Factors associated with the utilization of postnatal care in the Philippines: A secondary analysis of the 1993 PNDS and 1998 PNDHS

Date of Publication

2000

Document Type

Master's Thesis

Degree Name

Master of Health Social Science

Subject Categories

Medicine and Health Sciences

College

College of Liberal Arts

Department/Unit

Behavioral Sciences

Abstract/Summary

This descriptive and exploratory study describes and explains the utilization of postnatal care in the Philippines.Using the 1993 Philippine National Demographic Survey (PNDS) and the 1998 Philippine National Demographic and Health Survey (PNDHS), a secondary analysis of data in the child file of the two surveys was undertaken. It applied descriptive statistics and chi-square test of association to describe the pattern of postnatal care use in 1993 and 1998. To determine the factors predicting utilization of postnatal care and choice of postnatal care provider, binary logistic regression was employed. The study also featured postpartum contraceptive use to delineate choice of methods after delivery in relation to breastfeeding status.The data derived from the child file included a subsample of women of reproductive age (WRA) with live births in the five years preceding each survey. The data on postnatal care pertain to each child born alive within the period covered in the 1993 and 1998 surveys. A total of 5,615 live births from the 1993 PNDS and 7,540 live births from the PHDHS were included.Findings showed that postnatal care coverage declined from 1993 to 1998. However, mothers who sought postnatal care complied with the timing of postnatal visit recommended by the WHO Safe Motherhood Program. Majority of women in the two surveys sought postnatal care within one week after delivery.

As shown in the regression results, use of postnatal care is a function of age, parity, religion, work status, region, wealth index, prenatal care, place of delivery, exposure to print media or newspaper and discussion of FP (Family Planning) with partner. Similar variables were found significant in the models predicting choice of postnatal care provider. Education surfaced to be significant only in the models of postnatal care provider.The emergence of maternal health care factors such as prenatal care and place of delivery as significant predictors of the use of postnatal care and choice of postnatal care provider entails the relevance of service integration in maternal health care and the promotion of constellation of services in the implementation of the Philippine Reproductive Health Program.

Abstract Format

html

Language

English

Format

Print

Accession Number

TG03276

Shelf Location

Archives, The Learning Commons, 12F Henry Sy Sr. Hall

Physical Description

152 leaves

Keywords

Maternal health services; Postnatal care; Women's health services; Hospitals; Gynecologic and obstetric

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