Factors affecting postnatal care service utilization in Pyuthan district: A mixed method study
The first hours, days, and weeks following childbirth are critical for the well-being of both the mother and newborn. Despite this significance, the postnatal period often receives inadequate attention in terms of quality care provision. In Nepal, the utilization of postnatal care (PNC) services rem...
Gespeichert in:
| Veröffentlicht in: | PloS one 2024-09, Vol.19 (9), p.e0307772 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | 9 |
| container_start_page | e0307772 |
| container_title | PloS one |
| container_volume | 19 |
| creator | Thapa, Tulsi Ram Agrawal Sagtani, Reshu Mahotra, Anita Mishra, Ravi Kanta Sharma, Saraswati Paudel, Sudarshan |
| description | The first hours, days, and weeks following childbirth are critical for the well-being of both the mother and newborn. Despite this significance, the postnatal period often receives inadequate attention in terms of quality care provision. In Nepal, the utilization of postnatal care (PNC) services remains a challenging issue. Employing a facility-based concurrent triangulation mixed-method approach, this study aimed to identify factors associated with PNC service utilization, as well as its facilitators and barriers. A quantitative survey involved 243 mothers who had given birth in the six months preceding the survey, selected using a multistage sampling technique from six health facilities of two randomly selected local levels of the Pyuthan district. Weighted multivariate logistic regression was employed to identify predictors of PNC service utilization. Additionally, qualitative analysis using Braun and Clarke's six-step thematic analysis elucidated facilitators and barriers. The study revealed a weighted prevalence of PNC service utilization as per protocol at 38.43% (95% CI: 32.48-44.74). Notably, Socioeconomic status (AOR-3.84, 95% CI: 2.40-6.15), place of delivery (AOR-1.86, 95% CI: 1.16-3.00), possessing knowledge of postnatal care (AOR = 6.75, 95% CI: 3.39-13.45) and access to a motorable road (AOR = 6.30, 95% CI: 3.94-10.08) were identified as predictors of PNC service utilization. Triangulation revealed knowledge on PNC, transportation facilities, PNC home visits, and postpartum weaknesses to visit health facility as areas of convergence. Conversely, divergent areas included the proximity of health facilities and the effect of COVID-19. The study identified a low prevalence of PNC service utilization in the district. To enhance utilization, targeted interventions to increase awareness about postnatal care, appropriate revision of existing policies, addressing wider determinants of service utilization, and ensuring effective implementation of PNC home-visit programs are of utmost importance. |
| doi_str_mv | 10.1371/journal.pone.0307772 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_3101516922</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A807537778</galeid><doaj_id>oai_doaj_org_article_c8ff183535144d8f8d62bf2339759c59</doaj_id><sourcerecordid>A807537778</sourcerecordid><originalsourceid>FETCH-LOGICAL-c516t-a89138c49c3fc69f52404d8d5f4d699e86817c745a2775d1c60726ce61712d143</originalsourceid><addsrcrecordid>eNqNkl1rFDEUhgdRbK3-A9GAIHqxazKZfHm3FKsLhYpfl4Y0H7tZZibbJCNdf70Zd1q60gvJRcLhec97OHmr6jmCc4QZercJQ-xVO9-G3s4hhoyx-kF1jASuZ7SG-OGd91H1JKUNhARzSh9XR1jUDeQUHlc_z5TOISagnLM6-34FtiHlXmXVAq2iBcnGX15bMGTf-t8q-9AD34PPuyGvVQ-MTzl6nd-DBej8tTWgs3kdDEh5MLun1SOn2mSfTfdJ9f3sw7fTT7Pzi4_L08X5TBNE80xxgTDXjdDYaSocKeM1hhviGkOFsJxyxDRriKoZIwZpCllNtaWIodqgBp9UL_d9t21IclpNkhhBVAxEXRdiuSdMUBu5jb5TcSeD8vJvIcSVVDF73VqpuXOIY4IJasoUjhtaX7oaY8GI0ESUXm8mtxiuBpuy7HzStm1Vb8Mw2ZLCj4O9-ge9f7iJWqni73sXclR6bCoXHDKCy-fyQs3vocoxtvO6xMD5Uj8QvD0QFCbb67xSQ0py-fXL_7MXPw7Z13fYtVVtXqfQDmM20iHY7EEdQ0rRutvFIyjHFN9sQ44pllOKi-zFtLThsrPmVnQTW_wH1Nfp4A</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3101516922</pqid></control><display><type>article</type><title>Factors affecting postnatal care service utilization in Pyuthan district: A mixed method study</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><source>Public Library of Science (PLoS)</source><creator>Thapa, Tulsi Ram ; Agrawal Sagtani, Reshu ; Mahotra, Anita ; Mishra, Ravi Kanta ; Sharma, Saraswati ; Paudel, Sudarshan</creator><creatorcontrib>Thapa, Tulsi Ram ; Agrawal Sagtani, Reshu ; Mahotra, Anita ; Mishra, Ravi Kanta ; Sharma, Saraswati ; Paudel, Sudarshan</creatorcontrib><description>The first hours, days, and weeks following childbirth are critical for the well-being of both the mother and newborn. Despite this significance, the postnatal period often receives inadequate attention in terms of quality care provision. In Nepal, the utilization of postnatal care (PNC) services remains a challenging issue. Employing a facility-based concurrent triangulation mixed-method approach, this study aimed to identify factors associated with PNC service utilization, as well as its facilitators and barriers. A quantitative survey involved 243 mothers who had given birth in the six months preceding the survey, selected using a multistage sampling technique from six health facilities of two randomly selected local levels of the Pyuthan district. Weighted multivariate logistic regression was employed to identify predictors of PNC service utilization. Additionally, qualitative analysis using Braun and Clarke's six-step thematic analysis elucidated facilitators and barriers. The study revealed a weighted prevalence of PNC service utilization as per protocol at 38.43% (95% CI: 32.48-44.74). Notably, Socioeconomic status (AOR-3.84, 95% CI: 2.40-6.15), place of delivery (AOR-1.86, 95% CI: 1.16-3.00), possessing knowledge of postnatal care (AOR = 6.75, 95% CI: 3.39-13.45) and access to a motorable road (AOR = 6.30, 95% CI: 3.94-10.08) were identified as predictors of PNC service utilization. Triangulation revealed knowledge on PNC, transportation facilities, PNC home visits, and postpartum weaknesses to visit health facility as areas of convergence. Conversely, divergent areas included the proximity of health facilities and the effect of COVID-19. The study identified a low prevalence of PNC service utilization in the district. To enhance utilization, targeted interventions to increase awareness about postnatal care, appropriate revision of existing policies, addressing wider determinants of service utilization, and ensuring effective implementation of PNC home-visit programs are of utmost importance.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0307772</identifier><identifier>PMID: 39240860</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Births ; Childbirth & labor ; COVID-19 ; Data analysis ; Data collection ; Economic aspects ; Female ; Health care facilities ; Health facilities ; Health Knowledge, Attitudes, Practice ; Health Services Accessibility - statistics & numerical data ; Humans ; Infant mortality ; Infant, Newborn ; Maternal health services ; Maternal mortality ; Medical care ; Medical research ; Medicine, Experimental ; Methods ; Mothers ; Neonatal care ; Nepal ; Newborn babies ; Obstetrics ; Patient Acceptance of Health Care - statistics & numerical data ; Postnatal care ; Postnatal Care - statistics & numerical data ; Postpartum period ; Pregnancy ; Qualitative analysis ; Sample size ; Sampling techniques ; Social aspects ; Socioeconomics ; Surveys ; Surveys and Questionnaires ; Triangulation ; Utilization ; Variables ; Well being ; Womens health ; Young Adult</subject><ispartof>PloS one, 2024-09, Vol.19 (9), p.e0307772</ispartof><rights>Copyright: © 2024 Thapa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2024 Public Library of Science</rights><rights>2024 Thapa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 Thapa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c516t-a89138c49c3fc69f52404d8d5f4d699e86817c745a2775d1c60726ce61712d143</cites><orcidid>0000-0001-6112-1867 ; 0009-0006-3422-2551 ; 0000-0002-7795-713X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0307772&type=printable$$EPDF$$P50$$Gplos$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0307772$$EHTML$$P50$$Gplos$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,860,2096,2915,23845,27901,27902,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39240860$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thapa, Tulsi Ram</creatorcontrib><creatorcontrib>Agrawal Sagtani, Reshu</creatorcontrib><creatorcontrib>Mahotra, Anita</creatorcontrib><creatorcontrib>Mishra, Ravi Kanta</creatorcontrib><creatorcontrib>Sharma, Saraswati</creatorcontrib><creatorcontrib>Paudel, Sudarshan</creatorcontrib><title>Factors affecting postnatal care service utilization in Pyuthan district: A mixed method study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The first hours, days, and weeks following childbirth are critical for the well-being of both the mother and newborn. Despite this significance, the postnatal period often receives inadequate attention in terms of quality care provision. In Nepal, the utilization of postnatal care (PNC) services remains a challenging issue. Employing a facility-based concurrent triangulation mixed-method approach, this study aimed to identify factors associated with PNC service utilization, as well as its facilitators and barriers. A quantitative survey involved 243 mothers who had given birth in the six months preceding the survey, selected using a multistage sampling technique from six health facilities of two randomly selected local levels of the Pyuthan district. Weighted multivariate logistic regression was employed to identify predictors of PNC service utilization. Additionally, qualitative analysis using Braun and Clarke's six-step thematic analysis elucidated facilitators and barriers. The study revealed a weighted prevalence of PNC service utilization as per protocol at 38.43% (95% CI: 32.48-44.74). Notably, Socioeconomic status (AOR-3.84, 95% CI: 2.40-6.15), place of delivery (AOR-1.86, 95% CI: 1.16-3.00), possessing knowledge of postnatal care (AOR = 6.75, 95% CI: 3.39-13.45) and access to a motorable road (AOR = 6.30, 95% CI: 3.94-10.08) were identified as predictors of PNC service utilization. Triangulation revealed knowledge on PNC, transportation facilities, PNC home visits, and postpartum weaknesses to visit health facility as areas of convergence. Conversely, divergent areas included the proximity of health facilities and the effect of COVID-19. The study identified a low prevalence of PNC service utilization in the district. To enhance utilization, targeted interventions to increase awareness about postnatal care, appropriate revision of existing policies, addressing wider determinants of service utilization, and ensuring effective implementation of PNC home-visit programs are of utmost importance.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Births</subject><subject>Childbirth & labor</subject><subject>COVID-19</subject><subject>Data analysis</subject><subject>Data collection</subject><subject>Economic aspects</subject><subject>Female</subject><subject>Health care facilities</subject><subject>Health facilities</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Humans</subject><subject>Infant mortality</subject><subject>Infant, Newborn</subject><subject>Maternal health services</subject><subject>Maternal mortality</subject><subject>Medical care</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Methods</subject><subject>Mothers</subject><subject>Neonatal care</subject><subject>Nepal</subject><subject>Newborn babies</subject><subject>Obstetrics</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Postnatal care</subject><subject>Postnatal Care - statistics & numerical data</subject><subject>Postpartum period</subject><subject>Pregnancy</subject><subject>Qualitative analysis</subject><subject>Sample size</subject><subject>Sampling techniques</subject><subject>Social aspects</subject><subject>Socioeconomics</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><subject>Triangulation</subject><subject>Utilization</subject><subject>Variables</subject><subject>Well being</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNkl1rFDEUhgdRbK3-A9GAIHqxazKZfHm3FKsLhYpfl4Y0H7tZZibbJCNdf70Zd1q60gvJRcLhec97OHmr6jmCc4QZercJQ-xVO9-G3s4hhoyx-kF1jASuZ7SG-OGd91H1JKUNhARzSh9XR1jUDeQUHlc_z5TOISagnLM6-34FtiHlXmXVAq2iBcnGX15bMGTf-t8q-9AD34PPuyGvVQ-MTzl6nd-DBej8tTWgs3kdDEh5MLun1SOn2mSfTfdJ9f3sw7fTT7Pzi4_L08X5TBNE80xxgTDXjdDYaSocKeM1hhviGkOFsJxyxDRriKoZIwZpCllNtaWIodqgBp9UL_d9t21IclpNkhhBVAxEXRdiuSdMUBu5jb5TcSeD8vJvIcSVVDF73VqpuXOIY4IJasoUjhtaX7oaY8GI0ESUXm8mtxiuBpuy7HzStm1Vb8Mw2ZLCj4O9-ge9f7iJWqni73sXclR6bCoXHDKCy-fyQs3vocoxtvO6xMD5Uj8QvD0QFCbb67xSQ0py-fXL_7MXPw7Z13fYtVVtXqfQDmM20iHY7EEdQ0rRutvFIyjHFN9sQ44pllOKi-zFtLThsrPmVnQTW_wH1Nfp4A</recordid><startdate>20240906</startdate><enddate>20240906</enddate><creator>Thapa, Tulsi Ram</creator><creator>Agrawal Sagtani, Reshu</creator><creator>Mahotra, Anita</creator><creator>Mishra, Ravi Kanta</creator><creator>Sharma, Saraswati</creator><creator>Paudel, Sudarshan</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>COVID</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-6112-1867</orcidid><orcidid>https://orcid.org/0009-0006-3422-2551</orcidid><orcidid>https://orcid.org/0000-0002-7795-713X</orcidid></search><sort><creationdate>20240906</creationdate><title>Factors affecting postnatal care service utilization in Pyuthan district: A mixed method study</title><author>Thapa, Tulsi Ram ; Agrawal Sagtani, Reshu ; Mahotra, Anita ; Mishra, Ravi Kanta ; Sharma, Saraswati ; Paudel, Sudarshan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c516t-a89138c49c3fc69f52404d8d5f4d699e86817c745a2775d1c60726ce61712d143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Births</topic><topic>Childbirth & labor</topic><topic>COVID-19</topic><topic>Data analysis</topic><topic>Data collection</topic><topic>Economic aspects</topic><topic>Female</topic><topic>Health care facilities</topic><topic>Health facilities</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Services Accessibility - statistics & numerical data</topic><topic>Humans</topic><topic>Infant mortality</topic><topic>Infant, Newborn</topic><topic>Maternal health services</topic><topic>Maternal mortality</topic><topic>Medical care</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><topic>Methods</topic><topic>Mothers</topic><topic>Neonatal care</topic><topic>Nepal</topic><topic>Newborn babies</topic><topic>Obstetrics</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>Postnatal care</topic><topic>Postnatal Care - statistics & numerical data</topic><topic>Postpartum period</topic><topic>Pregnancy</topic><topic>Qualitative analysis</topic><topic>Sample size</topic><topic>Sampling techniques</topic><topic>Social aspects</topic><topic>Socioeconomics</topic><topic>Surveys</topic><topic>Surveys and Questionnaires</topic><topic>Triangulation</topic><topic>Utilization</topic><topic>Variables</topic><topic>Well being</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thapa, Tulsi Ram</creatorcontrib><creatorcontrib>Agrawal Sagtani, Reshu</creatorcontrib><creatorcontrib>Mahotra, Anita</creatorcontrib><creatorcontrib>Mishra, Ravi Kanta</creatorcontrib><creatorcontrib>Sharma, Saraswati</creatorcontrib><creatorcontrib>Paudel, Sudarshan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale in Context : Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>ProQuest Biological Science Journals</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thapa, Tulsi Ram</au><au>Agrawal Sagtani, Reshu</au><au>Mahotra, Anita</au><au>Mishra, Ravi Kanta</au><au>Sharma, Saraswati</au><au>Paudel, Sudarshan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors affecting postnatal care service utilization in Pyuthan district: A mixed method study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2024-09-06</date><risdate>2024</risdate><volume>19</volume><issue>9</issue><spage>e0307772</spage><pages>e0307772-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The first hours, days, and weeks following childbirth are critical for the well-being of both the mother and newborn. Despite this significance, the postnatal period often receives inadequate attention in terms of quality care provision. In Nepal, the utilization of postnatal care (PNC) services remains a challenging issue. Employing a facility-based concurrent triangulation mixed-method approach, this study aimed to identify factors associated with PNC service utilization, as well as its facilitators and barriers. A quantitative survey involved 243 mothers who had given birth in the six months preceding the survey, selected using a multistage sampling technique from six health facilities of two randomly selected local levels of the Pyuthan district. Weighted multivariate logistic regression was employed to identify predictors of PNC service utilization. Additionally, qualitative analysis using Braun and Clarke's six-step thematic analysis elucidated facilitators and barriers. The study revealed a weighted prevalence of PNC service utilization as per protocol at 38.43% (95% CI: 32.48-44.74). Notably, Socioeconomic status (AOR-3.84, 95% CI: 2.40-6.15), place of delivery (AOR-1.86, 95% CI: 1.16-3.00), possessing knowledge of postnatal care (AOR = 6.75, 95% CI: 3.39-13.45) and access to a motorable road (AOR = 6.30, 95% CI: 3.94-10.08) were identified as predictors of PNC service utilization. Triangulation revealed knowledge on PNC, transportation facilities, PNC home visits, and postpartum weaknesses to visit health facility as areas of convergence. Conversely, divergent areas included the proximity of health facilities and the effect of COVID-19. The study identified a low prevalence of PNC service utilization in the district. To enhance utilization, targeted interventions to increase awareness about postnatal care, appropriate revision of existing policies, addressing wider determinants of service utilization, and ensuring effective implementation of PNC home-visit programs are of utmost importance.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>39240860</pmid><doi>10.1371/journal.pone.0307772</doi><tpages>e0307772</tpages><orcidid>https://orcid.org/0000-0001-6112-1867</orcidid><orcidid>https://orcid.org/0009-0006-3422-2551</orcidid><orcidid>https://orcid.org/0000-0002-7795-713X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2024-09, Vol.19 (9), p.e0307772 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_3101516922 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Adolescent Adult Births Childbirth & labor COVID-19 Data analysis Data collection Economic aspects Female Health care facilities Health facilities Health Knowledge, Attitudes, Practice Health Services Accessibility - statistics & numerical data Humans Infant mortality Infant, Newborn Maternal health services Maternal mortality Medical care Medical research Medicine, Experimental Methods Mothers Neonatal care Nepal Newborn babies Obstetrics Patient Acceptance of Health Care - statistics & numerical data Postnatal care Postnatal Care - statistics & numerical data Postpartum period Pregnancy Qualitative analysis Sample size Sampling techniques Social aspects Socioeconomics Surveys Surveys and Questionnaires Triangulation Utilization Variables Well being Womens health Young Adult |
| title | Factors affecting postnatal care service utilization in Pyuthan district: A mixed method study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-04T20%3A16%3A05IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Factors%20affecting%20postnatal%20care%20service%20utilization%20in%20Pyuthan%20district:%20A%20mixed%20method%20study&rft.jtitle=PloS%20one&rft.au=Thapa,%20Tulsi%20Ram&rft.date=2024-09-06&rft.volume=19&rft.issue=9&rft.spage=e0307772&rft.pages=e0307772-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0307772&rft_dat=%3Cgale_plos_%3EA807537778%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3101516922&rft_id=info:pmid/39240860&rft_galeid=A807537778&rft_doaj_id=oai_doaj_org_article_c8ff183535144d8f8d62bf2339759c59&rfr_iscdi=true |