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Home based postpartum care and determinants in Ethiopia: A multilevel analysis
Binyam Minuye Birhane1, Wubet Alebachew Bayih1, Muluken Chanie2
1College Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Home-based postnatal care in Ethiopia is low, with only 6.3% of women receiving it. Factors like antenatal care visits and institutional delivery influence its uptake, highlighting the need for improved access and maternal awareness.
Area of Science:
- Public Health
- Maternal and Child Health
- Health Services Research
Background:
- Neonatal mortality is a significant public health issue in Ethiopia.
- Limited research exists on home-based postnatal care in the Ethiopian context.
- Timely interventions and early neonatal care visits are crucial for reducing neonatal mortality.
Purpose of the Study:
- To assess the prevalence of home-based postnatal care visits by healthcare providers in Ethiopia.
- To identify the determinants associated with receiving home-based postnatal care.
Main Methods:
- Secondary data analysis of the 2016 Ethiopian Demographic and Health Survey (EDHS).
- Included 7590 women with live births in the two years preceding the survey.
- Multilevel mixed-effects logistic regression analysis was employed.
Main Results:
- Only 6.3% of women received home-based postpartum care from healthcare providers.
- Key determinants included attending antenatal care (ANC), institutional delivery, and awareness of neonatal danger signs.
- Factors like richer wealth index and cesarean birth were also associated with home-based care.
Conclusions:
- Home-based postnatal care by healthcare providers is notably low in Ethiopia.
- Recommendations include increasing healthcare facility accessibility, strengthening continuum of care from ANC to delivery, and enhancing maternal knowledge of neonatal danger signs.
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