scholarly journals Determinants of Focused Antenatal Care Uptake among Women in Tharaka Nithi County, Kenya

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Eliphas Gitonga

Background. The health status of women is an important indicator of the overall economic health and well-being of a country. Maternal health is closely linked with the survival of newborns. For every woman who dies, about thirty others suffer lifelong injuries. Focused antenatal care is one of the interventions to reduce maternal morbidity and mortality. It recommends four targeted visits during pregnancy within which essential services are offered. The aim of the study was to assess the determinants of uptake of focused antenatal care among women in Tharaka Nithi County, Kenya. Methods. This was a descriptive cross-sectional survey. Stratified sampling was used to select the health facilities while systematic sampling was used to select the respondents. Chi square, Fisher’s exact test, and logistic regression were used to analyse the data. Results. The level of uptake of focused antenatal care was slightly more than half (52%). The determinants of uptake of focused antenatal care are level of education, type of employment, household income, parity, and marital status of the pregnant women. Conclusion. Despite high attendance of at least one antenatal visit in Kenya, the uptake of focused antenatal care is proportionally low.

2016 ◽  
Vol 1 (2) ◽  
pp. 48-60
Author(s):  
Oktafiana Manurung ◽  
Ermawaty Arisandi Siallagan

According to the World Health Organization (WHO) Indonesian women have According to the World Health Organization (WHO) Indonesian women have very bad criteria in terms of health, marriage, employment, education, equality with men. This condition is thought to lead to low maternal access to antenatal care. Goals : Antenatal care in accordance with antenatal care standards may decrease Maternal and Infant Mortality due to regular antenatal care can detect early problems that occur in the mother during pregnancy.Methods : The type of this research is analytical descriptive with cross sectional design which aims to analyze the influence of access and motivation of pregnant mother to mother behavior in doing antenatal visit. The research was conducted in Pancur Batu Puskesmas Working Area. The population is 181 people and the sample size is 61 people. Data analysis was performed using univariate analysis, bivariate analysis with Chi-Square test, and multivariate analysis with multiple logistic regression test.Result : The result of this research indicate that physical accessibility variable is the availability of unrelated officer (p = 0,461) to mother behavior in antenatal visit, social accessibility variable (p = 0,005) and attitude (p = 0,023), and for motivation variable is motive P = 0.005) and expectations (p = 0.019) had a significant effect on maternal behavior in antenatal visits.Conclution : Based on the results of research suggested Head of Pancur Batu Puskesmas to conduct training to officers especially midwives who provide services mainly about hospitality in providing services and to officers implementing services further improve the communication of information and education so that every pregnant women have a good understanding that can eventually cause attitude Positive, high motivation and expectation that can affect the mother in conducting standardized antenatal visits.


2021 ◽  
Author(s):  
Agnete Egilsdatter Kristoffersen ◽  
Miek C. Jong ◽  
Johanna Hök Nordberg ◽  
Esther T. van der Werf ◽  
Trine Stub

Abstract BackgroundThe COVID-19 pandemic lockdown has had a profound impact on physical and mental well-being throughout the world. Previous studies have revealed that complementary and alternative medicine (CAM) is frequently used for, and can be potential beneficial for strengthening physical mental resilience. The aim of this study was therefore to determine the prevalence, associations and reasons for use of CAM during the first wave of the COVID-19 pandemic among a representative sample of the Norwegian population, and determine possible effects and adverse effects of the treatments. MethodsComputer assisted telephone interviews using a COVID-adapted I-CAM-Q questionnaire were conducted with 1008 randomly selected Norwegians aged 16 and above using multistage sampling during April and May 2020 applying age and sex quotas for each area. Descriptive statistics were carried out using Pearson’s Chi-square test, Fisher exact test, and Independent samples T-tests to identify group differences. ResultsThe study revealed that two thirds of the respondents (67%) had used CAM within the first three months of the COVID-19 pandemic, in particular CAM modalities that did not involve a provider. Most used were natural remedies and dietary supplement (57%, mainly vitamins and minerals), but self-help practices like yoga and meditation were also widely used (24%). Women used CAM modalities significantly more than men (77% vs. 58%). Most of the respondents found the modalities they used beneficial, and 5% reported adverse effects of the treatments.ConclusionsThe first wave of the COVID-19 pandemic has not profoundly changed the overall need of Norwegian citizens to seek care outside the conventional healthcare system, but rather caused a shift in the type of CAM modalities used. The risk profile of these modalities was generally low as only 5 % of the respondents reported adverse effects. Further studies are needed to confirm the change from provider based to self-administered CAM use.


2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Charu Kohli ◽  
Rajesh Kumar ◽  
G. S. Meena ◽  
M. M. Singh ◽  
Jyotiranjan Sahoo ◽  
...  

Background. Mosquito-borne diseases constitute an important cause of morbidity and mortality. The use of personal protective measures (PPM) like mats, bednets, screening, repellents, liquid vaporizers, mosquito coils, and so forth has been advocated as an effective tool in control of mosquito-borne diseases, but data about the safety profile of personal protective measures is still scarce.Objective. To study the usage and side effects of personal protective measures against mosquitoes among current users in Delhi.Materials and Methods. A community-based cross-sectional study among 350 adult individuals selected by systematic sampling method. Data was collected using pretested semistructured questionnaire after taking written informed consent. Data was analysed using SPSS version 17. Chi-square/Fisher’s Exact test was used for qualitative variables to find association andPvalue <0.05 was considered significant.Results. Out of 350 families selected, 210 belonged to rural area and 140 to urban area. Personal protective measures were used by 219 (62.5%) subjects. Liquid vaporizer was the most preferred method (41.4%). Most common perceived side effect of personal protective measures was headache (7.7%). Other perceived side effects were cough (3.2%), sore throat (2.7%), allergy (1.3%), and eye irritation (0.9%) predominantly among coil users.Conclusion. There is a need to have a close watch for side effects of personal protective measures among users. Further research is also needed to develop safe and effective personal protective measures against mosquitoes.


2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Eliphas Gitonga

Background. The burden of maternal mortality is concentrated in sub-Saharan Africa with an estimation of 500 000 deaths annually. In 2012, about forty million births occurred without a skilled attendant in developing countries. Skilled birth attendance improves maternal and newborn survival. The aim of this study therefore was to establish the level of skilled birth attendance and the associated factors. Methods. A cross-sectional survey was carried out using structured questionnaires as tools of data collection. Systematic sampling was used to select the respondents from the facilities that were stratified. The dependent variable was skilled birth attendance. Descriptive statistics were used to generate proportions and percentages while chi-square and Fisher’s exact tests were used to draw inferences. Association was significant if P<0.05. Results. The level of utilisation of skilled birth attendance was 77%. Skilled birth attendance was noted to be associated with age, level of education, average family income, parity, distance to the health facility, timing of initiation of antenatal care, level of facility attended during pregnancy, and birth preparedness status. Conclusion. The level of skilled birth attendance among women in Tharaka-Nithi County, Kenya, despite being higher than in some counties, requires improvement.


Author(s):  
Pragya Sinha ◽  
Praveena R. Gunagi ◽  
R. G. Viveki ◽  
Manjunath Kamble ◽  
Sunanda Halki

Background: Antenatal care (ANC) is the care given to pregnant women for safe pregnancy and healthy babies. It is the most effective health intervention for preventing maternal morbidity and mortality. Health knowledge is an important element which enables women to be aware of their health status and promotes service utilization which further improves the health of the beneficiaries. This study was conducted among mothers of rural area of Belagavi with an objective to determine the level of knowledge related to ANC and the factors associated with the same.Methods: A cross-sectional study was carried out in February-April 2018 among mothers who had delivered within one year from date of study and who had registered and availed antenatal services in field practice area of Department of Community Medicine, BIMS, Belagavi. Sample size was calculated as 161. Mothers were selected using systematic sampling. Data was collected after obtaining an informed, written consent from the participants and was compiled, tabulated and analysed in MS Excel. The results are presented as percentage and proportions and chi square test has been applied.Results: 50% participants had fair knowledge regarding ANC. The level of knowledge was found to be statistically significant with employment status and BPL status.Conclusions: The study found adequate knowledge among majority of mothers. 


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Clara Serna-Muñoz ◽  
Yolanda Martínez-Beneyto ◽  
Amparo Pérez-Silva ◽  
Andrea Poza-Pascual ◽  
Francisco Javier Ibáñez-López ◽  
...  

Abstract Background Molar incisor hypomineralization (MIH) is a growing health problem, and its treatment is a challenge. The purpose of the present study was to evaluate and compare the perceptions, knowledge, and clinical experiences of MIH in general dental practitioners (GDPs) and paediatric dentists (PDs) in Spain. Methods All dentists belonging to the College of Dentists of the Region of Murcia, in the South-East of Spain, were invited to participate in a cross-sectional survey. They were asked to complete a two-part questionnaire including sociodemographic profiles and knowledge, experience, and perceptions of MIH. Data were analysed using Pearson’s chi-square test, Fisher’s exact test and Cramer’s V test. Results The overall response rate was 18.6% (214/1147). Most respondents were aged 31–40 years (44.86%), with more than 15 years of professional experience (39.72%). They worked mainly in the private sector (84.58%) and were licensed in dentistry (74.30%): 95.45% of PDs had detected an increase in the incidence of MIH in recent years (p <  0.001). Only 23.80% of GDPs claimed to have made a training course on MIH. With respect to the aetiology, chronic medical conditions (p = 0.029) and environmental pollutants (p = 0.008) were the only factors that showed significant between-group differences. Durability (p = 0.009) and remineralization potential (p = 0.018) were the factors where there was a between-group difference in the choice of the restoration material. In the case of post-eruptive fractures and opacities, the preferred material for both groups was resin-modified glass ionomer (RMGIC). However, in incisor lesions, composite was the material of choice for both groups, with significant differences (p = 0.032) in the use of glass ionomer. Most respondents expressed a need for continuing education on MIH. Conclusion Spanish dentists perceived an increase in the incidence of MIH. The material of choice was RMGIC for non-aesthetic sectors and composite for incisors. Dentists believe it is difficult or very difficult to manage MIH, since the long-term success of restorations of MIH lesions is compromised because resin adhesion is not good. Both GDPs and PDs believe they need more training on the aetiology, diagnosis, and treatment of MIH.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Nicholas Mudonhi ◽  
Wilfred Njabulo Nunu ◽  
Nomathemba Sibanda ◽  
Nkosana Khumalo

AbstractTraditional medicine utilisation during antenatal care has been on the increase in several countries. Therefore, addressing and reinforcing the Sustainable Development Goal of maternal mortality reduction, there is a need to take traditional medicine utilisation during pregnancy into consideration. This paper explores traditional medicine utilisation during antenatal care among women in Bulilima District of Plumtree in Zimbabwe. A cross-sectional survey was conducted on 177 randomly selected women using a semi-structured questionnaire. Fisher's Exact Test, Odds Ratios, and Multiple Logistic Regression were utilised to determine any associations between different demographic characteristics and traditional medicine utilisation patterns using STATA SE Version 13. The prevalence of Traditional Medicine utilisation among pregnant women was estimated to be 28%. Most traditional remedies were used in the third trimester to quicken delivery. The majority of women used holy water and unknown Traditional Medicine during pregnancy. There was a strong association between age and Traditional Medicine utilisation as older women are 13 times more likely to use Traditional Medicine than younger ones. Women use traditional medicine for different purposes during pregnancy, and older women's likelihood to use Traditional Medicine is higher than their counterparts. The traditional system plays an essential role in antenatal care; therefore, there is a need to conduct further studies on the efficacy and safety of utilising Traditional Medicines.


2021 ◽  
Author(s):  
Steward Mudenda ◽  
Moses Mukosha ◽  
Johanna Catharina Meyer ◽  
Joseph Fadare ◽  
Brian Godman ◽  
...  

Abstract Background: Several vaccines have been developed and administered since coronavirus disease 2019 (COVID-19) was declared a pandemic in March 2020. In April 2021, the authorities in Zambia administered the first doses of the Oxford-AstraZeneca® COVID-19 vaccine. However, little is known about the awareness and acceptability of the vaccines among the Zambian population. This study was undertaken to address this starting with undergraduate pharmacy students in Zambia. Materials and methods: A descriptive cross-sectional survey was conducted among 326 undergraduate pharmacy students in Zambia using an online semi-structured questionnaire from 12th to 25th April 2021 and analysed using Stata version 16. Test of associations were undertaken using Pearson chi-square test or Fisher's exact test as appropriate. The multivariable logistic regression was used to investigate the determinants of awareness and acceptability. All statistical tests were performed at a 5% significance level and 95% confidence level. Results: Among 326 participants, 98.8% were aware of the COVID-19 vaccination programme but only 24.5% would accept the vaccine should it be made available to them. Awareness of the COVID-19 vaccine was influenced by religious beliefs (aOR=0.01, 95% CI: 0.01 to 0.20, p=0.004). Being male (aOR=1.78, 95% CI: 1.05 to 3.02, p=0.034) and single (aOR=2.61, 95% CI: 1.04 to 6.55, p=0.041) was associated with higher odds of accepting the vaccine. Being unemployed (aOR=0.31, 95% CI: 0.15 to 0.66, p=0.002) was associated with lower odds of vaccine acceptancy. Barriers to acceptance of the vaccine were possible side effects (78.5%) and scepticism about its effectiveness to prevent COVID-19 (10.2%). Conclusion: There was significant vaccine hesitancy towards COVID-19 vaccines among Zambian pharmacy students despite their awareness about the vaccines. Health authorities must work collaboratively with the Universities and other institutions to mitigate vaccine hesitancy, especially with pharmacy students a key part of the future healthcare workforce overseeing disease prevention strategies. These findings can help guide future interventions to address vaccine hesitancy to reduce future transmission rates of this virus.


Author(s):  
Citra Ayuh Darty Citra Ayuh Darty

ABSTRAK   Menurut (WHO) antenatal care  bertujuan untuk mendeteksi dini terjadinya resiko tinggi terhadap kehamilan dan persalinan juga dapat menurunkan angka kematian ibu dan memantau keadaan janin.Penelitian ini bertujuan untuk mengetahui hubungan antara umur, pendidikan dan pekerjaan ibu dengan Frekuensi pemeriksaan kehamilan (K4) di Puskesmas Timur Kota Prabumulih Tahun 2017. Penelitian ini menggunakan survey analitik dengan pendekatan Cross Sectional. Populasi penelitian ini yaitu semua ibu hamil yang melakukan kunjungan ANC di Puskesmas Prabumulih Timur kota Prabumulih Tahun 2017 yang berjumlah 416 orang.Pengambilan sampel menggunakan teknik random sampling dengan pendekatan sistematik sampling.Alat pengambilan sampel menggunakan Check List, analisis data dilakukan secara univariat dan bivariat dengan uji statistic Chi-Square .Hasil penelitian ini menunjukkan dari 203 responden dengan melakukan standar kunjungan ANC sebanyak 91 orang (44,8%), dan tidak standar 112 orang (55,2%), umur resiko tinggi sebanyak 106 orang (52,2%) dan umur resiko rendah 97 orang (47,8%), pendidikan tinggi 98 orang (48,3%) dan pendidikan rendah 105 orang (51,7%), bekerja sebanyak 85 orang (41,9%) dan tidak bekerja sebanyak 118 orang (58,1%). Dari hasil penelitian ini di harapkan agar pihak puskesmas lebih mengupayakan pelayanan kesehatan dan konseling terhadap frekuensi pemeriksaan kehamilan.   ABSTRACT According to the (WHO) antenatal care aimed at the early detection of high risk of pregnancy and childbirth can also reduce maternal mortality and monitor the state of the fetus.This study aims to determine the relationship between age, education and occupation mothers with antenatal Frequency (K4) in East Health Center Prabumulih City in 2017.This research uses analytic survey with cross-sectional approach.This study population is all the pregnant women who visited health centers ANC in Eastern Prabumulih Prabumulih city in 2017, amounting to 416 people. Sampling using random sampling with systematic sampling approach. Sampling tool using Check List, data analysis univariate and bivariate statistical Chi-Square test. Results of this study show from 203 respondents by standard ANC visit as many as 91 people (44.8%), and not the standard 112 people (55.2%), high risk age were 106 men (52.2%) and a lower risk of age 97 people (47.8%), higher education 98 (48.3%) and low education 105 people (51.7%), working as many as 85 people (41.9%) and did not work as many as 118 people (58, 1%). From the results of this study in the hope that the clinic be seeking health care and counseling to the frequency of antenatal care (K4).


2018 ◽  
Vol 5 (3) ◽  
pp. 155-162
Author(s):  
Shahnaz Akhtar ◽  
Muhammad Hussain ◽  
Iram Majeed ◽  
Muhammad Afzal

Background: Prenatal care is medical valuation of mother and fetus, for the duration of gestation used for getting best possible result for the mother and child. Early observation and ongoing care during pregnancy provided more favorable births compared to no prenatal observation. Methodology: The quantitative cross-sectional study design was used with convenient sampling (n=133) from community of Hussain Abad Lahore. Pregnant women between the ages of 20 to 45 years of age. Data was analyzed on SPSS 21 version and application of chi-square test (p=<0.05). Result: The respondents 69.1% (n=94) were identified that pregnant women require to go for their checkup. This study reveals that (n=31) 21.4% participants were agree, (n=98)71.1% participants were disagreed, (n=06)4.4% were neutral that they have Seek antenatal care regularly during pregnancy. 83.1% women believe that antenatal checkup is worthy to monitor mother & fetus’ well-being. Conclusion: 64.7% pregnant women response in yes regarding knowledge about antenatal care. The attitude was shown positive somewhere as 69.6% women were agree and as well as negative, also as 30.1% respondents were disagreed and therefore 61% participants have positive practices towards antenatal care. There was significant association between qualification and knowledge of expectant women about prenatal care, significant association in qualification and attitude and there was insignificant association in qualification and practices. Int. J. Soc. Sc. Manage. Vol. 5, Issue-3: 155-162


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