scholarly journals Factors Influencing Women’s Preferences for Places to Give Birth in Addis Ababa, Ethiopia

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Yibeltal Tebekaw ◽  
Yohana James Mashalla ◽  
Gloria Thupayagale-Tshweneagae

The main aim of this study was to examine factors determining women’s preference for places to give birth in Addis Ababa, Ethiopia. A quantitative and cross-sectional community based study design was employed. Data was collected using structured questionnaire administered to 901 women aged 15–49 years through a stratified two-stage cluster sampling technique. Multinomial logistic regression model was employed to identify predictors of delivery care. More than three-fourth of slum women gave birth at public healthcare facilities compared to slightly more than half of the nonslum residents. Education, wealth quintile, the age of respondent, number of children, pregnancy intention, and cohabitation showed net effect on women’s preference for places to give birth. Despite the high number of ANC attendances, still many pregnant women especially among slum residents chose to deliver at home. Most respondents delivered in public healthcare institutions despite the general doubts about the quality of services in these institutions. Future studies should examine motivating factors for continued deliveries at home and whether there is real significant difference between the quality of maternal care service offered at public and private health facilities.

Author(s):  
Samia S. Abdulmageed ◽  
Mustafa K. Elnimeri

Background: Maternal health has been accounted as challenge to the public health policy makers around the globe, which has more commonly been threaten by the cultural and social forces. The aim of this study was to investigate the sociocultural determinants of health-seeking behavior of Sudanese women from Sharq-Alneel Locality regarding the place of delivery.Methods: A cross-sectional community based study was conducted from June 2017- January 2018 using face-to-face structured questionnaire to 576 Sudanese women age of 15-49 years from 4 Administrative Units. A multistage cluster sampling technique was adopted. Binary and multinomial logistic regression models were used to analyse the results.Results: Rural women respondents were 329 (57%). A 147 (28.3%) of the studied population gave birth at home at least once. A 110 (20.8%) women respondents preferred delivery at home. Of those home deliveries, complications occurred to 42 (26.9%) compared to the one occurred to women 114 (73.1%) who delivered in health facility. Circumcision among respondents was 80.7% and had insignificant association with complications occurred during delivery. Multinomial analysis showed women with no education were 33.5 times more likely (O.R=33.5, CI=9.8-114.0, p<0.001), primary education (O.R=6.4, CI=2.7-15.2, p<0.001), secondary (O.R=4.9, CI=2.1-11.5, p<0.001) to seek home delivery compared to those who obtained university education. Financial reasons for delivering at home were were 11.5 (O.R=11.5, CI=2.5-53.7, P=0.002) times, while nearby (distance to health facility) as a reason for delivering at home were 3.7 (O.R=3.7, CI=1.1-13.0, P=0.04) times more likely relative to those who reported staff competency as a reason for delivering at health facility.Conclusions: Age, residence area, number of children, education, financial income, distance to health facility, and source of decision for women’s place of delivery were significant determinants of deliveries at home. Special attention is needed at community level for health education towards culture and believes affecting women’s decision on delivery at home. To promote reproductive health of women and improve quality of care giving by health personnel.


2020 ◽  
Vol 8 ◽  
pp. 205031212094512
Author(s):  
MaryJoy Umoke ◽  
Prince Christian Ifeanachor Umoke ◽  
Ignatius O Nwimo ◽  
Chioma Adaora Nwalieji ◽  
Rosemary N Onwe ◽  
...  

Background: Patient satisfaction is an essential parameter in the assessment of quality of care and healthcare facility performance. Objective: To investigate patients’ satisfaction with quality of care in general hospitals in Ebonyi State, South East, Nigeria, using the SERVQUAL. Methods: A cross-sectional descriptive study design was employed on a sample of 400 patients using a 27-item structured open-ended patients’ satisfaction questionnaire with a multi-stage cluster sampling technique. Patients included in the study were those who must have come for an outpatient clinic within the period, be 18 years and above, and those who gave consent to participate. Of 400 questionnaires administered, 396 (99%) were retrieved. SPSS version 20 was used for data analysis. Descriptive statistics, such as frequencies, percentages, mean score ( x), and standard deviation, were employed for interpretation. Results: Out of 396 patients, 156 (39.4%) were male and 240 (60.6%) were females. Most patients were 18–39 years (233 (58.8%)), had secondary education (139 (35.1%)), married (221 (55.8%)), earned <18,000 (170(42.9%)), and were traders (136 (34.3%)). Patients were satisfied with tangibility (2.57 ± 0.99) and reliability (2.84 ± 0.95) and very satisfied with responsiveness (3.06 ± 0.63), assurance (3.07 ± 0.63), and empathy (3.12 ± 0.57). Conclusions: Patients were satisfied with the quality of care. However, satisfaction was highest with empathy and lowest with tangibility. Thus, managers should focus their quality improvement efforts on areas of the neat appearance of health workers, waiting facilities for attendants and patients, and hygienic conditions at the hospital. Also, biannual assessment of patients’ satisfaction should be done and the results generated use judiciously to provide a platform for health sector reform.


Author(s):  
Shweta Gupta

Teachers have a pivotal role in our education system. However, inefficiency in teachers can affect the very foundation of this education system and which in turn will lead to the downfall of society and the nation. It is well said that the quality of education depends on the quality of teachers, so it is essential to prepare a quality teacher. As the teacher acts as transmitter of knowledge, motivator, and manager so it is dire need to train the prospective teacher in Life skills.  According to WHO life skills have been defined as “the abilities for adaptive and positive behaviour that enables individuals to deal effectively with the demands and challenges of everyday life”. The  present study include ten Life skills as suggested by WHO i.e. Self-awareness skill, Interpersonal skill, Effective Communication skill, Problem Solving, Decision Making, Critical Thinking, Creative Thinking, Coping with Stress, Coping with Emotion, and Empathy. A descriptive survey method is used for this study. The data of 100 pre-service teachers in which 40 female and 60 male pre-service teachers, were collected by random cluster sampling technique from two B.Ed. colleges of Ghaziabad affiliated to C.C.S. University Meerut in Ghaziabad district. Moreover, t-test is used as a statistical technique to compare the life skills between male and female pre-service teachers. However, the investigator found no significant difference between the male and female pre-service teachers in their Life Skills.


Author(s):  
Anupama Dhiman ◽  
Naveen K. Goel ◽  
Dinesh Kumar ◽  
Navpreet . ◽  
Abhiruchi Galhotra

Background: Antenatal care (ANC) provides an important opportunity to improve maternal understanding about pregnancy, childbirth, and care of the newborn. Adequate and quality ANC can help ensure a favourable pregnancy outcome, but the coverage of ANC in India remains inadequate. The present study was conducted with an objective to assess ante natal counselling services at health centers in Chandigarh Tricity.Methods: The cross-sectional study was conducted in the Chandigarh Tricity during April 2012 to September 2013. Stratified multistage sampling technique was used to select health centers in tricity. A total of 345 pregnant women in second and third Trimester were interviewed with the help of pre-designed, structured and pre-tested questionnaire after taking their written informed consent. It was supplemented by observation of ante natal sessions. Data was entered and analyzed using SPSS version 19.Results: Nearly one-fourth (28.1%) participants received counselling regarding diet and rest. Only 26 (07.5%) participants were explained about danger signs during pregnancy. Significant difference was found between counseling given regarding ‘diet and rest’ with respect to city (p=0.03) and health centers (p=0.00). Significant difference was found between counselling for ‘family planning’ with respect to city (p=0.01) and health centers (p=0.00).Conclusions: Findings from our study indicate low level of counselling on various components of ANC. Thus, strategies under National Health Mission to improve quality of antenatal communication as well as maternal understanding should be strengthened.


2017 ◽  
Vol 5 (2) ◽  
pp. 91
Author(s):  
Sumarni Sumarni

<em>Ministry of Health of the Republic of Indonesia to set out five key issues related to safety in the hospital, the Patient Safety, worker safety, the safety of buildings and equipment in hospitals that could have an impact on Patient Safety and personnel, safety of the environment that have an impact on environmental pollution and safety businesses Hospital related to the survival Hospital. Management of patient safety plays an important role in improving the quality of health services. Patient safety is the efforts of service that prioritizes patient safety. The research was conducted at Ibn Sina Hospital, the type of research is cross sectional study is a draft that examines the dynamics of the correlation between the independent variables (patient safety) and the dependent variable (improving the quality of health services) at the same time. Respondents that all officers in the field of medical care and support services at Ibn Sina Hospital. The sampling technique used is random cluster sampling technique with a population of 402 respondents sampled 304 respondents. Based on interviews with the respondents stated that the higher the safety of the patient, the better the quality of a hospital, when a patient is exposed to the incident then it will switch to other hospitals, patient safety and quality are positively correlated Hospital. The results showed that no respondents (0%) the implementation of Patient Safety classified as very weak. The percentage of respondents to the implementation of Patient Safety is very strong, strong, moderate and weak amounted to 12.25% (30 respondents), 71.57% (224 respondents), 15.69% (39 respondents) and 0.49% (11 respondents ). Based on these results it is known that the majority of respondents ie 71.57% (224 respondents) is the implementation of the Patient Safety category are classified as strong, so it can be concluded that the implementation of Patient Safety at Ibn Sina Hospital relatively strong. Based on the dimensions of most of the dimensions Implementing Patient Safety at Ibn Sina Hospital is high with dimensions on the dimension of cooperation is highest in units amounted to 97.10%.</em>


2021 ◽  
pp. 225-229
Author(s):  
Nurul Qiyaam ◽  
Baiq Leny Nopitasari ◽  
Haerul Muhajiji

Introduction: Neuropathic pain is caused by the malfunctioning of the central nervous system or the peripheral nervous system. This pain is chronic and so it disrupts a patient’s quality of life which can lead to them becoming frustrated. Aim: The purpose of this study was to compare the quality of life of neuropathic patients using either gabapentin or pregabalin at the neuropathic clinic of the Regional General Hospital of West Nusa Tenggara Province in 2019. Methods: This study used a cross-sectional study design. The sampling technique that was used was purposive sampling which was carried out by filling out the EQ-5D-3L and EQ-VAS questionnaires. Results: The results showed no significant difference between the quality of life of the patients using gabapentin and the patients using pregabalin as the EQ-5D-3L questionnaire had a value of p = 0.683. There was no significant difference between the quality of life between the gabapentin and pregabalin groups using the EQ-VAS questionnaire which had a value of p = 1.000.


2021 ◽  
Vol 4 (2) ◽  
pp. 38-48
Author(s):  
Andalia Roza ◽  
Putri Wulandini ◽  
Arrasidah Nailul Hasanah

Nutritional status is the state of the body as a result of food consumption and use of nutrients nutritional status can also be interpreted as a physical sign caused by a balance between income and expenditure through nutrition through certain variables, namely indicators. The quality of the menu is one of the main things besides service and kitchen cleanliness that must be maintained properly. The purpose of this study is to find out whether there is a relationship between the quality of the menu to the nutritional status of adolescents in the Pondok Ampar Syafa'aturrasul Batu Ampar, Beringin Taluk Kuantan. This type of research is correlated with cross sectional research design. The population in this study were all adolescents in Syafa'aturrasul Islamic Boarding School with a total of 800 inhabitants. The sample used was 267 students. The sampling technique is to use cluster sampling technique. The research instrument used observation sheets. The data obtained was processed by univariate and bivariate data analysis. The results obtained p value 0.27 means p value> 0.05, it can be concluded that there is no significant relationship between the quality of the menu on the nutritional status of adolescents in the Gyafa'aturrasul Islamic boarding school in Beruk, Taluk Kuantan. It is expected that the cottage together with parents work together to prevent and provide health education on good nutritional status for adolescence.


2019 ◽  
Vol 10 (3) ◽  
pp. 934
Author(s):  
Michael Shadrack Mangula ◽  
Joseph A. Kuzilwa ◽  
Simon S. Msanjila ◽  
Isack Legonda

Using traditional sources of energy for cooking in rural areas of Tanzania is associated with problems such as lung diseases, soil erosion and air pollution. This paper identifies the energy sources used for cooking and its determinants in rural areas of Tanzania. Cross-sectional survey design through questionnaire was used to collect data from 384 households living in rural areas of Njombe and Iringa regions in Tanzania. Multistage cluster sampling technique was employed to sample districts, wards and villages, while rural heads of households were sampled randomly using the fishbowl method to avoid biasness. Descriptive analysis such as frequencies and percentages were used. Multinomial Logistic Regression (MLR) techniques was used to estimate the parameters of factors determining the choices of energy sources for cooking in rural areas of Tanzania. The findings show that firewood is the main source of energy for cooking, followed by charcoal, Liquefied Petroleum Gas (LPG) and electricity in rural areas of Tanzania. The study shows that education, household size, occupation, income, and age of respondents determine the choices of energy sources for cooking. It can be concluded that, apart from improving income, other intervention such as family planning, reforestation programmes and promotion of the use of modern cooking stoves should be done to ensure sustainable development in rural areas of Tanzania


Author(s):  
Pradeep Tarikere Satyanarayana ◽  
Lokesh Kabbalu Chikkegowda

Background: Aging is a natural phenomenon and quality of life among elderly gets compromised. The biggest killers among old age are heart disease and stroke and greatest cause of morbidity are sensory abilities, Diabetes and depression. The life of elderly gets compromised when they start facing problems to fulfil basic requirements such as social relations; personal care, nutrition and accommodation added to old age health problems.Methods: It was a community based cross sectional study from June to September 2017 and study duration was for 3 months. Sample size calculated was 201 and was rounded off to 230. Snowball sampling technique was used. Data regarding socio-demographic profile and morbidity status was collected using semi structured questionnaire. QOL was assessed using WHO QOL OLD Questionnaire after informed consent. All those aged above 60 years were included in the study and those who are chronically sick and beds ridden were excluded from the study. Data were entered in Microsoft excel and analyzed using SPSS v22. Level of significance was defined with p value less than 0.05. Mean and standard deviation were calculated and to compare between various group Independent t test applied.Results: Among 231 study participants, 122 (48.8%) belonged to 60-65 years age group, 126 (54.5%) were females, 130 (56.3%) were illiterates and 119 (51.6%) were completely dependent financially on family members, 97 (41.9%) were Hypertensive. Statistically significant difference was found in AUT domain where non-hypertensives had higher scores. Male hypertensives comparatively had better scores; literate hypertensives had better scores compared to illiterate hypertensives in SAB, AUT, PPF, INT domains.Conclusions: Hypertension affects the quality of life and age, marital status, education also has some effect on the QOL in elderly stressing the importance of addressing the issues in regular clinics.


Author(s):  
Ruchi Chaturvedi ◽  
R. P. Sharma ◽  
D. S. Martolia ◽  
Tanu Midha

Background: Kanpur is one of the major industrial hub of Uttar Pradesh. Migration of people in the search of jobs led to formation of slums in many part of city which is 20% of total population of the city. A large number of below poverty line (BPL) population (about 60%) also live-in slums. Little data is known about immunization status of children residing in these slums. With this background this study is planned to predict various demographic factors affecting immunization status and to study various factors responsible for partial/non immunization of children.Methods: Cross sectional observational study. 30 cluster sampling technique was used to select 30 clusters from 380 identified slums of Kanpur Nagar.Results: More children were completely immunized with increase in educational level of mothers. (χ2= 16.62, df=2, p=0.000) ; mothers having institutional delivery (χ2 =31.8, df=1, ,p=0.000; belonged to general category (χ2=25.3, df=2, p=0.000) and Hindu by religion. (χ2=7.34, df=1, p=.006). No significant difference was seen in immunization coverage with respect to gender (χ2 =2.7, df=1, p=.09). Obstacles (45.2%) were the most common reason for partial immunization whereas lack of information (52.63 %) was most common reason cited in case of non-immunized children.Conclusions: Educational status of the parents particularly mothers and the economic status of the family have great bearing on the immunization coverage of under 5 children. So female empowerment measures may prove helpful in improvement of the immunization status.


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