scholarly journals Barriers to using skilled birth attendants’ services in mid- and far-western Nepal: a cross-sectional study

Author(s):  
Bishnu Choulagai ◽  
Sharad Onta ◽  
Narayan Subedi ◽  
Suresh Mehata ◽  
Gajananda P Bhandari ◽  
...  
1970 ◽  
Vol 7 (1) ◽  
pp. 48-53
Author(s):  
Sheh Mureed ◽  
Muhammad Hassan Gandro ◽  
Walid Hassan

Background: Globally, 3.1 million newborn deaths occur every year out of these estimated 400,000 neonatal deaths occur in Pakistan. All neonatal deaths 99% take place in poorest region and countries of the world, usually within hours of birth; mostly the cause of neonatal deaths is hypoxia. To access knowledge and practice of SBAs regarding HBB and to access the availability of equipments required for HBB. Methods: Descriptive Cross-Sectional Study on SBAs as trained in HBB. All 46 SBAs trained on HBB working in Labour room eight rural Health centers, four Taluka, One district Head Quarter Health Facilities and thirteen Mlbcs of the district, were included in the sample for study. All 41 SBAs were trained on HBB participated in the study. Results: Mean age of 30 years. Out of total 41 participants 25 were working in B-EmoNC (61%), 3in C-EmoNC (7.3%) and 13 in mid wife laid birth Centre (MLBC) or birth station (31.7%). About 92.7% of participants said that main purpose of HBB training is to decrease the NMR by improving newborn care. Drying of newborn is 82.7%, hand washing is 95.12% and 85.3% of the study participants said that they gave 30-40 breaths per minutes. Cord clamp and pair of ties was accessible to 85% of participants versus 14.3% who reported it's not accessible. Almost one quarter (34.1%) participants have low knowledge and practice. Knowledge and training had significant effect on the overall practices of the skilled birth attendants for skilled birth deliveries and reduce the neonatal deaths (P <0.001). Conclusion: Tools play a vital role for the implication of the knowledge into practices and tools were available almost to every participant. Although few barriers also identified for the less application of the helping hand babies trainings in the community.


2020 ◽  
Author(s):  
Tenaw Lebeza ◽  
Melese Linger Endalifer

Abstract Background: The maternal mortality rate is 412 per 100,000 live births in Ethiopia which is the highest in the world. Skilled birth attendance during childbirth and immediate postpartum care can prevent 75% of maternal mortality but women are not willing to deliver in the health institutions due to ignorance of their sensitive issues by health professionals. Additionally, the care given in the health institution is not psychologically supportive of what they need. Therefore, this study aimed to assess the level of abusive maternal care and associated factors during childbirth in North Wollo Hospitals, Northeast Ethiopia.Methods: Institutional based cross-sectional study design was implemented in 2018 with a sample size of 394. Stratified systematic random sampling was applied to select the study participants. Data was collected by using a structured questionnaire adapted from the White Ribbon Alliance Declaration of women's right during childbirth. Data were entered by EPI- data version 3.1 and analysed by using SPSS version 23. Bivariate and multivariable logistic regression analyses were carried out. Model fitness was assured.Result: The level of abusive care among childbearing women was 47.1%. Women who attended their childbirth at general hospital (AOR =0.13, 95% CI: 0.06, 0.26), women who had no antenatal care (AOR =2.08, 95% CI: 1.27, 3.39) and women who had two birth attendants (AOR =0.56, 95% CI: 0.35, 0.92) were significant association with abusive maternal care.Conclusion: The level of abusive maternal care in health institutions is high as compared to national and international standards. Women who attend their childbirth at general hospitals, having antenatal care and the number of birth attendants were factors associated with abusive maternal care. The interventions better to focus on increasing pregnant women’s ANC follow up. The health institutions also better increase the number of professional skilled birth attendants to address women’s concerns during childbirth.


2021 ◽  
Vol 15 (10) ◽  
pp. 2629-2630
Author(s):  
Tabassam Zia ◽  
Yasmin Saggu ◽  
Zarnigar . ◽  
Tahira Perveen ◽  
Saima Riaz ◽  
...  

Aim: To assess the practices of SBAs about AMTSL working in labour room at tertiary level of care in-order to minimize the accidence of PPH. Study Design: Cross-sectional descriptive study. Methodology: This study with enrolled SBAs (n=120) was done following ethical review committee’s (ERC) approval at Government tertiary care hospitals of the Lahore-Pakistan. For data collection a WHO standardized check list as a questionnaire was used to assess the practices of SBAs. Results: Results showed that there were gaps in competencies of SBAs about AMTSL working in labour room. Most of the steps that are S1, S3, S4, S8, S12, S13, S14 and S15 were not done by the majority of the SBA working in labour room. Almost 12 (10%) out of 120 SBAs just got 60% and above marks, 100 (83.3%) out of 120 got marks between40 to 59% and only 8 (6.7%) got less than 40% marks. Conclusion: We concluded that SBAs had unsatisfactory knowledge about standardized check list of AMTSL by WHO and their practices were not according to standard. Keywords: Skilled Birth Attendants, Labour Stages, Post-partum Haemorrhage and Practices.


2013 ◽  
Vol 53 (3) ◽  
pp. 177 ◽  
Author(s):  
Kusharisupeni Kusharisupeni ◽  
Wahyu Kumia Y. Putra ◽  
Engkus Kusdinar Achmad

Background In several provinces of Eastern Indonesia, themajority of births take place at home (60%) and are assisted bytraditional birth attendants. Most of these newborns do not havetheir birth weight recorded, due to lack of available weighing scalesor lack of skill to perform the measurement, especially in ruralareas. As such, an early iden tification oflow birth weight cases isneeded to prevent infan t morbidity and mortality.Objective To assess anthropometric measurements including calf,chest, and h ead circumferences as a method of choice for detectinglow birth weight, as substitute for actual weighing.Methods This cross-sectional study was performed at BanjarBarn, South Kalimantan, Indonesia, from January to March 2012.Subjects were full term, singleton, and live-born infants duringthe study period, and obtained from private clinics by a purposivesampling procedure. Calf, chest, and h ead circumferences weremeasured to identify the most suitable substitute for birth weightusing Pearson's correlation, ROC, sensitivity, and specificity.Results In this study, a correlation was shown between birthweight and all anthropometric measurements. Optimal calf,chest, and head circumference cutoff points to identify low birthweight infants were 10.3 cm, 30. 7 cm, and 3 1.2 cm, respectively.The area under the curves (AUC) showed good accuracy for allmeasuremen t types. Calf circumference had the closest estimatedtrue prevalence to the true prevalence (8.52% and 8.6%, respectively)compared to the other measurement types.Conclusion Calf circumference is the most suitable measurementas a substitute for birth weight, due to its estimated trueprevalence.


2021 ◽  
Author(s):  
Lebeza alemu tenaw ◽  
Melese Linger Endalifer

Abstract Background: The maternal mortality rate is 412 per 100,000 live births in Ethiopia which is the highest in the world. Skilled birth attendance during childbirth and immediate postpartum care can prevent 75% of maternal mortality but women are not willing to deliver in the health institutions due to ignorance of their sensitive issues by health professionals. Additionally, the care given in the health institution is not psychologically supportive of what they need. Therefore, this study aimed to assess the level of abusive maternal care and associated factors during childbirth in North Wollo Hospitals, Northeast Ethiopia.Methods: Institutional based cross-sectional study design was implemented in 2018 with a sample size of 394. Stratified systematic random sampling was applied to select the study participants. Data was collected by using a structured questionnaire adapted from the White Ribbon Alliance Declaration of women's right during childbirth. Data were entered by EPI- data version 3.1 and analysed by using SPSS version 23. Bivariate and multivariable logistic regression analyses were carried out. Model fitness was assured.Result: The level of abusive care among childbearing women was 47.1%. Women who attended their childbirth at general hospital (AOR =0.13, 95% CI: 0.06, 0.26), women who had no antenatal care (AOR =2.08, 95% CI: 1.27, 3.39) and women who had two birth attendants (AOR =0.56, 95% CI: 0.35, 0.92) were significant association with abusive maternal care.Conclusion: The level of abusive maternal care in health institutions is high as compared to national and international standards. Women who attend their childbirth at general hospitals, having antenatal care and the number of birth attendants were factors associated with abusive maternal care. The interventions better to focus on increasing pregnant women’s ANC follow up. The health institutions also better increase the number of professional skilled birth attendants to address women’s concerns during childbirth.


2010 ◽  
Vol 20 (1) ◽  
pp. 10-14 ◽  
Author(s):  
Evelyn R. Klein ◽  
Barbara J. Amster

Abstract A study by Yaruss and Quesal (2002), based on responses from 134 of 239 ASHA accredited graduate programs, indicated that approximately 25% of graduate programs in the United States allow students to earn their degree without having coursework in fluency disorders and 66% of programs allow students to graduate without clinical experience treating people who stutter (PWS). It is not surprising that many clinicians report discomfort in treating PWS. This cross-sectional study compares differences in beliefs about the cause of stuttering between freshman undergraduate students enrolled in an introductory course in communicative disorders and graduate students enrolled and in the final weeks of a graduate course in fluency disorders.


Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  

GeroPsych ◽  
2017 ◽  
Vol 30 (2) ◽  
pp. 61-70 ◽  
Author(s):  
Lia Oberhauser ◽  
Andreas B. Neubauer ◽  
Eva-Marie Kessler

Abstract. Conflict avoidance increases across the adult lifespan. This cross-sectional study looks at conflict avoidance as part of a mechanism to regulate belongingness needs ( Sheldon, 2011 ). We assumed that older adults perceive more threats to their belongingness when they contemplate their future, and that they preventively react with avoidance coping. We set up a model predicting conflict avoidance that included perceptions of future nonbelonging, termed anticipated loneliness, and other predictors including sociodemographics, indicators of subjective well-being and perceived social support (N = 331, aged 40–87). Anticipated loneliness predicted conflict avoidance above all other predictors and partially mediated the age-association of conflict avoidance. Results suggest that belongingness regulation accounts may deepen our understanding of conflict avoidance in the second half of life.


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