Postnatal care coverage and its determinants in Sri Lanka: analysis of the 2016 demographic and health survey

Perera, Upuli Amaranganie Pushpakumari; Assefa, Yibeltal; Amilani, Uttara

doi:10.1186/s12884-021-03770-0

BMC Pregnancy and Childbirth

Table 3 Association of receiving full postnatal care according to WHO guidelines with socio-demographic and obstetric care related factors

From: Postnatal care coverage and its determinants in Sri Lanka: analysis of the 2016 demographic and health survey

Variable	Receiving FPNC WHO
Variable	No	%	Crude OR	95%CI	P value
Socio-demographic factors
Residence (n = 6542)^a
Rural	4021	78.1	1.337	1.168–1.530	0.000
Urban+ Estate	1015	72.8	1.337	1.168–1.530	0.000
Religion (n = 6542)^a
Buddhist	3270	80.4	1.652	1.470–1.856	0.000
Non-Buddhist	1766	71.3	1.652	1.470–1.856	0.000
Nationality (n = 6542)^a
Sinhala	3473	80.5	1.762	1.566–1.982	0.000
Non-Sinhala	1563	70.1	1.762	1.566–1.982	0.000
Mother’s age at delivery (years) (n = 6600)^b
20–34	1257	77.5	1.047	0.916–1.197	0.497
Below 20 and above 35	3817	76.7	1.047	0.916–1.197	0.497
Maternal working state (n = 6641)^c
Working	1184	77.7	1.063	0.927–1.219	0.379
Non-working	3920	76.6	1.063	0.927–1.219	0.379
Father’s working status (n = 5649)^d
Working	4276	77.1	1.289	0.830–2.002	0.256
Non-working	73	72.3	1.289	0.830–2.002	0.256
Maternal education (n = 6641)^c
AL and above	1815	78.5	1.158	1.026–1.308	0.018
Up to passed OL	3289	76.0	1.158	1.026–1.308	0.018
Father’s education (n = 5649)^d
AL and above	1147	77.1	1.007	0.875–1.160	0.918
Up to passed OL	3202	77.0	1.007	0.875–1.160	0.918
Household wealth index quintile (n = 6542)^e
Richer/ Richest	1824	79.0	1.199	1.061–1.355	0.004
Poorest/ Poorer/ Middle	3212	75.9	1.199	1.061–1.355	0.004
Healthcare decisions making ability (n = 6641)^c
Mother involved	4373	77.0	1.058	0.901–1.242	0.490
Mother not involved	731	76.0	1.058	0.901–1.242	0.490
Other household decision making ability (n = 6641)^c
Mother involved	3916	77.3	1.121	0.982–1.279	0.090
Mother not involved	1188	75.3	1.121	0.982–1.279	0.090
Spending decision on father’s earning (n-6641)^c
Mother involved	3564	77.4	1.096	0.970–1.239	0.142
Mother not involved	1540	75.7	1.096	0.970–1.239	0.142
Maternal access to any media frequently (n = 6363)^f
Yes	4361	77.0	0.982	0.815–1.185	0.852
No	543	77.4	0.982	0.815–1.185	0.852
Newspaper read by mother frequently (n = 6363)^g
Yes	1994	76.5	0.946	0.840–1.065	0.356
No	2916	77.5	0.946	0.840–1.065	0.356
Watch TV by mother frequently (n = 6635)^h
Yes	4098	76.9	1.018	0.883–1.175	0.802
No	1001	76.6	1.018	0.883–1.175	0.802
Listening radio frequently(n = 6641)ⁱ
Yes	2455	77.1	1.030	0.919–1.154	0.613
No	2649	76.6	1.030	0.919–1.154	0.613
Mother own mobile phone (n = 6641)ⁱ
Yes	4096	77.6	1.225	1.068–1.405	0.004
No	1008	73.9	1.225	1.068–1.405	0.004
Mother own bank account (n = 6641)ⁱ
Yes	4242	77.6	1.258	1.090–1.454	0.002
No	862	73.4	1.258	1.090–1.454	0.002
Mother use internet ever(n = 6641)ⁱ
Yes	1033	76.0	0.943	0.819–1.084	0.408
No	4071	77.1	0.943	0.819–1.084	0.408
Obstetric care related factors
Antenatal Registration by PHM (n = 6587)^j
Yes	5018	76.9	0.901	0.487–1.668	0.740
No	48	78.7	0.901	0.487–1.668	0.740
Antenatal clinic care (n = 6641)^k
Received	5066	76.9	1.402	0.780–2.522	0.257
Not received	38	70.4	1.402	0.780–2.522	0.257
Antenatal clinic made awareness on complication and services (n = 6573)^l
Yes	4736	77.9	1.917	1.579–2.329	< 0.001
No	320	64.8	1.917	1.579–2.329	< 0.001
Antenatal clinic attendance frequency (n = 6587)^m
4 or more	5046	77.0	2.344	1.181–4.652	0.012
Less than 4	20	58.8	2.344	1.181–4.652	0.012
Antenatal tetanus toxoid (n = 6552)ⁿ
Received	4882	77.1	1.169	0.857–1.593	0.323
Not received	161	74.2	1.169	0.857–1.593	0.323
Antenatal home visits by PHM (n = 6641)^o
Yes	4716	78.1	1.966	1.646–2.348	< 0.001
No	388	64.5	1.966	1.646–2.348	< 0.001
Place of birth
Institution	5104	76.9	Not calculated
Non-institution	0	0
Mode of delivery (n = 6641)^o
Normal vaginal delivery	3516	76.0	0.852	0.751–0.966	0.013
Other	1588	78.8	0.852	0.751–0.966	0.013
Birth order (n = 6641)^o
First born	1799	75.9	0.923	0.820–1.039	0.187
Others	3305	77.4	0.923	0.820–1.039	0.187
Sex of child (n = 6641)^o
Male	2650	77.9	1.124	1.003–1.260	0.044
Female	2454	75.8	1.124	1.003–1.260	0.044

FPNC full postnatal care, PHM Public health midwife
a-o = missing values, ^a506; ^b1526; ^c1537; ^d23; ^e606; ^f1459; ^g1453; ^h1536; ⁱ1537; ^j1521; ^k1537; ^l1517; ^m1521; ⁿ1509; ^o1537

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ISSN: 1471-2393

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