Masters of Public health

Permanent URI for this collectionhttps://hdl.handle.net/20.500.11951/1046

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Browsing Masters of Public health by Author "Nakayima Robinnah"

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    Prevalence and Factors Associated With Post Natal Health Care Services Utilisation Among Multiparous Women in Buyamba County, Rakai District Uganda
    (Uganda Christian University, 2025-04-22) Nakayima Robinnah
    The utilization of postnatal healthcare services in Uganda (49.6%) remains in the low as compared to the global World Health Organization recommendation. Mothers remain at a risk of developing complication as a result of low-rate postnatal care service utilization. This study's main goal was to evaluate the prevalence and risk factors for postpartum healthcare service use among multiparous women in Buyamba County, Rakai District. The study employed a community-based cross–sectional survey design based on a quantitative approach. Researcher administered structured questionnaires were used to collect data from 350 multiparous women in Buyamba county. The bivariate relationships between the covariates and postnatal care service utilisation were verified using the Chi-square test, and the factors predicting postnatal care service use were identified by multivariate logistic regression. Results indicated that; the majority of participants (30.8%) were in the 35–44 age range, more than half had completed primary school, over 38.6% were Anglicans, and 81.9% were married. The prevalence of PNC use at the time of study was 94.0% The major predisposing factors that significantly associated with postnatal care service utilization were; Being younger in age (aOR=1.959, 95%CI: 0.256 - 5.592), completing only primary school (aOR = 0.472, 95%CI: 0.091 - 2.467), not attending ANC (aOR = 0.128, 95%CI: 0.009 - 1.847), not hearing about PNC (aOR = 0.876, 95%CI: 0.175-4.395). The need factors associated with PNC use were; never spending money to access PNC (aOR = 1.453, 95%CI: 0.084 - 3.461), travelling more than 5 km to the facility (aOR = 0.722, 95%CI: 0.272 - 1.845) and having an illiterate husband (aOR = 0.822, 95%CI: 0.183 - 2.690). There is need to; strengthen health education, leverage media, and engaging communities to raise awareness, particularly among young mothers. Enhance accessibility through infrastructure, mobile clinics, and health workers, while addressing financial barriers with subsidized care and insurance, is crucial. Family engagement, women's empowerment, and integrating antenatal with postnatal care are vital for informed decision-making and equitable access.