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Background
Postnatal care (PNC) services such as antenatal care, labour and delivery care services are paramount in maternal, neonatal morbidity and mortality rates reduction in low and middle income countries. Several factors impede the effective utilization of these services by mothers which makes them access few services than recommended by world health organization. This study examined the determinants of PNC utilization among mothers in Mangochi District, Malawi.
Methods
A community based cross-sectional study involving a multistage sampling of 600 mothers from nine randomly selected villages in Mangochi district, Malawi was conducted in the month of January, 2016. A transcribed semi-structured questionnaire was pre-tested, modified and used to collect data on socio demographic, socio-economic and socio-cultural characteristics. A Pearson Chi square (đťś’2) test was used to determine the association between the socio-demographic, socio-cultural, and socio-economic factors and PNC utilization. A multivariable logistic regression with 95% confidence interval was performed to determine the predictors of PNC service utilization.
Results
84.8% of the mothers utilized PNC services at least once within the postnatal period. Among the PNC users, 74.5% attended once, 20% attended two to three times and 5.5% attended more than three times. The predictors of PNC service utilization were education level of the mother (AOR= 2.42, CI: 1.97-6.04) education level of the partner (AOR=1.5, CI: 1.25-2.49) , occupation status of the partner (AOR= 3.2, CI: 1.25-8.01), household level of income (AOR=14.4, CI: 5.90-35.16), decision making (AOR=2.27, CI: 1.13-4.57), knowledge of available PNC services (AOR=4.2, CI: 2.22-7.41), knowledge of at least one postpartum danger signs (AOR=4.0, CI:2.07-7.50), and place of delivery (AOR=6.9, CI: 3.35-14.14).
Conclusion
The rate of PNC service utilization among mothers was 85%. The uptake of PNC services among mothers was mainly influenced by education level of the mother and partner, occupation status of the partner, household level of income, decision making power, knowledge of available PNC services, knowledge of at least one postpartum danger signs, and place of delivery. Therefore, reinforcement of the existing policies and strategies to increase awareness about PNC services among mothers through awareness campaigns, training and empowerment programs is needed.
Keywords
Postnatal care, cross-sectional study, multistage sampling, multivariable model, Mangochi district, Malawi
Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
- SupplementaryFile1QUESTIONNAIREENGLISHVERSION.docx
Questionnaire in English
- SupplementaryFile2QUESTIONNAIRECHICHEWAVERSION.docx
Questionnaire Translated from English to Chichewa
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Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 03 Dec, 2020
No community comments so far
Editorial decision: Major revision
On 22 Jan, 2021
Review #2 received
Received 21 Jan, 2021
Review #1 received
Received 13 Jan, 2021
Reviewer #3 agreed
On 27 Dec, 2020
Reviewer #2 agreed
On 08 Dec, 2020
Reviewers invited
Invitations sent on 07 Dec, 2020
Reviewer #1 agreed
On 07 Dec, 2020
Editor assigned
On 03 Dec, 2020
Submission checks complete
On 30 Nov, 2020
Editor invited
On 29 Nov, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Maternal & Fetal Medicine
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This preprint is under consideration at BMC Pregnancy and Childbirth. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 03 Dec, 2020
No community comments so far
Editorial decision: Major revision
On 22 Jan, 2021
Review #2 received
Received 21 Jan, 2021
Review #1 received
Received 13 Jan, 2021
Reviewer #3 agreed
On 27 Dec, 2020
Reviewer #2 agreed
On 08 Dec, 2020
Reviewers invited
Invitations sent on 07 Dec, 2020
Reviewer #1 agreed
On 07 Dec, 2020
Editor assigned
On 03 Dec, 2020
Submission checks complete
On 30 Nov, 2020
Editor invited
On 29 Nov, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Maternal & Fetal Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Postnatal care (PNC) services such as antenatal care, labour and delivery care services are paramount in maternal, neonatal morbidity and mortality rates reduction in low and middle income countries. Several factors impede the effective utilization of these services by mothers which makes them access few services than recommended by world health organization. This study examined the determinants of PNC utilization among mothers in Mangochi District, Malawi.
Methods
A community based cross-sectional study involving a multistage sampling of 600 mothers from nine randomly selected villages in Mangochi district, Malawi was conducted in the month of January, 2016. A transcribed semi-structured questionnaire was pre-tested, modified and used to collect data on socio demographic, socio-economic and socio-cultural characteristics. A Pearson Chi square (đťś’2) test was used to determine the association between the socio-demographic, socio-cultural, and socio-economic factors and PNC utilization. A multivariable logistic regression with 95% confidence interval was performed to determine the predictors of PNC service utilization.
Results
84.8% of the mothers utilized PNC services at least once within the postnatal period. Among the PNC users, 74.5% attended once, 20% attended two to three times and 5.5% attended more than three times. The predictors of PNC service utilization were education level of the mother (AOR= 2.42, CI: 1.97-6.04) education level of the partner (AOR=1.5, CI: 1.25-2.49) , occupation status of the partner (AOR= 3.2, CI: 1.25-8.01), household level of income (AOR=14.4, CI: 5.90-35.16), decision making (AOR=2.27, CI: 1.13-4.57), knowledge of available PNC services (AOR=4.2, CI: 2.22-7.41), knowledge of at least one postpartum danger signs (AOR=4.0, CI:2.07-7.50), and place of delivery (AOR=6.9, CI: 3.35-14.14).
Conclusion
The rate of PNC service utilization among mothers was 85%. The uptake of PNC services among mothers was mainly influenced by education level of the mother and partner, occupation status of the partner, household level of income, decision making power, knowledge of available PNC services, knowledge of at least one postpartum danger signs, and place of delivery. Therefore, reinforcement of the existing policies and strategies to increase awareness about PNC services among mothers through awareness campaigns, training and empowerment programs is needed.
Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
- SupplementaryFile1QUESTIONNAIREENGLISHVERSION.docx
Questionnaire in English
- SupplementaryFile2QUESTIONNAIRECHICHEWAVERSION.docx
Questionnaire Translated from English to Chichewa
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