Gestational Diabetes Mellitus Knowledge Among Women of Reproductive Age in Southern Nigeria: Implications for Diabetes Education

2019 ◽  
Vol 40 (3) ◽  
pp. 177-183 ◽  
Author(s):  
Rosemary N. Ogu ◽  
Omosivie Maduka ◽  
Vetty Agala ◽  
Folusho Alamina ◽  
Obelebra Adebiyi ◽  
...  

Background Diabetes mellitus (DM) has attained the status of an epidemic in slow motion. Gestational DM (GDM) is a subtype of DM, which occurs in pregnancy. As part of a baseline assessment, the knowledge of GDM was determined among women of reproductive age. Methods The study was a descriptive cross-sectional household survey involving 2,595 women of reproductive age residing in five local government areas in Southern Nigeria. It employed a multistage sampling technique to collect data using an interviewer administered questionnaire built using Open Data Kit software uploaded on android mobile phones. Results The response rate was 100%. Mean age was 29.25 ± 7.11 years. The majority (2,351; 90.6%) had heard about DM but only 991 (38.2%) knew that diabetes can occur for the first time in pregnancy. Only 747 (28.8%), 929 (35.8%), and 790 (30.4%) respondents had good knowledge scores for GDM definition and risk factors, GDM screening diagnosis and treatment, and GDM complications, respectively. Only 681 (26.2%) had good overall knowledge of GDM. The major sources of knowledge of GDM were from friends (49.8%), health workers (34.6%), and mass media (10.4%). Residence in two urban local government areas (adjusted odds ratio [adj OR] = 1.79; 95% confidence interval [CI] = 1.36–2.34 and adj OR = 1.89; 95% CI = 1.37–2.61), being married (adj OR = 1.50; 95% CI = 1.16–1.95), and having been pregnant (adj OR = 2.69; 95% CI = 1.99–3.64) positively predicted good overall knowledge of GDM. Conclusion These results underscore the need for diabetes information and education activities on a large scale targeted at women of reproductive age and their partners for the prevention and control of GDM.

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Befikaduwa Zekarias ◽  
Frehiwot Mesfin ◽  
Bezatu Mengiste ◽  
Adane Tesfaye ◽  
Lemma Getacher

Background. Iodine deficiency disorder is a major public health problem in Ethiopia that is more common in women of reproductive age. However, it is not well addressed and there is a lack of information on its prevalence and associated factors in women of reproductive age group. Therefore, the objective of this study was to assess goiter prevalence and associated factors among women of reproductive age in the Demba Gofa woreda, Gamo Gofa Zone, Southwest Ethiopia. Methods. A community-based cross-sectional study was used among 584 randomly selected women in the reproductive age group from February 05 to April 20, 2016. A simple random sampling technique was used to select the study kebeles, and a systematic random sampling technique was used to select the study samples. Data were collected through a pretested questionnaire, and the goiter examination was done clinically for each participant. The collected data were coded and entered into a computer for statistical analysis using EpiData version 3.2 and analyzed using SPSS version 20. Variables with a P value ≤0.25 in bivariate logistic regression analysis were entered into multivariate logistic regression analysis, and finally, variables with a P value <0.05 in multivariate logistic regression were considered significantly associated with the dependent variable. Results. The total goiter rate was 43%, 95% CI = 39.2–46.9. Cassava consumption (AOR: 2.02, 95% CI: 1.03–4), salt wash before use (AOR: 3.14, 95% CI: 1.1–11.3), salt use after >2 months of purchase (AOR: 11, 95% CI: 5–26), family history of goiter (AOR: 4.6, 95% CI: 1.4–15.8), and poor knowledge of iodized salt (AOR: 2.7, 95% CI: 1.4–5.5) were significant factors associated with goiter. Conclusion. Iodine deficiency was found to be severe in women of reproductive age in the study area. This showed that women of reproductive age, especially during pregnancy, are exposed to iodine deficiency and its adverse effects at delivery. Thus, they need urgent supplementation with iodine, improved access to foods rich in iodine, and intake of iodized salt. Additionally, health education should focus on the importance of iodized salt, the proper method of use, and the prevention of iodine deficiency, which are highly recommended to minimize the problem.


2020 ◽  
Vol 3 (1) ◽  
pp. 1-7
Author(s):  
Elia Ika Rahmawati ◽  
Dini Andriyani ◽  
Fathiyatur Rohmah

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.


2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Ali Mohammad Mir ◽  
Mohammad Saleem Shaikh ◽  
Siti Nurul Qomariyah ◽  
Gul Rashida ◽  
Mumraiz Khan ◽  
...  

Background.We aimed to assess the feasibility of using community-based informants’ networks to identify maternal deaths that were followed up through verbal autopsies (MADE-IN MADE-FOR technique) to estimate maternal mortality in a rural district in Pakistan.Methods. We used 4 community networks to identify deaths in women of reproductive age in the past 2 years in Chakwal district, Pakistan. The deaths recorded by the informants were followed up through verbal autopsies.Results. In total 1,143 Lady Health Workers (government employees who provide primary health care), 1577 religious leaders, 20 female lady councilors (elected representatives), and 130 nikah registrars (persons who register marriages) identified 2001 deaths in women of reproductive age. 1424 deaths were followed up with verbal autopsies conducted with the relatives of the deceased. 169 pregnancy-related deaths were identified from all reported deaths. Through the capture-recapture technique probability of capturing pregnancy-related deaths by LHWs was 0.73 and for religious leaders 0.49. Maternal mortality in Chakwal district was estimated at 309 per 100,000 live births.Conclusion. It is feasible and economical to use community informants to identify recent deaths in women of reproductive age and, if followed up through verbal autopsies, obviate the need for conducting large scale surveys.


2018 ◽  
Vol 27 (1) ◽  
pp. 36-40
Author(s):  
Razia Sultana ◽  
Syeda Rumana Hoque ◽  
Umme Jamila Akter Manni ◽  
Md Motlabur Rahman ◽  
Pankaj Kanti Datta ◽  
...  

Background/context: Dietary diversity (DD) is universally recognized as a key component of healthy diets. Healthy diet is one of the most important determinants that can influence nutritional status of women of reproductive age. Materials and Methods: This cross sectional study was conducted in Shitpara village of Sreepur Upazila under Gazipur district during February to June 2013 to assess the dietary diversity and nutritional status of women of reproductive age. Convenient sampling technique was adopted to select 181 women. Interview schedule & checklist used as research instrument. Results: The mean(+/-s.d.)age of the respondents was 27.45+/-9.38 years, 133(80%) of them were married and 176(97.2%) are literate. Mean family size was 5.34+/- 2.386 persons and mean family income was 9611.05 Taka per month. Among 133 married women, 68(51%) have 2 or less than two children. Their mean(+/-s.d.) dietary diversity score was 5.13+/- 1.19 and majority 149(82%) of them having medium dietary diversity tercile (4-6). All of them ate carbohydrate types of food, 174(96.1%) protein rich foods & 83(45.9%) vit.A rich vegetables & fruits. Their mean BMI was 22.35 +/- 3.71 kg/ m2. Majority 118 (65%) of them having normal BMI and 22(12%) are under weight. Only 6(3%) of them are obese. Thoughdietary diversity was medium (4-6); relationship between dietary diversity and nutritional status could not be established. Conclusion:The qualitative measurement of dietary diversity is not sufficient enough to identify women at risk of under- or over nutrition. J Dhaka Medical College, Vol. 27, No.1, April, 2018, Page 36-40


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Mtondera Munthali ◽  
Isabel Kazanga Chiumia ◽  
Chrispin Mandiwa ◽  
Saul Mwale

Abstract Background Preconception care is one of the preventive strategies in maternal and new-born health as recommended by WHO. However, in sub-Saharan Africa there is poor preconception care practices. This study examined knowledge and perceptions of preconception care among health workers and women of reproductive age group in Mzuzu City, Malawi. Methods A descriptive cross-sectional study was conducted using a mixed methods approach. Selection of respondents was done through a multistage and purposive sampling techniques respectively. A total of 253 women of reproductive age from nine townships of Mzuzu City responded to the questionnaire and 20 health workers were interviewed. Results A total of 136 (54%) respondents had heard of preconception care. About 57.7% (n = 146) demonstrated a good level of knowledge of preconception care while 42.3% (n = 107) had poor knowledge. About 72% (n = 105) of those with good of knowledge of preconception care, lacked awareness on possibilities of talking to a health care provider on intentions of getting pregnant. About 74.7% (n = 189) of women had a positive perception towards preconception care. Knowledge of preconception care was a good predictor of positive perception (AOR = 2.5; 95% CI 1.2–5.0), however its predictability was influenced by the academic level attained. Those with secondary (AOR = 10.2; 95% CI 3.2–26.2) and tertiary (AOR = 2.3; 95% CI 1.1–4.9) were more likely to have good knowledge of preconception care than those with primary school education level. About 95% (n = 19) of health workers lacked details about preconception care but they admitted their role in preconception care. Conclusion Preconception care practice among health workers and women of reproductive age in Mzuzu City was low. However there was positive perception towards preconception care in both parties. There is an opportunity in existing platforms for implementation of interventions targeting identified predictors for increased knowledge and uptake of preconception care.


2020 ◽  
Vol 2 (2) ◽  
pp. 18
Author(s):  
Afrida Setia Ningsih ◽  
Sugiarto Sugiarto

Based on data from the Jambi City Environmental Service, it is known that from 11 Districts in Jambi City, the percentage of landfills in Teluk Teluk District is in the first place, which is 71%. The research objective was to determine the factors associated with household waste management in Danau Teluk District, Jambi City. This research is a quantitative study with a cross sectional design. The research sample was 94 housewives who lived in Danau Teluk District, Jambi City using simple random sampling technique. This study was analyzed by univariate and bivariate analysis using the chi-square test. The instrument used was a questionnaire. The results showed that as many as 76.6% of respondents had good knowledge, 21.3% had sufficient knowledge and 2.1% had low knowledge, 91.5% of respondents had good facilities and infrastructure and 8.5% had good facilities and infrastructure. poor infrastructure, 75.5% of respondents have high motivation and 24.5% have low motivation and 60.6% have a role in the role of health workers while 39.4% do not play a role of health workers. The results of the bivariate analysis show that there is no relationship between knowledge (0.631) and facilities and infrastructure (0.911), while for the motivation variable (0.001) and the role of officers (0.002) there is a relationship with household waste management in Danau Teluk District, Jambi City in 2020. encouragement or support from family, closest people and health workers or the local government or local government to be able to advocate / invite the community to no longer be accustomed to littering or burning garbage to be behavior that pays more attention to the surrounding environment


Author(s):  
Sinduja Saravanan ◽  
Rakesh Maiya ◽  
R. M. Waseem Akram ◽  
Timsi Jain

Background: India was the first country to have launched a National Program for Family Planning in 1952, but still there is no control on population growth. The objective was to assess the knowledge, attitude and practices of contraceptives among married women in semi urban area of Tamil Nadu.Methods: A community based cross sectional study was conducted in a semi urban area of Tamil Nadu. Married women of reproductive age (15-49) were included. Purposive sampling technique was used to select the subjects and self-administered questionnaire was used as study tool.Results: In this study about 91.80% were aware of at least one of the contraceptive methods but only 64.75% women used. The most common reason for using contraception was small family norms (75.89%) and for not using contraception was worried about side effects. The method commonly preferred was sterilisation (63.93%). The process of decision making was done mutually by both husband and wife (76.79%). There is an association existing between the education and awareness.Conclusions: On overall analysis it was found that only 49% are aware of contraception. Thus by proper motivation, counselling and improving facilities at both government and private sector, the unmet needs of contraception can be achieved.


2019 ◽  
Vol 3 (2) ◽  
pp. 85
Author(s):  
Novita Setyowati ◽  
Puguh Santoso

Pencegahan komplikasi penyakitpada Penderita DM memerlukan peran keluarga sebagai mitra petugas kesehatan denganmengontrol regulasi kadar glukosa darah. Tujuan penelitian ini untuk mengetahui  pengaruh peran keluarga terhadap regulasi kadar gula darah. Penelitian ini merupakan kuantitatif deskriptif korelasi dengan pendekatan cross sectional. Populasi penelitian adalah penderita diabetes mellitus di Puskesmas Balowerti kota kediri sebanyak 90 orang. Sampel penelitian yang ditentukan menggunakan teknik purposive  sampling.Pengumpulan data penelitian menggunakan kuesioner, sedangkan analisis data menggunakan uji chi squarePenelitian dilaksanakan pada bulan Mei 2019 sampai dengan Juni 2019. Hasil pengujian dengan menggunakan uji korelasi sederhana , dengan chi square menunjukkan (p=0,005) yang berarti ada hubungan peran keluarga  mempunyai hubungan yang signifikan terhadap  regulasi kadar gula dalam darah penderita DM. Disarankan perlunya bimbingan dan penyuluhan pada penderita tentang latihan jasmani, diit yang sehat, berhenti merokok, penggunaan obat antidiabetik dan efek sampingnya, serta pentingnya control gula darah, meningkatkan informasi tentang DM, komplikasi, dan penanggulangannya. Kata kunci: Peran keluarga, regulasi kadar gula darah, diabetes melitus Abstract The Effect Of Role Of Family On Regulation Levels Of Sugar Blood Patients DM. Prevention of disease complications in DM sufferers requires the role of the family as partners of Health workers by controlling the regulation of blood glucose levels. The purpose of this study was to determine the effect of the role of the family on the regulation of blood sugar levels.This research is a quantitative descriptive correlation with the cross approach sectional. The study population was people with diabetes mellitus at the health center Balowerti city of Kediri as many as 90 people. The research sample was determined using a purposive sampling technique. The collection of research data using a questionnaire, while the analysis of data using the chi square test The study was conducted in May 2019 to June 2019.   The test results using a simple correlation test, with chi square shows (p = 0.005) so that Ho is rejected and Hı is accepted, which means there is a relationship between the role of the family has a significant relationship to the regulation of blood sugar levels in patients with DM. Suggested the need for guidance and counseling to sufferers about physical exercise, healthy diet, smoking cessation, the use of antidiabetic drugs and their side effects, as well as the importance of blood sugar control, increasing information about DM, complications, and prevention. Keywords : The role of the family, regulation of blood sugar levels, diabetes mellitus


2015 ◽  
Vol 6 (2) ◽  
pp. 61-63 ◽  
Author(s):  
Farhana Salim ◽  
Nasreen Begum

Objective : To assess the nutritional status and the level of knowledge about nutrition during pregnancy among pregnant and postpartum women attended community clinics in selected villages.Methods : This descriptive, cross-sectional study was done in three selected villages of Sirajganj, Kishoreganj and Tangail districts during July 2014. Fifty six pregnant and 46 postpartum women were selected from community clinics by purposive sampling technique. Data were collected through face to face interview by a pretested questionnaire. Height and weight were measured to calculate BMI health workers of community clinic.Results : The results of the study revealed significant number (23.5%) of pregnant women were found to be underweight by calculating the BMI. However, knowledge about the consequences of malnutrition in pregnancy, and the amount and types of food to be taken during pregnancy was found unsatisfactory. The level of education and occupation were not significantly associated with nutritional status of the respondents.Conclusion : The study revealed that high percentage of rural mothers was malnourished and the knowledge about nutrition during pregnancy was found unsatisfactory. Therefore, implementation of nutritional programs with specific emphasis on nutritional education in pregnancy during the antenatal visits is considered essential for rural women.Northern International Medical College Journal Vol.6(2) 2015: 61-63


2019 ◽  
Vol 6 (1) ◽  
pp. 49-54
Author(s):  
Reena Bhagat

Introductions: Unwanted pregnancies and maternal deaths can be avoided by use of family planning (FP) services. Use of modern methods of contraceptive among married women age 15-49 years in Nepal is 43%. Generally, fertility is higher among women in rural areas than in urban. This study aims to assess the awareness and practice of FP services among married women of reproductive age in a Rural Municipality of Saptari district, Nepal. Methods: Cross-sectional study with two stage sampling technique through face-to-face interview using structured questionnaire interview schedule in local language, Maithili, was done to find out awareness and practice regarding FP services in married women of 15-49 years in a Municipality of Saptari district, province 2, Nepal, from April 2018 to March 2019. Descriptive and inferential data analysis done using SPSS version16.0 software. Results: Out of 280 respondents, 257 (91.78%) had adequate awareness regarding FP services, 167 (59.64%) were current FP users, 125 (74.85%) practiced female sterilization and 39 (23.35%) used temporary methods. Common reason for not using temporary FP methods included side effects 103 (90%). Level of awareness regarding FP services was not significantly associated with their practices. Conclusions: Majority of respondents had adequate awareness regarding family planning services but FP practice was low.


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