Utilization of full postnatal care services among rural Myanmar women and its determinants: a cross-sectional study

Background: Mothers and their newborns are vulnerable to threats to their health and survival during the postnatal period. Full postnatal care (PNC) uptake decreases maternal deaths and is also essential for first 1,000 days of newborn’s life, but PNC usage is usually inadequate in rural areas. Little is known about the full PNC utilization among rural Myanmar women. This study, therefore, aimed to study the situation of the utilization of full PNC and examine its determinants. Methods: This community-based cross-sectional study was conducted in selected villages of the Magway Region, Myanmar. A total of 500 married women who had children aged under 2 years were selected using multistage cluster sampling and interviewed with semi-structured questionnaires. The determinants of full PNC usage were identified by generalized estimating equation (GEE) under a logistic regression framework. Results: Among 500 rural women, around a quarter (25.20%; 95% confidence interval (CI), 21.58-29.21%) utilized full PNC. Multivariable analysis revealed that factors associated with full PNC usage included mothers attaining educational level of secondary or higher (adjusted odds ratio (AOR), 2.16; 95% CI, 1.18-3.94), belonging to higher income level (AOR, 2.02; 95% CI, 1.11-3.68), having male involvement (AOR, 2.19; 95% CI, 1.02-4.69), being of low birth order (i.e. the first birth) (AOR, 3.26; 95% CI, 1.80-5.91), and having awareness of postnatal danger signs (AOR, 2.10; 95% CI, 1.15-3.83). Moreover, the presence of misconceptions on postnatal practice was identified as a strong barrier to adequate PNC usage (AOR, 0.12; 95% CI, 0.04-0.36). Conclusion: Most of the rural women practiced inadequate PNC in Myanmar. Maternal healthcare services at rural areas should be intensively promoted, particularly among women who had high birth order (greater number of births). Health education regarding perinatal misconceptions and danger signs, and benefits of full PNC services usage should be emphasized and urgently extended.

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Prevalence of Early Postnatal-Care Service Utilization and Its Associated Factors among Mothers in Hawassa Zuria District, Sidama Regional State, Ethiopia: A Cross-Sectional Study

Obstetrics and Gynecology International ◽

10.1155/2021/5596110 ◽

2021 ◽

Vol 2021 ◽

pp. 1-8

Author(s):

Shambel Yoseph ◽

Azmach Dache ◽

Aregahegn Dona

Keyword(s):

Service Utilization ◽

Postnatal Care ◽

Associated Factors ◽

Care Service ◽

Cross Sectional Study ◽

Care Utilization ◽

Sectional Study ◽

Cross Sectional ◽

Danger Signs ◽

Regional State

Background. A postnatal care given after childbirth is a critical care to promote health and to prevent complications of the mother and newborn. However, utilization of this service is low in Ethiopia, and little is known about its coverage and determinants. Thus, this study aimed to assess the prevalence of early postnatal-care service utilization and its associated factors among mothers in Hawassa Zuria district, Sidama Regional State, Ethiopia. Methods. A cross-sectional study was conducted from 20 February to 20 March 2020 in Hawassa Zuria District among randomly selected 320 mothers. Data were collected by using interviewer-administered structured questionnaires. Data entered were into Epi data version 3.1 and exported to SPSS version 26 for analysis. Descriptive, bivariable, and multivariable logistic regression analysis with odds ratio and 95% confidence interval were conducted. A P value <0.05 was considered a statistically significant association. Finally, the results were presented by texts, tables, and figures. Result. The prevalence of early postnatal-care service utilization was 29.7% (95% CI = 24.7, 35.5). Age below 25 years [AOR = 3.2 (95% CI = 1.37, 7.48)], having planned and supported pregnancy for last birth [AOR = 2.2 (95% CI = 1.13, 4.38)], having information about obstetric danger signs [AOR = 2.1 (95% CI = 1.25, 3.78)], and having positive attitude on use postnatal services [AOR = 3.5 (95% CI = 1.94, 6.32)] were factors associated with early postnatal-care utilization. Conclusion. The finding revealed that early postnatal-care utilization in the study area was low. Strengthening family planning services, giving information on obstetrics danger signs, and creating awareness about postnatal care will improve uptake of the service in a timely manner.

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Assessment of COVID-19 vaccines acceptance in the Lebanese population: a national cross-sectional study

Journal of Pharmaceutical Policy and Practice ◽

10.1186/s40545-021-00403-x ◽

2022 ◽

Vol 15 (1) ◽

Author(s):

Philippe Hanna ◽

Aline Issa ◽

Ziad Noujeim ◽

Mira Hleyhel ◽

Nadine Saleh

Keyword(s):

Rural Areas ◽

Multivariable Analysis ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Primary Objective ◽

Sectional Study ◽

Online Questionnaire ◽

Cross Sectional ◽

Vaccine Acceptance ◽

Lebanese Population

Abstract Background Vaccines have become the best weapon for epidemic prevention and control in the absence of standard approved effective therapies. However, skepticism about the vaccine efficacy and safety is constantly reported. To our knowledge, there has been no study assessing COVID-19 vaccine acceptance in Lebanon. The primary objective of this survey is to assess the COVID-19 vaccines’ acceptance and its related determinants in the Lebanese population. Methods A cross-sectional study was conducted in Lebanon from February 16 through February 25, 2021. Data was collected using an online questionnaire via social media platforms using the snowball technique. The questionnaire consisted of 47 questions related to sociodemographic and medical history, COVID-19 experience, knowledge, practice, and beliefs towards COVID-19 vaccines, including vaccines acceptance. Binary logistic regression was performed to identify factors associated with vaccine acceptance. Results A total of 1209 questionnaires were completed; around 63.4% have reported their acceptance for receiving the COVID-19 vaccine, while only 57% of participants registered themselves on the national platform. The multivariable analysis showed that a higher knowledge scale, living in an urban residential area, having hypertension, not having a food allergy, reporting a higher fear to experience COVID-19 infection, and receiving or wanting to receive influenza vaccine, were positive predictors of COVID-19 vaccines acceptance. Conclusions Our findings support the need to improve knowledge about COVID-19 infection and vaccination through education and awareness programs. Specifically residents of rural areas should be targeted to optimize COVID-19 vaccine acceptance among the Lebanese population.

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Knowledge about Neonatal Danger Signs and Associated Factors among Mothers Attending Immunization Clinic at Arba Minch General Hospital, Southern Ethiopia: A Cross-Sectional Study

BioMed Research International ◽

10.1155/2019/9180314 ◽

2019 ◽

Vol 2019 ◽

pp. 1-8 ◽

Cited By ~ 8

Author(s):

Nega Degefa ◽

Ketema Diriba ◽

Tekeste Girma ◽

Amelework Kebede ◽

Ayano Senbeto ◽

...

Keyword(s):

General Hospital ◽

Neonatal Mortality ◽

Associated Factors ◽

Multivariable Analysis ◽

Cross Sectional Study ◽

Sub Saharan Africa ◽

Sectional Study ◽

Cross Sectional ◽

Danger Signs ◽

Sub Saharan

Background. The first 28 days of life (the neonatal period) constitute the most vulnerable time for a child’s survival. Overall 2.7 million neonatal deaths were stated by the 2015 global report of neonatal mortality and they account for 45% of under-five deaths. Sub-Saharan Africa remains the region with the highest risk of death in the first month of life and is among the regions showing the least progress in reducing neonatal mortality in the world. Ethiopia, as part of sub-Saharan Africa, also shares the greatest risk of neonatal death. A recent report in Ethiopia showed that neonatal mortality was 29 deaths per 1,000 live births. Therefore, the signs that suggest the onset of severe illness which leads to death and their contributing factors should be identified. The aim of the study was to assess knowledge about neonatal danger signs and associated factors among mothers attending immunization clinic at Arba Minch General Hospital. Method. Institution-based cross-sectional study design was employed from Feb to April 2018. Systematic sampling technique was used to select a total of 345 mother-child pairs. A pretested, structured, and interviewer-administered questionnaire was used to collect data. Data were entered using Epidata version 3.1 and analyzed using SPSS version 20. Bivariate and multivariable analysis were carried out using binary logistic regression to check and test the association between dependent and explanatory variables. Model fitness was checked by Hosmer-Lemeshow goodness of fit test. Result. Nearly two-fifths (40.9%) of all mothers had good knowledge about neonatal danger signs (95% CI; 35.7, 46.4). Close to thirty-three percent of mothers identified child’s body hotness (fever) as a neonatal danger sign. Maternal educational status (AOR: 5.64; 95% CI: 1.68, 18.95) and attendance of postnatal care (AOR: 2.64; 95% CI: 1.36, 5.15) were significantly associated with maternal knowledge about neonatal danger signs in multivariable analysis. Conclusion. Even though considerable improvement has been achieved over the past decades as a result of expanded coverage of maternal and childcare services, still there are a significant number of mothers who have limited knowledge about neonatal danger signs. Therefore, interventional strategies that stress strengthening maternal education and ANC follow-up should be extended.

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Determinants of postnatal care service utilization among mothers of Mangochi district, Malawi: a community-based cross-sectional study

10.21203/rs.3.rs-119074/v1 ◽

2020 ◽

Author(s):

Jonas Sagawa ◽

Allen Kabagenyi ◽

Godwin Turyasingura ◽

Saul Eric Mwale

Keyword(s):

Service Utilization ◽

Postnatal Care ◽

Cross Sectional Study ◽

Education Level ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Place Of Delivery ◽

Household Level ◽

Danger Signs

Abstract BackgroundPostnatal care (PNC) services such as antenatal care, labour and delivery care services are paramount in maternal, neonatal morbidity and mortality rates reduction in low and middle income countries. Several factors impede the effective utilization of these services by mothers which makes them access few services than recommended by world health organization. This study examined the determinants of PNC utilization among mothers in Mangochi District, Malawi.MethodsA community based cross-sectional study involving a multistage sampling of 600 mothers from nine randomly selected villages in Mangochi district, Malawi was conducted in the month of January, 2016. A transcribed semi-structured questionnaire was pre-tested, modified and used to collect data on socio demographic, socio-economic and socio-cultural characteristics. A Pearson Chi square (𝜒2) test was used to determine the association between the socio-demographic, socio-cultural, and socio-economic factors and PNC utilization. A multivariable logistic regression with 95% confidence interval was performed to determine the predictors of PNC service utilization.Results84.8% of the mothers utilized PNC services at least once within the postnatal period. Among the PNC users, 74.5% attended once, 20% attended two to three times and 5.5% attended more than three times. The predictors of PNC service utilization were education level of the mother (AOR= 2.42, CI: 1.97-6.04) education level of the partner (AOR=1.5, CI: 1.25-2.49) , occupation status of the partner (AOR= 3.2, CI: 1.25-8.01), household level of income (AOR=14.4, CI: 5.90-35.16), decision making (AOR=2.27, CI: 1.13-4.57), knowledge of available PNC services (AOR=4.2, CI: 2.22-7.41), knowledge of at least one postpartum danger signs (AOR=4.0, CI:2.07-7.50), and place of delivery (AOR=6.9, CI: 3.35-14.14).ConclusionThe rate of PNC service utilization among mothers was 85%. The uptake of PNC services among mothers was mainly influenced by education level of the mother and partner, occupation status of the partner, household level of income, decision making power, knowledge of available PNC services, knowledge of at least one postpartum danger signs, and place of delivery. Therefore, reinforcement of the existing policies and strategies to increase awareness about PNC services among mothers through awareness campaigns, training and empowerment programs is needed.

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High Incidence of Neonatal Danger Signs and Its Implications for Postnatal Care in Ghana: A Cross-Sectional Study

PLoS ONE ◽

10.1371/journal.pone.0130712 ◽

2015 ◽

Vol 10 (6) ◽

pp. e0130712 ◽

Cited By ~ 8

Author(s):

Sumiyo Okawa ◽

Evelyn Korkor Ansah ◽

Keiko Nanishi ◽

Yeetey Enuameh ◽

Akira Shibanuma ◽

...

Keyword(s):

Postnatal Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Danger Signs ◽

High Incidence

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Prevalence, utilization and determinants of complete postnatal care services among rural women in northern Tamil Nadu

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11i4.3556 ◽

2020 ◽

Vol 11 (4) ◽

pp. 6576-6582

Author(s):

Shivani G ◽

Nisha B ◽

Ruma Dutta ◽

Timsy Jain ◽

Ananth Eashwar

Keyword(s):

Rural Women ◽

Postnatal Care ◽

Tamil Nadu ◽

Service Providers ◽

Cultural Beliefs ◽

Cross Sectional Study ◽

Family Type ◽

Cluster Sampling ◽

Cross Sectional ◽

Care Services

Postnatal care is the care given to the mother and her newborn baby immediately after birth up to first six weeks after delivery. Receiving 4 complete postnatal visits by healthcare workers helps to decrease the maternal and neonatal mortality rates. The present study was conducted with the aim of assessing the utilization and determinants of post-natal care among mothers who gave birth. This community based cross sectional study was conducted in the rural area of northern Tamilnadu with 210 mothers who delivered a year prior to commencement of study by “30 cluster sampling method”. A pretested, semi-structured data tool was used. Descriptive variables were presented as proportions and frequencies. Chi-square test was used to ascertain the associations. Only 78.1% had received their first postnatal care within 24 hours. The prevalence of complete postnatal care services was found to be 16.2%. The main reason behind it was lack of knowledge / ignorance about the benefits of postnatal services. The present age of the mother, family type, parity, postnatal care counseling and cultural beliefs were significantly associated with utilization of post-natal check-ups. As the prevalence and utilization of postnatal care is considerably low, development of health facilities, the promotion of service providers, sustainable maternal and child health programs and awareness-raising will further promote better outcomes.

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Cervical cancer awareness and its prevention among rural women of Kancheepuram district of Tamil Nadu, India, A Cross-Sectional Study

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11i4.3926 ◽

2020 ◽

Vol 11 (4) ◽

pp. 7398-7404

Author(s):

Thahirabanuibrahim I ◽

Muthunarayanan Logaraj

Keyword(s):

Cervical Cancer ◽

Rural Women ◽

Rural Areas ◽

Tamil Nadu ◽

Economic Status ◽

Behavioural Change ◽

Cross Sectional Study ◽

Sectional Study ◽

Cancer Awareness ◽

Cross Sectional

Cervical cancer is the second most common cancer among Indian women; around 20% of cervical cancer cases all over the world are from India. Even though amelioration in the health care system had progressed compared to earlier days, the mortality due to cervical cancer in developing countries like India. The study focuses on the awareness, prevention and screening of cervical cancer in rural women of Kancheepuram district. The cross-sectional study with 416 women using multistage sampling method was conducted, the tool was Cervical cancer awareness measure toolkit version 2.1 with altered changes in the socio-demographic section with B. G Prasad scale for socio-economic status was included accordingly to the rural area. The awareness about the term cervical cancer was 43.2% (180/416). Still, the awareness about the term human papillomavirus (HPV) was only 7.1%(32/416), of the 416 women who participated in the study only 15.5% of women were screened for cervical cancer at least once in their lifetime, Less than 50% of the women participants were aware of cervical cancer, hence planned health education with behavioural change program is needed for promoting the knowledge and screening of cervical cancer in rural areas of Kancheepuram district.

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Trends in the socioeconomic patterning of overweight/obesity in India: a repeated cross-sectional study using nationally representative data

BMJ Open ◽

10.1136/bmjopen-2018-023935 ◽

2018 ◽

Vol 8 (10) ◽

pp. e023935 ◽

Cited By ~ 18

Author(s):

Shammi Luhar ◽

Poppy Alice Carson Mallinson ◽

Lynda Clarke ◽

Sanjay Kinra

Keyword(s):

Higher Education ◽

Rural Women ◽

Rural Areas ◽

Urban Areas ◽

Cross Sectional Study ◽

Obesity Prevalence ◽

Sectional Study ◽

Cross Sectional ◽

Men And Women ◽

Nationally Representative

ObjectivesWe aimed to examine trends in prevalence of overweight/obesity among adults in India by socioeconomic position (SEP) between 1998 and 2016.DesignRepeated cross-sectional study using nationally representative data from India collected in 1998/1999, 2005/2006 and 2015/2016. Multilevel regressions were used to assess trends in prevalence of overweight/obesity by SEP.Setting26, 29 and 36 Indian states or union territories, in 1998/99, 2005/2006 and 2015/2016, respectively.Participants628 795 ever-married women aged 15–49 years and 93 618 men aged 15–54 years.Primary outcome measureOverweight/obesity defined by body mass index >24.99 kg/m2.ResultsBetween 1998 and 2016, overweight/obesity prevalence increased among men and women in both urban and rural areas. In all periods, overweight/obesity prevalence was consistently highest among higher SEP individuals. In urban areas, overweight/obesity prevalence increased considerably over the study period among lower SEP adults. For instance, between 1998 and 2016, overweight/obesity prevalence increased from approximately 15%–32% among urban women with no education. Whereas the prevalence among urban men with higher education increased from 26% to 34% between 2005 and 2016, we did not observe any notable changes among high SEP urban women between 1998 and 2016. In rural areas, more similar increases in overweight/obesity prevalence were found among all individuals across the study period, irrespective of SEP. Among rural women with higher education, overweight/obesity increased from 16% to 25% between 1998 and 2016, while the prevalence among rural women with no education increased from 4% to 14%.ConclusionsWe identified some convergence of overweight/obesity prevalence across SEP in urban areas among both men and women, with fewer signs of convergence across SEP groups in rural areas. Efforts are therefore needed to slow the increasing trend of overweight/obesity among all Indians, as we found evidence suggesting it may no longer be considered a ‘diseases of affluence’.

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Knowledge On Neonatal Danger Signs And Associated Factors Among Mothers Who Gave Birth In The Last One Year Prior To This Study In Debre Markos Town, East Gojjam, Northwest Ethiopia 2017: A Community Based Cross Sectional Study.

10.21203/rs.2.13234/v1 ◽

2019 ◽

Author(s):

Birhanu Wubale Yirdaw ◽

Marta Berta Badi ◽

Temesgen Worku Gudayu ◽

Animut Tagele Tamiru ◽

Getie Lake Ayinalem ◽

...

Keyword(s):

Postnatal Care ◽

Tertiary Education ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

P Value ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Danger Signs ◽

One Year

Abstract Abstract Background: Neonatal mortality is a concern for global population especially in developing countries. The majority of neonatal mortality occurs at home where only few families recognize key danger signs of neonatal illness. Thus, we assessed the knowledge on neonatal danger signs of illness and associated factors among mothers who gave birth in the last one year prior to this study in Debre Markos town, East Gojjam, northwest Ethiopia. Methods: A community-based, cross-sectional study was conducted among 521 mothers. Cluster sampling technique was used to select the study participants and interviewed using structured and pre-tested questionnaire. Data were entered to Epi Info and exported to SPSS for analysis. Variables in binary logistic regression with a P value <0.2 were fitted to multivariable logistic regression. Significant variables were declared at 95% CI and a P value <0.05. Results: A total 473 participants were interviewed by making a response of 91.0%. The proportion of knowledgeable mothers was found to be 26.2% (95% CI 22.2, 30.4). Mother’s secondary and tertiary education(AOR=3.64, 95% CI 1.14, 11.61 and AOR=3.80, 95% CI 1.25, 11.56), husband’s secondary and tertiary education(AOR=4.22, 95% CI 1.53, 11.60 and AOR=4.34, 95% CI 1.52, 12.37) respectively, antenatal care attendance(AOR = 3.54, 95% CI 1.62, 7.75), postnatal care attendance(AOR = 2.41, 95% CI 1.13, 5.14), getting prepared for birth(AOR =2.43, 95% CI 1.20, 4.89) and access for television(AOR = 2.06, 95% CI 1.01, 4.21) were found to be positively associated with being knowledgeable on neonatal danger signs. Conclusion: Mothers’ knowledge on neonatal danger signs was low. The finding showed that, intervention modalities to increase parental education, both antenatal and postnatal care attendance, mothers’ preparedness for birth and advocating the use of television might be helpful to improve mothers’ knowledge on neonatal danger signs. Key words: Neonatal Danger Signs, Mothers’ Knowledge, East Gojjam, Ethiopia

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Characteristics of Confidence and Preparedness in Paramedics in Metropolitan, Regional, and Rural Australia to Manage Mental-Health-Related Presentations: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041882 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1882

Author(s):

Kate Emond ◽

Melanie Bish ◽

Michael Savic ◽

Dan I. Lubman ◽

Terence McCann ◽

...

Keyword(s):

Mental Health ◽

Rural Areas ◽

Cross Sectional Study ◽

Categorical Variables ◽

Considerable Proportion ◽

Sectional Study ◽

Cross Sectional ◽

Health Related ◽

Manage Mental ◽

Manage Mental Health

Mental-health-related presentations account for a considerable proportion of the paramedic’s workload in prehospital care. This cross-sectional study aimed to examine the perceived confidence and preparedness of paramedics in Australian metropolitan and rural areas to manage mental-health-related presentations. Overall, 1140 paramedics were surveyed. Pearson chi-square and Fisher exact tests were used to compare categorical variables by sex and location of practice; continuous variables were compared using the non-parametric Mann–Whitney and Kruskal–Wallis tests. Perceived confidence and preparedness were each modelled in multivariable ordinal regressions. Female paramedics were younger with higher qualifications but were less experienced than their male counterparts. Compared to paramedics working in metropolitan regions, those working in rural and regional areas were generally older with fewer qualifications and were significantly less confident and less prepared to manage mental health presentations (p = 0.001). Compared to male paramedics, females were less confident (p = 0.003), although equally prepared (p = 0.1) to manage mental health presentations. These results suggest that higher qualifications from the tertiary sector may not be adequately preparing paramedics to manage mental health presentations, which signifies a disparity between education provided and workforce preparedness. Further work is required to address the education and training requirements of paramedics in regional and rural areas to increase confidence and preparedness in managing mental health presentations.

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