Utilization of skilled attendants by postnatal mothers in Chipata District, Eastern Province, Zambia
Date
2016
Authors
Banda, Namwaba Esther
Journal Title
Journal ISSN
Volume Title
Publisher
University of Zambia
Abstract
ABSTRACT
Background-.Post-natal care assisted by a skilled attendant ensures the survival and health of
the mother and her new-born. Despite the improvement in hospital deliveries, most postnatal
mothers do not attend postnatal care for the recommended number of visits. A skilled
attendant is an accredited health professional such as a midwife, doctor or nurse trained to
proficiency in the skills needed to manage normal pregnancy, childbirth and the immediate
postnatal period. Underutilization of skilled attendants after birth is still a major source of
concern in the Sub Saharan African Countries Zambia inclusive. Evidence shows that the
highest incidence of maternal and perinatal mortality occurs within the postnatal period.
Aim-The main objective of the study was to determine the factors that influence utilization of
skilled attendants by postnatal mothers in Chipata District.
Methodology- A cross sectional study design using quantitative approach was done in
Chipata District. The sample size for this study was 176 postnatal mothers who were
systematically selected from twelve (12) selected research setting. A pretested semistructured
interview schedule was used to collect data. Data was analysed using Statistical
Package for Social Sciences (SPSS) version 22 program and chi-square test was used to test
significant associations. Binary logistic regression modeling was employed to predict the
outcome.
Results-The study findings revealed that 125 (71%) did not utilize the skilled attendants. A
significant association was observed between utilization of skilled attendants by postnatal
mothers and knowledge levels on postnatal care (p=0.005). Binary logistical regression
showed that all independent variables did not contribute significantly to the model (p value>
0.05).The odds of utilizing skilled attendants for those with moderate knowledge levels were
2.083 times [OR, (95% CI) 2.083= (0.987, 4.399)] higher than those with low
knowledge levels.The odds of utilizing skilled attendants for those with education levels of
secondary and above were 1.4 times [OR, (95% CI) = 1.403 (0.579, 3.399)] higher than for
those below secondary education.
Conclusion -The results suggest that underutilization of skilled attendants remain a major
challenge in Chipata District. The study also revealed that postnatal mothers had moderate
levels of knowledge on importance of postnatal care. Service related factors and cultural
beliefs did not influence utilization of skilled attendants in this study. Only knowledge was
significantly associated with utilization of skilled attendants. There is need to advocate for
skilled attendance and increased awareness to postnatal mothers on the value of postnatal
checkups and care. There is also need to research further on whether skilled attendants have
adequate knowledge and skill in managing postnatal mothers.
Key words: Utilization, Skilled attendant, Postnatal care
Description
Master of Science in Nursing, Maternal and Child Health
Keywords
Prenatal Care , Motherhood-Psychological Aspects , Midwives