Background – Comprehensive postnatal care (CPNC) includes full assessment of physical, social and psychological well-being determining the health and survival of the mother and her newborn. Ethiopia is one of the low income countries with high maternal and neonatal mortality and morbidity and low utilization of postnatal care (PNC) services. The inconsistent transition from inpatient to outpatient may end up in missed opportunities to counsel on various healthy behaviors and behaviors with long term health risks and manage postpartum problems early to prevent presenting late with severe complications and even death of the mother and her newborn.