Magnitude of self-harm and associated factors among postnatal mothers attending immunization clinics at public health facilities in Boneya Boshe Woreda, Western Ethiopia, 2023: institution-based cross-sectional study design

• Published in: Frontiers in public health Vol. 12; p. 1384688
• Main Authors: Wedajo, Lema Fikadu, Hajure, Mohammedamin, Abdu, Zakir, Tesfaye, Gebremeskel Mulatu, Workneh, Yadeta Alemayehu, Gezimu, Wubishet, Hussen, Mustefa Adem, Gemeda, Aman Dule, Teferi, Sheleme Mengistu, Alemu, Solomon Seyife
• Format: Journal Article
• Language: English
• Published: Switzerland Frontiers Media S.A 16.05.2024
• Subjects: Adolescent; Adult; Boneya Boshe; Cross-Sectional Studies; Ethiopia - epidemiology; Female; Health Facilities - statistics & numerical data; Humans; Immunization - statistics & numerical data; immunization clinics; infant immunization; Mothers - psychology; Mothers - statistics & numerical data; Postnatal Care - statistics & numerical data; postnatal mothers; Risk Factors; self-harm; Self-Injurious Behavior - epidemiology; Surveys and Questionnaires; Young Adult; Ethiopia; self-harm; immunization clinics; infant immunization; postnatal mothers; Boneya Boshe
• ISSN: 2296-2565; 2296-2565
• DOI: 10.3389/fpubh.2024.1384688

Self-harm is a preventable, but a leading, cause of maternal morbidity and mortality all over the world, with a significant impact on healthcare systems. To assess the magnitude of self-harm and associated factors among postnatal mothers attending immunization clinics. An institution-based cross-sectional study was employed among postnatal mothers attending infant immunization clinics at public health facilities in Boneya Boshe Woreda, Western Ethiopia, 1 October to 30 October 2023. A pretested, face-to-face interviewer-administered structured questionnaire prepared by Kobo Toolbox was used to collect the data. Both bivariable and multivariable logistic regression analyses were done. The level of significance was declared at -value <0.05 with a 95% CI. Among the 423 mothers enrolled in the study, 415 of them finally participated, at a response rate of 98.10%. The magnitude of self-harm was 12.53% (95% CI: 9.33, 15.73). Involvement of husband in maternity and child healthcare (AOR = 1.90; 95% CI: 1.12, 2.10), depression (AOR = 2.79; 95% CI: 2.14, 6.94), loneliness (AOR = 2.49; 95% CI: 1.15, 5.40), postpartum intimate partner violence (AOR = 2.15; 95% CI: 1.01, 4.54), average monthly income (AOR = 3.70; 95% CI: 2.17, 10.50), and postnatal care (AOR = 2.72; 95% CI: 1.28, 5.80) were significantly associated factors. The study sought a magnitude of self-harm that was slightly higher than the previous study conducted in the northern part of Ethiopia. Therefore, healthcare providers should focus on identified factors during postnatal care to overcome them. Similarly, the concerned body should develop an effective strategy based on the identified factors to pay attention to postnatal mothers.