Table 3.
Association of receiving full postnatal care according to WHO guidelines with socio-demographic and obstetric care related factors
| Variable | Receiving FPNC WHO | ||||
|---|---|---|---|---|---|
| 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 | |||
| Religion (n = 6542)a | |||||
| Buddhist | 3270 | 80.4 | 1.652 | 1.470–1.856 | 0.000 |
| Non-Buddhist | 1766 | 71.3 | |||
| Nationality (n = 6542)a | |||||
| Sinhala | 3473 | 80.5 | 1.762 | 1.566–1.982 | 0.000 |
| Non-Sinhala | 1563 | 70.1 | |||
| 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 | |||
| Maternal working state (n = 6641)c | |||||
| Working | 1184 | 77.7 | 1.063 | 0.927–1.219 | 0.379 |
| Non-working | 3920 | 76.6 | |||
| Father’s working status (n = 5649)d | |||||
| Working | 4276 | 77.1 | 1.289 | 0.830–2.002 | 0.256 |
| Non-working | 73 | 72.3 | |||
| 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 | |||
| 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 | |||
| 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 | |||
| 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 | |||
| 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 | |||
| 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 | |||
| 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 | |||
| Newspaper read by mother frequently (n = 6363)g | |||||
| Yes | 1994 | 76.5 | 0.946 | 0.840–1.065 | 0.356 |
| No | 2916 | 77.5 | |||
| Watch TV by mother frequently (n = 6635)h | |||||
| Yes | 4098 | 76.9 | 1.018 | 0.883–1.175 | 0.802 |
| No | 1001 | 76.6 | |||
| Listening radio frequently(n = 6641)i | |||||
| Yes | 2455 | 77.1 | 1.030 | 0.919–1.154 | 0.613 |
| No | 2649 | 76.6 | |||
| Mother own mobile phone (n = 6641)i | |||||
| Yes | 4096 | 77.6 | 1.225 | 1.068–1.405 | 0.004 |
| No | 1008 | 73.9 | |||
| Mother own bank account (n = 6641)i | |||||
| Yes | 4242 | 77.6 | 1.258 | 1.090–1.454 | 0.002 |
| No | 862 | 73.4 | |||
| Mother use internet ever(n = 6641)i | |||||
| Yes | 1033 | 76.0 | 0.943 | 0.819–1.084 | 0.408 |
| No | 4071 | 77.1 | |||
| 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 | |||
| Antenatal clinic care (n = 6641)k | |||||
| Received | 5066 | 76.9 | 1.402 | 0.780–2.522 | 0.257 |
| Not received | 38 | 70.4 | |||
| 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 | |||
| 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 | |||
| Antenatal tetanus toxoid (n = 6552)n | |||||
| Received | 4882 | 77.1 | 1.169 | 0.857–1.593 | 0.323 |
| Not received | 161 | 74.2 | |||
| Antenatal home visits by PHM (n = 6641)o | |||||
| Yes | 4716 | 78.1 | 1.966 | 1.646–2.348 | < 0.001 |
| No | 388 | 64.5 | |||
| 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 | |||
| Birth order (n = 6641)o | |||||
| First born | 1799 | 75.9 | 0.923 | 0.820–1.039 | 0.187 |
| Others | 3305 | 77.4 | |||
| Sex of child (n = 6641)o | |||||
| Male | 2650 | 77.9 | 1.124 | 1.003–1.260 | 0.044 |
| Female | 2454 | 75.8 | |||
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