{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:53:01Z","timestamp":1791985981632,"version":"4.4.0"},"reference-count":37,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Puerperal sepsis persists as an important global public health concern. It contributes substantially to death among mothers, notably in resource\u2010constrained countries like Ethiopia, posing a significant challenge to attaining the Sustainable Development Goals. Despite advances in the accessibility of healthcare, a significant gap exists between knowledge, attitude, and practices, and these issues have received limited literature evidence in Ethiopia, particularly in study settings. Hence, this research focuses on assessing knowledge, attitudes, and self\u2010care practices toward the prevention of puerperal sepsis and factors of self\u2010care practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A community\u2010based survey was conducted among 419 postpartum women residing in peri\u2010urban areas of Dessie from May 1 to June 30, 2025. Participants were recruited through a systematic random sampling technique that was employed. Data were collected using structured questionnaires and analyzed using SPSS version 26. The magnitude of the association was estimated using adjusted odds ratios (AORs) at a 95% confidence interval.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the present study, the overall prevalence of good knowledge was 198 (47.4%) (95% CI: 44.2, 50.5), favorable attitudes were 183 (43.7%) (95% CI: 42.1, 45.1), and good self\u2010care practice was 179 (42.7%) (95% CI: 38.0, 47.0). Secondary education (AOR\u2009=\u20091.93; 95% CI: 1.10, 3.40), diploma and above (AOR=\u20092.32; 95% CI: 1.19, 4.49), antenatal contact (AOR\u2009=\u20091.61; 95% CI: 1.05, 2.38), women's knowledge (AOR=1.55; 95% CI: 1.02, 2.36), and women's attitudes (AOR=2.30; 95% CI: 1.32, 5.25) were significant factors of the self\u2010care practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The overall prevalence of good knowledge, favorable attitudes, and good self\u2010care practices for puerperal sepsis prevention was low. Maternal educational status, antenatal care contact, women's knowledge, and women's attitudes were significant factors of the self\u2010care practice. Improving women's education, enhancing antenatal care contact coverage, and fostering knowledge on puerperal sepsis are recommended.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73378","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T07:34:43Z","timestamp":1791876883000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, Attitudes, and Self\u2010Care Practices for the Prevention of Puerperal Sepsis and Factors of Self\u2010Care Practices in Peri\u2010Urban Areas of Dessie, Ethiopia: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-5748-4296","authenticated-orcid":false,"given":"Abdulaziz","family":"Assefa","sequence":"first","affiliation":[{"name":"Department of Midwifery College of Medicine and Health Sciences, Wolkite University Wolkite Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9698-0239","authenticated-orcid":false,"given":"Mohammedjud","family":"Mursal","sequence":"additional","affiliation":[{"name":"Department of Public Health in Epidemiology and Biostatistics Dessie Health Sciences College Dessie Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8231-6564","authenticated-orcid":false,"given":"Aynalem","family":"Belay","sequence":"additional","affiliation":[{"name":"Department of Midwifery College of Medicine and Health Sciences, Wolkite University Wolkite Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8504-7259","authenticated-orcid":false,"given":"Ayele","family":"Sahile Abdo","sequence":"additional","affiliation":[{"name":"Department of Midwifery College of Medicine and Health Sciences, Wolkite University Wolkite Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3304-3245","authenticated-orcid":false,"given":"Mulugeta","family":"Animaw","sequence":"additional","affiliation":[{"name":"Department of Midwifery College of Medicine and Health Sciences, Wolkite University Wolkite Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8706-4271","authenticated-orcid":false,"given":"Aberash Beyene","family":"Derribow","sequence":"additional","affiliation":[{"name":"Department of Midwifery College of Medicine and Health Sciences, Wolkite University Wolkite Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6698-6584","authenticated-orcid":false,"given":"Fikremariam","family":"Endeshaw","sequence":"additional","affiliation":[{"name":"Department of Midwifery College of Medicine and Health Sciences, Wolkite University Wolkite Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1942-5162","authenticated-orcid":false,"given":"Mangistu","family":"Abera","sequence":"additional","affiliation":[{"name":"Department of Midwifery College of Medicine and Health Sciences, Wolkite University Wolkite Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2020.100149"},{"key":"e_1_2_16_3_1","unstructured":"World Health Organization (WHO) Definitions and Diagnosis of Puerperal Sepsis(Sexual and Reproductive Health and Research (SRH) Including the Human Reproduction Special Programme (HRP) 2017)."},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40834-024-00283-x"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(14)70227-X"},{"key":"e_1_2_16_6_1","unstructured":"World Health Organization (WHO) A Woman Dies Every Two Minutes Due to Pregnancy or Childbirth: UN agencies(Neurosciences (Riyadh) 2023)."},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(23)00468-0"},{"key":"e_1_2_16_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0169304"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.4314\/ejhs.v24i0.3S"},{"key":"e_1_2_16_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2023.966942"},{"key":"e_1_2_16_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wcn.2024.08.001"},{"key":"e_1_2_16_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0254131"},{"key":"e_1_2_16_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0311708"},{"key":"e_1_2_16_14_1","doi-asserted-by":"publisher","DOI":"10.22038\/JMRH.2024.72442.2123"},{"key":"e_1_2_16_15_1","volume-title":"Ethiopia Demographic and Health Survey 2024\u201325","author":"ICF ESSEa","year":"2025"},{"key":"e_1_2_16_16_1","volume-title":"Ethiopia Demographic and Health Survey","author":"ICFCSACEa","year":"2016"},{"key":"e_1_2_16_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13690-021-00732-y"},{"key":"e_1_2_16_18_1","doi-asserted-by":"publisher","DOI":"10.4314\/ejhd.v32i4.2"},{"key":"e_1_2_16_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61870-5"},{"key":"e_1_2_16_20_1","doi-asserted-by":"publisher","DOI":"10.21608\/msnj.2021.188066"},{"issue":"2","key":"e_1_2_16_21_1","first-page":"323","article-title":"Knowledge and Practice of Postpartum Mothers Regarding Puerperal Sepsis Prevention","volume":"4","author":"Abdel\u2010Fattah N.","year":"2022","journal-title":"Indonesian Journal of Global Health Research"},{"key":"e_1_2_16_22_1","doi-asserted-by":"publisher","DOI":"10.18203\/2320-6012.ijrms20184029"},{"key":"e_1_2_16_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/17455057221082954"},{"key":"e_1_2_16_24_1","unstructured":"World Health Organization WHO Consolidated Guideline on Self\u2010Care Interventions for Health(World Health Organization 2019) 98\u2013107."},{"key":"e_1_2_16_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2012.10.001"},{"key":"e_1_2_16_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/20503121241257150"},{"key":"e_1_2_16_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/20503121251387974"},{"key":"e_1_2_16_28_1","article-title":"Knowledge and Practice of Puerperal Sepsis Prevention and Associated Factors Among Postnatal Mothers in Gondar","volume":"10","author":"Moges N. A. T. G.","year":"2022","journal-title":"SAGE Open Medicine"},{"key":"e_1_2_16_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/20503121221085842"},{"key":"e_1_2_16_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-021-06038-2.)"},{"key":"e_1_2_16_31_1","unstructured":"EFMoH Health Sector Transformation Plan (HSTP) 2015\/16\u20132019\/20(FMoH 2015)."},{"key":"e_1_2_16_32_1","unstructured":"Ministry of Health Ethiopia National Guideline on Prevention and Management of Postpartum Hemorrhage(Ministry of Health Ethiopia 2022) 1\u201344."},{"key":"e_1_2_16_33_1","unstructured":"Central Statistical Authority Population and Housing Census of Ethiopia Administrative Report(Central Statistical Authority 2012)."},{"key":"e_1_2_16_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13756-021-00897-9"},{"issue":"4","key":"e_1_2_16_35_1","first-page":"87","article-title":"Knowledge on Postnatal Care Among Postnatal Mothers","volume":"1","author":"Timilsina S.","year":"2015","journal-title":"Saudi Journal of Medical and Pharmaceutical Sciences"},{"key":"e_1_2_16_36_1","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2024.1236758"},{"key":"e_1_2_16_37_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-025-07821-8"},{"issue":"2","key":"e_1_2_16_38_1","first-page":"132","article-title":"Impact of Puerperal Sepsis Self\u2010Care Nursing Guideline on Women's Knowledge and Practices","volume":"8","author":"Gamel W.","year":"2020","journal-title":"American Journal of Nursing Research"}],"container-title":["Health Science Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.73378","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hsr2.73378","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.73378","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:34:32Z","timestamp":1791984872000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hsr2.73378"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":37,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/hsr2.73378"],"URL":"https:\/\/doi.org\/10.1002\/hsr2.73378","archive":["Portico"],"relation":{},"ISSN":["2398-8835","2398-8835"],"issn-type":[{"value":"2398-8835","type":"print"},{"value":"2398-8835","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2026-02-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e73378"}}