Level of Postnatal Checkup in Ethiopia - Implications for Child Health Services.

Binyam Minuye Birhane, Wubet Alebachew Bayih, Demewoz Kefale Mekonen, Ermias Sisay Chanie, Solomon Demis, Habtamu Shimelis, Worku Necho Asferie, Eskeziaw Abebe, Dagne Addisu, Gedefaye Nibret, Aklilu Endalamaw, Tigabu Munye, Desalegn Abebaw Jember, Samuel Nebiyu, Yenework Mulu Tiruneh, Demeke Mesfin Belay
Author Information
  1. Binyam Minuye Birhane: College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
  2. Wubet Alebachew Bayih: College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
  3. Demewoz Kefale Mekonen: College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
  4. Ermias Sisay Chanie: College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
  5. Solomon Demis: College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
  6. Habtamu Shimelis: College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
  7. Worku Necho Asferie: College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
  8. Eskeziaw Abebe: College of Health Sciences, Woldia University, Woldia, Ethiopia.
  9. Dagne Addisu: College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
  10. Gedefaye Nibret: College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
  11. Aklilu Endalamaw: School of Public Health, The University of Queensland, Brisbane, QLD, Australia.
  12. Tigabu Munye: College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
  13. Desalegn Abebaw Jember: St. Paul's Hospital, Addis Ababa, Ethiopia.
  14. Samuel Nebiyu: College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
  15. Yenework Mulu Tiruneh: College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
  16. Demeke Mesfin Belay: College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

Abstract

Background: High neonatal mortality rates continue to be a major public health issue in Ethiopia. Despite different maternal and neonatal care interventions, neonatal mortality in Ethiopia is at a steady state. This could be due to the low utilization of neonatal checkups. Thus, nationally assessing the level and predictors of postnatal checkups could provide important information for further improving neonatal healthcare services.
Materials and Methods: A secondary data analysis of the 2016 Ethiopia Demographic and Health Survey (EDHS) was performed on 7,586 women who had live births in the 2 years before the survey. All variables with a -value of ≤0.25 in the bivariable analysis were entered into the final model for multivariable analysis, and the level of statistical significance was declared at a -value of <0.05.
Results: According to the national survey, only 8.3% [95% CI: 8.19, 8.41] of neonates received postnatal checkups. About two-thirds of women, 62.8% had antenatal care visits, 67.9%, gave birth at home, and 95.7% were unaware of neonatal danger signs. Distance from health care institutions [AOR = 1.42; 95% CI: 1.06, 1.89], giving birth in a healthcare facility [AOR = 1.55; 95% CI: 1.12, 2.15], antenatal care visit [AOR = 3.0; 95% CI: 1.99, 4.53], and neonatal danger signs awareness [AOR = 3.06; 95% CI: 2.09, 4.5] were all associated with postnatal care visits.
Conclusion: The number of neonates who had a postnatal checkup was low. Increasing antenatal care visit utilization, improving institutional delivery, raising awareness about neonatal danger signs, increasing access to health care facilities, and implementing home-based neonatal care visits by healthcare providers could all help to improve postnatal checkups.

Keywords

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Word Cloud

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