Hana Israel ^1* Befekadu Tesfaye Oyato ² Warkitu Sileshi ¹ HUSEN ZAKIR ABASIMEL ² Dursa Hussein ³

• ¹ School of Midwifery, Faculty of Health Sciences, Institute of Health, Jimma University, Jimma, Oromia Region, Ethiopia
• ² Department of Midwifery, College of Health Science, Salale University, Selale, Oromia, Ethiopia
• ³ Kuyu General Hospital, Gerba Guracha, Ethiopia

Background: Both mothers and newborns go through a critical time in their lives during the postnatal period, and the majority of deaths of mothers and neonates happen during this period. Postnatal care is the care given to women and their neonates, starting from delivery to 42 postnatal days. Although the significance of postnatal care in maternal and child health is acknowledged, the influence of husbands in either facilitating or impeding access to these services has been largely unexplored. So it's important to find out husbands' involvement in postnatal care service utilization in Bishoftu town.Objectives: To assess husband involvement in postnatal care services utilization and associated factors in Bishoftu town, Central Ethiopia.A community-based cross-sectional study was conducted in Bishoftu town among 624 fathers from April 1 to 27, 2022. The participants were recruited using simple random sampling techniques and 610 completed the questionnaire. Face to face interviews were used to gather the data, which was then entered into Epi-data version 3.1 and analyzed using SPSS version 26. Binary logistic regression was employed for analysis and Variables with a p-value ≤ 0.2 in the bivariate analysis were entered into multivariable logistic regression analysis. In multivariable analysis, statistical significant was declared at p-value <0.05.This study reveals that overall husband involvement in postnatal care utilization was found to be 34.1% with a 95% CI (30.3%-38.0%). Residing in urban areas (AOR= 2.3, 95% CI 1.39 to 3.82), having good knowledge of neonatal (AOR=3.1, 95% CI 2.04 to 4.7) and maternal danger signs and complications during the postnatal period (AOR = 2.44; 95% CI: 1.64, 3.63), having history of child illness (AOR = 2.18; 95% CI: 1.4 to 3.3), and accompanying wife in antenatal care services (AOR=2.73, 95% CI 1.82 to 4.07) were the factors found to determine husband's involvement in postnatal care service utilization.The level of husband involvement in their spouse's postnatal care service utilization was relatively low in this study. Encouraging husbands to participate in prenatal care services, availing healthcare facilities to rural communities, and increasing community awareness of maternal and neonatal warning signs might boost husbands' involvement in postnatal care services utilization.