{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T16:12:42Z","timestamp":1792512762507,"version":"4.5.0"},"reference-count":36,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T00:00:00Z","timestamp":1673568000000},"content-version":"unspecified","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2022,11,8]]},"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Early postnatal care service usage in developing countries is one of the healthcare service usage problems among postnatal women, which is related to extensive maternal and neonatal complications and mortality. Identification of the prevalence of early postnatal care services usage and associated factors among postnatal women is imperative to develop intervention measures to mitigate their complications and public health impact, which is not well known in Ethiopia, particularly in the selected study area. Thus, this study aimed to assess the prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, southeast Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A community-based cross-sectional study design was conducted among 301 postnatal women from 15 May to 15 June 2021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Data were collected using a pretested structured questionnaire. The collected data were cleaned and entered in EpiData V.3.1 and then exported to SPSS V.23 for analysis. Finally, a multivariate logistic regression model was fitted to identify the factors associated with early postnatal care services usage. The p value&lt;0.05 was considered statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The finding showed that the prevalence of early postnatal care services usage was 23.3% (95% CI 18.9% to 27.9%). Wanted pregnancy (adjusted OR (AOR)=4.17, 95%\u2009CI 1.93 to 9.03), had over four histories of pregnancy (gravida &gt;4) (AOR=2.90, 95%\u2009CI 1.18 to 7.11) and had spontaneous vertex delivery (AOR=2.18, 95%\u2009CI 1.07 to 9.39) were statistically significant factors of early postnatal care service usage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study has shown that the prevalence of early postnatal care services usage was slightly low when compared with other studies. Thus, community-based health promotion should be an important recommendation to increase early postnatal care service usage among postnatal mothers to improve the level of awareness of early postnatal check-up schedules; done by healthcare providers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-061326","type":"journal-article","created":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T11:16:29Z","timestamp":1673608589000},"page":"e061326","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":18,"title":["Prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, Gurage zone, Southern Ethiopia: a community-based cross-sectional study"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3738-7339","authenticated-orcid":false,"given":"Yirgalem","family":"Yosef","sequence":"first","affiliation":[{"name":"College of Health Science, Department of Midwifery, Wolkite University, Wolkite, SNNPR, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7566-4942","authenticated-orcid":false,"given":"Mebratu","family":"Demissie","sequence":"additional","affiliation":[{"name":"College of Health Science, Department of Midwifery, Wolkite University, Wolkite, SNNPR, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seblework","family":"Abeje","sequence":"additional","affiliation":[{"name":"College of Health Science, Department of Medical Biochemistry, Wolkite University, Wolkite, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fantahun","family":"Walle","sequence":"additional","affiliation":[{"name":"College of Health Science, Department of Nursing, Wolkite University, Wolkite, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7216-6283","authenticated-orcid":false,"given":"Shegaw","family":"Geze","sequence":"additional","affiliation":[{"name":"College of Health Science, Department of Midwifery, Wolkite University, Wolkite, SNNPR, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8706-4271","authenticated-orcid":false,"given":"Aberash","family":"Beyene","sequence":"additional","affiliation":[{"name":"College of Health Science, Department of Midwifery, Wolkite University, Wolkite, SNNPR, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariama","family":"Shifa","sequence":"additional","affiliation":[{"name":"College of Health Science, Department of Midwifery, Wolkite University, Wolkite, SNNPR, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,1,13]]},"reference":[{"key":"2025121223272526000_13.1.e061326.1","unstructured":"WHO . Trends in maternal mortality, 2018. Available: https:\/\/documents1.worldbank.org\/curated\/en\/793971568908763231\/pdf\/Trends-in-maternal-mortality-2000-to-2017-Estimates-by-WHO-UNICEF-UNFPA-World-Bank-Group-and-the-United-Nations-Population-Division.pdf"},{"key":"2025121223272526000_13.1.e061326.2","unstructured":"WHO . Who recommendations on postnatal care of the mother and newborn, 2014."},{"key":"2025121223272526000_13.1.e061326.3","unstructured":"WHO . World bank group, and the United nations population division. trends in maternal mortality: 1990 to 2015. estimates by who, UNICEF. Geneva: UNFPA, World Bank Group, and the United Nations Population Division, 2015."},{"key":"2025121223272526000_13.1.e061326.4","unstructured":"Organization WH . Health in 2015: from MDGs, millennium development goals to SDGs, sustainable development goals, 2015."},{"key":"2025121223272526000_13.1.e061326.5","unstructured":"WHO . Postnatal care for mothers and newborns highlights from the world Health organization 2013 guidelines, 2015."},{"key":"2025121223272526000_13.1.e061326.6","doi-asserted-by":"crossref","first-page":"138","DOI":"10.21037\/tau.2016.12.01","article-title":"Female genital mutilation\/cutting in Africa","volume":"6","author":"Odukogbe","year":"2017","journal-title":"Transl Androl Urol"},{"key":"2025121223272526000_13.1.e061326.7","unstructured":"USAID'S . Determinants of early postnatal care attendance in Uganda, 2016."},{"key":"2025121223272526000_13.1.e061326.8","doi-asserted-by":"crossref","DOI":"10.1186\/s12913-017-2402-1","article-title":"Early postnatal care use by postpartum mothers in Mundri East County, South Sudan","volume":"17","author":"Izudi","year":"2017","journal-title":"BMC Health Serv Res"},{"key":"2025121223272526000_13.1.e061326.9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2021\/5596110","article-title":"Prevalence of early Postnatal-Care service utilization and its associated factors among mothers in Hawassa Zuria district, Sidama regional state, Ethiopia: a cross-sectional study","volume":"2021","author":"Yoseph","year":"2021","journal-title":"Obstet Gynecol Int"},{"key":"2025121223272526000_13.1.e061326.10","doi-asserted-by":"crossref","unstructured":"Tefera Y , Hailu S , TilahunaR . A community-based cross-sectional study. In: Early postnatal care service utilization and its determinants among women who gave birth in the last 6 months in Wonago district South Ethiopia, 2020.","DOI":"10.1155\/2021\/4286803"},{"key":"2025121223272526000_13.1.e061326.11","doi-asserted-by":"crossref","first-page":"869","DOI":"10.2147\/IJWH.S266248","article-title":"Prevalence and associated factors of early postnatal care service use among mothers who had given birth within the last 12 months in Adigrat town, Tigray, Northern Ethiopia, 2018","volume":"12","author":"Gebreslassie Gebrehiwot","year":"2020","journal-title":"Int J Womens Health"},{"key":"2025121223272526000_13.1.e061326.12","unstructured":"WHO . Who technical consultation on postpartum and postnatal care, 2018. Available: http:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/70432\/WHO_MPS_10.03_eng.pdf;jsessionid=977EC87BBE162C1694EBAB559E4D335A?sequence=1"},{"key":"2025121223272526000_13.1.e061326.13","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30104-1"},{"key":"2025121223272526000_13.1.e061326.14","unstructured":"UNICEF. . Maternal and newborn health disparities in Ethiopia, UNICEF for every child, 2017. Available: https:\/\/data.unicef.org\/wp-content\/uploads\/country_profiles\/Ethiopia\/country%20profile_ETH.pdf [Accessed 28 Nov 2018]."},{"key":"2025121223272526000_13.1.e061326.15","unstructured":"CSAE . Central statistics agency of Ethiopia, Ethiopia demographic and health survey. 2016. Addis Ababa, Ethiopia, and Rockville, Maryland, USA: CSA and ICF, 2018."},{"key":"2025121223272526000_13.1.e061326.16","unstructured":"WHO . Global strategies for women, children, and adolescents 2016-2030. 2016, 2018."},{"key":"2025121223272526000_13.1.e061326.17","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)71088-6"},{"key":"2025121223272526000_13.1.e061326.18","unstructured":"WHO\/UNICEF . Home visits for the newborn child: a strategy to improve survival, 2010;. Available: http:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/70002\/WHO_FCH_CAH_09.02_eng.pdf?sequence=1. [Accessed 28 Nov 2018]."},{"key":"2025121223272526000_13.1.e061326.19","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2014\/530769","article-title":"Use of postpartum care: predictors and barriers","volume":"2014","author":"DiBari","year":"2014","journal-title":"J Pregnancy"},{"key":"2025121223272526000_13.1.e061326.20","unstructured":"Organization WH . Every newborn: an action plan to end preventable deaths, 2014."},{"key":"2025121223272526000_13.1.e061326.21","unstructured":"WHO . Who recommendations on maternal health: guidelines Approved by the who guidelines review Committee, 2017. Available: http:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/259268\/WHO-MCA-17.10-eng.pdf?sequence=1 [Accessed 28 Nov 2018]."},{"key":"2025121223272526000_13.1.e061326.22","unstructured":"WHO . Technical consultation on postpartum and postnatal care, 2010."},{"key":"2025121223272526000_13.1.e061326.23","doi-asserted-by":"crossref","unstructured":"AN T , D N , A T . Early postnatal care service utilization and associated factors among mothers who gave birth in the last 12 months in Aseko district, Arsi zone, South East Ethiopia in 2016. J Womens Health Care 2017;06.doi:10.4172\/2167-0420.1000358","DOI":"10.4172\/2167-0420.1000358"},{"key":"2025121223272526000_13.1.e061326.24","doi-asserted-by":"crossref","DOI":"10.1186\/s12884-020-02866-3","article-title":"Determinants of early postnatal care attendance: analysis of the 2016 Uganda demographic and health survey","volume":"20","author":"Ndugga","year":"2020","journal-title":"BMC Pregnancy Childbirth"},{"key":"2025121223272526000_13.1.e061326.25","unstructured":"EDHS . Ethiopia demographic and health survey, 2016."},{"key":"2025121223272526000_13.1.e061326.26","unstructured":"Mon AS , Phyu MK , Thinkhamrop W . Women and its determinants: a cross-sectional study, 2018."},{"key":"2025121223272526000_13.1.e061326.27","doi-asserted-by":"crossref","first-page":"94","DOI":"10.3389\/fpubh.2018.00094","article-title":"Place of delivery associated with postnatal care utilization among childbearing women in Zambia","volume":"6","author":"Chungu","year":"2018","journal-title":"Front Public Health"},{"key":"2025121223272526000_13.1.e061326.28","doi-asserted-by":"crossref","DOI":"10.1186\/s12884-018-1926-7","article-title":"The role of community-based health services in influencing postnatal care visits in the Builsa and the West Mamprusi districts in rural Ghana","volume":"18","author":"Sakeah","year":"2018","journal-title":"BMC Pregnancy Childbirth"},{"key":"2025121223272526000_13.1.e061326.29","doi-asserted-by":"crossref","first-page":"2167","DOI":"10.4172\/2167-0420.1000318","article-title":"Postnatal care service utilization and associated factors among mothers in Lemo Woreda, Ethiopia","volume":"5","author":"Belachew","year":"2016","journal-title":"J Womens Health Care"},{"key":"2025121223272526000_13.1.e061326.30","doi-asserted-by":"crossref","unstructured":"Amane Tumbure1 DA , Elile Fantahun1 , Megersa Negusu1 . Assessment of postnatal care service utilization and associated factors in Asella town, Arsi zone, Oromiya regional state, Ethiopia. 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