Predictors and Utilization of Health Institution Services for Childbirth among Mothers in a Southern Nigerian City

Background. Poor maternal health indices, including high maternal mortality, are among Nigeria’s major public health problems. Most of these deaths can be prevented by timely access and utilization of maternity healthcare services by women. Aim/Objective. This study seeks to identify factors affecting the utilization of health facilities for the delivery of babies among mothers in Calabar, Cross River State, Nigeria. Methodology. The study was a community-based cross-sectional study. A structured questionnaire was administered to 422 women of reproductive age residents in the study area who had given birth at least once within the last five years prior to the survey using a multistage random sampling technique. Data generated were entered, coded, and analyzed using Statistical Packages for Social Sciences (SPSS version 22.0), and results were presented in tables and charts. Chi-squared tests and multiple logistic regression were used for the identification of variables associated with health facility-based delivery. Result. The mean age of respondents was 27.3 years (SD = 8.4). Fifty-two percent of the respondents utilized the health facility for delivery, 89.6% attended at least one antenatal clinic (ANC), and 18.9% completed at least 3 ANC sessions. There was a statistically significant association between health facility delivery and marital status ( P = 0.007 ), education ( P = 0.042 ), and family size ( P = 0.002 ). Older women (OR = 0.7, CI = 0.169–3.714), Christians (OR = 1.9, CI = 0.093–41.1), divorcees (OR = 3.7, CI = 0.00–0.00), and respondents who registered early (first trimester) for ANC (OR = 4.9, CI = 0.78–31.48) were found to be higher users of delivery services at the health facility. Conclusion. Community health intervention focusing on improving the knowledge and awareness of the significance of utilizing available delivery services at the healthcare facility should be developed and implemented.

Download Full-text

Utilisation and Perceptions of Cervical Cancer Screening Services

Africa Journal of Nursing and Midwifery ◽

10.25159/2520-5293/6228 ◽

2020 ◽

Vol 22 (1) ◽

Author(s):

Mercy Kokuro ◽

Abigail Kusi-Amponsah Diji

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Sampling Technique ◽

Healthcare Services ◽

Cross Sectional Study ◽

Reproductive Age ◽

Cross Sectional ◽

Screening Services ◽

Study Sites

Cervical cancer is the second most frequently diagnosed and the fourth commonest cause of cancer death among women worldwide. Even though cervical cancer is preventable, its screening rate has been reported to be low in Ghana. To the best of our knowledge, no study has focused on the utilisation and perceptions of cervical cancer among women in their reproductive age in Ghana. The present study aimed at assessing the utilisation and perceptions of cervical cancer screening services among women who seek reproductive healthcare services. A descriptive cross-sectional study was carried out among women aged 18 years and above. Using a two-stage sampling technique, 369 participants were selected from 2 out of 4 eligible study sites. Data on the perceptions and utilisation of cervical cancer screening services were collected following ethical approval. The data were collected using both English and Twi versions of the questionnaire. The data were descriptively and inferentially analysed. A few of the participants had been previously screened for cervical cancer (n = 69; 18.7%), while a greater proportion of the participants appropriately perceived the screening benefits (> 70%), and an equally greater percentage of them harboured negative perceptions which prevented them from engaging in such endeavours (> 80%). Significant differences in perception were, however, observed in two-fifths of the studied areas (6/14) among the screened and unscreened participants. Cervical cancer screening services were not utilised by the majority of the participating women. Screening was associated with socio-demographic characteristics such as marital status, parity, education, and employment status. Inappropriate perceptions on cervical cancer screening may account for the low utilisation of cervical cancer screening. Therefore, all-inclusive health education on the benefits of cervical cancer screening for both women and men should be a priority for stakeholders and all health organisations.

Download Full-text

Maternal healthcare services use in Mwanza Region, Tanzania: A cross-sectional baseline survey

10.21203/rs.2.15849/v3 ◽

2019 ◽

Author(s):

James Orwa ◽

Michaela Mantel ◽

Micheal Mugerwa ◽

Sharon Brownie ◽

Eunice Siaity Pallangyo ◽

...

Keyword(s):

Antenatal Care ◽

Health Facility ◽

Healthcare Services ◽

Facility Delivery ◽

Postpartum Care ◽

Reproductive Age ◽

Antenatal Visit ◽

Health Facility Delivery ◽

Maternal Healthcare ◽

Cross Sectional

Abstract Background: Improving maternal health by reducing maternal mortality/morbidity relates to Goal 3 of the Sustainable Development Goals. Achieving this goal is supported by antenatal care (ANC), health facility delivery, and postpartum care. This study aimed to understand levels of use and correlates of uptake of maternal healthcare services among women of reproductive age (15–49 years) in Mwanza Region, Tanzania. Methods: A cross-sectional multi-stage sampling household survey was conducted to obtain data from 1476 households in six districts of Mwanza Region. Data for the 409 women who delivered in the 2 years before the survey were analyzed for three outcomes: four or more ANC visits (ANC4+), health facility delivery, and postpartum visits. Factors associated with the three outcomes were determined using generalized estimating equations to account for clustering at the district level while adjusting for all variables. Results: Of the 409 eligible women, 58.2% attended ANC4+, 76.8% delivered in a health facility, and 43.5% attended a postpartum clinic. Women from peri-urban, island, and rural regions were less likely to have completed ANC4+ or health facility delivery compared with urban women. Education and early first antenatal visit were associated with ANC4+ and health facility delivery. Mothers from peri-urban areas and those who with health facility delivery were more likely to attend postpartum check-ups. Conclusion: Use of ANC services in early pregnancy influences the number of ANC visits, leading to higher uptake of ANC4+ and health facility delivery. Postpartum check-ups for mothers and newborns are associated with health facility delivery. Encouraging early initiation of ANC visits may increase the uptake of maternal healthcare services. Keywords: Antenatal care, health facility delivery, postpartum care, Mwanza, Tanzania

Download Full-text

Hearing healthcare gaps in LMICS: snapshot from a semi-urban community in Nigeria

African Health Sciences ◽

10.4314/ahs.v21i2.53 ◽

2021 ◽

Vol 21 (2) ◽

pp. 912-918

Author(s):

Adebolajo Adeyemo ◽

Segun Ogunkeyede ◽

Oluyinka Dania

Keyword(s):

Hearing Loss ◽

Urban Communities ◽

Healthcare Delivery ◽

Sampling Technique ◽

Healthcare Services ◽

Cross Sectional Study ◽

Traditional Healers ◽

Medical Intervention ◽

Cross Sectional ◽

Ear Diseases

Background: Low and middle-income countries (LMICs) have high prevalence of hearing loss which are mainly due to pre- ventable causes. While urban communities in LMICs are likely to have functional hearing healthcare delivery infrastructure, rural and semi-urban communities may have different reality. Objectives: This study aimed to provide: (i) a snapshot of the burden of ear diseases and (ii) a description of available hearing healthcare resources in a semi-urban Nigerian community. Methods: A cross-sectional study of households selected by multistage random sampling technique. Seventy-four partici- pants: 39 males and 35 females with mean age of 34 years ± 5.24 were recruited and answered a structured questionnaire. In addition, the availability of hearing healthcare services in 15 health centers within the community were determined. Results: All participants reported recent occurrence of ear complaints or gave similar history in a household member. Com- mon complaints were ear discharge, ear pain and hearing loss. Medical intervention was sought from patent medicine stores, hospitals and traditional healers. None of the assessed hospitals within the study site was manned by an ENT surgeon or ENT trained nurse. Conclusion: Despite the heavy burden of ear complaints there is inadequate hearing healthcare delivery in a typical LMIC community. This highlights the need for urgent improvement of hearing healthcare. Keywords: Hearing loss; healthcare delivery; disease burden; ear diseases; developing countries.

Download Full-text

Psychiatric Caseness and its Obstetric Correlates in Pregnant Population Attending Antenatal Clinic in TUTH

Journal of Psychiatrists Association of Nepal ◽

10.3126/jpan.v3i2.12383 ◽

2015 ◽

Vol 3 (2) ◽

pp. 20-24 ◽

Cited By ~ 1

Author(s):

J Regmee ◽

S P Ojha ◽

M Chapagain ◽

P Tulachan ◽

N Ojha

Keyword(s):

Psychiatric Illness ◽

First Trimester ◽

Antenatal Clinic ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Pregnant Females ◽

Obstetric History ◽

Social Settings ◽

Health And Development

Background: Prevalence rates for psychiatric disorders during pregnancy have been found to range from 6-13%. Psychiatric caseness during pregnancy not only affects the mother but also affects the health and development of the child. Various factors have been found to be associated with psychiatric caseness in different cultural and social settings including obstetric history. Objective: To evaluate the relation of obstetric history in pregnant population with psychiatric caseness.Methods: This is a cross sectional study with a total of 300 sample collected within 6 months in antenatal clinic of obstetric OPD, TUTH using semi-structured proforma and SRQ-24. Results: 15% of the pregnant women could be labeled as psychiatric cases. Trimester and, complication during current pregnancy showed statistically significant association with psychiatric caseness. Conclusion: As 15% of pregnant ANC attendees were found to be having psychiatric illness, it can be recommended that pregnant females be routinely screened for the possibility of psychiatric caseness especially if it is the first trimester or complication during this pregnancy is noted.J Psychiatric Association of Nepal Vol .3, No.2, 2014, pp:20-24DOI: http://dx.doi.org/10.3126/jpan.v3i2.12383

Download Full-text

Maternal healthcare services use in Mwanza Region, Tanzania: a cross-sectional baseline survey

BMC Pregnancy and Childbirth ◽

10.1186/s12884-019-2653-4 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

James Orwa ◽

Michaela Mantel ◽

Micheal Mugerwa ◽

Sharon Brownie ◽

Eunice Siaity Pallangyo ◽

...

Keyword(s):

Health Facility ◽

Urban Areas ◽

Healthcare Services ◽

Facility Delivery ◽

Reproductive Age ◽

Baseline Survey ◽

Antenatal Visit ◽

Health Facility Delivery ◽

Maternal Healthcare ◽

Cross Sectional

Abstract Background Improving maternal health by reducing maternal mortality/morbidity relates to Goal 3 of the Sustainable Development Goals. Achieving this goal is supported by antenatal care (ANC), health facility delivery, and postpartum care. This study aimed to understand levels of use and correlates of uptake of maternal healthcare services among women of reproductive age (15–49 years) in Mwanza Region, Tanzania. Methods A cross-sectional multi-stage sampling household survey was conducted to obtain data from 1476 households in six districts of Mwanza Region. Data for the 409 women who delivered in the 2 years before the survey were analyzed for three outcomes: four or more ANC visits (ANC4+), health facility delivery, and postpartum visits. Factors associated with the three outcomes were determined using generalized estimating equations to account for clustering at the district level while adjusting for all variables. Results Of the 409 eligible women, 58.2% attended ANC4+, 76.8% delivered in a health facility, and 43.5% attended a postpartum clinic. Women from peri-urban, island, and rural regions were less likely to have completed ANC4+ or health facility delivery compared with urban women. Education and early first antenatal visit were associated with ANC4+ and health facility delivery. Mothers from peri-urban areas and those who with health facility delivery were more likely to attend postpartum check-ups. Conclusion Use of ANC services in early pregnancy influences the number of ANC visits, leading to higher uptake of ANC4+ and health facility delivery. Postpartum check-ups for mothers and newborns are associated with health facility delivery. Encouraging early initiation of ANC visits may increase the uptake of maternal healthcare services.

Download Full-text

Women’s knowledge and participation in early detection of cervical cancer: a cross-sectional study

Journal of Health Technology Assessment in Midwifery ◽

10.31101/jhtam.880 ◽

2020 ◽

Vol 3 (1) ◽

pp. 1-7

Author(s):

Elia Ika Rahmawati ◽

Dini Andriyani ◽

Fathiyatur Rohmah

Keyword(s):

Cervical Cancer ◽

Early Detection ◽

Sampling Technique ◽

Cross Sectional Study ◽

Reproductive Age ◽

P Value ◽

Women Of Reproductive Age ◽

Chi Square ◽

Cross Sectional ◽

Incidence And Mortality

Cervical cancer is a malignant disease that remains a major cause of morbidity and mortality among women in the world. In Indonesia, only 5% of women of reproductive age screen for cervical cancer. 76.6% of cervical cancer patients are detected with the disease when they entered the advanced stage. Early detection of cervical cancer is the key intervention in the reduction of incidence and mortality of cervical cancer. Other studies reported that the awareness of women of reproductive age to do cervical cancer screening is still very low due to a lack of knowledge about cervical cancer. This study aimed to determine the correlation of knowledge and participation in early detection of cervical cancer in women in reproductive age. This study used an analytical survey with a cross-sectional approach. The sampling technique used incidental sampling with a total of 36 women in reproductive age. Data analysis used Chi-Square test. Statistical results showed that there was a significant correlation between knowledge of women in reproductive age about cervical cancer and participation in early detection of cervical cancer, which is p value = 0.020 ( 0.05) and coefficient of contingency (r) = 0.423. The level of closeness of the correlation is medium. Therefore, there is a need for tailored services that could improve knowledge of women in reproductive age about cervical cancer to improve participation with a view to preventing cervical cancer by early detection.

Download Full-text

Pattern of knowledge and consumption of iron among teachers of reproductive age group in Jammu region: a cross sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20202462 ◽

2020 ◽

Vol 7 (6) ◽

pp. 2150

Author(s):

Neha Choudhary ◽

Preeti Manhas ◽

Akash Narangyal ◽

Rohan Singh Manhas

Keyword(s):

Associated Factors ◽

Family Income ◽

Sampling Technique ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Reproductive Age ◽

Age Group ◽

Cross Sectional ◽

Intergenerational Cycle ◽

Teacher's Knowledge

Background: Iron deficiency is caused by a persisting imbalance between a person’s dietary intake and body’s physiological demand of iron. A catch hold of these causes needs to be undertaken to break the intergenerational cycle of anaemia as well as recurrent infections associated with it. Objectives was to assess knowledge and consumption of iron among teachers in the reproductive age group.Methods: 110 school teachers were selected from selected government and private schools (primary/middle/ secondary/higher secondary) by simple random sampling technique. Teacher’s knowledge and consumption of iron consumption and associated factors was studied using a pre- tested; self- administered questionnaire.Results: 58.3% teachers were in the 30-39 year age group. Maximum were married 85.45%, 61.81% were post- graduates and 42.72% were in higher-secondary schools. 60.90% had a family income of >Rs 30000. 70.90% believed foods are the best source of iron. 57.27%, 53.63% believed menstruation effects body source of iron. 80.90% and 85.45% believed that iron has a role in pregnancy and iron rich foods and tablets are sufficient to maintain its body stores.Conclusions: IEC activities needs to be conducted among different strata of population so that the intake of iron could be increased and associated factors effecting its intake and absorption could be taken care of.

Download Full-text

Factors associated with level of birth preparedness among pregnant mothers at Kerugoya county referral hospital

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20174808 ◽

2017 ◽

Vol 4 (11) ◽

pp. 3998

Author(s):

Olive W. Karimi ◽

Mary W. Murigi ◽

Anne Pertet ◽

Careena O. Odawa

Keyword(s):

Antenatal Care ◽

Statistical Significance ◽

Sampling Technique ◽

Cross Sectional Study ◽

Reproductive Age ◽

Birth Preparedness ◽

Maternal Child Health ◽

Chi Square ◽

Cross Sectional ◽

Awareness Campaigns

Background: Birth preparedness is the advance preparation made by an expectant mother which ensures access to skilled care. In Africa, the risk of pregnancy related deaths is 300 times more than in the developed world. In Kenya, out of 10 expectant mothers who access antenatal care services only 4 deliver in a health facility.Methods: This was a descriptive cross sectional study conducted at outpatient Maternal Child Health and Family Planning Clinic at Kerugoya County Hospital. The study utilized convenience sampling technique to determine the study population. The research instruments were an In-depth interview guide and semi-structured questionnaires. Data was managed using SPSS and analysis done using descriptive statistics and Chi-square tests. Statistical significance was set at p<0.05.Results: A sample of 202 women participated in the study. 47.5% of the participants were adequately prepared for birth. Having a higher level of education was significantly associated with birth preparedness (p=0.021). The number of children per woman had a significant influence on level of birth preparedness with women who had no children less likely to be prepared for birth compared to those with one or more children (p=0.002). Clients who attended Antenatal Care (ANC) at least 3 times were prepared for birth compared to those who visited either once or twice (p=0.027).Conclusions: Overall, women of reproductive age lack birth preparedness. There is therefore need to enhance birth preparedness awareness campaigns at ANC visits targeting women in their third trimester.

Download Full-text

Maternal healthcare services use in Mwanza Region, Tanzania: A cross-sectional baseline survey

10.21203/rs.2.15849/v1 ◽

2019 ◽

Author(s):

James Orwa ◽

Michaela Mantel ◽

Micheal Mugerwa ◽

Sharon Brownie ◽

Eunice Siaity Pallangyo ◽

...

Keyword(s):

Health Facility ◽

Urban Areas ◽

Healthcare Services ◽

Facility Delivery ◽

Reproductive Age ◽

Baseline Survey ◽

Antenatal Visit ◽

Health Facility Delivery ◽

Maternal Healthcare ◽

Cross Sectional

Abstract Background Improving maternal health by reducing maternal morbidity and mortality relates to Goal 3 of the Sustainable Development Goals. Achieving this goal is supported by antenatal care (ANC), health facility delivery, and postpartum care. This study aimed to understand levels of use and correlates of uptake of maternal healthcare services among women of reproductive age (15–49 years) in Mwanza Region, Tanzania.Methods A cross-sectional multi-stage sampling household survey was conducted to obtain data from 1476 households in six districts of Mwanza Region. Data for the 409 women who delivered in the 2 years before the survey were analyzed for three outcomes: four or more ANC visits (ANC4+), health facility delivery, and postpartum visits. Factors associated with the three outcomes were determined using generalized estimating equations to account for clustering at the district level while adjusting for all variables.Results Of the 409 eligible women, 58.2% attended ANC4+, 76.8% delivered in a health facility, and 43.5% attended a postpartum clinic. Women from peri-urban, island, and rural regions were less likely to have completed ANC4+ or health facility delivery compared with urban women. Education and early first antenatal visit were associated with ANC4+ and health facility delivery. Mothers from peri-urban areas and those who with health facility delivery were more likely to attend postpartum check-ups.Conclusion Use of ANC services in early pregnancy influences the number of ANC visits, leading to higher uptake of ANC4+ and health facility delivery. Postpartum check-ups for mothers and newborns are associated with health facility delivery. Encouraging early initiation of ANC visits may increase the uptake of maternal healthcare services.

Download Full-text

Self-medication among pregnant women attending antenatal clinic at Tertiary Care Center of Nepal

Janaki Medical College Journal of Medical Science ◽

10.3126/jmcjms.v8i2.33971 ◽

2020 ◽

Vol 8 (2) ◽

pp. 5-10

Author(s):

Ajit Kumar Sah ◽

Anish Giri ◽

Anjan Palikhey ◽

Roshan Kumar Chaurasiya ◽

Sudeep Kumar Yadav

Keyword(s):

Pregnant Women ◽

Care Center ◽

Tertiary Care ◽

Antenatal Clinic ◽

Cross Sectional Study ◽

Reproductive Age ◽

Tertiary Care Center ◽

Self Medication ◽

Cross Sectional ◽

Tract Infections

Background and Objectives: Self-medication can cause significant challenges for the individuals and community, especially in women during pregnancy. The aim of this study was to evaluate the prevalence of self-medication among the pregnant women attending antenatal clinic in a tertiary care center of Nepal. Material and Methods: In this cross-sectional study, a total of 225 pregnant women were evaluated for the prevalence of self-medication during pregnancy. Descriptive statistics and chi-square tests were used for statistical analysis of data. Results: The results showed that the prevalence of self-medication, in pregnant women was 41.3%. The leading illness/ symptoms which led to self-medication among pregnant women attending clinic were to relieve headaches 29 (31.2%), cough 21 (22.6%), vomiting 13 (14%), treat fever 11 (11.8%), urinary tract infections 11 (11.8%) and drugs commonly reported for self-medication were paracetamol (30.10%), cough remedies (19.30%), antiemetics (16.13%), analgesics (10.75%). Conclusion: Prevalence of self-medication among pregnant women is high in Nepal. This is a threat to the safety of the developing foetus and the pregnant woman. Therefore, it seems necessary to provide public trainings for all women of reproductive age and train them about the dangers and side effects of self-medication.

Download Full-text