ArticleBMC pregnancy and childbirth2026
Factors associated with immediate postnatal care in Lao People's Democratic Republic: an analysis of the 2017 Lao People's Democratic Republic Multiple Indicator Cluster Survey.
Article in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
- Inequalities in the completion of maternal continuum of care in Ethiopia using the 2019 mini-Ethiopian demographic and health survey.Scientific reports · 2026Article
- Article
- Effect of trust in village health workers on the use of facility-based follow-up postnatal care services in two districts in the Lao People's Democratic Republic.Tropical medicine and health · 2025Article
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Abstract
backgroundThe World Health Organization recognizes that approximately half of all maternal deaths occur in the immediate postnatal period or 24 h after birth. Forty-seven percent of Lao women aged 15-49 who delivered a baby in the last two years received a postnatal health check in the first two days after delivery. After leaving the presence of a provider, 98.5% of these women never received another postnatal check. The maternal mortality ratio (MMR) in Lao PDR was 126 deaths per 100,000 live births in 2020. Immediate postnatal care (PNC) is a crucial step to improving maternal mortality. The aim of this study was to identify factors associated with the lack of PNC, which is necessary for developing targeted interventions.
methodsA secondary data analysis of the Lao PDR MICS 2017 women and household data sets was completed to identify factors associated with immediate PNC. The selection of variables draws from The Behavioral Model of Health Services Use for the predisposing, enabling, and need factors. Participants included women between the ages of 15-49 who had a live birth two years before the study.
resultsThe weighted sample included 4,231 participants; 2,234 (52.8%) did not receive immediate PNC, while 1,996 (47.2%) did receive immediate postnatal care. The Rao-Scott likelihood ratio chi-square identified differences in factors associated with women receiving immediate PNC. Univariate and multivariate analyses identified factors associated with immediate PNC utilization. Among the predisposing, enabling, and need factors, ethnicity, religion, literacy, region, media exposure, wealth, parity, delivery location, delivery assistant, and maternal-infant skin-to-skin were associated with PNC utilization.
conclusionsThis study suggests that selective interventions need to be developed to improve immediate postnatal care and reduce maternal mortality and morbidity in Lao PDR, providing a foundation for targeted intervention.
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