000			03460nam a22003257a 4500
003			OSt
005			20240305193737.0
008			221125b |||||||| |||| 00| 0 eng d
022			_a1472-6963
028			_b Phone: +255 28 298 3384
028			_b Fax: +255 28 298 3386
028			_b Email: vc@bugando.ac.tz
028			_bWebsite: www.bugando.ac.tz
040			_bEnglish _cDLC
041			_aEnglish
100			_aEveline T Konje _923135
222			_a Postnatal care Maternal and child health Timing on postnatal care Low-and-middle-income countries
245			_aLate initiation and low utilization of postnatal care services among women in the rural setting in Northwest Tanzania: a community-based study using a mixed method approach
260			_aMwanza, Tanzania: _bBioMed Central & _b Catholic University of Health and Allied Sciences [CUHAS – Bugando] _c02 July 2021
300			_aPages 1-12
490			_vBMC health services research Volume 21 Issue 1
520			_aAbstract: Background: Maternal and newborn mortality is high immediately after childbirth and up to 42 days postnatally despite the availability of interventions. Postnatal care is crucial in preventing mortality and improving the health of women and newborns. This prospective cohort study investigated the initiation and utilization of postnatal care at health facilities and explored users’ and providers’ perspectives on utilization of postnatal care services. Methods: A sequential explanatory mixed method was used involving women who were followed from the 3rd trimester of pregnancy to 3–4 months postnatally in Northwest, Tanzania. From January to December 2018, a door-to-door survey was conducted 3–4 months postnatally among 1385 of these women. A convenience sample of women and community health workers participated in focus group discussions, and traditional birth attendants and nurses participated in key informant interviews to complement quantitative data. Data analyses were conducted using STATA version 13 and NVIVO version 12. Study findings: Approximately, one half of participants attended postnatal care within 42 days after delivery. Postnatal care seeking within 48 h after delivery was reported by 14.6 % of the participants. Women who attended antenatal care at least four times, delivered at health facilities or experienced delivery-related complications were more likely to seek postnatal care. Limited knowledge on the postnatal care services and obstetric complications after childbirth, and not being scheduled for postnatal care by health providers negatively influenced services uptake. Overwhelming workload and shortages of supplies were reported to hinder the provision of postnatal care services. Conclusions: Utilization of postnatal care services remains low in this setting as a result of a number of disparate and complex factors that influence women’s choices. Provision of effective postnatal care is hindered by lack of supplies, staffing, and inadequate infrastructure. To ensure accessibility and availability of quality services in this setting, both demand and supply sides factors need to be addressed.
700			_aJennifer Hatfield _923044
700			_aReg Sauve _946016
700			_aSusan Kuhn _923004
700			_aMoke Magoma _923137
700			_aDeborah Dewey _922805
856			_uhttps://doi.org/10.1186/s12913-021-06695-8
942			_2ddc _cVM
999			_c19715 _d19715