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Factors affecting postnatal care service utilization in Pyuthan district: A mixed method study.

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Summary
This summary is machine-generated.

Postnatal care (PNC) utilization in Nepal is low, with only 38.43% of mothers receiving adequate care. Key factors influencing PNC use include socioeconomic status, place of delivery, and knowledge of postnatal care services.

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Area of Science:

  • Public Health
  • Maternal and Child Health
  • Health Services Research

Background:

  • The postnatal period is critical for maternal and newborn well-being, yet postnatal care (PNC) services often lack adequate attention and utilization.
  • In Nepal, challenges persist in ensuring consistent and effective utilization of essential postnatal care services.

Purpose of the Study:

  • To identify factors associated with postnatal care (PNC) service utilization in Nepal.
  • To explore the facilitators and barriers influencing PNC service uptake among mothers.

Main Methods:

  • A facility-based concurrent triangulation mixed-method approach was employed.
  • Quantitative data collected from 243 mothers using surveys and analyzed with multivariate logistic regression.
  • Qualitative data gathered through thematic analysis to identify facilitators and barriers.

Main Results:

  • The weighted prevalence of protocol-adherent PNC service utilization was 38.43%.
  • Predictors of PNC utilization included socioeconomic status, place of delivery, knowledge of PNC, and access to motorable roads.
  • Key facilitators identified were knowledge of PNC, transportation, and home visits, while barriers included facility proximity and COVID-19 impact.

Conclusions:

  • A low prevalence of adequate PNC service utilization was observed in the study district.
  • Interventions should focus on increasing awareness, policy revision, addressing social determinants, and strengthening PNC home-visit programs to improve service uptake.