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Factors associated with post-natal care utilization among mothers in Maldives |
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| รหัสดีโอไอ | |
| Creator | Sheeza Ibrahim, Sariyamon Tiraphat, Seoah Hong |
| Title | Factors associated with post-natal care utilization among mothers in Maldives |
| Publisher | ASEAN Institute for Health Development, Mahidol University |
| Publication Year | 2558 |
| Journal Title | JOURNAL OF PUBLIC HEALTH AND DEVELOPMENT |
| Journal Vol. | 13 |
| Journal No. | 3 |
| Page no. | 67-80 |
| Keyword | postnatal care utilization, primary hospital, secondary hospital, tertiary hospital, Maldives |
| ISSN | 1905-1392 |
| Abstract | Post Natal Care (PNC) is an important service for mother and newborn during the vulnerable period. Properpostnatal follow up would help to prevent many maternal and fetal deaths. It can identify the danger signs of life threateningfor mothers and babies. According to WHO, globally PNC utilization is quite low, especially in developing countries.In Maldives, which is a unique archipelago of 1192 islands, the information about the prevalence of PNC and factorsassociated with PNC has been limited. This cross sectional study was conducted to determine the prevalence of postnatal care utilization and factors associated with PNC among mothers in Maldives islands. This research was a community based cross-sectional study undertaken in three different communities with primary,secondary and tertiary hospitals in Maldives. The data were collected from a sample of 253 mothers drawn from the studypopulation using convenient sampling technique during May 3rd to 25th May 2015. Self-administered questionnaire, based on the factors from Andersen's health and utilization model including predisposing, enabling, and need factors, also theDonabedian model of healthcare quality, was given to collect the data. Our outcome variable focused on postnatal care utilization that categorized as whether they complete postnatal visit within 6 weeks after child birth or not. For data analysis,Chi-square test and multiple logistic regression were applied to evaluate factors associated with PNC. The study revealed that the prevalence of PNC utilization was 34%. The results of multiple logistic regressionindicated that cost of transportation, health insurance scheme, and mental health problem were the significant predictors forPNC utilization. Mothers who perceived that cost of transportation is expensive had more chance of getting PNC utilization1.98 times (95% C.I:1.05 3.76) compared to those perceived that the cost is low. Mother who thought that the nationalhealth insurance scheme is very good had more chance of PNC utilization with 2.9 times (95% C.I: 1.21-7.03). Motherexperienced mental health problem increased more chance of completing PNC with 2.0 times (95% C.I.: 1.07-4.05). The study indicated that the prevalence of postnatal care utilization was very low. Therefore, strengthening the provisionof health insurance scheme is very important to enhance the accessibility for health care service. For mothers with mentalhealth problem, individual counseling is recommended. Regarding cost of transportation, the establishment of affordablepublic transportation would be a supportive factor for better utilization of health services |
