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Factors Affecting Access to Early Postnatal Care Service among Women of Urban Slum in Bangladesh

Title
Factors Affecting Access to Early Postnatal Care Service among Women of Urban Slum in Bangladesh
Author
Mohammad Ashraful Hasan
Advisor(s)
황정혜
Issue Date
2017-08
Publisher
한양대학교
Degree
Master
Abstract
Background: The postnatal period, the hours and days after birth is critical to the health for survival and is the most vulnerable time for a mother and newborn. Majority of maternal death occur after delivery but the postnatal period is the most ignored time for the establishment of quality services yet now in Bangladesh. Therefore, this study made an attempt to assess the impact of the challenges to access in early postnatal care (PNC) in improving the women and newborn health situation in Bangladesh. Methods: A quantitative research involving community based cross sectional descriptive study was conducted among women reproductive age group (of 18-49 years) who gave birth in the last one year prior to the study in different slums of Dhaka south city corporation, Dhaka, the capital city of Bangladesh from September to October 2016. A stratified sampling method was employed to select the total of 389 study participants. Data were collected by means of a pretested structured interviewer administered questionnaire. Chi square and binary logistic regression analysis was carried out by using SPSS version 21. Results: Findings revealed that, 29.1% women and 29.8% of their baby received PNC visit after last delivery. The factors that significantly affected access to PNC utilization in this study were women’s education (p Value: <0.001; OR: 0.254; 95% CI: 0.129-0.498), household income (p Value: <0.001; OR: 0.036; 95% CI: 0.014-0.095), residence (p Value: <0.001; OR: 10.43; 95% CI: 3.378-32.201), husband’s education (p Value: <0.001; OR: 0.113; 95% CI: 0.063-0.203) and occupation (p Value: <0.001; OR: 0.069; 95% CI: 0.041-0.118), physical violence against women (p Value: <0.001; OR: 0.063; 95% CI: 0.037-0.108), place of delivery (p Value: <0.001; OR: 0.151; 95% CI: 0.093-0.245), ANC visit (p Value: <0.001; OR: 6.799; 95% CI: 4.093-11.294), PNC checkup for baby (p Value: <0.001; OR: 304.3; 95% CI: 119.0-778.16), postnatal complications (p Value: <0.001; OR: 4.503; 95% CI: 2.706-7.493), importance of PNC checkup (p Value: <0.001; OR: 52.95; 95% CI: 24.28-115.46), knowledge in PNC service (p Value: <0.001; OR: 0.066; 95% CI: 0.038-0.117), perception of postnatal danger sign (p Value: <0.001; OR: 0.214; 95% CI: 0.119-0.382), sources (more than one) of information (p Value: <0.001; OR: 0.019; 95% CI: 0.010-0.037), transport use (p Value: <0.001; OR: 0.600; 95% CI: 0.371-0.971), and health insurance (p Value: <0.001; OR: 21.01; 95% CI: 4.719-93.593). Conclusion: Access to PNC utilization was low in the study area. Education, household income, husband’s education and occupation, physical violence, place of delivery, ANC visit, knowledge on PNC components, awareness in postnatal danger signs, and health insurance were found to be the important predictors of PNC utilization. Among those, domestic physical violence against women and health insurance emerged as strong predictors. Therefore, there is a crucial need for public health interventions to increase the access rate to early postnatal care service that should target women who need this service at the appropriate time. Keywords: Access, Early postnatal care, Women, Urban slum, Bangladesh
URI
http://hdl.handle.net/20.500.11754/33254http://hanyang.dcollection.net/common/orgView/200000430948
Appears in Collections:
GRADUATE SCHOOL[S](대학원) > GLOBAL HEALTH & DEVELOPMENT(국제의료개발학과) > Theses (Ph.D.)
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