Postpartum depression and associated factors among childbearing women from the recent Demographic and Health Survey data of Mozambique: Multilevel analysis

Introduction: Postpartum depression is a non-psychotic depressive illness that affects women who have recently given birth. Symptoms of the illness include thoughts of suicide, low self-worth, guilt about not being able to care for their newborn, blaming themselves thoughts, and nervousness. Despite...

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Main Authors: Mamaru Melkam, Bezawit Melak Fente, Yohannes Mekuria Negussie, Zufan Alamrie Asmare, Hiwot Altaye Asebe, Beminate Lemma Seifu, Alemayehu Kasu Gebrehana, Sintayehu Simie Tsega, Meklit Melaku Bezie, Angwach Abrham Asnake
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Heliyon
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Online Access:http://www.sciencedirect.com/science/article/pii/S240584402417137X
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author Mamaru Melkam
Bezawit Melak Fente
Yohannes Mekuria Negussie
Zufan Alamrie Asmare
Hiwot Altaye Asebe
Beminate Lemma Seifu
Alemayehu Kasu Gebrehana
Sintayehu Simie Tsega
Meklit Melaku Bezie
Angwach Abrham Asnake
author_facet Mamaru Melkam
Bezawit Melak Fente
Yohannes Mekuria Negussie
Zufan Alamrie Asmare
Hiwot Altaye Asebe
Beminate Lemma Seifu
Alemayehu Kasu Gebrehana
Sintayehu Simie Tsega
Meklit Melaku Bezie
Angwach Abrham Asnake
author_sort Mamaru Melkam
collection DOAJ
description Introduction: Postpartum depression is a non-psychotic depressive illness that affects women who have recently given birth. Symptoms of the illness include thoughts of suicide, low self-worth, guilt about not being able to care for their newborn, blaming themselves thoughts, and nervousness. Despite there being many studies conducted at the hospital level there are limited studies conducted at the national level to determine the individual and community level factors. Depression during childbirth can have several detrimental effects, including increased risk of complication and decreased satisfaction with birth, decreased trust in medical facilities, and decreased women's participation in maternity and newborn healthcare units.Therefore, this study amid to reveal the prevalence of postpartum depression and associated factors at individual and community levels among women who give birth in Mozambique's recent data Demographic and Health Survey (DHS). Method: Multilevel logistic regression analysis was carried out from the recent Demographic and Health Survey data. A total of 5,468 sample sizes of Mozambique DHS data were used for this secondary data analysis. At individual and community level factors were assessed to determine the burden of postpartum depression at a p-value of 0.05 with a 95 % CI with AOR. Results: The prevalence of postpartum depression among women who give birth from the recent Mozambique DHS data was 24.60 % with a CI of 23.47 %–25.75 %. No education [AOD = 1.37: 95 % CI; (1.26, 1.68)] at individual level and [AOR = 3.14:95 % CI; (2.39, 5.18)] at the community level, widowed/divorced [AOR = 1.73: 95%CI; (1.14, 3.61)], and No occupation [AOR = 1.35:95 % CI; (1.19, 1.64)] were the associated variables with postpartum depression. Conclusion: Nearly three women out of ten women who give birth develop postpartum depression. Low education status, widowed/divorced, and no occupation were the associated factors with postpartum depression. Therefore, enhancing education, creating job opportunities, and keeping married will reduce the burden of postpartum depression. This study indicates maternal depression post-delivery should be given attention by the National Health Office and other police makers. Educational level should be improved to have a continuous and sharp change in maternal depression after delivery.
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spelling doaj-art-ca658c1c561944e0b2cb40fc74bfad302025-08-20T02:46:36ZengElsevierHeliyon2405-84402025-01-01111e4110610.1016/j.heliyon.2024.e41106Postpartum depression and associated factors among childbearing women from the recent Demographic and Health Survey data of Mozambique: Multilevel analysisMamaru Melkam0Bezawit Melak Fente1Yohannes Mekuria Negussie2Zufan Alamrie Asmare3Hiwot Altaye Asebe4Beminate Lemma Seifu5Alemayehu Kasu Gebrehana6Sintayehu Simie Tsega7Meklit Melaku Bezie8Angwach Abrham Asnake9Department of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia; Corresponding author. University of Gondar, College of Medicine and Health Science, Department of Psychiatry, Ethiopia.Department of General Midwifery, School of Midwifery, College of Medicine & Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Medicine, Adama General Hospital and Medical College, Adama, EthiopiaDepartment of Ophthalmology, School of Medicine and Health Science, Debre Tabor University, Debre Tabor, EthiopiaDepartment of Public Health, College of Medicine and Health Sciences, Samara University, Samara, EthiopiaDepartment of Public Health, College of Medicine and Health Sciences, Samara University, Samara, EthiopiaDepartment of Midwifery, College of Health Sciences, Salale University, Salale, EthiopiaDepartment of Medical Nursing, School of Nursing, College of Medicine and Health Science, University of Gondar, Gondar, EthiopiaDepartment of Public Health Officer, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wolaita Sodo University, Wolaita Sodo, EthiopiaIntroduction: Postpartum depression is a non-psychotic depressive illness that affects women who have recently given birth. Symptoms of the illness include thoughts of suicide, low self-worth, guilt about not being able to care for their newborn, blaming themselves thoughts, and nervousness. Despite there being many studies conducted at the hospital level there are limited studies conducted at the national level to determine the individual and community level factors. Depression during childbirth can have several detrimental effects, including increased risk of complication and decreased satisfaction with birth, decreased trust in medical facilities, and decreased women's participation in maternity and newborn healthcare units.Therefore, this study amid to reveal the prevalence of postpartum depression and associated factors at individual and community levels among women who give birth in Mozambique's recent data Demographic and Health Survey (DHS). Method: Multilevel logistic regression analysis was carried out from the recent Demographic and Health Survey data. A total of 5,468 sample sizes of Mozambique DHS data were used for this secondary data analysis. At individual and community level factors were assessed to determine the burden of postpartum depression at a p-value of 0.05 with a 95 % CI with AOR. Results: The prevalence of postpartum depression among women who give birth from the recent Mozambique DHS data was 24.60 % with a CI of 23.47 %–25.75 %. No education [AOD = 1.37: 95 % CI; (1.26, 1.68)] at individual level and [AOR = 3.14:95 % CI; (2.39, 5.18)] at the community level, widowed/divorced [AOR = 1.73: 95%CI; (1.14, 3.61)], and No occupation [AOR = 1.35:95 % CI; (1.19, 1.64)] were the associated variables with postpartum depression. Conclusion: Nearly three women out of ten women who give birth develop postpartum depression. Low education status, widowed/divorced, and no occupation were the associated factors with postpartum depression. Therefore, enhancing education, creating job opportunities, and keeping married will reduce the burden of postpartum depression. This study indicates maternal depression post-delivery should be given attention by the National Health Office and other police makers. Educational level should be improved to have a continuous and sharp change in maternal depression after delivery.http://www.sciencedirect.com/science/article/pii/S240584402417137XPostpartum depressionDemographic and health surveyAnd Mozambique
spellingShingle Mamaru Melkam
Bezawit Melak Fente
Yohannes Mekuria Negussie
Zufan Alamrie Asmare
Hiwot Altaye Asebe
Beminate Lemma Seifu
Alemayehu Kasu Gebrehana
Sintayehu Simie Tsega
Meklit Melaku Bezie
Angwach Abrham Asnake
Postpartum depression and associated factors among childbearing women from the recent Demographic and Health Survey data of Mozambique: Multilevel analysis
Heliyon
Postpartum depression
Demographic and health survey
And Mozambique
title Postpartum depression and associated factors among childbearing women from the recent Demographic and Health Survey data of Mozambique: Multilevel analysis
title_full Postpartum depression and associated factors among childbearing women from the recent Demographic and Health Survey data of Mozambique: Multilevel analysis
title_fullStr Postpartum depression and associated factors among childbearing women from the recent Demographic and Health Survey data of Mozambique: Multilevel analysis
title_full_unstemmed Postpartum depression and associated factors among childbearing women from the recent Demographic and Health Survey data of Mozambique: Multilevel analysis
title_short Postpartum depression and associated factors among childbearing women from the recent Demographic and Health Survey data of Mozambique: Multilevel analysis
title_sort postpartum depression and associated factors among childbearing women from the recent demographic and health survey data of mozambique multilevel analysis
topic Postpartum depression
Demographic and health survey
And Mozambique
url http://www.sciencedirect.com/science/article/pii/S240584402417137X
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