{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T19:52:05Z","timestamp":1789674725026,"version":"4.0.1"},"reference-count":35,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"unspecified","delay-in-days":211,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1463423626101571_as1\">\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>This study aimed to assess self-care practices for puerperal sepsis prevention and their determinants among postpartum women in Halaba Town, Central Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101571_as2\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Self-care is the ability to maintain health, prevent disease, and manage illness with or without the support of healthcare personnel. Current evidence indicates a high burden of puerperal sepsis in East Africa, including Ethiopia. However, evidence on self-care practices for the prevention of puerperal sepsis and their determinants in the study setting remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101571_as3\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A community-based cross-sectional study was conducted among postpartum women in Halaba Town from February 1 to March 30, 2025. Data were collected through face-to-face, interviewer-administered questionnaires. Bivariable and multivariable logistic regression analyses were performed to identify determinants of self-care practices; statistical significance was set at a p-value of less than 0.05.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101571_as4\">\n                    <jats:title>Findings:<\/jats:title>\n                    <jats:p>In the present study, 413 study participants were interviewed, resulting in a response rate of 98.3%. The prevalence of good self-care practice was 43.8% (95% CI: 39.1%\u201348.5%). Women\u2019s occupation (adjusted odds ratio (AOR) = 2.01; 95% CI: 1.23\u20133.57), educational attainment (AOR = 2.30; 95% CI: 1.46\u20137.93), antenatal care (ANC) contact (AOR = 2.73; 95% CI: 1.65\u20134.71), and women\u2019s knowledge (AOR = 3.30; 95% CI: 2.32\u201310.42) were determinants of self-care practices for puerperal sepsis prevention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101571_as5\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The findings revealed that more than half of postpartum women had poor self-care practices for the prevention of puerperal sepsis. Hence, strengthening ANC contact, targeting women with low educational status and unemployed women, and improving women\u2019s knowledge may help to enhance awareness and prevention of puerperal sepsis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1463423626101571","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T05:53:07Z","timestamp":1785477187000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Self-care practices for puerperal sepsis prevention and their determinants among postpartum women: a community-based cross-sectional study in Halaba Town, Central Ethiopia"],"prefix":"10.1017","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8706-4271","authenticated-orcid":false,"given":"Aberash Beyene","family":"Derribow","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/009msm672","id-type":"ROR","asserted-by":"publisher"}],"name":"Wolkite University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mebratu Demissie","family":"Senbeta","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/009msm672","id-type":"ROR","asserted-by":"publisher"}],"name":"Wolkite University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6031-5758","authenticated-orcid":false,"given":"Keyredin Nuriye","family":"Metebo","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/009msm672","id-type":"ROR","asserted-by":"publisher"}],"name":"Wolkite University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melese Gabure","family":"Shukulo","sequence":"additional","affiliation":[{"name":"Wachemo University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aynalem","family":"Belay","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/009msm672","id-type":"ROR","asserted-by":"publisher"}],"name":"Wolkite University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Berhanu Semra","family":"Mulat","sequence":"additional","affiliation":[{"name":"Wolkite University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1942-5162","authenticated-orcid":false,"given":"Mangistu","family":"Abera","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/009msm672","id-type":"ROR","asserted-by":"publisher"}],"name":"Wolkite University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,7,31]]},"reference":[{"key":"S1463423626101571_ref28","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(23)00468-0"},{"key":"S1463423626101571_ref2","doi-asserted-by":"publisher","DOI":"10.1177\/20503121251387974"},{"key":"S1463423626101571_ref17","unstructured":"Ministry of Health (2017) Maternal Health Overview of maternal health in Ethiopia. Available at https:\/\/www.moh.gov.et\/en\/initiatives-4-col\/Maternal_Health?language_content_entity=en 6\u201311."},{"key":"S1463423626101571_ref13","first-page":"352","article-title":"Factors influencing and the effect of puerperal sepsis among postpartum women in Vom Christian Hospital, Plateau State, Nigeria","volume":"6","author":"Christiana","year":"2023","journal-title":"Asian Journal of Research in Nursing and Health"},{"key":"S1463423626101571_ref18","doi-asserted-by":"publisher","DOI":"10.18203\/2394-6040.ijcmph20205173"},{"key":"S1463423626101571_ref7","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0170856"},{"key":"S1463423626101571_ref25","first-page":"292","article-title":"Bacterial sepsis following pregnancy","volume":"64","author":"Pundir","year":"2016","journal-title":"Obstetrics: Evidence-Based Algorithms"},{"key":"S1463423626101571_ref1","first-page":"323","article-title":"Knowledge and practice of postpartum mothers regarding","volume":"4","author":"Abdel-fattah","year":"2022","journal-title":"Indonesian Journal of Global Health Research"},{"key":"S1463423626101571_ref30","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-025-07821-8"},{"key":"S1463423626101571_ref23","doi-asserted-by":"publisher","DOI":"10.1177\/17455057221082954"},{"key":"S1463423626101571_ref8","doi-asserted-by":"publisher","DOI":"10.4314\/ejhs.v24i0.3S"},{"key":"S1463423626101571_ref33","unstructured":"World Health Organisation, UNICEF, UNFPA (2023) Trends in maternal mortality 2000 to 2020: Estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA."},{"key":"S1463423626101571_ref4","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-025-07275-y"},{"key":"S1463423626101571_ref10","doi-asserted-by":"publisher","DOI":"10.1177\/20503121221085842"},{"key":"S1463423626101571_ref12","first-page":"141","article-title":"Simplified asset indices to measure wealth and equity in health programs: A reliability and validity analysis using survey data from 16 countries","volume":"4","author":"Chakraborty","year":"2016","journal-title":"Global Health: Science and Practice"},{"key":"S1463423626101571_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.01.216"},{"key":"S1463423626101571_ref35","first-page":"1","article-title":"The effect of national antenatal care guidelines and provider training on obstetric danger sign counselling: A propensity score matching analysis of the 2014 Ethiopia service provision assessment plus survey","volume":"19","author":"Yeneabat","year":"2022","journal-title":"Reproductive Health"},{"key":"S1463423626101571_ref9","first-page":"1","article-title":"Incidence and predictors of puerperal sepsis among postpartum comprehensive specialized hospital, northwest Ethiopia: A prospective cohort study","volume":"4","author":"Bishaw","year":"2023","journal-title":"Frontiers in Global Womens Health"},{"key":"S1463423626101571_ref20","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0169304"},{"key":"S1463423626101571_ref22","first-page":"132","article-title":"Impact of puerperal sepsis self-care nursing guideline on women\u2019s knowledge and practices","volume":"8","author":"Mostafa","year":"2020","journal-title":"American Journal of Nursing Research"},{"key":"S1463423626101571_ref16","doi-asserted-by":"publisher","DOI":"10.21608\/msnj.2021.188066"},{"key":"S1463423626101571_ref32","unstructured":"World Health Organisation (WHO) (2019) WHO Consolidated Guideline on Self-Care Interventions for Health, Geneva: World Health Organization. Available at https:\/\/apps.who.int\/iris\/handle\/10665\/325480"},{"key":"S1463423626101571_ref14","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13509"},{"key":"S1463423626101571_ref11","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/j.wcn.2024.08.001","article-title":"Prevalence and outcome of puerperal sepsis among mothers in Nigeria: A five-year retrospective study","volume":"2","author":"Bolanle","year":"2024","journal-title":"Women and Children Nursing"},{"key":"S1463423626101571_ref31","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-025-07821-8"},{"key":"S1463423626101571_ref29","doi-asserted-by":"publisher","DOI":"10.1177\/20503121241257150"},{"key":"S1463423626101571_ref15","first-page":"4785","article-title":"The prevalence and determinants of puerperal sepsis among postpartum women at Hadiya Zone, Ethiopia","volume":"13","author":"Halil","year":"2025","journal-title":"Journal of Midwifery and Reproductive Health"},{"key":"S1463423626101571_ref21","first-page":"1","volume-title":"National Guideline on Prevention and Management of Postpartum Hemorrhage (May)","year":"2022"},{"key":"S1463423626101571_ref19","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0314769"},{"key":"S1463423626101571_ref5","doi-asserted-by":"publisher","DOI":"10.15406\/ipcb.2019.05.00175"},{"key":"S1463423626101571_ref6","first-page":"1050","article-title":"The role of maternal self-care in new motherhood","volume":"29","author":"Barkin","year":"2020","journal-title":"HHS Public Access"},{"key":"S1463423626101571_ref26","doi-asserted-by":"publisher","DOI":"10.1186\/s40834-024-00283-x"},{"key":"S1463423626101571_ref3","doi-asserted-by":"publisher","DOI":"10.1177\/23779608251345324"},{"key":"S1463423626101571_ref27","doi-asserted-by":"publisher","DOI":"10.18203\/2320-6012.ijrms20184029"},{"key":"S1463423626101571_ref34","first-page":"1","volume-title":"Statement on Maternal Sepsis: A Leading Cause of Maternal Deaths","year":"2017"}],"container-title":["Primary Health Care Research &amp; Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1463423626101571","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T05:53:10Z","timestamp":1785477190000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1463423626101571\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":35,"alternative-id":["S1463423626101571"],"URL":"https:\/\/doi.org\/10.1017\/s1463423626101571","relation":{},"ISSN":["1463-4236","1477-1128"],"issn-type":[{"value":"1463-4236","type":"print"},{"value":"1477-1128","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e83"}}