scholarly journals Determinants of Skilled Birth Attendant Utilization at Chelia District, West Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Adugna Dufera ◽  
Elias Teferi Bala ◽  
Habtamu Oljira Desta ◽  
Kefyalew Taye
Keyword(s):  
Antenatal Care ◽  
Institutional Delivery ◽  
Care Service ◽  
Health Sector ◽  
Multivariate Logistic Regression Analysis ◽  
Sampling Technique ◽  
Sub Saharan Africa ◽  
Health Extension Workers ◽  
Cross Sectional ◽  
Maternal Deaths

Background. An estimated 303,000 maternal deaths occurred globally in 2015 from which sub-Saharan Africa alone accounted for 201,000 (66%) of the maternal deaths, and most of these are attributed to complications of pregnancy and childbirth due to the absence of institutional delivery by skilled attendants. Objective. The aim of this study was to assess institutional delivery utilization and associated factors among mothers who gave birth in the last one year in Chelia District. Methodology. A community-based cross-sectional study design supplemented by a qualitative method was employed from March 15 to 30, 2018. A multistage sampling technique was used to select 475 study participants. Quantitative data were collected using structured questionnaires, and focus group discussions were employed to get qualitative data. The data were entered to EpiData version 3.1 and exported to the statistical package version 21 for analysis. Descriptive statistics and bivariate and multivariate logistic regression analysis were computed to measure the strength of association between dependent and independent variables at a p value of <0.05. Results. Among the respondents, 216 (46.2%) utilized institutional delivery service. Monthly income (AOR=4.465, 95%CI=1.729,11.527), antenatal care attendance (AOR=0.077, 95%CI=0.008,0.73), knowledge of mothers about their expected date of delivery (AOR=0.297, 95%CI=0.179,4.93), intended pregnancy (AOR=0.326, 95%CI=0.162,0.654), discussion with health extension workers about the place of delivery at home visit (AOR=0.11, 95%CI=0.023,0.523), knowledge of mothers about the existence of the waiting area in health facilities (AOR=0.14, 95%CI=0.023,0.84), and number of children (AOR=0.119, 95%CI=0.029,0.485) had a significant association with institutional delivery utilization. Conclusion. Utilization of institutional delivery was low and far away from the expected country target in the district. The health sector should strive to increase proportion of institutional delivery by reaching pregnant mothers with timely antenatal care service provision and enhancing family planning provision.

ANALISIS HUBUNGAN SARANA, PENGETAHUAN, DAN SIKAP BIDAN PRAKTIK MANDIRI DENGAN KEPATUHAN MENJALANKAN STANDAR PELAYANAN ANTENATAL CARE DI KOTA PADANGSIDIMPUAN

2019 ◽  
Vol 2 (1) ◽  
pp. 27-33
Author(s):  
Megawati Sinambela ◽  
Evi Erianty Hasibuan
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Logistic Regression Analysis ◽  
Care Service ◽  
Multivariate Logistic Regression Analysis ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
The North

Antenatal care is a service provided to pregnant women to monitor, support maternal health and detect mothers whether normal or problematic pregnant women. According to the WHO, globally more than 70% of maternal deaths are caused by complications of pregnancy and childbirth such as hemorrhage, hypertension, sepsis, and abortion. Based on data obtained from the profile of the North Sumatra provincial health office in 2017, in the city of Padangsidimpuan in 2017 the coverage of ANC visits reached (76.58%) and had not reached the target in accordance with the 2017 Provincial Health Office strategy plan (95%). This type of research was an observational analytic study with a cross sectional design. The population in this study were independent practice midwives who were in the Padangsidimpuan, the sample in this study amounted to 102 respondents. The technique of collecting data used questionnaires and data analysis used univariate, bivariate and multivariate analysis with logistic regression analysis. Based on bivariate analysis showed that there was a relationship between facilities, knowledge and attitudes of independent midwives with compliance with the standards of antenatal care services with a value of p <0.05. The results of the study with multivariate logistic regression analysis showed that the factors associated with the compliance of independent midwives in carrying out antenatal care service standards were attitudes with values (p = 0.026).

scholarly journals Utilization of Antenatal Care (ANC) Services by Pregnant Women in Binjai City and Factors Affecting

2020 ◽  
Vol 15 (3) ◽  
pp. 390-398
Author(s):  
Herbert Wau ◽  
Nidya Razella
Keyword(s):  
Antenatal Care ◽  
Family Support ◽  
Health Workers ◽  
Care Service ◽  
Sampling Technique ◽  
P Value ◽  
Health Staff ◽  
Cross Sectional ◽  
Staff Support ◽  
Care Services

Antenatal care services have an influence on fetal growth or during pregnancy, one effort to reduce maternal mortality due to complications is through the use of antenatal care. Based on data from the Health Profile of Kebun Lada Public Health Center, it is known that the scope of ANC services (K1 and K4) in 2017 is K1 96% AND K4 84%. In 2018 that is K1 82.7% and K4 81%. Where there is a difference in the percentage of coverage of K1 and K4 visits. The research was an analytical survey using Cross Sectional with a sample of 76 people. This research uses chi-square data analysis method with accidental sampling technique to find out the significant influence between, Knowledge, Attitude, ANC Service Facilities, Husband / Family Support and Health Staff Support. This research shows there is influence of Knowledge (p = 0,000), Attitude (p = 0,000), Service Facilities (p = 0,000), Husband / family Support (p = 0,000), Officer Support with (p = 0,001) with Utilization of Antenatal Care Services where p-value <0.05. This study, showed that all factors affect the Antenatal Care service. Health workers, especially midwives, are expected to maintain health education and promotion and motivation on a regular basis about the importance of regular antenatal care.

scholarly journals Health Extension Workers Involvement in the Utilization of Focused Antenatal Care Service in Rural Sidama Zone, Southern Ethiopia: A Cross-Sectional Study

2019 ◽  
Vol 6 ◽  
pp. 233339281983513 ◽  
Author(s):  
Achamyelesh Gebretsadik ◽  
Million Teshome ◽  
Mekdes Mekonnen ◽  
Akalewold Alemayehu ◽  
Yusuf Haji
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Multivariate Logistic Regression Analysis ◽  
Maternal Health Services ◽  
Child Health Services ◽  
Outcome Variable ◽  
Health Extension Workers ◽  
Cross Sectional ◽  
Focused Antenatal Care

Background: Health extension workers (HEWs) are primarily been assigned in rural areas of Ethiopia to provide maternal and child health services. Few studies have been done to investigate HEWs’ contributions towards maternal health services. This study describes HEWs involvement in the utilization of focused antenatal care (FANC). Methods: A population-based cross-sectional survey was conducted between January 21 and February 4, 2017. Mothers (2300) who gave birth in the last 6 months (0-6 months) in randomly selected 30 kebeles in the rural Sidama zone, participated in the study. A face-to-face interview was done using a structured questionnaire adapted from the Saving Newborn Lives Program. The main outcome variable was FANC utilization. Descriptive statistics and multivariate logistic regression analysis were used using SPSS statistical software. Results: The FANC was used by 525 (24.36%; 95% confidence interval [CI]: 22.5%-26.2%) women. Health extension workers accounted for 244 (46.47%; 95% CI: 43.5-47.7%) of mothers. The FANC utilization was less likely among those who were illiterate (adjusted odds ratio [AOR]: .32; 95% CI: .18-.57) and those who attended first cycle (AOR: .41; 95% CI: .23-.74), those who attended secondary cycle (AOR: .47; 95% CI: .27-.82), primipara (AOR: 0.53; 95% CI: .35-.83), and those who gave birth at home (AOR: .66; 95% CI: .51-.84). Mothers who had knowledge of pregnancy danger signs (AOR: 1.42; 95% CI: 1.2-1.7) and exposure to mass media (AOR: 1.35; 95% CI: 1.1-1.66) were more likely to utilize FANC. Conclusions: FANC utilization in this study was low compared to other studies. The HEWs had a major contribution to the services. However, it is low when compared to the plan set by the state ministry of health. The existing health extension program could be strengthened by increasing the number of HEWs. Empowering rural mothers through continuous education program to enhance the utilization of maternal health services.

scholarly journals Hubungan pendidikan ibu hamil terhadap persepsi mutu pelayanan pada kunjungan pelayanan antenatal care

2020 ◽  
Vol 9 (2) ◽  
pp. 123
Author(s):  
Umi Khasanah
Keyword(s):  
Service Quality ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Center ◽  
Care Service ◽  
Sampling Technique ◽  
P Value ◽  
Cross Sectional ◽  
Level Of Education ◽  
Care Services

Integrated Antenatal Care is a comprehensive and quality antenatal service for all pregnant women provided by trained and professional medical personnel. Providing quality services and services needed by pregnant women will make the perception of pregnant women about Antenatal Care services better. The purpose of this study was to analyze the relationship of education of pregnant women to the perception of service quality at Antenatal Care service visits in the Surakarta Region Health Center. This quantitative research method uses a cross-sectional approach with an accidental sampling technique in sampling so that as many as 108 respondents obtained then the data analysis uses chi-square. The results of this study most of the highly educated pregnant women expressed a good perception about the quality of Antenatal Care Services in the Surakarta Region Health Center. The conclusion of the study is that there is a relationship between the level of education of pregnant women with the perception of service quality at Antenatal Care visits with a p-value of 0.027. The p-value is smaller than 0.05 (0.027 <0.05). Improving the level of education in the community needs to be done so that pregnant women are more understanding and critical about services provided during Antenatal Care visits.

scholarly journals QUALITY OF ANC TREATMENT AND CLIENTS SATISFACTION AT BPM Hj. ELSYE AGUSTIN

2018 ◽  
Vol 3 (01) ◽  
pp. 23
Author(s):  
Endah Nurmahmudah ◽  
Hj. Heni Hendarsah
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Rapid Development ◽  
Health Sector ◽  
Sampling Technique ◽  
Primary Data ◽  
P Value ◽  
Data Sampling ◽  
Cross Sectional

Rapid development of global worldwide has been happening on technology, information, science and health technology including reproduction health have impacted on a very tight competition in Health Sector. Recently, the society has required quality of service, safety, comfortable and reasonable price. That is why a midwife is requested to be ready and able to respond quickly and anticipate modernization and satisfy the customers. This research aims to figure out the correlation of the quality of antenatal care (ANC) treatment and the level of clients’ satisfaction at BPM Hj. Elsye Agustin in Tasikmalaya. Data sampling technique has applied total sampling with cross sectional approach method. And data collection is primary data. Primary data is the data taken directly from the respondents which has been done by the researcher itself. Based on the result of the research, the quality of ANC treatment at BPM Hj. Elsye Agustin is good (66.3%), it explains that ANC treatment has oriented to the pregnancy needs. Pregnant women who have received pregnancy treatment at BPM Hj. Elsye Agustin are satisfied (71.4%) indicating that the expectation of pregnant women to get a satisfied treatment has been fulfilled. The correlation of the quality of ANC treatment and the clients satisfaction at BPM Hj. Elsye Agustin has identified p-value of 0.000 indicating that the clients/pregnant women are satisfied with ANC treament.Keywords: quality, antenatal care treatment, customers‟satisfaction

scholarly journals FACTORS ASSOCIATED WITH LOW BIRTH WEIGHT AMONG NEWBORNS IN ETHIOPIA

2020 ◽  
Vol 6 (1) ◽  
pp. 1-6
Author(s):  
Arif Hussen Jamie ◽  
Abduseme Mohammed Ahmed
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Gestational Age ◽  
Odds Ratio ◽  
Previous History ◽  
Multivariate Logistic Regression Analysis ◽  
Sampling Technique ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
Factors Associated

Background: Worldwide more than 20 million low birth weights occur annually with the incidence of 15 to 20%, majority of this occur in low- and middle-income countries and 95.6% occur in developing nations. Its regional estimate was 28% in South Asia, 13% in sub-Saharan Africa and 13% in least developed countryObjective:  To assess factors associated with low birth weight among newborns in Jugal Hospital, Harari Regional State, Ethiopia.Methods: A cross-sectional study was conducted among newborns in Jugal hospital, Ethiopia from June 01 to July 10, 2019. Systematic random sampling technique was used to select the study subjects. Multivariate logistic regression analysis was used to identify factors associated with low birth weight among newbornsResults: The magnitude of low birth weight was 19.53%. Women who had previous history of low birth weight had 5.21 times higher odds ratio of delivered low birth weight baby than their counterparts [AOR = 5.21, 95% CI: (1.5-14.2)], and pregnant women who delivered before 37 weeks of gestational age had 4.8 times higher odds ratio of delivered low birth weight neonates than those delivered at term [AOR = 4.8, 95% CI: (1.3-10.4)]Conclusion: The prevalence of low birth weight in Harar, Jugal Hospital was 19.53%. Low birth weight in the previous pregnancy and gestational age 37 weeks, and showed significant association with birth weight neonates. Governmental and non-governmental organizations working on maternal and child health should focus on identified factors in order to tackle the problem of birth weight.

scholarly journals Maternal Satisfaction with Antenatal Care and Associated Factors among Pregnant Women in Hossana Town

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Dagmawit Birhanu Kebede ◽  
Yeshitila Belay Belachew ◽  
Desta Workneh Selbana ◽  
Admasu Belay Gizaw
Keyword(s):  
Antenatal Care ◽  
Associated Factors ◽  
Qualitative Data ◽  
Care Service ◽  
Sampling Technique ◽  
Educational Status ◽  
Systematic Sampling ◽  
Maternal Satisfaction ◽  
Cross Sectional ◽  
Care Services

Background. A woman’s satisfaction with antenatal care service has immediate and long-term impacts on maternal and her baby’s health. It also ensures further use of service. However, it is not well studied in Ethiopia in general and at the southern region in particular. Objective. The main objective of this study is to assess the level of a maternal satisfaction with antenatal care services and associated factors. Methods. An institution-based cross-sectional study that involves both quantitative and qualitative methods of data collection was employed. A systematic sampling technique was used to obtain study participants, and quantitative data were collected using an interviewer-administered questionnaire. For qualitative data, Focus Group Discussions were done among clients that have a repeated visit by taking educational status as homogeneity criteria. EpiData version 3.1 and SPSS version 21 were used for analysis. Descriptive statistics, bivariate and multivariable logistic regression analyses were employed to describe and identify factors associated with maternal satisfaction on antenatal care. The qualitative data were analyzed thematically and manually. Results. Overall, 74% of mothers were satisfied with antenatal care services rendered in public health institutions of Hossana town. Most of the respondents were satisfied with privacy, cleanness, physical facility, and approaches of care. Age, educational status, privacy, cleanness, distance, and respect were significantly associated with a client’s satisfaction. Conclusion. Three-fourths of the respondents were satisfied with the service. Age, education, living distance, maintenance of privacy, cleanness of the facility, and respect from providers were the significant predictors of the satisfaction level.

The Correlation of Mothers’ Satisfaction on Antenatal Care Service by Midwife and Motivation to Do Antenatal Care

2021 ◽  
Vol 8 (2) ◽  
pp. 161-165
Author(s):  
Laily Prima Monica ◽  
Maria Ulfa
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Care Service ◽  
Sampling Technique ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Care Services ◽  
Correlational Research ◽  
High Motivation

The problem of maternal mortality and morbidity in Indonesia is still become a big problem. In fact, the maternal mortality rate in Indonesia is still the highest in Asean. The factors above are the direct causes of maternal mortality. The causes of this death can be minimized by antenatal care which monitors the condition of the mother's pregnancy regularly to predict the risks that may arise so that preventive measures can be taken. The design used correlational research with a cross-sectional approach. The population in this research was all pregnant women aged 20-35 years who did antenatal care at Polindes Jatinom Kecamatan Kanigoro Kabupaten Blitar as many as 12 pregnant women. The sampling technique used accidental sampling. The sample was some of the pregnant women aged 20-35 years who did antenatal care at the time of the research as many as 12 pregnant women. Results: The result showed 67% was in the category of very satisfied and 75% of pregnant women had high motivation towards antenatal care. There was a correlation between the satisfaction of pregnant women on antenatal care services by midwife and  motivation to do antenatal care proven by the results of the Spearman Rank statistical test which showed the value of sig = 0,000. Midwives are expected to maintain and keep the quality of service, especially in providing antenatal care to pregnant women so that the needs of mothers during antenatal care are always satisfied.

scholarly journals ANALISIS HUBUNGAN SARANA, PENGETAHUAN, DAN SIKAP BIDAN PRAKTIK MANDIRI DENGAN KEPATUHAN MENJALANKAN STANDAR PELAYANAN ANTENATAL CARE DI KOTA PADANGSIDIMPUAN

2019 ◽  
Vol 2 (1) ◽  
pp. 27-33
Author(s):  
Megawati Sinambela ◽  
Evi Erianty Hasibuan
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Logistic Regression Analysis ◽  
Care Service ◽  
Multivariate Logistic Regression Analysis ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
The North

Antenatal care is a service provided to pregnant women to monitor, support maternal health and detect mothers whether normal or problematic pregnant women. According to the WHO, globally more than 70% of maternal deaths are caused by complications of pregnancy and childbirth such as hemorrhage, hypertension, sepsis, and abortion. Based on data obtained from the profile of the North Sumatra provincial health office in 2017, in the city of Padangsidimpuan in 2017 the coverage of ANC visits reached (76.58%) and had not reached the target in accordance with the 2017 Provincial Health Office strategy plan (95%). This type of research was an observational analytic study with a cross sectional design. The population in this study were independent practice midwives who were in the Padangsidimpuan, the sample in this study amounted to 102 respondents. The technique of collecting data used questionnaires and data analysis used univariate, bivariate and multivariate analysis with logistic regression analysis. Based on bivariate analysis showed that there was a relationship between facilities, knowledge and attitudes of independent midwives with compliance with the standards of antenatal care services with a value of p <0.05. The results of the study with multivariate logistic regression analysis showed that the factors associated with the compliance of independent midwives in carrying out antenatal care service standards were attitudes with values (p = 0.026).

Quantifying Pregnant Women’s Knowledge of Educational Components of Antenatal Care in Lesotho

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Rural Areas ◽  
Geographic Location ◽  
Sub Saharan Africa ◽  
World Health ◽  
Cross Sectional ◽  
Danger Signs ◽  
In Pregnancy

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.

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