scholarly journals Self-medication and knowledge among pregnant women attending primary healthcare services in Malang, Indonesia: a cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Rizka Novia Atmadani ◽  
Owen Nkoka ◽  
Sendi Lia Yunita ◽  
Yi-Hua Chen
Keyword(s):  
Pregnant Women ◽  
Primary Healthcare ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Self Medication ◽  
Cross Sectional

scholarly journals Determinants of pregnant mothers to bypass primary health facilities and directly seek postnatal care in hospitals in Dar es Salaam region – A Community health needs assessment, Cross Sectional Study

2019 ◽  
Author(s):  
Joseph Christopher Hokororo ◽  
Eliudi S. Eliakimu ◽  
Ruth Ngowi ◽  
Mohammed A. Mohammed ◽  
Hamisi M. Malebo ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Dar Es Salaam ◽  
Sectional Study ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Healthcare Needs ◽  
Postnatal Women ◽  
Pregnant Mothers

Abstract Introduction Dar es Salaam is the region with a large number of Primary healthcare facilities (dispensaries and health centres) outnumber the available hospitals. Although policies on referral system are available, there is a gap in terms of compliance and adherence to the governance system. Hospitals are overwhelmed with patients as compared to primary healthcare facilities, leading to poor quality of the healthcare services. The aim was to assess the needs of community members for primary healthcare services, as well as, to identify the reasons and determinants that influence mothers to bypass primary healthcare facilities.Methodology A cross-sectional study that assessed the determinants associated with pregnant mothers to bypass primary healthcare facilities in their healthcare needs. The study was conducted in Kinondoni, Ilala, Kigamboni, Temeke and Ubungo healthcare facilities in Dar es Salaam region. It targeted all postnatal women. A consecutive sampling procedure was used and a total of 544 of respondents were involved in the study. A structured questionnaire was used to collect information on: social demographic; Clinical factors of the mother; Health services; and provider’s factors that might contribute to the observed bypass. Data were analysed in levels of univariate, bivariate and multivariate using SPSS statistical package number 20.Results A total of 544 respondents were interviewed. Mothers who bypassed the primary healthcare facilities were 94%. After adjustment it was found that, those with income more than 1USD a day were (OR=4.27, CI=1.8- 15.4, P=0.01) more likely to bypass the primary facilities and go straight to the upper levels of healthcare facilities.Conclusions This study has found postnatal women in Dar es Salaam region are at high chance of going straight to the secondary and tertiary Hospitals without passing at primary healthcare facilities. Nine in every ten postnatal women were found to have by passed the primary healthcare facilities. Findings from this study reveals a strong and urgent need to strengthen primary healthcare facilities and as well implement the referral guidelines on all clients who seek health care to reduce the bypass.

scholarly journals Automedicação em Gestantes de Alto Risco: Foco em Atenção Farmacêutica

2018 ◽  
Vol 20 (1) ◽  
pp. 50
Author(s):  
Sandra Larissa Freitas dos Santos ◽  
Cinara Vidal Pessoa ◽  
Maria Luíza Bezerra de Macedo Arraes ◽  
Karla Bruna Nogueira Torres Barros
Keyword(s):  
Clinical Trials ◽  
High Risk ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
The Self ◽  
Sectional Study ◽  
Self Medication ◽  
Teratogenic Effects ◽  
Cross Sectional

A gestação oferece barreiras éticas e técnicas à realização de ensaios clínicos, e para isso a farmacovigilância tem investigado e avaliado os efeitos decorrentes do uso de medicamentos. O estudo teve como objetivo verificar o índice da automedicação em foco na Atenção Farmacêutica a gestantes de alto risco atendidas na Policlínica Francisco Carlos Cavalcante Roque no município de Quixadá-CE. Tratou-se de um estudo observacional, transversal, consistindo em uma abordagem predominantemente quantitativa. As gestantes eram, na maioria, casadas, com faixa etária entre 29 a 39 anos, e as doenças predominantes foram Infecção (Urinária, vaginal e intestinal) e Hipertensão. Quanto a idade gestacional, apresentaram uma faixa de 8 a 39 semanas com média de 24 semanas. O uso de cigarro foi afirmado por 6,25% das gestantes, porém nenhuma relatou o uso de drogas. A utilização de medicamentos durante a gravidez pela prática da automedicação foi relatada por 33,75% gestantes, e três delas afirmaram sentir-se mal ao tomarem os medicamentos: Dipirona, Ibuprofeno e Dimenidrinato. Do total de 33 medicamentos usados pela automedicação 94% eram em forma de comprimidos, utilizados para queixas como cefaleia, êmese e náuseas, sendo que a indicação por conta própria. Portanto, sugere-se orientação farmacêutica a gestantes de alto risco com o intuito de minimizar efeitos teratogênicos e proporcionar melhoria em sua qualidade de vida.Palavras-chave: Gravidez de Alto Risco. Automedicação. Uso de Medicamentos. Abstract Pregnancy offers ethical and technical barriers to conducting clinical trials, and for this reason the pharmacovigilance has investigated and evaluated the effects arising from the use of medicines. The study had as objective to verify the self-medication rate in focus on pharmaceutical attention to high-risk pregnant women attended at Policlínica c Francisco Carlos Cavalcante Roque in the municipality of Quixadá-EC. This was an observational, cross-sectional study, consisting of a predominantly quantitative approach. The pregnant women were, in the majority, married, aged between 29 to 39 years, and the predominant diseases were infection (vaginal, urinary and intestinal) and hypertension. Regarding the gestational age, they presented a range from 8 to 39 weeks, with an average of 24 weeks. The use of cigarettes was affirmed by 6.25% of pregnant women, but none reported the use of drugs. The use of medications during pregnancy through the self-medication practice was reported by 33.75% of pregnant women, and three of them said the felt bad when taking the medicines: Dipyrone, Ibuprofen and Dimenhydrinate. Of the total of 33 medications used by self-medication, 94% were in the form of pills, used for complaints such as headache, vomiting and nausea, being the indication for their own account. Therefore, pharmaceutical orientation is suggested for high-risk pregnant women with the aim of minimizing teratogenic effects and provide improvement in their quality of life.Keywords: Pregnancy, High-Risk. Self Medication Drug Utilization.

scholarly journals Access Differentials in Primary Healthcare among Vulnerable Populations in a Health Insurance Setting in Kumasi Metropolis, Ghana: A Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-14
Author(s):  
Gertrude Acquah-Hagan ◽  
Daniel Boateng ◽  
Emmanuel Appiah-Brempong ◽  
Peter Twum ◽  
Joseph Amankwa Atta ◽  
...  
Keyword(s):  
Health Insurance ◽  
Pregnant Women ◽  
Vulnerable Populations ◽  
Primary Healthcare ◽  
Healthcare Access ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Vulnerable Groups ◽  
Sectional Study ◽  
Cross Sectional

Background. Access to healthcare remains a challenge towards the achievement of the Sustainable Development Goals in Ghana. There still remain inequalities in the distribution of health services especially among vulnerable groups despite sustained efforts to strengthen the health system. This study was conducted to analyze access differentials among different vulnerable groups in the context of primary healthcare under a National Health Insurance Scheme (NHIS) in Ghana. Methods. This study was a descriptive cross-sectional study conducted among multilevel participants of vulnerable groups in Kumasi Metropolis: 710 vulnerable people constituting elderly/aged (n = 359), pregnant women (n = 117), head poters (teenage girls who migrated from the northern Ghana mainly to the capital cities of the Ashanti and Greater Accra region to help in carrying of goods for their livelihood) (n = 86), sex workers (n = 75), and other vulnerable groups (people with disabilities and street participants) (n = 73). Data were collected using a semistructured questionnaire. Poisson regression with robust variance was used to access the association between vulnerability and access to healthcare. Results. Close to a fifth, 18.5% of the study respondents were unable to access care at any point in time during the last 12 months. Reasons for the inability to access healthcare included limited funding (69.7%), poor attitude of service providers (7.6%), distance to health centers (8.3%), and religious reasons (6.2%). More than 95% of respondents were insured under the NHIS, but acceptability of service provision under the NHIS was low among the vulnerable groups. In the crude models, pregnant women had lower prevalence of access to medications as compared to the elderly (prevalence ratio (PR): 0.88; 95% CI: 0.80–0.98). Head poters and other vulnerable groups were also less likely to view healthcare as affordable as compared to the elderly. The differences in healthcare access observed were attenuated after adjustment for sociodemographic characteristics and healthcare-related factors. Conclusions. Despite the introduction of a NHIS in Ghana, this study highlights challenges in healthcare access among vulnerable populations independent of the type of vulnerability. This suggests the need for stakeholders to work to address access differentials in the NHIS and adopt other innovative care strategies that may have broader applicability for all populations.

scholarly journals Self‐medication among pregnant women attending outpatients' clinics in northern Jordan‐a cross‐sectional study

2021 ◽  
Vol 9 (2) ◽  
Author(s):  
Mervat M. Alsous ◽  
Sayer I. Al‐Azzam ◽  
Mohammad B. Nusair ◽  
Saja A. Alnahar ◽  
Nail A. Obeidat
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Self Medication ◽  
Cross Sectional ◽  
Northern Jordan

scholarly journals Self-Medication and Safety Profile of Medicines Used among Pregnant Women in a Tertiary Teaching Hospital in Jimma, Ethiopia: A Cross-Sectional Study

2020 ◽  
Vol 17 (11) ◽  
pp. 3993 ◽  
Author(s):  
Seid Mussa Ahmed ◽  
Johanne Sundby ◽  
Yesuf Ahmed Aragaw ◽  
Fekadu Abebe
Keyword(s):  
Pregnant Women ◽  
Safety Profile ◽  
Conventional Medicine ◽  
Cross Sectional Study ◽  
Regression Result ◽  
Sectional Study ◽  
Self Medication ◽  
Cross Sectional ◽  
Tertiary Teaching ◽  
Maternal Risks

Background: Despite the potential foetal and maternal risks of self-medication, studies on self-medication and safety profile of medicines used during pregnancy are scarce. This study determined the prevalence, predictors and safety profile of medicines used for self-medication during pregnancy at Jimma University Medical Centre (JUMC) in Ethiopia. Methods: A hospital-based cross sectional study was conducted on 1117 hospitalized pregnant women or postpartum women in the maternity and gynaecology wards at JUMC between February and June 2017. Data were collected using an interviewer-administered structured questionnaire and by reviewing patient medical records. Data were analysed using descriptive statistics and logistic regression. Result: Nearly 3 out of 10 women reported taking at least one type of conventional medicine for self-medication, mainly analgesics 92.3%. Almost 75.0% of the self-medicated women used medicines classified as probably safe and 13.6% as potentially risky to use during pregnancy. Medicinal plant use, religion and access to a health facility near their residency were significantly associated with self-medication during pregnancy. Conclusions: Self-medication is common among pregnant women at JUMC. Most women used medicines classified as safe to use during pregnancy. There is need for enlightenment of pregnant women on the potential dangers of self-medication during pregnancy to prevent foetal and maternal risks.

scholarly journals A study to assess awareness amongst pregnant women about the effects of drugs on the fetus and self-medication

2017 ◽  
Vol 6 (4) ◽  
pp. 924
Author(s):  
Neeta Banzal ◽  
Kirti Saxena ◽  
Malti Dalal ◽  
S. K. Srivastava
Keyword(s):  
Pregnant Women ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Self Medication ◽  
Cross Sectional ◽  
Interview Technique ◽  
Structured Questionnaire

Background: The present study was conducted with an objective to assess the awareness of drug use in pregnancy, to assess the knowledge of pregnant women on effect of drugs on foetus and to assess the self-medication among pregnant women.Methods: This was a prospective, observational, cross-sectional study conducted on randomly selected 200 pregnant women attending a tertiary care hospital in Surat, Gujarat, India. Data was collected by means of a pre-designed semi-structured questionnaire composed of 26 questions on self-medication during pregnancy and knowledge about that. The data was collected by interview technique in which each participant was asked questions in the language of her understanding in a separate room.Results: The average age of the participants was 23.7±3.68 years. About 91% were not aware about the effect of medication on the health of foetus and did not even enquire about it.  At the time of survey, 74% pregnant women were on some kind of medication. More than 80% were not aware about the duration of medication. About 51% were taking medication on regular basis. The proportion of self-medication among pregnant women was 8.5% (includes 5.5% by themselves and 3% by advice of chemists).Conclusions: There is a lack of awareness amongst the pregnant women regarding the effect of the drugs on the health of foetus. More than half of the women take medication on regular basis. However, low proportion of self-medication during pregnancy suggests that during pregnancy women preferred to take advise of physician for medication rather than taking self-medication.

scholarly journals Beyond COVID-19: a cross-sectional study in Italy exploring the Covid Collateral Impacts

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M R Gualano ◽  
A Corradi ◽  
G Voglino ◽  
F Bert ◽  
R Siliquini
Keyword(s):  
Chronic Conditions ◽  
Stress Test ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Medical Services ◽  
Sectional Study ◽  
Access To Health Services ◽  
Online Questionnaire ◽  
Self Medication ◽  
Cross Sectional

Abstract Background The COVID-19 pandemic is a calamity affecting many aspects. In particular healthcare services (HCS) are facing a great stress-test worldwide. The present work aims to explore what were health needs, beyond COVID, not covered among Italian citizens, due to fear, lockdown measures and overload of HCS, also in order to understand if there are specific subgroups of populations that will need urgent access to health services in the next future. Methods COCOS (COvid COllateral impactS) is a cross-sectional study performed during the Italian lockdown between April and May 2020. A forty-nine items online questionnaire was filled by the respondents. Participation was voluntary and without compensation. Informed consents were obtained. Descriptive, univariable and multivariable (logistic regression models) analyses were performed: results are expressed in ORs. Results Totally, 1,515 questionnaires were collected. Median age was 42 years, 65.6% were females. Around 22% declared to suffer from chronic diseases. Interestingly, 32.4% of the sample faced a delay of a scheduled Medical Service (MS) by provider decision, while 25.6% reported that this issue hit a family member. More than 13% refused to access scheduled MS for the fear of contagion, and the 6.5% avoided HCS even if having an acute onset issue: this behavior was associated with scarce trust in physicians (AdjOR 0.75); alarmingly, 1.5% avoided Emergency Department when in need and 5% of the sample took medications without consulting any physician: patients suffering from chronic conditions resulted to be more prone to self-medication (AdjOR: 2.16; 95% C.I.: 1.16-4.02). Conclusions COVID-19 immediate effects are just the tip of the iceberg. Large groups of population suffered delays and interruptions of medical services, and the most vulnerable were the most affected. To estimate the effects of the pandemic on non-COVID-19 patients is required, leading to aimed efforts, to reduce the backlog that HCS incurred in. Key messages COVID-19 biggest toll on public health is still to come if not prevented, due to temporary but widespread suspensions of scheduled medical services and the avoidance of these for fear of contagion. The most in need are the most vulnerable: older patients and those with chronic conditions are the most affected by suspension of medical services and will potentially pay the greatest cost.

scholarly journals Pattern of Internet Use for Pregnancy-Related Information and Its Predictors Among Women Visiting Primary Healthcare in Qatar: A Cross-Sectional Study

2021 ◽  
Author(s):  
Ayman Al-Dahshan ◽  
Mohamad Chehab ◽  
Ayatullah Mohamed ◽  
Noora Al-Kubaisi ◽  
Nagah Selim
Keyword(s):  
Pregnant Women ◽  
Primary Healthcare ◽  
Internet Use ◽  
Cross Sectional Study ◽  
Online Information ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Related Information ◽  
Primary Healthcare Centers

Abstract Background Internet usage has been steadily increasing and the available online information for pregnant ‎women today is immense.‎ Objective This study aimed to investigate the pattern of internet use for pregnancy-related information and its ‎predictors among pregnant women visiting primary healthcare centers in Qatar‎. Methods A cross-sectional study was conducted at the antenatal clinics of six primary healthcare centers in Qatar between June and December 2019. Pregnant women were recruited through a systematic random sampling technique. Participants were interviewed using a structured questionnaire. Descriptive and analytic statistics were used when appropriate. A multivariable logistic regression analysis was constructed to identify the predictors of internet use for pregnancy-related information. Results The study included 403 pregnant women. Most of them were in the 26–35 years age category, in the second trimester (55.5%), and had 1–2 children at home (51.5%). The internet was the most common source (81.1%) of pregnancy-related information. The access to online information was mainly through websites (67.3%), mobile applications (48.3%), and social media platforms (39.7%). The most frequently searched topics online were fetal development (74.3%), diet during pregnancy (53.6%), and management of health ‎problems (39.6%).‎ The multivariable regression model identified the age group 26–35 years (AOR: 4.87; 95% CI: 2.10, 11.27), Arabs (AOR: 4.10; 95% CI: 2.02, 8.32), tertiary education (AOR: 5.22; 95% CI: 1.77, 15.33), having 1–2 children (AOR: 3.41; 95% CI: 1.45, 8.01), and being employed or a housewife as independent predictors of internet use for pregnancy-related information. Conclusion The internet was a commonly used source of health information among pregnant women in Qatar. Internet use was significantly associated with the age group of 26–35 years, Arabs, higher level of education, being employed or a housewife, and having up to two children.

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