scholarly journals Health Education to Prevent Anemia Among Women of Reproductive Age in Southern India

2006 ◽  
Vol 27 (2) ◽  
pp. 131-144 ◽  
Author(s):  
Pernilla Ny ◽  
Elisabeth Dejin-Karlsson ◽  
Giggi Udén ◽  
Ted Greiner
Keyword(s):  
Health Education ◽  
Reproductive Age ◽  
Southern India ◽  
Women Of Reproductive Age

scholarly journals High Satisfaction with Family Planning Health Education Among Women of Reproductive Age in Tanzania: An Exit Survey

2021 ◽  
Vol 3 (1) ◽  
pp. 171-175
Author(s):  
Evelyne W. Lutainulwa ◽  
Larry O. Akoko ◽  
Amani Anaeli
Keyword(s):  
Family Planning ◽  
Health Education ◽  
Rating Scale ◽  
Dar Es Salaam ◽  
Reproductive Age ◽  
Health Clinic ◽  
Women Of Reproductive Age ◽  
Modern Contraception ◽  
High Satisfaction ◽  
The Family

Background: Reproductive and child health clinic attendance is vital in offering family planning health education among women of reproductive age in Tanzania. During these visits, group education sessions on modern contraception is offered to women before receiving the specific services they went for. Those who show interest with modern contraception proceed to individualized sessions on adopting one of the methods. Therefore, being satisfied during the group session is paramount to adopting modern contraception. This study therefore sought to assess the level of client satisfaction with the family planning health education among women of reproductive age from selected clinics in Dar es Salaam. Methodology: This was an observational study conducted in selected Reproductive Health clinics in three municipalities within Dar es Salaam region. Facilities were grouped by districts and ownership from which one third were systematically picked to provide 8 participants each. Interviewer led completion of the study tool was employed to assess satisfaction parameters. Analysis on satisfaction was all or none from a 5-point rating scale and association calculated with significance set at a p-value of less than 5% and 95% confidence interval. Results: There was a general higher satisfaction with the family health education offered during the visit period. Satisfaction with family planning health education was significantly higher among women with higher parity (p=0.009), employed (p=0.00001), and were attended to by a clinician (p=0.0006). A significant disparity within municipalities was also noted (p=0.005). Private facilities, shorter time in facilities, and non-cash payments did not significantly influence satisfaction. Conclusion: Family planning health education satisfaction is high among women of the reproductive age group in Dar es Salaam clinics. We need to explore how this satisfaction is translated to reduce the unmet needs for modern contraception in Tanzania. Furthermore, whether this high satisfaction translates into good knowledge remains unexplored.

scholarly journals Periconceptional surveillance for prevention of anaemia and birth defects in Southern India: protocol for a biomarker survey in women of reproductive age

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e038305
Author(s):  
Julia L Finkelstein ◽  
Amy Fothergill ◽  
Christina B Johnson ◽  
Heather M Guetterman ◽  
Beena Bose ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Birth Defects ◽  
Population Based ◽  
Medical Centre ◽  
Reproductive Age ◽  
Southern India ◽  
Vitamin B ◽  
Micronutrient Deficiencies ◽  
Women Of Reproductive Age ◽  
Registration Number

IntroductionWomen of reproductive age (WRA) are a high-risk population for anaemia and micronutrient deficiencies. Evidence supports the role of periconceptional nutrition in the development of adverse pregnancy complications. However, in India, there are limited population-based data to guide evidence-based recommendations and priority setting. The objective of this study is to conduct a population-based biomarker survey of anaemia and vitamin B12 and folate status in WRA as part of a periconceptional surveillance programme in Southern India.MethodsWRA (15–40 years) who are not pregnant or lactating and reside within 50 km2 of our community research site in Southern India will be screened and invited to participate in the biomarker survey at our research facility at Arogyavaram Medical Centre. After informed consent/assent, structured interviews will be conducted by trained nurse enumerators to collect sociodemographic, dietary, anthropometry, health and reproductive history data. Venous blood samples will be collected at enrolment; whole blood will be analysed for haemoglobin. Plasma, serum and red blood cells (RBCs) will be processed and stored <−80°C until batch analysis. Vitamin B12 concentrations will be measured via chemiluminescence, and RBC and serum folate concentrations will be evaluated using the World Health Organisation (WHO)-recommended microbiological assay at our laboratory in Bangalore. A WHO surveillance system will also be established to determine the baseline prevalence of birth defects in this setting.Ethics and disseminationThis study has obtained clearance from the Health Ministry Screening Committee of the Indian Council of Medical Research. The study protocol was reviewed and approved by the Institutional Review Board at Cornell University and the Institutional Ethics Committees at Arogyavaram Medical Centre and St. John’s Research Institute. Findings from this biomarker survey will establish the burden of anaemia and micronutrient deficiencies in WRA and directly inform a randomised trial for anaemia and birth defects prevention in Southern India. The results of this study will be disseminated at international research conferences and as published articles in peer-reviewed journals.Trial registration numbersClinical trials registration number NCT04048330, NCT03853304 and Clinical Trials Registry of India (CTRI) registration number REF/2019/03/024479.

Effect of Health Education with Flip Chart and Video on Knowledge about Early Detection of Cervical Cancer in Women of Reproductive Age in Nganjuk District, East Java

2020 ◽  
Author(s):  
Ike Nurrochmawati ◽  
◽  
Ambar Dwi Retnoningrum ◽  
Remita Yuli Kusumaningrum ◽  
◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Health Education ◽  
Early Detection ◽  
Pap Smear ◽  
Reproductive Age ◽  
Screening Tests ◽  
Control Group ◽  
Women Of Reproductive Age ◽  
Flip Chart ◽  
Independent Variable

Background: Cervical cancer is the fourth most prevalent cancer in women. Pap smear and visual inspection acetic acid (VIA) are essential screening tests to early detect cervical cancer. However, the use of screening tests remained low among women of reproductive age in Nganjuk district, East Java. This study aimed to determine the effectiveness of health education using flip chart and video on knowledge about early detection of cervical cancer among women of reproductive age in Nganjuk district, East Java. Subjects and Method: A randomized control trial conducted in Rejoso, Nganjuk, East Java, from October to November 2019. A sample of 120 women of reproductive age was randomized into two groups: (1) Experiment group that received health education using a flip chart and video, and (2) Control group that received no intervention. The dependent variable was knowledge of early detection of cervical cancer. The independent variable was health education using a flip chart and video. The data were collected using questionnaire. The data were analyzed by independent t-test. Results: After the intervention, knowledge about early detection of cervical cancer in the experimental group (Mean= 80.40; SD= 10.54) was higher than the control group (Mean= 70.53; SD= 9.68), and it was statistically significant (p <0.001). Conclusion: Health education using a flip chart and video is effective in improving knowledge about early detection of cervical cancer among women of reproductive age. Keywords: early detection, cervical cancer, health education, women of reproductive age Correspondence: Ike Nurrochmawati. School of Health Sciences Satria Bhakti, Nganjuk. Jl. Panglima Sudirman VI, Nganjuk, East Java. Email: [email protected]. Mobile: +6282141578108. DOI: https://doi.org/10.26911/the7thicph.02.36

scholarly journals Prevalence and Pattern of Modern Contraceptive Choices among Women of Reproductive Age 15-49 Years in a Community Health Facility: An Eight Year Retrospective Study

2021 ◽  
pp. 22-33
Author(s):  
Akinwale Oladayo Damilola ◽  
Akinbade Musiliat Olufunke ◽  
Ogunsina Ibukunoluwa Deborah ◽  
Akinwale Akinwumi Adebowale
Keyword(s):  
Retrospective Study ◽  
Family Planning ◽  
Health Education ◽  
Community Health ◽  
Health Centre ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Family Planning Clinic ◽  
Women Of Reproductive Age ◽  
Modern Contraceptives

Aims: Utilization of modern contraception to prevent pregnancies is a unique health intervention as unplanned pregnancies expose women to additional health risks and lifetime risk of maternal mortality by increasing the number of lifetime pregnancies and deliveries. This study therefore aims at evaluating the prevalence and pattern of modern contraceptive choices among women of reproductive age and to identify the most commonly used modern contraceptives. Study Design: Retrospective study carried out at family planning clinic of Community Health Centre, Osun State University Teaching Hospital, Osogbo, Osun State, South-West Nigeria between January 2013 to December 2020. Methodology: The clients who had attended family planning clinic for modern contraceptive services during the period of eight (8) years were identified from clinic register. Their case files were retrieved and relevant data extracted with the use of standardized pro forma. Two hundred and twenty-two (222) case notes were available and suitable for analysis. Data were analysed using descriptive statistics and inferential statistics of chi square and ANOVA. Results: The result revealed highest prevalence of modern contraceptive utilization among young women with slight increase in rate of utilization as the age increases and decreases with older age. The most commonly utilized methods of contraception were Injectables: Noristerat and Depo-Provera; and IUCD. Result further showed significant relationship between age, number of children alive, breastfeeding status and desire to have more children and choice of modern contraceptive (P- value < 0.000). Conclusion: Utilization of modern contraceptives can be improved through adequate public health education, thus, this study recommended that health education should be intensified at antenatal clinic, infant welfare clinic, religious places, market places and any place of public gathering.

scholarly journals Anemia and Iron Status in Women of Reproductive Age in Southern India

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 826-826
Author(s):  
Julia Finkelstein ◽  
Amy Fothergill ◽  
Heather Guetterman ◽  
Christina Johnson ◽  
Beena Bose ◽  
...  
Keyword(s):  
Iron Deficiency ◽  
Disease Control ◽  
Reproductive Age ◽  
Southern India ◽  
Deficiency Anemia ◽  
Severe Anemia ◽  
Women Of Reproductive Age ◽  
Blood Samples ◽  
Control And Prevention ◽  
Roche Diagnostics

Abstract Objectives To conduct a biomarker survey to examine the burden of anemia, iron deficiency, and inflammation in women of reproductive age in Southern India. Methods Participants were women of reproductive age (15–40 y; n = 980) who were not pregnant or lactating and resided in households within the 50 km,2 catchment area of our periconceptional surveillance program in Southern India. Venous blood samples were collected at enrollment by a trained laboratory technician at our research facility. Whole blood samples were analyzed for hemoglobin (Hb) using an automated Coulter counter. Plasma, serum, and red blood cells were separated by centrifugation, processed, and stored &lt;−80°C until analysis. Serum ferritin (SF) was measured by electrochemiluminescence (E411, Roche Diagnostics Mannheim). Soluble transferrin receptor (sTfR), C-reactive protein (CRP), and alpha-1 acid glycoprotein (AGP) were analyzed via the Roche COBAS Integra 400 plus analyzer (Roche Diagnostics). Anemia and severe anemia were defined as hemoglobin &lt;12.0 g/dL and &lt;8.0 g/dL, respectively. Serum ferritin concentrations were adjusted for inflammation using BRINDA methods. Iron deficiency was defined as SF &lt; 15.0 µg/L, and iron deficiency anemia was defined as Hb &lt; 12.0 g/dL and SF &lt; 15.0 µg/L. Inflammation was defined as elevated CRP or AGP concentrations, using established cut-offs (CRP &gt; 5.0 mg/L, AGP &gt; 1.0 g/L). Results A total of 41.1% of women were anemic and 2.9% had severe anemia. In the biomarker analyses, 53.8% of women were iron deficient (67.2% after BRINDA adjustment) and 29.1% had iron deficiency anemia (31.2% after BRINDA adjustment). A total of 14.7% of women had elevated CRP levels (&gt;5.0 mg/L) and 24.4% had elevated AGP (&gt;1.0 g/L) concentrations. Conclusions The substantial burden of anemia and iron deficiency in this study population suggest an opportunity for prevention of anemia and micronutrient deficiencies. Findings from this biomarker survey will inform the development of a randomized efficacy trial for the prevention of anemia and birth defects in Southern India. Funding Sources This study was supported by the Centers for Disease Control and Prevention (CDC), and the University of South Carolina's Disability Research and Dissemination Center through its cooperative agreement with the Centers for Disease Control and Prevention. AF was supported by the National Institutes of Health.

scholarly journals Anemia and Vitamin B12 and Folate Status in Women of Reproductive Age in Southern India (P10-101-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Julia Finkelstein ◽  
Amy Fothergill ◽  
Christina Johnson ◽  
Heather Guetterman ◽  
Beena Bose ◽  
...  
Keyword(s):  
Vitamin B12 ◽  
Neural Tube ◽  
Reproductive Age ◽  
Southern India ◽  
Women Of Reproductive Age ◽  
Total Vitamin ◽  
Blood Samples ◽  
Folate Status ◽  
Defect Prevention ◽  
Study Population

Abstract Objectives To conduct a biomarker survey to examine the anemia burden and vitamin B12 and folate status in women of reproductive age as part of an ongoing periconceptional surveillance program in Southern India. Methods Participants were women of reproductive age (15–40 y) who were not pregnant or lactating and resided in households within the 50 km2 catchment area of our community-based research site in Southern India. Venous blood samples were collected at enrollment (n = 813), and whole blood samples were analyzed for hemoglobin using an automated Coulter counter. Plasma, serum, and red blood cells (RBC) were separated by centrifugation, processed, and stored <-80ºC until analysis. Total vitamin B12 was measured via chemiluminescence, and erythrocyte and serum folate concentrations were measured using the World Health Organization-recommended microbiological assay and chemiluminescence in a pilot sub-sample (n = 75) at our laboratory at St. John's Research Institute in Bangalore, India. Anemia and severe anemia were defined as hemoglobin <12.0 g/dL and <8.0 g/dL, respectively. Vitamin B12 deficiency and insufficiency were defined as total vitamin B12 < 148.0 pmol/L and <221.0 pmol/L, respectively. Folate insufficiency was defined as RBC folate <748.0 nmol/L the recommended calibrator adjusted equivalent of the optimal neural tube defect prevention threshold. Results A total of 39.1% of women in the overall study population were anemic and 2.7% had severe anemia. In the biomarker sub-sample, 18.9% of women were vitamin B12 deficient and 55.4% were vitamin B12 insufficient. Average RBC folate concentration was 486 (standard deviation: 227) nmol/L and the prevalence of RBC folate insufficiency, which is below the threshold for optimal neural tube defect prevention, was 83%. Conclusions The substantial burden of anemia, as well as vitamin B12 and folate insufficiency in this pilot study population, suggest an opportunity for prevention of neural tube defects and anemia. Findings from the biomarker survey will inform the development of a randomized efficacy trial for the prevention of anemia and birth defects in Southern India. Funding Sources Centers for Disease Control and Prevention ILSI North America Future Leader Grant AF was supported by the National Institutes of Health #5 T32 HD087137

scholarly journals Reproductive History and Burden of Adverse Pregnancy Outcomes in Women in Southern India (P11-006-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Amy Fothergill ◽  
Yan Ping Qi ◽  
Krista Crider ◽  
Christina Johnson ◽  
Wesley Bonam ◽  
...  
Keyword(s):  
Birth Defects ◽  
Pregnancy Outcomes ◽  
Cleft Lip ◽  
Reproductive History ◽  
Reproductive Age ◽  
Southern India ◽  
Women Of Reproductive Age ◽  
Community Based Research ◽  
Live Births ◽  
Talipes Equinovarus

Abstract Objectives To characterize the reproductive history and pregnancy outcomes in women of reproductive age as part of an ongoing periconceptional surveillance program in Southern India. Methods Participants were women of reproductive age (15-40 y) who were not pregnant or lactating and resided in households within the 50 km2 catchment area of our community-based research site in Southern India (n = 813). After obtaining informed consent/assent, reproductive and obstetric histories were captured by a trained OB/GYN nurse via an electronic interviewer-administered questionnaire with the study participants. Results In this population, most participants reported being married (76.1%) and having some formal education (83.7%), with a median age of 30 (interquartile range [IQR] 24, 36) years. The average age of menarche reported was 13.0 (IQR 12.0, 14.0) years, and the median age at first pregnancy was 19.0 (IQR 17.0, 21.0) years. A total of 76.6% of women reported at least one previous pregnancy; 7.9% were primiparous and 65.7% were multiparous, with a median of 2.0 (IQR 2.0, 2.0) children currently living per woman. Approximately 80% of women reported taking any iron (80.4%) or folic acid (77.9%) supplements at any point during pregnancy. To date, women reported a total of 1,614 previous pregnancies with 1,318 live births (n = 1,308 singleton live births, n = 5 sets of twins), 169 spontaneous abortions, 94 induced abortions, and 42 stillbirths. Fifteen pregnancies were reported to have been affected by birth defects (n = 1 cleft lip, n = 2 cleft palate with cleft lip, n = 2 talipes equinovarus/clubfoot, n = 3 spina bifida, n = 3 encephalocele, n = 1 anencephaly, and n = 3 other birth defects). A total of 48 women reported a biological relative with a birth defect diagnosed at birth. Conclusions A substantial burden of birth defects was reported in this population (7 neural tube defects in 1,614 pregnancies). Findings from this survey will inform the establishment of an ongoing birth defects surveillance system and a randomized efficacy trial for prevention of anemia and birth defects in Southern India. Funding Sources Centers for Disease Control and Prevention. AF was supported by the National Institutes of Health #5 T32 HD087137

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