Research Article
Early Postnatal Care Service Utilization and Its
Determinants among Women Who Gave Birth in the Last 6
MonthsinWonagoDistrict,SouthEthiopia:ACommunity-Based
Cross-Sectional Study
Yordanos Tefera,
1
Samirawit Hailu,
1
and Ruth Tilahun
2
1
Department of Public Health, College of Health & Medical Science, Dilla University, Dilla, Ethiopia
2
Department of Midwifery, College of Health & Medical Science, Dilla University, Dilla, Ethiopia
Correspondence should be addressed to Ruth Tilahun; rutilahun@gmail.com
Received 26 June 2020; Revised 23 September 2020; Accepted 13 March 2021; Published 14 April 2021
Academic Editor: George Uchenna Eleje
Copyright © 2021 Yordanos Tefera et al. is is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited.
Background. Postnatal care is one of the key strategies to reduce maternal and newborn morbidity and mortality. Early postnatal
visit is especially the most critical time for survival of mothers and newborns, particularly through early detection and man-
agement of postpartum complication. Despite the benefits, most mothers and newborns do not receive postnatal care services
from health care providers during the critical first few days after delivery. Objective. e aim of this study was to assess utilization
of early postnatal care service and associated factors among women who gave birth in the last six months in Wonago District,
Gedeo Zone, Southern Ethiopia. Methods. A community-based cross-sectional study design was employed at Wonago District. A
total of 612 mothers who gave birth in the last six months were selected by simple random sampling technique. Pretested
structured questionnaire was used for data collection. Data were entered into EpiData version 3.1 and then exported into SPSS
version 20 for analysis. Principal component analysis (PCA) and bivariate and multivariate logistic regression were used. Result.In
this study, 13.7% of mothers utilized early postnatal care. Educational status of mothers (AOR � 3.7 : 95 CI; 1.3–10.7), place of
delivery (AOR: 1.8 : 95 CI; 1.03–3.2), ANC attendance (AOR � 3.4:95 CI; 1.1–10.09), development of complication after delivery
(AOR: 7.8 :95 CI; 3.7–16.2), and previous history of postnatal care utilization (AOR: 2.1: 95 CI; 1.13–3.9) were found to be
associated with early postnatal care service utilization. Conclusion and Recommendations. Educational status of mothers, ANC
attendance, place of delivery, delivery complication while giving recent birth, and past history of postnatal care utilization were
significant predictors for early postnatal care utilization. Considering this, empowering women with education and overall
strengthening of health facility to improve maternal health service utilization are necessary measures to be done at different levels
to enhance early postnatal care utilization during this critical time.
1. Background
Postnatal care (PNC) is the care given to the mother and her
newborn baby immediately after birth of baby up to the first
six weeks of life, and it is decisive to the general wellbeing of
both the mother and the newborn [1]. ree phases of
contact are recommended which include the immediate
postnatal period within the first 24 hours after birth, early
postnatal period from day two through 7, and late postnatal
period extending from day 8 through 42 days [2].
PNC visit is very critical time for the survival of both
mother and child. e early postnatal period, especially the
first week after delivery, is the time when effective postnatal
care can bring a difference to the health and life chances of
mothers and newborns [3]. Since early postnatal care is very
essential service to protect the mother from birth-related
Hindawi
Obstetrics and Gynecology International
Volume 2021, Article ID 4286803, 9 pages
https://doi.org/10.1155/2021/4286803