Factors affecting postnatal care service utilization in Pyuthan district: A mixed method study
Tulsi Ram Thapa, Reshu Agrawal Sagtani, Anita Mahotra, Ravi Kanta Mishra, Saraswati Sharma, Sudarshan Paudel, Kshitij Karki, Kshitij Karki, Kshitij Karki
TL;DR
This study explores why postnatal care services are underused in Nepal's Pyuthan district, finding that socioeconomic factors and access to knowledge and transportation are key.
Contribution
The study combines quantitative and qualitative methods to identify novel predictors and barriers to postnatal care utilization in a specific Nepali district.
Findings
38.43% of mothers utilized postnatal care services as per protocol.
Knowledge of postnatal care and socioeconomic status were strong predictors of service utilization.
Transportation and road access significantly influenced postnatal care service use.
Abstract
The first hours, days, and weeks following childbirth are critical for the well-being of both the mother and newborn. Despite this significance, the postnatal period often receives inadequate attention in terms of quality care provision. In Nepal, the utilization of postnatal care (PNC) services remains a challenging issue. Employing a facility-based concurrent triangulation mixed-method approach, this study aimed to identify factors associated with PNC service utilization, as well as its facilitators and barriers. A quantitative survey involved 243 mothers who had given birth in the six months preceding the survey, selected using a multistage sampling technique from six health facilities of two randomly selected local levels of the Pyuthan district. Weighted multivariate logistic regression was employed to identify predictors of PNC service utilization. Additionally, qualitative…
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Taxonomy
TopicsGlobal Maternal and Child Health · Maternal and Perinatal Health Interventions · Infant Development and Preterm Care