Factors Associated with Post-Natal Care Utilization among the Women of Reproductive age Group: Evidence from Bangladesh Demographic and Health Survey 2017-18.

IF 1.5 Q3 HEALTH POLICY & SERVICES
Health Services Research and Managerial Epidemiology Pub Date : 2022-11-07 eCollection Date: 2022-01-01 DOI:10.1177/23333928221136393
Israt Tahira Sheba, Abdur Razzaque Sarker, Afrida Tasnim
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引用次数: 3

Abstract

Introduction: Postnatal period is a crucial stage of illness for mothers and their newborn children. Lack of post-natal care (PNC) services during this period is lifethreatening for both the mother and the babies. This study aims at examining the associated factors of PNC utilization among the mothers to explore the opportunities to accelerate it.

Methods: This study utilized the latest data from Bangladesh Demographic and Health Survey (BDHS) 2017-18, a nationally representative survey. A weighted sample of 5043 Bangladeshi women who gave birth three years prior to the survey was studied. Bivariate and multivariate analyses were performed to identify the underlying factors associated with the utilization of PNC.

Results: Around 63% women sought PNC from any kind of provider within 24 h to 42 days of the delivery among whom more than 48% received it from medically trained providers. Together with several sociodemographic factors- administrative division, place of residence, educational level, employment status, wealth status, some maternal factors such as- antenatal care (ANC) visits, place and mode of delivery- played a significant role in utilizing PNC services from trained providers.

Conclusion: To further improve utilization of post-natal care, national and local level action plans should be introduced to promote health facility delivery irrespective of their place of residence. In the meantime, PNC awareness campaigns, intervention and economic empowerment programs targeting mothers from the poorest quintile needs to be implemented, particularly those who are unable to attend at least four ANC visits, and have accessibility issues to education.

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育龄妇女产后护理利用相关因素:来自2017-18年孟加拉国人口与健康调查的证据
产后是母亲及其新生儿患病的关键阶段。在此期间缺乏产后护理服务对母亲和婴儿都是威胁生命的。本研究旨在探讨母亲使用PNC的相关因素,以探索促进其使用的机会。方法:本研究利用了2017-18年孟加拉国人口与健康调查(BDHS)的最新数据,这是一项具有全国代表性的调查。研究人员对调查前3年分娩的5043名孟加拉国妇女进行了加权抽样。进行了双变量和多变量分析,以确定与PNC使用相关的潜在因素。结果:约63%的妇女在分娩后24小时至42天内从任何一种提供者处寻求PNC,其中超过48%的妇女从受过医学培训的提供者处获得了PNC。加上一些社会人口因素-行政区划、居住地、教育水平、就业状况、财富状况,以及一些产妇因素,如产前保健访问、分娩地点和方式-在利用经过培训的提供者提供的PNC服务方面发挥了重要作用。结论:为进一步提高产后护理的利用率,应制定国家和地方一级的行动计划,促进卫生机构提供服务,而不考虑其居住地。与此同时,需要实施针对最贫困五分之一的母亲的PNC意识运动、干预和经济赋权方案,特别是那些无法参加至少四次ANC访问的母亲,以及有受教育机会问题的母亲。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.60
自引率
6.20%
发文量
32
审稿时长
12 weeks
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