Influence of Telehealth Intervention on Knowledge of Danger Signs in Pregnancy, Childbirth and Postpartum During the Health Emergency by COVID-19 in Peru

Author(s):  
Augusto Felix Olaza-Maguiña ◽  
Yuliana Mercedes De La Cruz-Ramirez
Author(s):  
Restuning Widiasih ◽  
Ida Maryati ◽  
Yanti Hermayanti ◽  
Tetti Solehati

Maternal mortality rates (MMR) in Indonesia have not reached the target of Sustainable Development Goals (SDGs). The Indonesian government has established a Delivery Planning and Complication Prevention program (P4K) that focuses on community empowerment including health cadres. Health cadres have a significant role in preventing of maternal mortality in the maternal periods (pregnancy, childbirth, and postpartum), including early detection of danger signs of pregnancy. However, there is limited research in Indonesia that examines cadre’s knowledge about the danger signs of pregnancy in detail. This study aimed to assess cadres’ knowledge of danger signs in the maternal period especially in pregnancy. This research is a quantitative descriptive study. The study was conducted in Tempuran sub-district, Karawang regency, West Java. 48 cadres were involved in this study. Respondents filled in questionnaires about the danger signs of pregnancy. The results showed that the majority of cadres understood danger signs in pregnancy. Premature rupture of membranes (91.6%) and convulsions (91.6%) were danger signs that best known by cadres. While the signs of vaginal discharge (8%), heartburn (8%), and prolonged labor (4%) were little known by cadres as part of danger signs of pregnancy. The level of cadre knowledge about danger signs of pregnancy is varied. This research is the baselines information that may useful for program developments in relation to increase cadre capacity in preventing maternal mortality in the maternal periods.Keywords: Cadres, knowledge, danger signs of pregnancy


2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.


2020 ◽  
Vol 10 (2) ◽  
pp. 51-55
Author(s):  
Nurhikmah ◽  
Tahir Abdullah ◽  
Stang ◽  
Suriah ◽  
Andi Imam Arundhana ◽  
...  

Objective: This study was to examine the effects of counselling delivered during antenatal care on the knowledge and attitudes of pregnant women about danger signs in pregnancy.Methods: This was a pre-experimental design using one group pre- and post-test only. This study was conducted in Takalar, specifically within Sanrobone Community Health Service working area. Takalar is located in South Sulawesi Province Indonesia and this area is coastal with the majority of people working as a fisherman. Participants of this study were pregnant women living in the villages which are included in the working area of Sanrobone Community Health Service.Results: The study shows that counselling improved knowledge and attitude of pregnant women about danger signs in pregnancy (p=0.011 and p=0.025, respectively). The number of pregnant women with good knowledge and positive attitude increased after the intervention (43.8% vs 93.8%, 62.5% vs 93.8%, respectively).Conclusions: In can be concluded that intervention by means of counselling can improve the knowledge and attitude of pregnant women about danger signs in pregnancy. Therefore, it is important to implement the counselling program delivered by health workers in Community Health Service in order to mitigate the risk of maternal mortality.


Curationis ◽  
1992 ◽  
Vol 15 (2) ◽  
Author(s):  
M.E. Bester

Health education and information in pregnancy must be a priority, despite the lack of instruments to evaluate the effectiveness of the education and the fact that positive results cannot be guaranteed. During research done for a Masters degree on the utilization of antenatal services by high risk primigravidae at the Tygerberg hospital, patients were interviewed on various aspects that are important during pregnancy, like family planning, breastfeeding, smoking and danger signs that may occur during pregnancy.


2020 ◽  
Author(s):  
Danish Ahmad ◽  
Itismita Mohanty ◽  
Avishek Hazra ◽  
Theo Niyonsenga

Abstract Background: Maternal mortality can be prevented in low-income settings through early health care seeking during maternity complications. While health system reforms in India prioritised institutional deliveries, inadequate antenatal and postnatal services limit the knowledge of danger signs of obstetric complications to women, which delays the recognition of complications and seeking appropriate health care. Recently, a novel rapidly scalable community-based program combining maternal health literacy delivery through microfinance-based women-only self-help groups (SHG) was implemented in rural India. This study evaluates the impact of the integrated microfinance and health literacy (IMFHL) program on the knowledge of maternal danger signs in marginalised women from one of India’s most populated and poorer states - Uttar Pradesh. Additionally, the study evaluates the presence of a diffusion effect of the knowledge of maternal danger signs from SHG members receiving health literacy to non-members in program villages. Methods: Secondary data from the IMFHL program comprising 17,232 women from SHG and non-member households in rural Uttar Pradesh was included. Multivariate logistic regression models were used to identify the program’s effects on the knowledge of maternal danger signs adjusting for a comprehensive range of confounders at the individual, household, and community level. Results: SHG member women receiving health literacy were 27 per cent more likely to know all danger signs as compared with SHG members only. Moreover, the results showed that the SHG network facilitates diffusion of knowledge of maternal danger signs from SHG members receiving health literacy to non-members in program villages. The study found that the magnitude of the program impact on outcome remained stable even after controlling for other confounding effects suggesting that the health message delivered through the program reaches all women uniformly irrespective of their socioeconomic and health system characteristics. Conclusions: The findings can guide community health programs and policy that seek to impact maternal health outcomes in low resource settings by demonstrating the differential impact of SHG alone and SHG plus health literacy on maternal danger sign knowledge.


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