Determinants of postnatal service utilisation among mothers in rural settings of Malawi
Bibliographic Data
| ID | 12288294 |
|---|---|
| Authors | Precious William C Phiri (ASEAN Institute for Health Development; Mahidol University, Salaya; Phutthamonthon Nakhonpathom Thailand), Cheerawit Rattanapan (0000-0002-1799-422X, ASEAN Institute for Health Development; Mahidol University, Salaya; Phutthamonthon Nakhonpathom Thailand, corresponding author), Aroonsri Mongkolchati (ASEAN Institute for Health Development; Mahidol University, Salaya; Phutthamonthon Nakhonpathom Thailand) |
| Year | 2014 |
| Volume | 23 |
| Issue | 5 |
| Pages | 493-501 |
| Publication date | 2014-10-15 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health & Social Care in the Community (JOURNAL) |
| Journal identifiers | ISSN: 0966-0410 • E-ISSN: 1365-2524 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/hsc.12165 |
| PMID | 25319930 |
| OpenAlex | W1971763702 |
| Language | EN |
| Citations received | 1 |
| References cited | 48 |
The aim of this study was to determine significant predictors for the utilisation of postnatal service among mothers. A total of 295 postnatal mothers were enrolled in a cross-sectional study design undertaken in six health facilities of Lilongwe District using two-stage cluster sampling with a response rate of 100%. The data were collected by interview from December 2012 to January 2013 using a structured questionnaire. The result showed that over half of the mothers (56.6%) utilised postnatal service within 6 weeks after delivery. A stepwise multiple logistic regression was used to determine significant determinants of utilisation of postnatal service among mothers. After adjusting for confounding factors, utilisation of an alternative local source of care in home after delivery [adjusted odds ratio (aOR): 7.77, 95% CI: 4.14-14.58], women's perception on performance of health workforce during delivery and postnatal service (aOR: 6.56, 95% CI: 3.09-13.94), health education before hospital discharge of postnatal mothers (aOR: 4.08, 95% CI: 2.11-7.92), place of delivery (aOR: 4.32, 95% CI: 1.32-14.12), family income (aOR: 1.89, 95% CI: 1.03-3.46) and the occurrence of no complications during delivery (aOR: 1.90, 95% CI: 1.03-3.50) were significantly associated with the utilisation of postnatal service. Hence, this study suggests that improved health workforce performance coupled with effective health education may increase the utilisation of postnatal service. Furthermore, the utilisation of postnatal service may also be increased through reducing home deliveries, delivery complications and the use of alternative local care at home after delivery. Integration of postnatal service in outreach clinics might also assist through reducing the cost of accessing postnatal service among mothers
Cross-sectional study · Environmental health · Family medicine · Logistic regression · Odds ratio · Postnatal Care · Pregnancy · Workforce · Child Nutrition and Water Access · Demography · Global Maternal and Child Health · Maternal and Neonatal Healthcare · Medicine · Internal Medicine
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| Citations per year | 0.33 |
|---|---|
| Citation span | 2023 - 2023 (1) |
| Highly cited | No |