Time to early initiation of postnatal care service utilization and its predictors among women who gave births in the last 2 years in Ethiopia: a shared frailty model.

Archives of public health = Archives belges de santé publique
Ayal Debie, Getayeneh Antehunegn Tesema


Most maternal and infant deaths occurred within the first month after birth. Nearly half of the maternal deaths and more than a million newborn deaths occurred within the first day of life but these were preventable through early initiation of postnatal care (PNC) services. However, the available evidence on the level of early initiation of PNC service utilization was not adequate to inform policy decisions. Therefore, this study aimed to assess time to early initiation of postnatal care and its predictors using the 2016 Ethiopian Demography and Health Survey (EDHS) datasets. Two-stage stratified cluster sampling technique by separating each region into urban and rural areas. A total weighted sample of 6364 women of the 2016 EDHS datasets who gave birth within 2 years preceding the survey was used. Time to early initiation of the PNC visit was estimated using the Kaplan-Meier (K-M) method. Shared frailty model with baseline distributions (Weibull, Gompertz, exponential, log-logistic, and lognormal) and frailty distributions (gamma and inverse Gaussian) were used by taking enumeration areas/clusters as a random effect for predictors of time to early initiation of PNC visit. The adjusted hazard ratio (AHR) with a 95% confidence i...Continue Reading


Jul 1, 1996·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·X F LiL H Glover
Mar 9, 2005·Lancet·Joy E LawnUNKNOWN Lancet Neonatal Survival Steering Team
Mar 24, 2006·Tropical Medicine & International Health : TM & IH·F BaidenF Binka
Sep 5, 2007·BMC Pregnancy and Childbirth·Sulochana DhakalAmalraj E Raja
Oct 1, 2010·Health & Social Care in the Community·Md Mosiur RahmanMd Sarwar Zahan
Jul 1, 2016·Reproductive Health·Marianne VidlerUNKNOWN Community Level Interventions for Pre-eclampsia (CLIP) India Feasibility Working Group
Sep 20, 2016·Lancet·Lynn P Freedman

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