Postnatal Care: Levels and Determinants in Morocco
Noureddine Elkhoudri1,2, Abdellatif Baali2, Hakima Amor2
1Laboratory of Science and Health Technologies, Higher Institute of Health Sciences University Hassan First Settat, Marrakech, Morocco.
Iranian Journal of Public Health
|April 29, 2017
Summary
Postnatal consultation attendance in Morocco is low, with only 30.1% of women attending. Key barriers include lack of information, perceived absence of complications, and poor health professional reception, particularly affecting rural women with lower education and socioeconomic status.
Area of Science:
- Public Health
- Maternal Health
- Health Services Research
Background:
- Postnatal consultations are crucial for maternal and infant well-being.
- Moroccan women exhibit low uptake of postnatal consultations, with only 22% attending previously.
- Identifying factors influencing attendance is vital for improving maternal healthcare access.
Purpose of the Study:
- To determine the prevalence of postnatal consultation attendance among Moroccan women.
- To identify socio-demographic, knowledge, and perception-related factors associated with postnatal consultation utilization.
- To propose strategies for enhancing postnatal care services in Morocco.
Main Methods:
- A descriptive and analytical cross-sectional survey was conducted in Marrakech in 2014.
- A sample of 1029 women of reproductive age (15-49 years) who gave birth in 2013 participated.
- Data were collected via questionnaires covering socio-demographics, knowledge, and perceptions regarding postnatal consultations.
Main Results:
- Only 30.1% of women attended a postnatal consultation.
- Primary barriers included lack of information (87%), perceived lack of complications (68.6%), and poor health professional reception (42%).
- Rural origin, low education, and low socioeconomic status were significant determinants of non-attendance.
Conclusions:
- The study confirms a low rate of postnatal consultations in Morocco, influenced by multiple factors.
- Addressing illiteracy, improving living standards, and enhancing women's awareness of postpartum care importance are recommended.
- Capacity building for health professionals in communication and implementing home visit systems can increase postnatal consultation rates.
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