Utilization of Postnatal Care Services among Women of Reproductive Age in Homabay County, Kenya
Keywords:
Utilization of Postnatal Care Services, individual factors, Women of Reproductive AgeAbstract
Purpose: The World Health Organization describes postnatal care as the care given to the mother and baby immediately after birth up to six weeks after delivery. This care plays a critical role in improving neonatal and maternal survival by improving maternal knowledge of newborn care and appropriate health-seeking behavior. This study aimed to assess the utilization of postnatal care among women in Mbita Sub County.
Methodology: The study population involved all women of reproductive age with children below nine months of age who reside in Mbita Sub County, Homabay County. Mbita Sub County was selected for the study using purposive sampling. The participants were selected using a multistage sampling technique. Semi-structured questionnaires, key informant interview guides, and focus discussion groups were used to collect data. Qualitative data was entered, coded, and analyzed using SPPS version 26.0 software. The relationship between variables was tested using Pearson chi-square test.
Results: Postnatal care utilization was (167, 45.1%). Factors that predicted utilization of PNC were age of the mother (χ2=18.797, p=0.002), marital status (χ2=16.104, p=0.001), parity (χ2=37.617, p=0.000), household level of income (χ2=15.368, p=0.022), level of education (χ2=19.975, p=0.008), occupation (χ2=28.007, p=0.000), and awareness of cultural practices carried out after delivery (χ2=39.990, p=0.000).
Conclusion: The study concluded that factors that determine the rate of PNC utilization were age, marital status, level of education, parity, occupation of the mother, and household income. The study suggests implementing targeted initiatives to raise awareness about the significance of postnatal care (PNC) services among women and their families. This would involve educating them about the importance of PNC and aligning mothers' appointments with the national PNC follow-up schedule.
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