Factors associated with low uptake of postnatal care in the Central Region, Togo, 2020: A case-control study
Introduction: Postnatal care (PNC) helps reduce maternal and neonatal mortality. In the Togo Central Region, PNC coverage is low at less than 50% and the explanatory factors are not documented. We aimed to determine the factors associated with low PNC coverage among women aged 15 to 49 in the region...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
African Field Epidemiology Network
2025-07-01
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| Series: | Journal of Interventional Epidemiology and Public Health |
| Subjects: | |
| Online Access: | https://afenet-journal.org/factors-associated-with-low-uptake-of-postnatal-care-in-the-central-region-togo-2020-a-case-control-study/ |
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| Summary: | Introduction: Postnatal care (PNC) helps reduce maternal and neonatal mortality. In the Togo Central Region, PNC coverage is low at less than 50% and the explanatory factors are not documented. We aimed to determine the factors associated with low PNC coverage among women aged 15 to 49 in the region.
Method: We conducted a case-control study with 171 cases and 342 controls. A case was any woman who performed none or only one PNC visit within 42 days of leaving the health facility after a live birth, between December 26, 2019, and November 12, 2020, while a control was any woman who had carried out at least two PNC visits during the same period. The women were selected by systematic sampling. By multivariate logistic regression analysis, factors independently associated with low uptake of postnatal care were identified.
Results: Adequate PNC coverage was 37.4% (95% CI: 36.0 – 38.8). The median age of cases was 25 years (IQR=20-30) and that of controls was 26 years (IQR=21-30), (p=0.056). Lower level education of the partner (aOR=1.82, 95% CI=1.09-3.04), unwanted pregnancy (aOR=2.07, 95% CI=1.32-3, 25), incomplete prenatal consultations (ANC) a(OR=3.14, 95% CI=2.02-4.88), having chronic diseases (aOR=4.89, 95% CI=1.25 -19,14) were independently associated with low uptake of postnatal care.
Conclusion: The study confirmed the low uptake of postnatal care, and associated factors are sociodemographic and clinical. The implementation of strategies to promote universal access to education and universal health coverage will help improve uptake of postnatal care. |
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| ISSN: | 2664-2824 |