Healthcare provider’s adherence to immediate postpartum care guidelines in Gondar province hospitals, northwest Ethiopia: A multicenter study
Male
Economics
Logistic regression
Pediatrics
0302 clinical medicine
Sociology
Pregnancy
Observational study
Cognitive psychology
Pathology
Psychology
Internal medicine
Global Maternal and Child Health Outcomes
Q
R
Obstetrics and Gynecology
Odds ratio
Postpartum period
Checklist
FOS: Sociology
3. Good health
Obstetrics
FOS: Psychology
Maternity care
Medicine
Female
Childbirth Experience
Guideline Adherence
Research Article
Adult
Postnatal Care
Family medicine
Maternal and Neonatal Outcomes of Cesarean Section
Science
Health Personnel
03 medical and health sciences
Health Sciences
Genetics
Humans
Impact of Maternal Mental Health on Offspring
Biology
Cross-sectional study
Economic growth
Demography
Confidence interval
Public Health, Environmental and Occupational Health
Health care
FOS: Biological sciences
Pediatrics, Perinatology and Child Health
Ethiopia
DOI:
10.1371/journal.pone.0259263
Publication Date:
2021-10-28T17:57:04Z
AUTHORS (6)
ABSTRACT
Background
The immediate postpartum period is the most critical time for both the mother and the newborn. However, it is the most neglected part of the maternal continuum of care, and evidence in this regard was scarce in Ethiopia. Therefore, this study aimed to assess the healthcare provider’s adherence to immediate postpartum care guidelines and associated factors in hospitals of Gondar province.
Methods
A multicenter observational cross-sectional study was conducted among 406 healthcare providers from 15th November 2020 to 10th March 2021. Data were collected through face-to-face interviews and direct observation using a structured questionnaire and standardized checklist respectively. Data was entered into EPI INFO 7.1.2 and analyzed by SPSS version 25. Both bivariable and multivariable logistic regression analyses were carried out. The level of significance was declared based on the adjusted odds ratio (AOR) with a 95% confidence interval (CI) at a p-value of ≤ 0.05.
Results
Overall, 42.4% (95% CI: 37.5, 47.2) of healthcare providers had complete adherence to immediate postpartum care guidelines. Having birth assistant (AOR = 1.87; 95% CI: 1.10, 9.67), being married (AOR = 1.59; 95% CI: 1.15, 3.31), availability of postpartum care guidelines at the maternity ward (AOR = 2.39; 95% CI: 1.44, 3.98), received basic emergency obstetric and newborn care (BEmONC) training (AOR = 2.1; 95% CI: 1.2, 3.6), monthly income of ≥ 10001 Ethiopian birr (AOR = 3.55; 95% CI: 1.30, 9.67), and work experience of ≥ 6 years (AOR = 0.15; 95% CI: 0.06, 0.38) were significantly associated with healthcare providers adherence to immediate postpartum care guidelines.
Conclusion
This study indicated that health worker’s adherence to immediate postpartum care guidelines was low. Hiring adequate health workers, availing postpartum guidelines at the maternity ward, improving the salary and education opportunities for healthcare workers of healthcare workers, and provision of BEmONC training will have a great role in improving healthcare provider’s adherence to immediate postpartum care guidelines.
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CITATIONS (2)
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