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SUMMARY: Türkyilmaz AS, Abbasoglu-Özgören A, Yildiz D. Differentials in receiving postpartum care of infants and its determinants in Tlirkey.
Tlirk J Pediatr 2013; 55: 172-179.
The aim of this paper was to analyze the differentials in receiving postpartum care of infants in Tlirkey and the determinants of receiving postpartum care by infants in Tlirkey, using data from the 2008 Tlirkey Demographic and Health Survey and multivariate logistic analyses accounting for the complex sample design. The descriptive analyses indicated that the majority of infants receive postpartum care in Tlirkey, although there are disadvantaged groups. Analysis of the determinants of receiving postpartum care of infants indicated that the variables having the most explanatory power are bio-demographic or health-related variables that are directly related to health and/or birth. Following these variables, economic characteristics such as maternal health coverage and maternal educational level were observed to be effective, and additionally the demographic region.
Key words: postpartum care, infants, determinants, differentials, logistic regression, TUrkey.
Neonatal deaths, which occur in the first 28 days of an infant's life, account for 40% of all under-five child deaths in developing countries every year. Seventy-five percent of these deaths take place in the early neonatal period (first 7 days after birth)1. These shares are even higher for Turkey: 54% of all child deaths annually occur in the neonatal period and 87% of these in the early neonatal age, as of 20082.
In Turkey, the infant mortality rate was observed to decline very rapidly in the 2000s2. In the early 1990s, the infant mortality rate was 66 per thousand, and by 2008, this rate had reduced to 17 per thousand, which is similar to rates in countries represented by the upper-middle income group according to the World Health Organization (WHO) classification2-3. Since the 1990s, the proportion of post-neonatal deaths among total infant deaths decreased, while the share of deaths in the neonatal period among total infant deaths increased. In 2008, among 21,976 infant deaths, 16,805 occurred in the neonatal and 14,613 in the early neonatal period in one year2.
According to WHO1, up to two-thirds of newborn deaths could be prevented if skilled health workers provided effective care during delivery and the first week of life, constituting the most critical period of the...