Factors associated with the compliance of recommended first postnatal care services utilization among reproductive age women in Benin Republic: an analysis of 2011/2012 BDHS data


  • Justin Dansou Pan African University Institute of Life and Earth Sciences (PAULESI), University of Ibadan, Ibadan, Nigeria
  • Adeyemi O. Adekunle University College Hospital, University of Ibadan, Ibadan, Nigeria
  • Ayodele O. Arowojolu University College Hospital, University of Ibadan, Ibadan, Nigeria




Appropriate first PNC, Benin, Mother and newborn care, Postnatal care, WHO recommended PNC


Background: High maternal and neonatal mortality persist in Benin republic. Rates of decline are slow and factors influencing PNC services utilization are not well known. This study aims to assess factors associated with PNC services utilization among mothers and their newborns with special focus on the recommendation 2 of WHO guidelines on postnatal care of the mother and the newborn.

Methods: This study analysed Benin’s 2011/2012 DHS data. A total of 16,599 women were interviewed where 8,275 eligible for the present study. Multinomial logistic regression was applied.

Results: While 68.42% of mothers and their newborns received at least one PNC visit over postnatal period, the percent of newborns and their mothers with appropriate first PNC check-up was low, 19.95%. Factors explaining PNC uptake were place of residence, ethnic group, occupation, ANC attendance, place of delivery, baby birth size, household wealth status, mass media use, and to a lesser extent education attainment. Accessibility, number of living children followed by the birth order number, and desire for pregnancy appeared to be specific determinants to appropriate first PNC check-up. Mothers who attended more frequently ANC services were more likely to receive PNC check-ups. Mothers who delivered at private health facility were more likely to receive PNC check-ups.

Conclusions: To increase the achievement of the recommended WHO PNC frequency, there is a need to: address unmet needs for Family Planning in Benin; to expend health education and counselling to encourage ANC attendance supervise by skilled personnel.


Requejo JH, Bhutta ZA. The post-2015 agenda: staying the course in maternal and child survival. Requejo, Arch Dis Child. 2015;100(1):76-81.

Save the Children. Ending newborn deaths: Ensuring every baby survives. London: London ECIM 4AR, UK, 2014. Available from: http://www.savethechildren.org/site/c.8rKLIXMGIpI4E/b.8989373/k.E376/Ending_Newborn_Deaths_Ensuring_Every_Baby_Survives.htm.

Trends in maternal mortality: 1990 to 2015. WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: World Health Organization. Available from: http://apps.who.int/iris/bitstream/10665/194254/1/9789241565141_eng.pdf.

World Health Organization. WHO recommendations on Postnatal care of the mother and newborn. Geneva:2013. Available from: http://apps.who.int/iris/bitstream/10665/97603/1/9789241506649_eng.pdf.

World Health Organization. WHO technical consultation on postpartum and postnatal care. Gevena: Department of Making Pregnancy Safer, 2010. Available from: http://apps.who.int/iris/bitstream/10665/70432/1/WHO_MPS_10.03_eng.pdf.

Lawn, J, Mongi, P et Cousens, S. Africa's newborns: counting them and making them count. Opportunities for Africa's newborns. 2006:10-22.

Warren C, Daly P, Toure L, Mong P. Opportunities to deliver newborn care in existing programmes: Postnatal care. in Opportunities for Africa's newborns. 2006:79-90.

de Graft-Johnson J, Kerber K, Tinker A, Otchere S, Narayanan I, Shoo R, et al. The maternal, newborn, and child health: continuum of care: Pratical data, policy and programmatic support for newbonr care in Africa. in Opportunities for Africa's newborns. 2006:23-36.

Mohan D, Gupta S, LeFevre A, Bazant E, Killewo J, Baqui AH. Determinants of postnatal care use at health facilities in rural Tanzania: Multilevel analys of household survey. BMC Pregnancy Childbirth. 2015;15:282.

Darmstadt GL, Bhutta ZA, Cousens S, Adam T, Walker N, de Bernis L et al. Evidence-based, cost-effective interventions: how many newborn babies can we save? Lancet. 2005;365(9463):977-88.

Dahiru T. Determinant of early neonatal mortality in Nigeria: Results from 2013 Nigeria DHS. J Pediatrics Neonatal Care. 2015;2.

Bhutta ZA, Cabral S, Chan CW, Keenan WJ. Reducing maternal, newborn, and infant mortality globally: An integrated action agenda. Int J Gynaecol Obstet. 2012;119:S13-7.

Ghosh R, Sharma AK. Intra-and inter-household differences in antenatal care, delivery practices and postnatal care between last neonatal deaths and last surviving children in a peri-urban area of India. J Biosoc Sci. 2010;425:511-30.

Paudel D, Thapa A, Shedain PR, Paudel B. Trends ans determinants of neonatal mortality in Nepal. Kathamandu, Nepal. 2013. Available from: https://dhsprogram.com/pubs/pdf/FA75/FA75.pdf

Titaley CR, Dibley MJ, Agho K, Roberts CL, Hall J. Determinants of neonatal mortality in Indonesia. Titaley, BMC Public Health. 2008;8:232.

Somefun OD, Ibisomi, L. Determinants of postnatal care non-utilization among women in Nigeria. BMC Res Notes. 2016;9:21.

Lwelamira J, Safari J, Stephen A. Utilization of maternal postnatal care services among women in selected villages of Bahi Districtm Tanzania. Curr Res J Soc Sci. 2015;7(4):106-111.

Kanté AM, Chung CE, Larsen AM, Exavery A, Tani K, Phillips JF. Factors associated with compliance with the recommended frequency of postnatal care services in three rural districts in. BMC Pregnancy Childbirth. 2015;15:341.

Mill S. Reducing maternal mortality: Strengthening the World Bank Response. Maternal health text. 2009.

UNDP. Human development report. Sustaining Humain Progress, reducing vulnerabilities and bulding resilience. New York:2014. Available from: http://www.instituto-camoes.pt/images/cooperacao/relatorio_ocde14b.pdf.

OCS/MGEP & DGAE/MEF. Impacts de la gratuite des soins de sante des enfants de 0 a 5 ans et des femmes enceintes sur la pauvrete, le social et les OMD. Cotonou:2012. Available from: http://www.ageval.org/3-download/ocs-2012-AIPS-soins-sanitaires.pdf.

WHO. Sante development. Benin: 2009. Available from: file:///C:/Users/india/Downloads/Benin-ccsbrief-fr.pdf

Owumi B, Raji SO. Determinants of maternal health care seeking in Seme side of Benin Republic. Af J Soc Sci. 2013;145-58.

Richard JL. Acces et recours aux soins de santé dans la Sous-Préfecture de Ouessè (Benin). These de doctorat; 2001. Available from https://doc.rero.ch/record/474/files/these_richardjl.pdf.

Babalola S, Fatusi A. Determinants of use of maternal health services in Nigeria-looking beyond individual and household factors. BMC Pregnancy Childbirth. 2009;9:43.

Nzioki JM, Onyango RO, Ombaka JH. Socio-demographic factors influencing maternal and child health service utilization in Mwingi; a rural semiarid district in Kenya. Am J Public Health Res. 2015;3(1):21-30.

Fosto JC. Urban-Rural differences in child malnutrition: trends and socioeconomic correlates in sub-Saharan Africa. Health Place. 2007;13(1):205-23.

Akoto E. Determinants Socio-culturels de la mortalite des enfants en Afrique Noire (Hypotheses et recherche d'explication). These de Doctorat, UCL. Louvain.1993. Available from: https://pulsearch.princeton.edu/catalog/813503.

Zamawe COF, Banda M, Dube AN. The impact of a community driven mass media campaign on the utilisation of maternal health care services in rural Malawi. BMC Pregnancy and Childbirth. 2016;16:21.






Original Research Articles