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1. IBRAHIM ABDI HASSAN ID: 242220007273087

2. D department of Public Health Major In NUTRITION THE EFFECTS OF MATERNAL AND CHILD HEALTH CARE SERVICE UTILIZATIONS ON NUTRITIONAL STATUS OF INFANTS IN BANAIR HOSPITAL IN MOGADISHU SOMALIA

3. Research Question What is the proportion of mothers utilizing antenatal care services nutritional status of infants in Mogadishu, Banadir Hospital? What is the effect of maternal and child health service utilization on nutritional status of infants in Mogadishu, Banadir Hospital? What is the effect of infant feeding practices on nutritional status of infants in Mogadishu, Banadir Hospital? What is the barriers of maternal and child health service utilization on nutritional status of infants?

4. Objectives of the Study GENERAL OBJECTIVES OF THE STUDY The general objective of the study is to determine the effect of maternal and child health service utilization on nutritional status of infants in Banadir Hospital, Somalia SPECEFIC OBJECTIVES OF THE STUDY To examine the proportion of mothers utilizing antenatal care services Nutritional status of infants in Mogadishu, Banadir Hospital To determine the effect of maternal and child health service utilization on Nutritional status of infants in Mogadishu, Banadir Hospital To determine the effect of infant feeding practices on nutritional status of infants in Mogadishu, Banadir Hospital To evaluate the barriers of maternal and child health service utilization on nutritional status of infants

5. The conceptual framework

6. Methodology

7. Study design The study was a quantitative descriptive type of cross-sectional study. Study area The place of This study where conducted is banadir hospital that is governmental hospital the main population works this hospital are the maternity women and their children in Mogadishu Somalia Study Period The study was conducted from (June -2024 – September 2024). Study population The study population of the study were 60 respondents

8. Selection Criteria Inclusion Criteria All the maternity and the hospital staff of the department of mother and child Exclusion Criteria Every Sick mothers and babies and Everyone else on staff who wasn't employed by Banadir Hospitals' Maternity section and wasn't supposed to take part in this study

9. Sample size To determine the ideal sample size for a population ,the study was used Yamane, sample size calculation formula (1973) formula which is ; The simple random sampling technique. Sampling Technique = 52 N= Population, e= error (always 5%).

10. Data Collection method The data were collected from the participants using a self-administered and some guidance semi-structured questionnaire. The questionnaire was pre-tested before starting the data collection.

11. Data Analysis After the collection of data, all interviewed questionnaires were checked for completeness, correctness, and internal consistency to exclude missing or inconsistent data, and those were discarded. Corrected data was entered into Statistical Package for Social Sciences (SPSS) statistical software version 22 for the analysis.

12. Ethical Consideration The study proposal was sent to DIU” Daffodil International University for approval. Written informed consent was taken from the study subjects before data collection. The anonymity of the respondents was kept confidential, and study subjects were informed that they could leave the program at any stage of data collection.

13. Results

14. Table 1: Distribution of the Respondents According to age (n=87)   Frequency Percent Valid 20---29 years 51 58.6 30--39 years 28 32.2 40---49 years 7 8.0 above 50 years 1 1.1 Total 87 100.0

15. Table 2: Distribution of the Respondents According to marital status (n=87)   Frequency Percent Valid Married 73 83.9% Divorced 9 10.3% Widowed 5 5.7% Total 87 100%

16. Table 3 : Distribution of the Respondents According to education(n=87)   Frequency Percent Valid non educated 1 1.1 primary level 17 19.5 secondary level 24 27.6 tertiary level 45 51.7 Total 87 100.0

17. Table 4 : Distribution of the Respondents According to number of children ( n=87)   Frequency Percent Valid 1 child 40 46.0% 2---4 children 31 35.6% more than 5 children 16 18.4% Total 87 100%   Frequency Percent

18. Table 5 : Distribution of the Respondents According to occupation (n=87)   Frequency Percent Valid un employed 67 77.0 Employed 20 23.0 Total 87 100.0

19. Table 6 : Distribution of respondents according to residence(n=87)   Frequency Percent Valid rural 60 69.0 urban 27 31.0 Total 87 100.0

20. Table 7 : Distribution of respondents according to attendance of PNC(n=87)   Frequency Percent Valid yes 20 23.0 no 67 77.0 Total 87 100.0

21. Table 8 : Distribution of respondents according to reasons did not attend PNC (n=87)   Frequency Percent Valid attended PNC 20 23.0 not aware 37 42.5 no money for transport 10 11.5 did not think it was necessary Total 20 87 23.0 100

22. Table 9 : Distribution of respondents according to the health facility (n=87)   Frequency Percent Valid public centers 58 66.7 private centers 29 33.3 Total 87 100.0

23. Conclusion Only 23% of the women used postnatal services, indicating a low prevalence of attendance in postnatal care. The study also revealed that the distance from the health facility is one of the most important factors impacting the use of postnatal care. Level of education and marital status were shown to be socio-demographic factors of PNC service usage. Individual characteristics such as work, area of residence, and accessibility to health care facilities were identified to be important socioeconomic determinants linked with PNC service consumption. Many women are still unaware of the need of receiving postnatal care and only return to the hospital for their children's immunizations.

24. Recommendations I recommended Postnatal care education should be enhanced throughout the prenatal period and in the first days after delivery, and postnatal care service policies should be strengthened by teaching health personnel, particularly midwives, who play the most important role in the childbirth process. I recommended To improve the quality of postnatal care, educational training sessions should be integrated in everyday practice. I recommended The Ministry of Health must develop a comprehensive plan to eliminate informational obstacles by raising women's comprehension and awareness of the need of seeking, and access to, postnatal care services. Furthermore, women should be informed about the dangers they confront, warning signals of danger, and their right and need to make decisions about their own health.

25. cont. I recommend The Ministry of Health should guarantee that all health institutions provide low-cost, high-quality services. This need appropriate qualified people as well as a steady supply of pharmaceuticals, equipment, and other supplies. Working referral procedures and transportation are also required to guarantee that women in need of higher-level treatment receive it as soon as possible. Aside from that, the Ministry of Health should implement standards and norms for service delivery, administration, and monitoring, and utilize them in conjunction with client input to monitor and assess service quality.

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