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Utilization of Postnatal Care Services Among Postpartum Mothers in Ogidi Community, Anambra State, Nigeria

Nwani, Juliet Tochukwu, Edet, Clement Kevin

Abstract

Background: Postnatal care is a critical stage in the continuum of maternal and child health and it is often described as the fourth trimester due to its importance in determining lasting health outcome. Regardless of it pivotal role, the uptake level of postnatal service for both mothers and child remain suboptimal. This study aim was to describe the assessment of PNC service Utilization among postpartum mothers in Ogidi, Anambra State. Methods: A descriptive cross- sectional design was employed for this study. Data was collected using questionnaire, total of 501 questionnaires was distributed and 440 was accurately completed and returned, giving an 87.8% rate of response. A multi stage sampling technique was used to determine a sample size of 440 postpartum mothers. SPSS version 26 was used to analysis the uptake level for mothers showing the frequency Results: Results shows that 292 mothers (66.4%) utilized PNC services after their most recent delivery. Among them, 42.1% attended one visit, 30.8% attended two visits, and 27.1% attended three or more visits. Infant PNC uptake was also 66.4%, with most first visits occurring within 3– 7 days (42. 8%). The barriers and facilitators to postnatal care services utilisation was analyzed and presented in a table showing the mean, median and standard deviation. Conclusion: This study shows that the utilization of PNC services in Idemili North Local Government of Anambra State is influenced by complex interaction of cultural, personal, socio- economic and health system factors. Therefore, to strengthen the use of postnatal care, it requires increased awareness and also addressing structural and behavioral barriers.

Keywords

Postnatal CareKnowledgePerceptionPostpartum MothersMaternal HealthOgidiNigeria.

References

Anil, A. P. (2022). Study of utilization of postnatal care services and factors affecting it among women attending a tertiary hospital.International Journal of Academic Medicine and Pharmacy,4 (4); 657-661 Anil, S. (2022). Determinants of postnatal care service utilisation among postpartum women in an urban health centre. International Journal of Community Medicine and Public Health, 9(4), 1902–1909. https://www.ijcmph.com/index.php/ijcmph/article/view/9479 Javadi, D., Sacks, E., Brizuela, V., Finlayson,K., Crossland,N., Langlois, E. V., Ziegler, D. Chandra-Mouli,V. & Bonet, M. (2023). Factors that influence the uptake of postnatal care among adolescent girls: a qualitative evidence synthesis. BMJ Global Health, 8:e011560. Doi:10.1136/ bmjgh-2022-011560 Nyondo-Mipando, A. L., Chirwa, M., Salimu, S., Kumitawa, A., Chinkonde, J. R., Chimuna, T. J., Dohlsten, M., Chikwapulo, B., Senbete, M., Gohar, F., Hailegebriel, T. D., & Jackson, D. (2024). Exploring and prioritising strategies for improving uptake of postnatal care services in Thyolo, Malawi: A qualitative study. PLOS global public health, 4(3), e0002992. https://doi.org/10.1371/journal.pgph.0002992 Omona, Kizito & Nabuuma, Bernadette & Wamala, Amir & Nagawa, Doreen & Bukadu, Kenedy & Namaala, Alex. (2021). Factors Associated with Postnatal Care Services Uptake by Young Mothers Aged 15 – 24 Years at Mukono General Hospital, Uganda. Cognizance Journal of Multidisciplinary Studies. 1 10.47760/cognizance.2021.v01i03.004. Terefe, B., Asgedom, S., Arage, G., Aychiluhm, M., & Ayele, T. (2024). Early postnatal care utilisation in East Africa: A Bayesian multilevel analysis of Demographic and Health Surveys. BMC Women’s Health, 24(1), 82. https://doi.org/10.1186/s12905-024-02974-6 World Health Organization . (2022). WHO recommendations on postnatal care for mothers and newborns. WHO. https://doi.org/10.1186/s41043-016-0059-6

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