Predictors of Postnatal Care Service Utilization Among Women of Childbearing Age in The Gambia: Analysis of Multiple Indicators Cluster Survey.
antenatal care
maternal health
post-delivery care
postpartum stay
skilled delivery
Journal
International journal of women's health
ISSN: 1179-1411
Titre abrégé: Int J Womens Health
Pays: New Zealand
ID NLM: 101531698
Informations de publication
Date de publication:
2020
2020
Historique:
received:
22
06
2020
accepted:
02
09
2020
entrez:
28
9
2020
pubmed:
29
9
2020
medline:
29
9
2020
Statut:
epublish
Résumé
Despite the importance of postnatal care (PNC) in maternal and newborn health, however, such services have been underutilized in many resource-constrained settings including The Gambia. The objective of this study was to determine the coverage and factors of PNC in The Gambia. The 2018 data from The Gambia Multiple Indicators Cluster Survey (MICS) were analyzed. Data from 9205 women with ages 15-49 years, who also have given birth, were extracted for the analysis. Percentages and Chi-square tests were used. In addition, multivariable logistic regression model was used to calculate the adjusted odds ratios (with corresponding 95% CI). The level of significance was set at p< 0.05. The prevalence of PNC was 22.4% and 26.7% for women and children, respectively. Local government area (LGA) was associated with PNC for women and children alike. Furthermore, ethnicity was associated with PNC among women in The Gambia. Women who listened to radio almost every day had 1.51 increase in the odds of PNC (OR= 1.51; 95% CI: 1.15, 1.98) and 1.30 increase in the odds of PNC for children (OR= 1.30; 95% CI: 1.01, 1.67), respectively, when compared with women who do not listen to radio. Women who initiated antenatal care (ANC) at second or third trimester (late booking) had a 22% reduction in the odds of PNC (OR= 0.78; 95% CI: 0.64, 0.94), when compared with women who booked at first trimester. The findings showed that geographical locations, ethnicity, use of radio, and timing to antenatal care initiation were associated with PNC. Women's enlightenment and early ANC programs can be designed to improve PNC coverage.
Sections du résumé
BACKGROUND
BACKGROUND
Despite the importance of postnatal care (PNC) in maternal and newborn health, however, such services have been underutilized in many resource-constrained settings including The Gambia. The objective of this study was to determine the coverage and factors of PNC in The Gambia.
METHODS
METHODS
The 2018 data from The Gambia Multiple Indicators Cluster Survey (MICS) were analyzed. Data from 9205 women with ages 15-49 years, who also have given birth, were extracted for the analysis. Percentages and Chi-square tests were used. In addition, multivariable logistic regression model was used to calculate the adjusted odds ratios (with corresponding 95% CI). The level of significance was set at p< 0.05.
RESULTS
RESULTS
The prevalence of PNC was 22.4% and 26.7% for women and children, respectively. Local government area (LGA) was associated with PNC for women and children alike. Furthermore, ethnicity was associated with PNC among women in The Gambia. Women who listened to radio almost every day had 1.51 increase in the odds of PNC (OR= 1.51; 95% CI: 1.15, 1.98) and 1.30 increase in the odds of PNC for children (OR= 1.30; 95% CI: 1.01, 1.67), respectively, when compared with women who do not listen to radio. Women who initiated antenatal care (ANC) at second or third trimester (late booking) had a 22% reduction in the odds of PNC (OR= 0.78; 95% CI: 0.64, 0.94), when compared with women who booked at first trimester.
CONCLUSION
CONCLUSIONS
The findings showed that geographical locations, ethnicity, use of radio, and timing to antenatal care initiation were associated with PNC. Women's enlightenment and early ANC programs can be designed to improve PNC coverage.
Identifiants
pubmed: 32982475
doi: 10.2147/IJWH.S268824
pii: 268824
pmc: PMC7489947
doi:
Types de publication
Journal Article
Langues
eng
Pagination
709-718Informations de copyright
© 2020 Barrow and Jobe.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest for this work.
Références
Arch Public Health. 2018 Feb 8;76:9
pubmed: 29445455
BMC Pregnancy Childbirth. 2018 Dec 27;18(1):508
pubmed: 30591039
BMC Pregnancy Childbirth. 2010 Oct 12;10:61
pubmed: 20937146
PLoS Med. 2012;9(8):e1001299
pubmed: 22952438
Australas Med J. 2011;4(9):516-26
pubmed: 23393544
Lancet. 2005 Mar 12-18;365(9463):977-88
pubmed: 15767001
Health Policy Plan. 2007 Jul;22(4):193-215
pubmed: 17526641
Bull World Health Organ. 2015 Jul 1;93(7):483-90
pubmed: 26170506
BMC Res Notes. 2015 Aug 12;8:345
pubmed: 26264412
Birth. 1999 Dec;26(4):255-8
pubmed: 10655832
Psychiatr Serv. 2011 Jun;62(6):619-25
pubmed: 21632730
Lancet. 2012 Jun 9;379(9832):2151-61
pubmed: 22579125
BMC Pregnancy Childbirth. 2013 Oct 22;13:196
pubmed: 24148317
Lancet. 2005 Mar 5-11;365(9462):891-900
pubmed: 15752534
BMC Pregnancy Childbirth. 2016 Jan 27;16:21
pubmed: 26819242
J Epidemiol Community Health. 2009 Oct;63(10):827-31
pubmed: 19414443
BMC Pregnancy Childbirth. 2017 Dec 13;17(1):418
pubmed: 29237406
Lancet. 2003 Jun 28;361(9376):2226-34
pubmed: 12842379
Matern Child Health J. 2014 May;18(4):950-9
pubmed: 23812800
PLoS One. 2019 Jul 23;14(7):e0219919
pubmed: 31335884
BMC Pregnancy Childbirth. 2008 Jul 18;8:26
pubmed: 18638395
Indian J Community Med. 2016 Jan-Mar;41(1):1-4
pubmed: 26917865
BMC Pregnancy Childbirth. 2007 Sep 03;7:19
pubmed: 17767710
Am J Obstet Gynecol. 2017 Jul;217(1):47.e1-47.e7
pubmed: 28263752
Int J Reprod Med. 2016;2016:7095352
pubmed: 27433481
BMC Pregnancy Childbirth. 2012 May 09;12:33
pubmed: 22571689