scholarly journals Women’s Decision-Making Autonomy and ICT Utilization on Access to Antenatal Care Services: Survey Results From Jinja and Kampala Cities, Uganda

2019 ◽  
Author(s):  
Hasifah K. Namatovu ◽  
Tonny J. Oyana ◽  
Jude T. Lubega

AbstractThere is growing evidence in Uganda that the non-attendance of antenatal care is largely influenced by the lack of decision-making autonomy, inadequate information and poor services offered in health facilities. Although previous studies have examined barriers and facilitators of antenatal care, a few of them have investigated the extent of decision making autonomy and ICT adoption among expectant mothers. A cross sectional design through focus group discussions and survey questionnaires was used to collect data. Three hundred and twenty households were randomly sampled in Kampala and Jinja districts. The Chi-square tests (χ2) for independence to analyze group differences among women’s socio-demographic characteristics and decision-making autonomy was used. Inclusion criteria included respondents aged 18 and 50 years, completion of primary school education, expectant mothers and mothers who gave birth two years prior to the study. A hundred and sixty-four respondents participated in this survey. About 59.5% of women lacked decision making autonomy. Midwives (37.6%) and village health teams (35%) were a major source of antenatal care information, and 49.5% of expectant mothers lacked ANC information. Ninety percent (90%) of mothers did not use any form of ICT’s to enhance their decisions yet 79% possessed mobile phones. We observed a strong association between antenatal care decision-making autonomy and women with higher education (χ2 = 8.63, ρ = 0.035), married (χ2 = 4.1, ρ = 0.043) and mature (36–50) (χ2 = 8.81, ρ = 0.032). The main findings in this study suggest that ICT adoption and decision making autonomy among expectant mothers is still low and less appreciated. Control measures and interventions should be geared towards empowering women to influence their decisions.

Author(s):  
Hasifah Kasujja Namatovu ◽  
Tonny J. Oyana

Few studies have investigated information and communication technologies (ICTs) as determinants of ANC utilization, yet ICTs in health can improve patient outcome, tackle health systems challenges, and improve client-to-provider relationship. A cross-sectional design using both quantitative and qualitative data collection approaches was used to ascertain whether ICT uptake can determine ANC utilization. Women aged 18-50 years who were pregnant had given birth two years preceding the survey and who had at least a primary school education participated in this study. Data was analyzed using Pearson's Chi-square and descriptive discriminant analysis. Results from this study suggest an association between ICT uptake and ANC utilization (χ2 = 19.3, ρ <0.001) and a statistically significant relationship between the discriminant function and the grouping variable at p=.012 (Wilks's ᴧ = .822; χ2 = 28.62 (14df), p&lt;0.05, valid n = 164). Control measures and interventions should be geared towards integrating ICTs in women's routine antenatal care practices.


2020 ◽  
Vol 4 (3) ◽  
pp. 100-111
Author(s):  
Vita Camelia ◽  

Stunting is a children growth problem that occurs a result of chronic malnutrition in the first 1000 days of life. The indicator of stunting is using the height measurement according to age HFA (Height for Age) under -2 SD based on the WHO growth standard curve according to sex. The impacts of stunting are the occurrence of growth disorders, barriers to development and the risk of metabolic disorders in adulthood. One of the risk factors for stunting is history of quality and quantity Antenatal Care (ANC). This study aimed to determine the relationship between quality and quantity history of ANC visits and stunting in toddlers aged 24-59 years in Pujon District Malang Regency. The method used in this research was observational analytic by using cross-sectional design. The population of this study was all mothers who have children aged 24-59 months that were conducted in January 2020. Ninety eight respondents taken by purposive sampling as the sample of the research. The data was obtained by filling out questionnaires and KIA books, then analyzed with chi-square test (α = 0.05). The results showed that there was a significant relationship in quality (p-value = 0.004) and quantity (p-value = 0.003) toward stunting.


Author(s):  
Yuhemy Zurizah Yuhemy Zurizah

ABSTRACT [Examination of pregnancy is health care by health workers to saw a pregnant women during pregnancy are performed according to standard antenatal visits i.e. 4 times examination during pregnancy which is 1 times in the first quarter, the second quarter on a 1 time, 2 times in the third quarter. The purpose of the research to determine the factors related to Antenatal Care (ANC) on pregnant women at health center Palembang Social 2012. This research uses this type of research survey with analytic approach Cross Cross-sectional, i.e. between the independent variable (the age of pregnant women,education of pregnant women and parity) and dependency AnteNatal Care (visit )just observed and taken once and for all at the same time at the time of research. The population is to be taken in this research are all expectant mothers who never saw her pregnancy inSocial Health Center Palembang in 2012.Sampling is done with a technique Sistematic Sampling that amounted to 149.Respondents withante natal care visits of pregnant womenthe appropriate standard i.e. 117 respondents (78,5%), age the risk is high that is 93 (62.4%) respondents, higher education, i.e. 96 respondents (64,4%), low risk parity i.e. 83 respondents (55,8%).Test results Of Chi-Square is known to have a meaningful relationship between theindependent variables (age, education and parity of mothers)withthe dependent variable (ante natal care visits of pregnant women). Suggestions for the clinic diharapkan more health workers improve services for pregnant women.                                      ABSTRAK Pemeriksaan kehamilan adalah pelayanan kesehatan oleh tenaga kesehatan untuk memeriksakan ibu hamil selama masa kehamilannya yang dilaksanakan sesuai dengan standar kunjungan antenatal yaitu 4 kali pemeriksaan selama kehamilan yaitu 1 kali pada triwulan pertama, 1 kali pada triwulan kedua, 2 kali pada triwulan ketiga. Tujuan Penelitian untuk mengetahui faktor-faktor yang berhubungan dengan Antenatal Care (ANC) pada ibu hamil di Puskesmas Sosial Palembang Tahun 2012. Penelitian ini menggunakan jenis penelitian survei analitik dengan pendekatan Cross Sectional, yaitu antara variabel independen (umur ibu hamil,pendidikan ibu hamil dan paritas) dan dependen (kunjungan AnteNatal Care )hanya diobservasi dan diambil satu kali saja dalam waktu bersamaan pada saat penelitian. Populasi yang akan diambil pada penelitian ini adalah semua ibu hamil yang pernah memeriksakan kehamilannya di Puskesmas Sosial Palembang Tahun 2012. Pengambilan sampel dilakukan dengan teknik Sistematic Sampling yang berjumlah 149. Responden dengan kunjungan ante natal care ibu hamil yang sesuai standar yaitu 117 responden (78,5%), umur resiko  tinggi yaitu 93 responden (62,4%), pendidikan tinggi yaitu 96 responden (64,4%), paritas resiko rendah yaitu 83 responden (55,8%). Dari hasil uji Chi-Square diketahui ada hubungan yang bermakna antara variabel independen (umur,pendidikan dan paritas ibu) dengan variabel dependen (kunjungan ante natal care ibu hamil). Saran untuk pihak puskesmas diharapkan petugas kesehatan lebih meningkatkan pelayanan bagi ibu hamil.    


Author(s):  
Citra Hadi Kurniati

Midwives play an important role in the process of health care, especially antenatal care services (ANC). The quality of midwife services determines the success of the service process. The perception of pregnant women when they come for a pregnancy is related to their availability to return to Antenatal Care examination. This study aims to determine the quality of midwives in ANC services on the perception of pregnant women. This type of research uses observational analytic research, where researchers are directed to explain a situation or situation. The time approach used is cross sectional. Analysis was conducted to test the quality of midwives in providing ANC services to the perception of pregnant women. Analysis of the data in research with ordinal and scale variables is non-parametric statistics. Hypothesis testing using the Chi Square Test. The results showed that there was no relationship between the quality of midwives on perceptions of pregnant women with a p value of valeu> 0.05 with an X × count of 0.325. The conclusion of this study is that there is no relationship between the quality of midwives in providing ANC services to the perception of pregnant women


2019 ◽  
Vol 2 (1) ◽  
pp. 33-39
Author(s):  
Nena Riski Hariyati ◽  
Abkar Raden ◽  
Retno Mawarti ◽  
Mula Tarigan

Pregnant women’s anxiety, if not well-treated, may influence both the physical and psychological conditions of mother and fetus. This study aimed to analyze the correlation between integrated antenatal services and anxiety on facing facing childbirth among primigravida women. This was an observational analytic study used Cross Sectional design. The sample in this study was 55 primigravida women in their third trimester, whom were selected by using a total sampling technique. The study was conducted in a Public Health Centre within Yogyakarta Province. The analysis employed bivariate analysis technique with Chi-Square. The results showed that non-integrated antenatal care had correlation with anxiety about facing labor with p=0.033 and OR=5.417, which explained that non integrated antenatal care significantly increases anxiety among primigravida women. Therefore there is a need tailored services which could improve the quality of Integrated Antenatal Care to reduce pregnant women’s anxiety on facing childbirth.


2017 ◽  
Vol 2 (1) ◽  
pp. 26
Author(s):  
Elsa Gebri Utami ◽  
Abdiana Abdiana ◽  
Ayu Nurdiyan

Antenatal care visits is a behavioral form in the utilization of health services to monitor pregnancy in purpose of improving maternal and fetal health. At public health center of Sungayang, the visit for K1 and K4 did not reach the target for the past three years. In 2016 the coverage for K1 was 70,6% dan K4 47,8% meanwhile the public health center target coverage  for K1 is 97% and K4 95%. This demonstrate the lack of expectant mothers who make antenatal care visits in accordance with the standardsThis study was a quantitative study with cross sectional design conducted at district of Sungayang health center from November 2016 – September 2017. Population and sample of this research is all of the third trimester pregnant women which amounted to 41 women. Data collected by observation and questionnaire. Data analysis was performed using univariate and bivariate.          The results showed 68.3% of pregnant women do antenatal care visits according to the standard. The result of bivariate analysis shows that there is no correlation between age (p = 1,000) and job (p = 0,077), there is correlation between education (p = 0,017), attitude (p = 0,014), and support of husband (p = 0,034) with antenatal care visits at district of Sungayang health center in 2017.There is an association between education, attitude, and support of the husband with antenatal care visits and there is a tendency correlation between knowledge with antenatal care visits.


Author(s):  
Wargustini Wargustini

ABSTRACK  This study aimed to determine the knowledge, motivation, leadership, incentives / rewards, and education with the performance of midwives in Antenatal Care Services (ANC) at health centers in the country Palembang, this study uses observational analytic study design "cross sectional" with 48 midwives sample using the formula, by conducting interviews and questionnaires. There are 15 respondents have less knowledge has an 31.25% lower performance. Results obtained by chi-square test p-value = 0.04 (p <0.05) and Rφ = 0.288 means that there is a connection with the performance of midwife knowledge, the closeness of the relationship is low, motivation midwives obtained value ρ = 0.017 and Rφ = 0.466 means that there is a relationship the performance of average -midwife with the relationship, clinic leaders leadership values obtained ρ = 0.00 and Rφ = 0.28  means that there is a relationship with the midwives' work closeness of the relationship is low. Chi-square test results obtained by the value of the incentive factor ρ = 0.019 = 0.328 declared value Rφ no relationship with the midwives' work closeness of the relationship is average. Factors education obtained ρ = 0.021 and the value of Rφ = 0.041 means that there is a relationship with the midwives' work closeness of the relationship being. Four chief centers are expected to consider factors - factors related to the performance of midwives that knowledge, motivation, leadership, incentives, and education.         ABSTRAK Penelitian ini bertujuan untuk mengetahui faktor pengetahuan, motivasi kerja, kepemimpinan, insentif / imbalan, dan  pendidikan yang berhubungan dengan kinerja bidan pada pelayanan Antenatal Care ( ANC ) di Puskesmas Sekota Palembang, penelitian ini menggunakan penelitian observasi analitik dengan rancangan “cross sectional study” dengan jumlah sampel 48 bidan dengan menggunakan rumus, dengan melakukan wawancara dan kuesioner. Terdapat 15 responden memiliki pengetahuan kurang 31,25 % memilki kinerja rendah. Hasil uji chi-square diperoleh nilai p=0,04 ( p< 0,05) dan Rφ = 0,289 berarti ada hubungan pengetahuan dengan kinerja bidan, dengan keeratan hubungan rendah, motivasi bidan diperoleh nilai ρ=0,017 dan Rφ=0,466 berarti ada hubungan dengan kinerja bidan dengan keeratan hubungan sedang, kepemimpinan pemimpin puskesmas diperoleh nilai ρ=0,00 dan Rφ = 0,28 berarti ada hubungan dengan kinerja bidan dengan keeratan hubungan rendah. Hasil uji chi-square faktor insentif diperoleh nilai ρ = 0,019 nilai Rφ = 0,328 menyatakan ada hubungan dengan kinerja bidan dengan keeratan hubungan rendah. Faktor pendidikan diperoleh nilai ρ = 0,021 dan Rφ = 0,41 berarti ada hubungan dengan kinerja bidan dengan keeratan hubungan sedang. Diharapkan keempat kepala puskesmas memperhatikan faktor – faktor yang berhubungan dengan kinerja bidan yaitu pengetahuan, motivasi kerja, kepemimpinan, insentif, dan pendidikan.        


Author(s):  
Putra Apriadi Siregar

Background: Midwives' actions under service standards are useful in applying the norms and performance levels needed to achieve the desired results. Midwives in providing antenatal care will have a significant impact on antenatal care services   Methods: This study used a cross-sectional design. This study's population was 41 midwives who worked in the District of Kota Pinang, Labuhanbatu Selatan Regency (total sampling). The instrument used was a questionnaire about age, education, knowledge, attitudes, and midwives' actions in providing antenatal care. The bivariate analysis used exact fisher test and prevalent rate (PR).   Results: The exact fisher test results showed that the midwife's age (p = 0.192), education (p = 0.175), knowledge (p = 0.390) (PR = 2.311) were not related to the midwife's actions in antenatal care. The variable of midwife attitudes (p = 0.018) (PR = 5,500) was related to the actions of midwives in antenatal care.   Conclusion: A midwife who has a good attitude has a risk taking good actions than a midwife who has a bad attitude. It is hoped that the South Labuhanbatu Health Office will be more active in improving the skills of midwives in providing antenatal services with training on antenatal care..


2021 ◽  
Vol 12 (1) ◽  
pp. 51-63
Author(s):  
Mitra Mitra ◽  
Novita Yanti ◽  
Nurlisis Nurlisis ◽  
Oktavia Dewi ◽  
Hastuti Marllina

Abstract   Background: There was an increase of anemia in pregnant women and maternal death due to obstetric hemorrhage with hemoglobin (Hb) levels during pregnancy <10 gr/dl in Indragiri Hilir District, Riau Province. Objective: This study aimed to analyze the association between standard of antenatal care (ANC) and socio-cultural factors and the risk of anemia during pregnancy. Methods: A cross-sectional design was used in this study. This study included 172 pregnant women in the 2nd and 3rd trimesters from the Sungai Piring Public Health Center's working area. Data of Hb level of pregnant women was obtained from the maternal register and the MCH book. Data on the quantity of ANC, socio-cultural, adherence to iron-folic acid tablet consumption, and characteristics of pregnant women were collected through questionnaire interviews. Bivariate and multivariate analyses were conducted by using chi-square test and multiple logistic regressions respectively. Results: As many as 71.5% of pregnant women experienced anemia. Anemia in pregnant women was significantly associated with standard of ANC quantity, sociocultural status, and economic status (p<0.05). Inadequate ANC, poor socio-cultural, and low economic status increased the risk of anemia in pregnant women by 6.6 times, 11.4 times, and 3 times respectively. Conclusion: Standard of ANC quantity, socio-cultural, and economic status were dominant factors for anemia in pregnancy. Home visits or counseling through messaging applications can be carried out by health workers for pregnant mothers who do not attend ANC visits.   Keywords: Anemia, antenatal care, pregnancy, socio-culture   Abstrak   Latar belakang: Terjadi peningkatan kasus anemia ibu hamil dan adanya kasus kematian ibu akibat perdarahan dengan kadar haemoglobin (Hb) darah saat hamil di bawah 10gr/dl di Kabupaten Indragiri Hilir Provinsi Riau. Tujuan: Menganalisis hubungan antara standar antenatal care (ANC) dan sosial budaya dengan risiko anemia pada kehamilan. Metode: Studi ini menggunakan desain cross sectional. Sampel studi yaitu 172 ibu hamil trimester dua dan tiga di wilayah kerja Puskesmas Sungai Piring. Data kadar hemoglobin (Hb) darah ibu hamil diperoleh dari register ibu dan Buku KIA. Data kuantitas ANC, sosial budaya, kepatuhan konsumsi tablet tambah darah, dan karakteristik ibu hamil dikumpulkan melalui wawancara kuesioner. Analisis bivariat dilakukan dengan uji chi square dan multivariat dengan uji regresi logistik ganda. Hasil: Sebanyak 71,5% ibu hamil mengalamani anemia. Kuantitas ANC, sosial budaya, dan status ekonomi berhubungan signifikan dengan anemia pada ibu hamil (p<0,05). Ibu hamil dengan kuantitas ANC tidak sesuai standar, sosial budaya tidak baik, dan status ekonomi rendah berpeluang berturut-turut sebesar 6,6 kali, 11,4 kali, dan 3 kali untuk mengalami anemia. Kesimpulan: Standar kuantitas ANC, sosial budaya, dan status ekonomi merupakan variabel yang dominan terhadap anemia pada kehamilan. Kunjungan rumah atau konseling melalui aplikasi perpesanan dapat dilakukan oleh petugas kesehatan bagi ibu yang tidak melakukan ANC.   Kata kunci: Anemia, antenatal care, kehamilan, sosial budaya


2021 ◽  
Vol 1 (3) ◽  
pp. 246-253
Author(s):  
Nurul Ramadhini ◽  
Delmi Sulastri ◽  
Dolly Irfandi

Latar Belakang. Stunting atau disebut juga dengan kerdil adalah keadaan dimana tinggi badan anak tidak sesuai dengan usianya dikarenakan kekurangan asupan gizi pada saat didalam kandungan dan awal kehidupan. Salah satu faktor yang mempengaruhi terjadinya stunting pada anak adalah riwayat antenatal care ibu selama hamil. Objektif. Mengetahui hubungan antenatal care terhadap kejadian stunting pada balita berusia 0 – 24 bulan di wilayah kerja Puskesmas Seberang Padang tahun 2019. Metode. Penelitian ini merupakan penelitian analitik observasional dengan desain cross sectional pada 79 anak usia 0-24 bulan di wilayah kerja Puskesmas Seberang Padang yang dipilih melalui simple random sampling. Analisis data dilakukan dengan uji chi square. Hasil. Penelitian dilakukan dengan wawancara dan observasi buku KIA serta hasil pengukuran panjang badan anak menggunakan infantometer. Prevalensi stunting (13,9%), sebagian besar ibu memiliki kunjungan antenatal care lengkap (19,4%) dan mendapatkan kualitas antenatal care yang baik (15,8%). Nilai signifikansi kunjungan antenatal care 0,325 dan kualitas antenatal care 0,720. Simpulan. Antenatal care tidak berhubungan secara signifikan dengan kejadian stunting karena p>0,05. Kata kunci : pemeriksaan rutin selama hamil, kerdil, puskesmas, balita 0-24 bulan.   Background. Stunting or also called dwarf is a condition where the height of the child does not match his age due to lack of nutritional intake at the time during pregnancies and early life. One of the factors that influence stunting in children is a history of maternal antenatal care during pregnancy. Objective. To determine the relationship of antenatal care to the incidence of stunting in infants aged 0-24 months in the working area of ​​ Seberang Padang Primary Health Center Care in 2019. Methods. This research was an observational analytic study with cross sectional design in 79 children aged 0-24 months in the working area of ​​Seberang Padang Primary Health Care which was selected through simple random sampling. Data analysis was performed with the chi square test. Results. The research was conducted by interviews and observations of maternal and child health books and the results of measurements of children's body length using an infantometer. The prevalence of stunting (13.9%), most mothers have complete antenatal care visits (19.4%) and get good quality antenatal care (15.8%). The significance value of antenatal care visits is 0.325 and the quality of antenatal care is 0.720. Conclusion. Antenatal care is not significantly related to the incidence of stunting because of p>0.05. Keywords : antenatal care, stunting, primary health care, toddlers 0-24 month.  


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