61.04 for the control group utilization This showed positive impact of health education intervention on knowledge and willingness of women of childbearing age to utilize postnatal care services in Edu LGA.Conclusion: Study concluded that, health education intervention had positive impact on knowledge and willingness of WCA to utilize postnatal care, and the knowledge gained need to be sustained to improve WCA health seeking behaviour in the communities of Edu LGA

Determinants of postnatal care use in Kenya

Pregnancy related complications may result in maternal deaths post delivery especially in developing countries. Skilled deliveries and postnatal care (PNC) use in Kenya is low. The objective of this study was to identify the determinants of PNC use. Kenya Demographic and Health Survey (2008-09 KDHS) women's data were analyzed. Overall data from 3;970 women were analyzed. Results indicate that 47 percent of the women received PNC services. Factors associated with PNC use are mothers' age at delivery of the last child; 4+ ANC visits; urban residence; and skilled delivery. However; lack of education and unskilled delivery were associated with low use of PNC services (p 0.05). In conclusion; the use of PNC services is low at 47 percent although the main determinants for PNC use are amenable to intervention. Strengthening of maternal health services throughout the continuum of care and promoting the use of high quality services by pregnant women is recommended