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Factors Associated with Utilization of Postnatal Care Services
Suraj Thapa1, Pradeep Choudhary1, Rita Adhikari2
1Purbanchal University, Shree Medical and Technical College, Bharatpur, Chitwan, Nepal.
Journal of Nepal Health Research Council
|July 25, 2023
Summary
Many women in Nepal do not receive adequate postnatal care (PNC) due to socio-economic and health service factors. Improving counseling and accessibility is crucial for better maternal health outcomes.
Area of Science:
- Public Health
- Maternal Health
- Health Services Research
Background:
- Preventable maternal deaths remain a significant global health issue, with 810 women dying daily.
- Essential maternal and postnatal care services are often inaccessible in developing regions.
- This study focuses on the critical period of childbearing and postpartum recovery in urban Nepal.
Purpose of the Study:
- To investigate the factors influencing the utilization of postnatal care (PNC) services.
- To identify barriers to complete and protocol-adherent PNC in Chitwan, Nepal.
- To inform interventions for improving maternal and child health outcomes.
Main Methods:
- A cross-sectional study involving 212 mothers who delivered within the past year.
- Data collected via a pre-tested questionnaire in Nepali, following ethical approval and informed consent.
- Descriptive and bivariate statistical analyses were employed to examine the data.
Main Results:
- While 96.7% of mothers had institutional deliveries, only 34.4% received postnatal care visits as per protocol.
- Lack of counseling (52.6%) was a primary reason for incomplete PNC.
- Maternal age, husband's education, health service availability, and drug/equipment supply influenced PNC utilization.
Conclusions:
- A significant gap exists between mothers receiving some PNC and those completing it according to recommended protocols.
- Socio-economic status, health system factors, and prior childbirth experiences are key determinants of complete postnatal care.
- Targeted interventions addressing counseling and service delivery are needed to improve postnatal care adherence.
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