Women's adherence to iron supplementation during pregnancy in Kumasi, Ghana

2020 ◽  
Vol 14 (4) ◽  
pp. 1-10
Author(s):  
Owusu Lydia Boampong ◽  
Emikpe Abigael Omowumi
Keyword(s):  
Pregnant Women ◽  
Iron Supplementation ◽  
Formal Education ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Iron Supplements ◽  
Chi Square Test ◽  
Hook Worm ◽  
In Pregnancy

Introduction Anaemia in pregnancy is caused by factors such as malaria, poor diet and hook worm infestation. Adherence to iron supplementation in pregnancy has been found to correct anaemia and improve fetal outcomes. In Ghana, though iron is given to pregnant women at no cost under the free maternal healthcare policy, anaemia prevalence is high. This calls for investigation into adherence to iron supplementation. This study investigated adherence of pregnant women to prescribed iron supplements in Kumasi, Ghana. Methods A cross-sectional survey was conducted among postnatal women in Kumasi in November and December 2017. Women were selected through systematic random sampling and given a structured questionnaire to elicit information regarding their sociodemographic characteristics and iron supplementation intake during pregnancy. Results were analysed using descriptive statistics and the chi-square test, with P≤0.05 considered to be significant. Results Overall, most of the women were between 22 and 35 years old (69.5%) and had some form of formal education (86.7%). The majority (96.6%) took iron supplements during pregnancy. Most (82.2%) had their supplements prescribed by a midwife or nurse. The majority of women (61.9%) adhered to their prescription. There was a significant relationship between education level and adherence to iron prescription. Conclusions Strategies to improve education regarding adherence to the use of iron supplements by midwives are required.

scholarly journals Factors Related with Anemia in Pregnant Women in Johan Pahlawan Sub-District, West Aceh District

2020 ◽  
Vol 1 (1) ◽  
pp. 14
Author(s):  
Susy Sriwahyuni ◽  
Fitriani Fitriani ◽  
Azwar Azwar
Keyword(s):  
Pregnant Women ◽  
Family Support ◽  
Univariate Analysis ◽  
P Value ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
The Family ◽  
Chi Square Test ◽  
Anemia During Pregnancy

Anemia in Pregnant Women is a health problem during pregnancy. Where the state of decreased hemoglobin levels and the number of red blood cells below normal values. Increased need for iron nearly tripled for the needs of mothers and fetuses during pregnancy, anemia in pregnant women has an impact on morbidity and maternal death, the risk of low birth weight, premature birth. Anemia can also be avoided by consuming foods that often contain animal protein and vegetable protein. Iron (Fe) intake, knowledge, and family support have an important role in the incidence of anemia in pregnancy. This type of research is a cross sectional survey. The study was conducted in Johan Pahlawan Sub-district, West Aceh District. The population is all pregnant women trimester II and III of 54 pregnant women. Taking in total sampling, data analysis used Univariate analysis and Bivariate (Chi-Square test). The results of the study obtained a relationship between the knowledge factor with the P-value = 0.001 and the Family Support factor with a P-value = 0.004 with the incidence of anemia in pregnant women. Expected mothers are expected to know the importance of consuming iron (Fe) intake, extensive knowledge about the dangers of anemia during pregnancy and the importance of family support for pregnant women to avoid anemia.

scholarly journals Pengetahuan dan Sikap Tentang Tanda Bahaya Dalam Kehamilan Serta Keaktifan Ibu Dalam Kelas Ibu Hamil

2020 ◽  
Vol 15 (1) ◽  
pp. 52-61
Author(s):  
Nurfatimah Nurfatimah ◽  
Lisa Fiarsi ◽  
Lisda Widianti Longgupa ◽  
Kadar Ramadhan
Keyword(s):  
Pregnant Women ◽  
Simple Random Sampling ◽  
Chi Square ◽  
Cross Sectional ◽  
Danger Signs ◽  
Knowledge And Attitudes ◽  
Positive Attitudes ◽  
Chi Square Test ◽  
Cross Sectional Design ◽  
In Pregnancy

The implementation of pregnancy class in the Puskesmas Mapane in Poso Regency is still ineffective because it is done every three months. The purpose of this study to find out knowledge and attitudes about danger signs in pregnancy and the activeness of mothers in classes of pregnant women in the working area of Puskesmas Mapane in Poso Regency. Research methods using cross-sectional design. The population in this study were second-trimester and third-trimester pregnant women in the working area of Puskesmas Mapane, 96 mothers. The sample in this study were 77 people who determined by simple random sampling. Chi square test is used to analyze the relationship between knowledge and attitudes with maternal activity in pregnant mother classes.The resultsshowed that from 77 people, there were 84.4% pregnant women who were not active in pregnancy class and pregnant women who had good knowledge and positive attitudes about the danger signs of pregnancy as many as 73.9%. The conclusion is that the activeness of the mother in the class of pregnant women is not very influential in increasing the mother's knowledge about the danger signs of pregnancy. Suggestions are expected to the Puskesmas so that they can better provide information and motivation to pregnant women to take pregnancy class programs in their working areas.

scholarly journals Medication use among pregnant women at a secondary health institution: utilisation patterns and predictors of quantity

2020 ◽  
Vol 20 (3) ◽  
pp. 1206-1216
Author(s):  
Stella T Obadeji ◽  
Adetunji Obadeji ◽  
Janet O Bamidele ◽  
Felix T Ajayi
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Co Morbidity ◽  
Chi Square Test ◽  
History Of ◽  
The Mean ◽  
Lower Education ◽  
Level Of Significance

Background: Despite the lack of adequate studies on the safety of drugs in pregnancy, surprisingly, available evidence shows that pregnant women still take large number of drugs. Objectives: The study aim was to determine drug utilization pattern and predictors of number of medications used by pregnant women. Methods: This was a cross-sectional survey of 369 pregnant women attending a secondary health facility. Data were collect- ed using interviewer-administered questionnaire. Descriptive and inferential statistics using the Chi-Square test were carried out with level of significance set at p<0.05. Results: Three hundred and sixty-nine women were interviewed. Their mean age was 27.7 years (SD± 4.78) and the mean number of pregnancies was 2.46 (SD± 1.34). On average, 2.62 medications were taken, with the lowest being 1 and the highest being 12 different medications during the course of pregnancy. Those who were on more than 2 medications were more likely to be older than 30 years, had lower education and with history of associated medical conditions. All participants were on one form of supplements or the other, nearly half had used antimalarials, 12.8%, 5.8% 2.4% were on antibiotics, anti-hypertensive and anti-retroviral medications respectively. All the medications prescribed were from category A, B, C, N, and none from category D and X. Conclusion: Varieties of medications were used during the course of pregnancy among this population, however, most of these drugs were still within safety profile. Keywords: Medications; pregnancy; pattern; predictors; co-morbidity.

scholarly journals Awareness and prevention of anemia among pregnant women attending antenatal clinic at a University Teaching Hospital in Nigeria

2020 ◽  
Vol 4 ◽  
pp. 20-26
Author(s):  
Iyabo Yewande Ademuyiwa ◽  
Sunday Joseph Ayamolowo ◽  
Monisola Omoyeni Oginni ◽  
Michael Oluwole Akinbode
Keyword(s):  
Pregnant Women ◽  
Teaching Hospital ◽  
Antenatal Clinic ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Chi Square ◽  
Cross Sectional ◽  
Ethical Approval ◽  
Chi Square Test ◽  
In Pregnancy

Objectives: During pregnancy, the fetus requires iron for blood formation so does the mother, this increases the iron requirement which is higher than that of non-pregnant women. This study assessed the level of awareness and prevention of anemia among pregnant women attending the antenatal clinic at Lagos University Teaching Hospital (LUTH), Lagos, Nigeria. Material and Methods: A descriptive cross-sectional study was conducted among 182 pregnant women attending the antenatal clinic at LUTH in Lagos, Nigeria. A balloting system was done to select the respondents in the clinic that runs 4 times a week, with an estimated number of 70 pregnant women per clinic. Data were collected using a structured self-administered questionnaire and analyzed with the Statistical Package of the Social Sciences version 22. Descriptive and inferential statistics were used for analysis, Chi-square test was done for the association between the variables at P < 0.05 level of significance. Ethical approval was obtained from the Human Research Ethical Committee of LUTH with approval number (ADM/DCST/HREC/APP/2589). Informed consent was taken and respondents were reassured of the privacy and confidentiality of the information obtained. Results: The highest percentage (33.3%) of the respondents was within the range of 26–30 years with a mean age of 28.18 ± 0.84 years. Majority of the women had a good level of awareness of anemia (68.89%) and good overall practices (73.89%) of prevention of anemia in pregnancy. There was no significant relationship between the respondents’ level of awareness of anemia and its prevention (χ2 = 1.533, P = 0.216). Conclusion: The study has shown that even though awareness and prevention practices were good, there is a need to create more awareness among pregnant women and also to give adequate health education on prevention of anemia to produce favorable outcome in pregnancy for both the child and mother.

scholarly journals Pelayanan antenatal care dalam pengelolaan anemia berhubungan dengan kepatuhan ibu hamil minum tablet besi

2011 ◽  
Vol 8 (1) ◽  
pp. 7 ◽  
Author(s):  
Subarda Subarda ◽  
Mohammad Hakimi ◽  
Siti Helmyati
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Iron Supplementation ◽  
Literature Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Anemia Management ◽  
Chi Square Test ◽  
Logistic Regressions ◽  
Cross Sectional Design

Background: The prevalence of pregnant women with anemia is still one of nutrition problems in Indonesia. The main cause of this case is low iron supplementation compliance as the effect of lack of antenatal care (ANC) services and lack promotion of anemia prevention and iron tablet benefit.Objective: The study was aimed to know the relationship between ANC services in anemia management with iron supplementation compliance of pregnant women.Method: The study was observational with cross sectional design. Subjects were 202 pregnant women in the II–III trimester period in Asahan District. Sampling interpretation was randomly performed by choosing 3 sub-districts with K4 ≥ 85% and ≤ 85% coverage. Data collection was carried out by interview based on structured questionnaire and KIA literature study while validity of iron supplementation compliance using stool test. Data analyzed using chi-square and logistic regressions test.Results: The result showed that 41.1% of pregnant women were complied. Based on chi-square test, there were four significant variables related to pregnant women’s compliance namely ANC services (ratio prevalence 1.82; CI95%: 1.22-2.70), anemia assessment (ratio prevalence 1.79; CI95%: 1.22-2.64), nutrition consultation (ratio prevalence 1.41; CI95%: 1.12-1.76) and knowledge (ratio prevalence 1.42; CI95%: 1.12-1.79). Meanwhile logistic regressions test showed that the most influencing variable was ANC services (OR 3.125) after controlling knowledge variable.Conclusion: There were positive relationship between ANC services, anemia assessment, and nutrition consultation with iron supplementation compliance.

HUBUNGAN UMUR DAN PARITAS IBU DENGAN KEJADIAN HIPEREMESIS GRAVIDARUM DI RUMAH SAKIT UMUM PUSAT Dr. MOHAMMAD HOESIN PALEMBANG TAHUN 2011

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Wahyu Ida Muliana Wahyu Ida Muliana
Keyword(s):  
Pregnant Women ◽  
Medical Record ◽  
Random Sampling ◽  
Hyperemesis Gravidarum ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Systematic Random Sampling ◽  
Pregnancy And Childbirth ◽  
Chi Square Test

ABSTRACT Hyperemesis Gravidarum marked excessive nausea and vomiting in pregnant women at a young age. WHO estimates that 536,000 women died from direct complications of pregnancy and childbirth. One complication of pregnancy is Hyperemesis Gravidarum. Hyperemesis Gravidarum in the world has been estimated to occur in 1-2% of pregnant. According to data from the Medical Record of Dr. Mohammad Hoesin Palembang Hospital, the incidence of Hyperemesis Gravidarum in 2011 there were 72 people of 661 pregnant women. The purpose of this reseach was to determine the relationship between maternal age and parity with Hyperemesis Gravidarum in Dr. Mohammad Hoesin Palembang Hospital 2011. The Design of this reseach used Cross Sectional by analytic approach survey. The population of this reseach are all of mother who gestational ≤ 16 weeks (four months) in the Installation of Obstetrics and Gynecology, Dr. Mohammad Hoesin Palembang Hospital in January to December of 2011 with the sample of 661 people which taken by systematic random sampling and the reseach was conducted from 17 April to 24 April 2012.  Each variable that was observed in tests using Chi-Square test with a (0.05).  The results of this study showed that 5.9% of mothers with hyperemesis gravidarum, 21.8% of mothers with high risk age, and 30.0% primigravida. Chi-Square test showed no significant relationship between age (p value = 0.000) and parity (p value = 0.000) with the incidence of hyperemesis gravidarum. Expected to the Hospital to be implemented properly instructed how to provide counseling to pregnant women about pregnancy and childbirth, as well as provide confidence that the nausea and vomiting is a symptom of physiology in pregnancy.   ABSTRAK Hiperemesis Gravidarum ditandai mual dan muntah yang berlebihan terjadi pada ibu hamil di usia muda. WHO memperkirakan 536.000 perempuan meninggal dunia akibat langsung dari komplikasi kehamilan dan persalinan. Salah satu komplikasi kehamilan adalah Hiperemesis Gravidarum. Insiden Hiperemesis Gravidarum di dunia telah diperkirakan terjadi pada 1-2% wanita hamil. Menurut data dari Medical Record Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang, angka kejadian Hiperemesis Gravidarum pada tahun 2011 terdapat 72 orang dari 661 ibu hamil. Tujuan penelitian ini adalah untuk mengetahui hubungan antara umur dan paritas ibu dengan kejadian Hiperemesis Gravidarum pada ibu di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang tahun 2011. Desain Penelitian ini menggunakan survei analitik dengan pendekatan Cross Sectional. Populasi penelitian ini adalah dengan umur kehamilan ≤ 16 minggu (4 bulan) yang pernah dirawat inap di Instalasi Kebidanan dan Penyakit Kandungan Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang pada bulan Januari-Desember tahun 2011 dengan jumlah sample 661 orang yang diambil secara systematic Random Sampling (secara acak sistematis) dan penelitian ini dilakukan dari tanggal 17 April sampai dengan 24 April 2012. Masing-masing variabel yang diteliti di uji dengan menggunakan uji Chi-Square dengan a (0,05). Hasil penelitian ini menunjukkan bahwa 5,9% ibu mengalami hiperemesis gravidarum, 21,8% ibu dengan umur resiko tinggi, dan 30,0% ibu primigravida. Uji Chi-Square menunjukkan ada hubungan yang bermakna antara umur (p value = 0,000) dan paritas (p value = 0,000) dengan kejadian hiperemesis gravidarum. Diharapkan dapat menjadi masukan bagi pihak Rumah Sakit agar dilaksanakan penyuluhan dengan cara memberikan konseling terhadap ibu hamil tentang kehamilan dan persalinan, serta memberikan keyakinan bahwa mual muntah merupakan gejala fisiologi pada kehamilan.

scholarly journals 31. Influenza Vaccination During Pregnancy: A Descriptive Cross-sectional Survey of the Knowledge, Beliefs, and Attitudes of Mexican Gynecologists and Family Physicians

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S39-S39
Author(s):  
Erika Z Lopatynsky-Reyes ◽  
Sue Ann Costa-Clemens ◽  
Enrique Chacon-Cruz ◽  
Michael Greenberg
Keyword(s):  
Influenza Vaccination ◽  
Pregnant Women ◽  
Latin American ◽  
Vaccine Coverage ◽  
Family Physicians ◽  
Morbidity And Mortality ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Beliefs And Attitudes ◽  
In Pregnancy

Abstract Background Influenza in pregnancy is associated with elevated morbidity and mortality. Influenza vaccines are both safe and effective in pregnancy, supporting routine use in this population. Even though influenza vaccination in Mexico is recommended for pregnant women, there are no publications of influenza vaccine coverage in pregnancy. This is the first Latin American survey done only in physicians aiming to assess the knowledge, beliefs, and attitudes that Mexican Obstetrics-Gynecologists (OBG) and Family Physicians (FP) have towards influenza and influenza immunization during pregnancy. Methods A cross-sectional survey was conducted, both paper-based and online. The questionnaire was composed of 35 questions, which addressed general knowledge of influenza, recommendations for vaccination during pregnancy, and beliefs and attitudes concerning the acceptability of the vaccine in pregnant women. Results A total of 206 completed surveys were available, 98 (47.6%) from OBG, 108 (52.4%) from FP. Regarding current practicing medical institutions, 76 (37%), 69 (34%), 31 (14.5%), 30 (14.5%) reported working for the Mexican Institute of Social Security, Private Sector, Secretariat of Health, or a combination of all respectively, representing an estimated 2,472 daily pregnancy consultations. About a quarter (26.2%) reported not having a notion that influenza is more severe among pregnant women. More than half (51.5%) ignored the potential side effects of influenza infection on the fetus. The majority (56.8%) did not know when vaccination during pregnancy should occur. Pregnancy as a risk factor for developing influenza complications was known only in 48.1%. Also, 46.1 % believed that vaccination only confers protection to the mother, but not to the fetus. Nevertheless, 96.1% considered that immunization against influenza during pregnancy is a safe and effective preventive intervention. A results’ summary is shown in Figure-1. Conclusion Based on this survey, current knowledge of OBG and FP for influenza morbidity and mortality during pregnancy, and the importance of influenza vaccination in pregnant women, is poor. Mandatory recommendations to educate medical providers regarding influenza vaccination during pregnancy in Mexico are necessary, even as imperative for CME credits. Disclosures All Authors: No reported disclosures

scholarly journals Setting – based prevalence and correlates of central obesity: findings from a cross-sectional study among formal sector employees in Dodoma City, Central Tanzania

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mariam John Munyogwa ◽  
Kaloli Sayi Ntalima ◽  
Secilia Ng’weshemi Kapalata
Keyword(s):  
Central Obesity ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Formal Sector ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Face To Face ◽  
Chi Square Test

Abstract Background Obesity at the workplace has been associated with symptoms of lower self-esteem, increased individual and employer healthcare costs, increased absenteeism and presenteeism and reduced productivity. Therefore, this study was designed to study the prevalence and correlates of central obesity among formal sector employees in Dodoma City. Methods Study design was a cross-sectional survey conducted from March to June, 2019. Participants were employees from formal sector employment defined as those paid regular monthly wage and with either a secured permanent or temporary contract. Simple random sampling was used to select four out of fifteen large buildings hosting various establishments. Respondents were obtained conveniently and interviewed face to face. Central obesity was defined as a waist circumference greater than 102 cm for males and greater than 88 cm for females. Chi-square test was conducted to assess the differences among the groups. Simple and multiple logistic regression models were fitted to identify the correlates of central obesity. Results A total of 392 respondents (98% response rate) agreed and participated in the study. The overall prevalence of central obesity was found to be 41.8% (164/392). The prevalence of central obesity was significantly higher among females (67.4% p < 0.001), respondents aged ≥51 years (60%, p = < 0.001), administrators (55.1% p = < 0.05), respondents with salary of > 1,000,000 Tanzanian Shilling (TSh.) per month (54.4%, p = < 0.05), respondents who eat homemade meals at the workplace (64.2%, p = < 0.05) and respondents with hypertension (62.5%, p = < 0.05). Correlates of central obesity were found to be female sex (AOR = 9.53; 95% CI: 5.49, 16.78), increased age, eating homemade meals at the workplace (AOR = 2.32; 95% CI: 1.04, 4.19) and hypertension (AOR = 3.15; 95% CI: 1.41, 6.91). Conclusions The present study revealed high prevalence of central obesity among formal sector employees in Dodoma City. Scholars and stakeholders are urged to generate more evidences and design appropriate interventions to curb the situation.

Relationship between the Responsiveness of Service Providers with Patient Satisfaction at Three Conventional Radiography Services in Denpasar

2016 ◽  
pp. 75
Author(s):  
Cokorda Istri Ariwidyastuti ◽  
P.P. Januraga ◽  
Dyah Pradnyaparamita Duarsa
Keyword(s):  
Patient Satisfaction ◽  
Service Providers ◽  
Univariate Analysis ◽  
Conventional Radiography ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
The Relationship

Background and purpose: Patient satisfaction, including on radiography services, is an important component of health care provision. Surveys on patient satisfaction have been carried out particularly in government hospitals, but a more detailed study to determine the relationship between patient satisfaction with the responsiveness of service providers has yet to be carried out. This study aims to determine the relationship between the six domains of responsiveness of service providers and outpatient satisfaction at three conventional radiography facilities in Denpasar.Methods: Study was conducted by cross-sectional survey of 158 respondents selected consecutively in three conventional radiography services, namely a government hospital, a private hospital and a private radiology clinic. Data were collected through interviews using modified questionnaires on responsiveness from WHO. Data were analyzed by univariate, bivariate (chi-square test) and multivariate logistic regression method.Results: Univariate analysis indicated that patient satisfaction was 69% but still below the minimum service standards (>80,0%). Multivariate analysis showed that factors associated with satisfaction were the domain of attention (AOR= 3.77; 95%CI: 1.62-8.76), the quality of infrastructure (AOR=4.57; 95%CI: 1.61-12.93) and communication (AOR=6.30; 95%CI: 1.75-22.64).Conclusion: Patient satisfaction was generally still below the standard. Domains of responsiveness associated with patient satisfaction were the quality of infrastructure, level of attention and communication skills of service providers.

scholarly journals Classroom Attentiveness of Children from Home with Inter Parental Violence in Chamwino District, Tanzania

2021 ◽  
Vol 2 (Issue 4) ◽  
pp. 66-74
Author(s):  
Simion Kaminyoge Ambakisye
Keyword(s):  
Teaching And Learning ◽  
Survey Design ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Parental Violence ◽  
Chi Square Test ◽  
Level Of Significance ◽  
Parental Conflicts ◽  
The Relationship

This study investigated on classroom attentiveness of children from home with inter parental violence in Chamwino, Dodoma, Tanzania. The study employed the cross-sectional survey design whereby 312 out of 652 children from five secondary schools were randomly selected to participate by filling the questionnaire. Chi square test was employed to determine the relationship between violence against mothers and children’s attentiveness at the 0.05 level of significance. The results indicated a significant relationship between parental conflicts and lack of pupils’ adequate concentration in learning. The findings further showed that female children whose mothers are accustomed to violence are more inattentive than male children during the teaching and learning processes. The study recommends that effective intervention strategies such as developing training through psycho education within families, schools and the community be in place.

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