Factors influencing utilisation of postnatal services in Kampala, Uganda

  • Annet Nankwanga
  • Julie Phillips

Abstract

Background:

Maternal, child-health and health education are three major concerns of public health organizations and researchers throughout the world. Over half a million women encounter complications due to childbirth annually and many even die. Health education for mothers is thus a strategy many countries have adopted to improve maternal and child-health.

Objectives:

This study  investigated possible factors influencing the use of postnatal services at two hospitals in Kampala- Uganda.

Study Design:

A cross-sectional survey was completed by a convenient sample of women.

Methods:

A structured questionnaire was administered to three hundred and thirty (330) women six to eight weeks after delivery. The participants were selected from a list of all women who delivered in two hospitals in Kampala, Uganda.

Results:

The main barriers to utilisation of postnatal services identified were lack of awareness about postnatal services, distance from hospitals and lack of somebody to take care of the children at home.

Conclusions:

The results from this study reinforce the need for education of women and the communities about the importance of postnatal care.

 

References

Ashford. L., (2004). Hidden Suffering: disabilit ies from pregnancy and childbirth in less developed countries. Available at: htt.p,.,:l/www.prb.orgfTemplate.cfm?Section=PRB&template=/contentID=6658 Retrieved June 23 2004

Safe Motherhood (2002). Safe Motherhood: a matter of rights and social justice. Available at : www.safemotherhood.org.htm Retrieved August 8, 2003

Bhutta. Z.A., Ali. S., Cousens. S., Ali T.M., Haider. B.A.,Rizvi. A .,.Okong . P., Bhutta. S., & Black. R.E., (2008). Alma Ata: Rebirth and Revision 6. Interventions to address maternal, newborn, and child survival: what difference can integrated primary health care strategies make? Lancet, 372: 972-989 .

Bulut. A., & Turan . J.M., (1995).Postpartum family planning and health needs of women of low income in Istanbul. Studies of Family Planning, 26: 88-100.

H & Bchir., A., (1999). Evaluation of mothers' knowledge in pre- and postnatal preventive care in the Tunisian Sahel. Sante Pluque. 11(2): 203-210.

Blanc., A .K, Croft T. & Choi., Y. (2006). Skilled care at birth in the developing world: progress to date and strategies for expanding coverage. Journal of Biosocial Science, 1-12.

Timyan, J., Brechin. G.S.J., Measham. D. M. & Ogunleye. (1993). Access to care: More than a problem of distance. In: Koblinsky M, Timyan J., Gay J. , editors. The health of women: A global perspective, Boulder: Westview Press, pp 217-234 .

Tlebere P, Jackson D, Loveday M, Matizirofa L, Mbombo, N., Doherty, T., Wigton, A., Treger, L. & Chopra, M. (2007). Community-Based situatio n analysis of maternal and neonatal care in South Africa to explore factors that impact utilization of maternal health services. Journal of Midwifery & Women's Health, 52: 342-350.

Warren C, Daly P, Toure L & Mongi P. (2007). Postnatal Care.

Opportunities for Africa's Newborns, 80-90.

Warren C., (2005). Repositioning Postpartum Care in Kenya .

Nairobi, Kenya: Population Council.

World Health Organisation (2005). World Health Report 2005: make every mother and child count. Geneva, Switzerland: World Health Organization.

World Health Organisation (2004). Making pregnancy safer : why is this issue important? Published report retrieved from www.who.milleniumgoalsformaternalhealth.htm on

/03/2004.

World Health Organisation (2003). Working with individuals, families and communities to improve maternal and newborn health. WHO/FCH /R HR/03.11. Geneva: World Health Organization , 2003.

World Health Organisation (1998). Postpartum care of mother and newborn: a practical guide . WHO/RHTIMSM/98.3 Geneva: WHO: 1998.

WHO, UNICEF. (2003). Antena tal care in developing countries: Promises, achievements and missed opportunities. Geneva, Switzerland : World Health Organization.

Chakraborty N, Ataharul I, Chowdhury I & Wasimul B. (2002).

Utilisation of postnatal care in Bangladesh : evidence from a longitudinal study. Health & Social Care in the Community, 10(6): 492-502.

De Bernis, L., Sherrat., D.R, AbouZahr, C. & Van Lergerghe, W., (2003). Skilled attendance for pregnancy, childbirth and postnatal care. British Medical Bulletin, 67: 39-57.

Echevarria, S & Frisbie, P. W., (2001). Race/ethnic-specific variation in adequacy of prenatal care utilization. Social Forces, 80(2): 633-655.

Israel, G.D. (1992). Determining sample size. Available at: http://edis.ifas .ufl .edu/odffiles/ PD/PD00600.pdf. Retrieved October 30, 2008.

Li X.F., Fortney, J.A., Kotelchuck . M. & Glover L.H., (1996). The postpartum period: the key to maternal mortality. International Journal of Gynaecology and Obstetr ics, 54: 1-10.

Mackeith. N., Murray. S.F., Standing H., Kumwenda P.R. & Ahmed Y., (2001). How to make maternal health more women-friendly: A practical guide, 95-112. Report from Lusaka women- friendly services project.

Ministry of Health. (2001). Uganda DISH II project assisted deliveries and postnatal care: Safe motherhood strategy, 2001. Published report retrieved www.ugandadish.org/resources/safe1.shtml on 17/05/2003.

Peltersson. , K.O., Christensson., K., Gomes de Freitas, E.G. & Johansson. E., (2004). Adaptation of health care seeking behaviour during childbirth: Focus group discussions with women living in suburban areas of Luanda, Angola . Health Care Women International, 25 : 255-280.

Policy project. (1999). Maternal and neonatal program index (MNPI): A tool for maternal health advocates. Published project report.

Section
Articles