| dc.description.abstract |
Background: Postnatal care is an important care which is given to the mother and her child to prevent and reduce maternal and child mortality. Despite the importance of the care for the mother and her child, there are considerable disparities in postnatal care utilization across many geographical locations, maternal socioeconomic, and demographic factors in many Sub-Saharan Africa. Objectives: To investigate inequalities and assess the determinant factors in postnatal care service utilization among reproductive women in Ethiopia using the 2016 Ethiopia demographic health survey data. Methods: The study utilized data from the fourth round Ethiopia Demographic and Health Survey (EDHS). The dataset was accessed from EDHS website upon registering to the website. Education and wealth-related inequalities were assessed by concentration curve and concentration index. The measured inequality also decomposed into its contributing factors using Erregers method of analysis. In addition to this, population attributable risk, difference, and ratio were used to assess the inequality after running Binary logistic regression and multi-collinearities were checked by using variance inflation factor (VIF=1.5). Result: PNC utilization within the first two days in Ethiopia in 2016 was only 16%. Complex summary measures suggest Maternal level of Education and wealth related inequalities in PNC were significantly high in 2016: with concentration indies of 0.166 and 0.2089 respectively. Simple summary measures also revealed wealth status, 4+ ANC visit, delivery by CS, use of internet and region were significantly predict inequalities in Postnatal care utilization. Conclusion: There is a significant inequality in Postnatal care utilization in Ethiopia. Maternal wealth status, maternal level of Education, frequency of ANC visits, use of internet, Region and C-Section delivery are the dominant inequality contributors in the utilization of PNC services within those critical hours after birth. Recommendation: Policy makers should focus on the implementation of the strategies to adequately address the observed inequalities in postnatal care utilization among women. Strategies should focus on the key population subgroups. |
|