Immediate postnatal care guidelines implementation and associated factors among health care providers in East Shewa zone public health facility, Oromia, Ethiopia

Abstract

Background: - Immediate postnatal care services are a critical intervention to reduce maternal and neonatal morbidity and mortality; however, many women and newborns receive inadequate postnatal care timely and effectively during the first 24 hours following childbirth according to the recommendations of the guidelines. Therefore this study aimed to assess the immediate postnatal care guidelines implementation and its associated factors among health care providers in the East Shewa zone public health facility, Oromia, Ethiopia. Methods: Facility based cross-sectional study was conducted from September 13- October 28, 2022. A simple random sampling technique was used to select individual health care providers for data collection. A structured self-administered questionnaire and observational checklist were used for data collection. Data analyzed using the statistical package for social science (SPSS) version 25. Binary logistic regressions (bivariate and multivariable) analysis was done to identify significantly associated variables, and finally Adjusted odd ratio at a 95% Confidence interval was used to declare significant variables depending on p-value <0.05. Result: One hundred ninety six (196) health care providers with a response rate of 97.03% were included in this study. The overall proportion of health care providers who have a good implementation of immediate postnatal care guidelines was 44.4% [95% CI: 37.3%, 51.6%]. Health care providers who received BEmONC training [AOR: 95%CI, 3.72(1.6, 8.651)], Working in a comprehensive specialized and teaching hospital [AOR: 95% CI, 3.847(1.244, 11.901)] and respondents who had maternal and newborn care guidelines in their facility [AOR: 95%CI, 3.171(1.483, 6.78)] were significantly associated with good implementation of immediate postnatal care guidelines. Conclusions and recommendations: Implementation of the immediate postnatal care guideline by health care providers in the maternity ward was found low. Offering BEmONC training, disseminating maternal and newborn care guidelines, and supplying health facilities with necessary medical equipment and staffing with skilled health care providers would help to improve the implementation of immediate postnatal care guidelines