Authors: Olebo DF*, Gloria K, Mubaraka K and Edith A
Globally, postnatal care (PNC) utilization remains low, with less than 50% of mothers and babies receiving essential postnatal care. In developed countries, PNC utilization exceeds 75%, resulting in a maternal mortality ratio (MMR) of 12 deaths per 100,000 live births. However, in low- and middle-income countries, PNC utilization is only at 36.0%, contributing to significant maternal and neonatal mortality within the first month post-delivery, with an estimated 18 neonatal deaths per 1,000 live births. Kyegegwa district, despite its critical need for postnatal care, has limited published research on this topic. An unpolished report from 2021 to 2022 revealed a PNC attendance of 5.5% at one week and 5.4% at six weeks, with a troubling neonatal mortality rate of 65 deaths per 1,000 live births and an MMR of 50 deaths per 100,000 live births. These statistics highlight the urgent need for improved postnatal care in the district to prevent both maternal and neonatal mortalities. This cross-sectional study enrolled 246 mothers attending the Young Child Clinic at Kyegegwa Hospital. Quantitative analysis using SPSS Version 20. Bivariable and multivariable logistic regression model was used to identify factors associated with PNC service utilization. The study aimed to establish the level of PNC utilization and associated factors among postnatal mothers. The study findings revealed that only 22% had a good level of PNC utilization. Low utilization was associated with various maternal factors, including husband's occupation, economic status, Antenatal Care visits attended, lack of support for childcare, knowledge of PNC, Village Health Team visits during pregnancy, husband's education, and having adequate time for PNC. Health facility factors, such as distance to the hospital, availability of PNC supplies/medications, road conditions to the hospital, and poor communication within the hospital with P Values < 0.05, also played a significant role. To enhance maternal and infant healthcare utilization of PNC services, a comprehensive approach is essential. Implementing a combination of interventions and strategies tailored to each community's specific needs and challenges can significantly improve PNC utilization and lead to better health outcomes for both mothers and infants.
Keywords: Robotic Technologies; Automation; Artificial Intelligence; Machine Learning; Industry 4.0; Healthcare Robotics; Space Exploration; Human-Robot Interaction; Challenges; Future Prospects
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