IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2020i1p193-d470005.html
   My bibliography  Save this article

Postnatal Care Service Utilisation in Ethiopia: Reflecting on 20 Years of Demographic and Health Survey Data

Author

Listed:
  • Tensae Mekonnen

    (Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Penrith NSW 2751, Australia)

  • Tinashe Dune

    (Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Penrith NSW 2751, Australia
    School of Science and Health, Western Sydney University, Penrith, NSW 2751, Australia)

  • Janette Perz

    (Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Penrith NSW 2751, Australia)

  • Felix Akpojene Ogbo

    (Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Penrith NSW 2751, Australia)

Abstract

Background: Most maternal deaths in the world occur during the postpartum period, especially within the first two days following delivery. This makes postnatal care (PNC) critical to improving the chances of maternal and child survival. Over the past 20 years, the proportion of women receiving antenatal care (ANC) in Ethiopia has increased while the proportion of those receiving PNC has remained low. This study aimed to understand the trends, determinants and urban–rural variations of PNC service utilisation. Methods: This study draws on the Ethiopian Demographic and Health Survey (EDHS) data for the years 2000 (n = 4552), 2005 (n = 4467), 2011 (n = 4445) and 2016 (n = 4275) to estimate the trends and determinants of PNC service utilisation. Multivariate logistic regression models with adjustment for clustering and sampling weights were used to investigate the association between the independent factors, the study factors and PNC service utilisation. Results: Over the twenty-year period of the EDHS, the proportion of Ethiopian women who received PNC services increased from 5.6% (95% CI: 4.6–6.9%) in 2000 to 18.5% (95% CI: 16.4–20.7%) in 2016. Similarly, women who received PNC services in urban areas increased from 15.2% (95% CI: 23.6–30.7%) in 2000 to 47% (95% CI: 60.4–67.3%) in 2016. Women who were in the wealthy quintile, had ANC visits, delivered in a health facility, and delivered by caesarean section were most likely to have PNC. The present study also showed that whilst birth spacing was a significant factor among urban women, wealth index, ANC visits, and perception of health facility distance were significant factors among rural women. Conclusions: The study suggests low levels of utilisation of PNC among Ethiopian women from rural districts. Geographically targeted interventions with a focus on low-socioeconomic rural women, and those with no previous contacts with the health system during pregnancy, are needed to improve PNC in Ethiopia.

Suggested Citation

  • Tensae Mekonnen & Tinashe Dune & Janette Perz & Felix Akpojene Ogbo, 2020. "Postnatal Care Service Utilisation in Ethiopia: Reflecting on 20 Years of Demographic and Health Survey Data," IJERPH, MDPI, vol. 18(1), pages 1-14, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2020:i:1:p:193-:d:470005
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/1/193/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/1/193/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Saifuddin Ahmed & Andreea A Creanga & Duff G Gillespie & Amy O Tsui, 2010. "Economic Status, Education and Empowerment: Implications for Maternal Health Service Utilization in Developing Countries," PLOS ONE, Public Library of Science, vol. 5(6), pages 1-6, June.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Herwansyah Herwansyah & Katarzyna Czabanowska & Stavroula Kalaitzi & Peter Schröder-Bäck, 2022. "Exploring the Influence of Sociodemographic Characteristics on the Utilization of Maternal Health Services: A Study on Community Health Centers Setting in Province of Jambi, Indonesia," IJERPH, MDPI, vol. 19(14), pages 1-13, July.
    2. Chaoqun Hu & Wenya Yu & Yipeng Lv & Haiping Chen & Qiangyu Deng & Lulu Zhang, 2017. "Study on the Health Status and Health Service Utilization of the Elderly of a Remote and Poor Village in a Mountainous Area in Jinzhai, Anhui," IJERPH, MDPI, vol. 14(4), pages 1-9, April.
    3. Dr. Dilip Kumar & Dr. Amit Kumar, 2024. "Usage of Maternal Health Services for Fertility Regulation in India: A Retrospective Study," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 8(6), pages 2417-2421, June.
    4. Laura K. Merrell & Sarah R. Blackstone, 2020. "Women’s Empowerment as a Mitigating Factor for Improved Antenatal Care Quality despite Impact of 2014 Ebola Outbreak in Guinea," IJERPH, MDPI, vol. 17(21), pages 1-18, November.
    5. Weitzman, Abigail, 2017. "The effects of women's education on maternal health: Evidence from Peru," Social Science & Medicine, Elsevier, vol. 180(C), pages 1-9.
    6. Hafiz Ghulam Mujaddad & Mumtaz Anwar, 2022. "Spatial Analysis of Socioeconomic Inequality of Opportunity in Access to Skilled Birth Attendant in Punjab, Pakistan," Journal of Economic Impact, Science Impact Publishers, vol. 4(1), pages 88-98.
    7. Esther Awazzi Envuladu & Abukari Ibrahim Issaka & Mansi Vijaybhai Dhami & Biniyam Sahiledengle & Kingsley Emwinyore Agho, 2023. "Differential Associated Factors for Inadequate Receipt of Components and Non-Use of Antenatal Care Services among Adolescent, Young, and Older Women in Nigeria," IJERPH, MDPI, vol. 20(5), pages 1-16, February.
    8. Habtamu Tolera & Tegegne Gebre-Egziabher & Helmut Kloos, 2020. "Using Andersen’s behavioral model of health care utilization in a decentralized program to examine the use of antenatal care in rural western Ethiopia," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-18, January.
    9. Samb, Oumar Mallé & Ridde, Valery, 2018. "The impact of free healthcare on women's capability: A qualitative study in rural Burkina Faso," Social Science & Medicine, Elsevier, vol. 197(C), pages 9-16.
    10. Kyoko Shimamoto & Jessica D Gipson, 2019. "Investigating pathways linking women’s status and empowerment to skilled attendance at birth in Tanzania: A structural equation modeling approach," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-16, February.
    11. Xinguang Fan & Maria Vignau Loria, 2020. "Intimate partner violence and contraceptive use in developing countries: How does the relationship depend on context?," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 42(10), pages 293-342.
    12. Saji S Gopalan & Varatharajan Durairaj, 2012. "Addressing Women's Non-Maternal Healthcare Financing in Developing Countries: What Can We Learn from the Experiences of Rural Indian Women?," PLOS ONE, Public Library of Science, vol. 7(1), pages 1-8, January.
    13. Bove, Riley M. & Vala-Haynes, Emily & Valeggia, Claudia R., 2012. "Women's health in urban Mali: Social predictors and health itineraries," Social Science & Medicine, Elsevier, vol. 75(8), pages 1392-1399.
    14. Pratley, Pierre, 2016. "Associations between quantitative measures of women's empowerment and access to care and health status for mothers and their children: A systematic review of evidence from the developing world," Social Science & Medicine, Elsevier, vol. 169(C), pages 119-131.
    15. Thapa, Deependra Kaji & Niehof, Anke, 2013. "Women's autonomy and husbands' involvement in maternal health care in Nepal," Social Science & Medicine, Elsevier, vol. 93(C), pages 1-10.
    16. Fatema, Kaniz, 2020. "Mass Media Exposure and Maternal Healthcare Utilization in South Asia," SocArXiv 5dhyr, Center for Open Science.
    17. Dickin, Sarah & Bisung, Elijah & Nansi, Juste & Charles, Katrina, 2021. "Empowerment in water, sanitation and hygiene index," World Development, Elsevier, vol. 137(C).
    18. Marufa Sultana & Nausad Ali & Raisul Akram & Tania Jahir & Rashidul Alam Mahumud & Abdur Razzaque Sarker & Ziaul Islam, 2019. "Group prenatal care experiences among pregnant women in a Bangladeshi community," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-15, June.
    19. Olivia Nankinga & Betty Kwagala & Eddy J Walakira, 2019. "Maternal employment and child nutritional status in Uganda," PLOS ONE, Public Library of Science, vol. 14(12), pages 1-14, December.
    20. Prashant Kumar Singh & Rajesh Kumar Rai & Lucky Singh, 2012. "Examining the Effect of Household Wealth and Migration Status on Safe Delivery Care in Urban India, 1992–2006," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-12, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2020:i:1:p:193-:d:470005. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.