scholarly journals Factors influencing women's knowledge at scheduled postnatal visits: a multi-centre study in Kakamega, Kenya

2021 ◽  
Vol 15 (4) ◽  
pp. 1-8
Author(s):  
Charles Kiragu ◽  
Justus SO Osero ◽  
Anthony K Wanyoro
Keyword(s):  
Postnatal Care ◽  
Health Workers ◽  
Neonatal Morbidity ◽  
Cross Sectional Study ◽  
Postnatal Period ◽  
Systematic Sampling ◽  
Cross Sectional ◽  
Multi Centre Study ◽  
Factors Influencing ◽  
Postnatal Mothers

Background/aims Postnatal care is offered to mothers and their babies from birth and across the postnatal period. Visits are spread over the postnatal period, and a minimum of four visits is recommended. In many studies, postnatal visits in Africa have been reported to be low compared to antenatal visits. As a result of low postnatal visits, mothers are not able to utilise postnatal care services, resulting in delayed detection of and interventions for maternal and neonatal health problems, leading to high rates of maternal and neonatal morbidity and mortality. In Kenya, only 53% of mothers attend postnatal clinics; in Kakamega county, only 34% of mothers attend. This study aimed to establish factors influencing postnatal knowledge among mothers in selected hospitals in Kakamega, Kenya. Methods The study was a descriptive cross-sectional study involving 320 postnatal mothers recruited from four sub-counties. Systematic sampling was used to select eligible study participants. Data were collected using questionnaires that assessed the participants' knowledge of postnatal care in terms of what postnatal care is, recommended postnatal care, when to attend a clinic and the services offered at postnatal care clinics. The data were entered into a database and analysed using the Chi-squared test to assess how sociodemographic and socioeconomic characteristics were associated with knowledge of postnatal care. Results The majority of participants (73.1%) had poor or no knowledge of postnatal care and 89.7% had poor or no knowledge on when postnatal visits should be carried out. Most postnatal mothers (71.9%) received postnatal health information from health workers. Occupation (P<0.000), income (P<0.000), transport (P<0.000) and time taken to travel to hospital (P=0.034) were significantly associated with postnatal knowledge. Conclusions Knowledge on postnatal care is poor among postnatal mothers in Kakamega. The majority of participants obtained postnatal care information from health workers, and so it is recommended that Kakamega establishes other strategies for giving information on postnatal care, such as pamphlets to mothers.

scholarly journals Utilization of postnatal care services in a rural area of Nalgonda district, Telangana state, India

2020 ◽  
Vol 7 (8) ◽  
pp. 3131
Author(s):  
K. Jahnavi ◽  
Abhay Subhashrao Nirgude ◽  
Kondagunta Nagaraj
Keyword(s):  
Postnatal Care ◽  
Skilled Birth Attendant ◽  
Cross Sectional Study ◽  
Postnatal Period ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Care Services ◽  
Factors Influencing ◽  
Post Natal Care ◽  
Geographical Accessibility

Background: Promoting women’s health improves not only individual health but also the health of the family, community and the nation. Less attention was given for postnatal period in developing countries; women and their newborns don’t receive postnatal care services from a skilled birth attendant during the first days after childbirth. The objective was to study utilization of postnatal care services by recently delivered mothers, to study the geographical accessibility factors influencing utilization of postnatal care services and to study healthcare provider factors influencing utilization of post natal care services.Methods: It was a community based cross sectional study conducted in Cherlapally and villages around, which constitute the rural field practice area of Department of SPM, Kamineni Institute of Medical Sciences, Narketpally Telangana from September 2012 to October 2014. A pre-designed and pre-tested questionnaire was used to collect the data. The data was compiled and analyzed using SPSS version 19.Results: Accordingly, 97.9% of the mothers received postnatal care and 2.7% mothers didn’t receive the postnatal care. In the present study post natal advice was received by 67.8%, 82.2% and 55.1% of mothers regarding family planning, breast feeding and baby care respectively. Majority (79.9%) of mothers travelled greater than 5 kms for delivery and only 20.1% of mothers travelled less than 5 kms for delivery.Conclusions: Number of institutional deliveries and deliveries assisted by skilled health personnel were more compared to other studies probably because of awareness created during antenatal visits, maternity benefit scheme and role of ASHA workers.

Factors Associated with the Utilisation of Postnatal Care Services in a Rural Community in Abia State

2021 ◽  
Vol 11 (1) ◽  
pp. 40-46
Author(s):  
Ijeoma Nduka
Keyword(s):  
Rural Community ◽  
Postnatal Care ◽  
Health Workers ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Postnatal Period ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Factors Associated ◽  
Care Services

Background: Postnatal period is as important as pregnancy and childbirth. Half of all postnatal deaths occur during the first week after birth. During postnatal period, the mother’s body undergoes major changes from pregnancy. Therefore, there is need for continuity of care after birth to prevent and manage complications that may arise during postnatal. This study was carried out to determine factors associated with the utilisation of postnatal care services in a rural community in Abia state. Methods: This was a descriptive cross-sectional study conducted from March 2019 to May 2019 among women living in Amuvi community in Arochukwu Local Government Area (LGA)of Abia state.  The study participants were women of reproductive age group (15-49 years) who had at least been pregnant once, carried pregnancy to full maturity and delivered at term. Data was collected using pre-tested semi-structured interviewer-administered questionnaire. Results: Four hundred and sixty-seven (467) women participated in the study. Four hundred and forty-three (95.1%) women attended postnatal visits while 23 (4.7%) did not. Reasons given for attending postnatal care by respondents were; routine check-ups, counselling on family planning, appointment with health workers 54 (11.7%), same day appointment as child’s immunisation, child was sick.  Respondents who were married were 2 times (AOR=2.587, 95% CI:-0.878-0.120) more likely to use postnatal care services than single mothers. Mothers who had an occupation were 2 times (AOR=2.897, 95% CI: 0.051-0.267) more likely to use postnatal care services than those who did not. Husband’s occupation was statistically significant with utilisation of postnatal services. Conclusion:  Utilisation of postpartum care services was high among women in Amuvi community of Abia state. PNC services utilisation were associated with marital status, mother’s occupation and husband’s educational status.

scholarly journals Knowledge on postnatal care among postpartum mothers during discharge in maternity hospitals in Asmara: a cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ghirmay Ghebreigziabher Beraki ◽  
Eyasu H. Tesfamariam ◽  
Amanuel Gebremichael ◽  
Berhanemeskel Yohannes ◽  
Kessete Haile ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Educational Level ◽  
Postnatal Care ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Postnatal Period ◽  
Danger Sign ◽  
Cross Sectional ◽  
Maternity Hospitals ◽  
Postpartum Mothers

Abstract Background The early postnatal period is a dangerous time for both mother and baby where morbidity and mortality are highly prevalent if proper care is not done. Post natal care (PNC) knowledge has significant role in reducing such complications. In this study, the knowledge of postpartum mothers on PNC and its determinants were determined. Methods A cross-sectional quantitative study was conducted in postpartum mothers (PpM) who attended all maternal delivery services in Asmara. Data was collected by a structured questionnaire. All (n = 250) PpM who gave birth in December, 2017 were included in the study. Independent samples t-test and one way ANOVA were used to compare the scores in knowledge across categories of background characteristics using SPSS. Bonferroni post-hoc test was performed for variables that were found to be significant while using ANOVA tool. P-values less than 0.05 were considered as significant. Results The percentage of PpM who cited vaginal bleeding, as a maternal danger sign, and fever, as a baby danger sign, were 83.2 and 58.8%, respectively. The majority (96%) of PpM responded the correct answer on where to go if they note any danger signs. In addition, more than nine tenth of PpM correctly identified injectable contraceptives (92.7%) and oral contraceptive (91.5%). The percentages of knowledge in recognizing the necessary nutrients ranged from 87.6% for carbohydrates to 46% for minerals. The percentages of correct knowledge regarding first baby bath, frequency of breast feeding, umbilical care, duration of exclusive breast feeding, need and purpose of vaccine were 40.1, 81.9, 77.4, 94.8, and 99.2% respectively. The mean PNC knowledge score was 24.89/60. The score of knowledge on postnatal care was found to significantly differ across the categories of residence (p < 0.001) and ethnicity (p = 0.015). An increasing trend of knowledge score was observed with increase in age group (p < 0.001), educational level (p = 0.021), gravida (p < 0.001) and para (p < 0.001). Conclusion Considerable gaps in knowledge regarding postnatal care among postpartum mothers were evident. Special attention should be laid on rural residents, single/living together, junior/below in educational level, primigravida/para, non-Tigrigna ethnicity, and 17 to 25 years old mothers.

scholarly journals An assessment of utilization of postnatal care services in urban area Jabalpur district

2019 ◽  
Vol 6 (9) ◽  
pp. 3660
Author(s):  
Dhruvendra Pandey ◽  
Priyanka Meshram ◽  
Arvind Sharma ◽  
Rajesh Tiwari ◽  
P. K. Kasar
Keyword(s):  
Urban Area ◽  
Urban Areas ◽  
Postnatal Care ◽  
Sampling Method ◽  
Mode Of Delivery ◽  
Great Majority ◽  
Cross Sectional Study ◽  
Postnatal Period ◽  
Cross Sectional ◽  
Early Registration

Background: Postnatal period is a vulnerable time, because most maternal and new born deaths occur during this period, especially immediately after childbirth. Postnatal care in the first hours and days after childbirth could prevent the great majority of these deaths. The objective of study was to assess the utilization of post-natal care and associated factors for low utilization in urban area of Jabalpur district.Methods: A community based cross-sectional study was carried 360 mothers who delivered in last one year in urban area of Jabalpur district. Sampling method was multistage sampling method. A total 36 wards with 10 mothers from each ward was selected. The questionnaire included information related to mode of delivery, post-natal checkups and visits of health care providers.Results: Among 360 mothers, 93.9% mothers received first postnatal check-up within 24 hrs. 1.11% of mothers between 2-3 days and 1.67% of mothers received first postnatal check-up between 4-7 days while 3.33% of mothers didn’t receive any postnatal check-up. Regarding number of post-natal visits, 58.33% mothers received 3 or more postnatal visits, 35% of mother received 2 PNC visits, while 3.3% did not receive a single postnatal visit. The education of mothers, joint type of family, high socioeconomic status, early registration of pregnancy, minimum 4 ANC visits and institutional deliveries were found significantly associated with utilization of postnatal check-up.Conclusions: Utilization of postnatal services is still poor in the urban areas even though the physical accessibility was adequate. In the present study, it was concluded that the role of education, especially of female education, is important contributing factor associated with utilization of postnatal care.

scholarly journals Factors Associated with Utilization of Complete Postnatal Care Service in Baglung Municipality, Nepal

2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
Sita Chhetri ◽  
Rajani Shah ◽  
Laxmi Rajbanshi
Keyword(s):  
Postnatal Care ◽  
Care Service ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Vital Role ◽  
Postnatal Period ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Neonatal Deaths ◽  
Factors Associated

Background. Postnatal period is six weeks after birth. It is critical but is the most neglected period. A large proportion of maternal and neonatal deaths occur during 48 hours following childbirth. The utilization of the recommended three postnatal checkups within seven days after delivery, which plays a vital role in preventing maternal and neonatal deaths, is low in Nepal. Objective. This study is aimed at identifying the factors associated with the utilization of complete postnatal care (PNC) among mothers. Method. A cross-sectional study was carried out among 318 mothers in wards 1, 2, 3, and 4 of Baglung municipality, Nepal. Data was collected by semi-structured interviews. Descriptive analysis and comparison of characteristics of women/families with complete vs. partial postnatal checkups using multivariable logistic regression were done. Results. Among 314 respondents receiving at least one PNC, 78% had partial and 22% had complete PNC. Relatively advantaged caste/ethnicity- Brahman/Chhetri (aOR=3.18, 95% CI: 1.24-8.12) and Janajati (aOR=2.87, 95% CI: 1.09-7.53) - compared to Dalits, husbands working as a job holder in Nepal (aOR=3.49, 95% CI: 1.50-8.13), and delivery in a private hospital (aOR=11.4, 95% CI: 5.40-24.2) were associated with having complete PNC. Conclusion. Although PNC attendance at least once was high, utilization of complete PNC was low. More focus to mothers from disadvantaged caste/ethnicity, those whose husbands are in foreign employment, and improvement in quality of care in government health facilities may increase the use of complete PNC.

scholarly journals Prevalence and Factors Influencing Eye Injuries among Welders in Accra, Ghana

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Karl Kafui Kwaku Tetteh ◽  
Richard Owusu ◽  
Wisdom Kudzo Axame
Keyword(s):  
Personal Protective Equipment ◽  
Cross Sectional Study ◽  
Electric Arc ◽  
Systematic Sampling ◽  
Protective Equipment ◽  
Monthly Income ◽  
Eye Injuries ◽  
Cross Sectional ◽  
Work Related ◽  
Factors Influencing

Background. Eye injuries are one of the most common work-related injuries among certain occupations, including welders. The aim of this study was to determine the prevalence and factors influencing eye injuries among welders in Accra, Ghana. Methods. In a cross-sectional study, we recruited 382 welders in Accra from two welding sites. Systematic sampling was used to select participants. A pretested semistructured questionnaire was used to collect demographic information, history of eye injuries, ownership, and use of eye protective equipment and workplace characteristics. Bivariate and multivariate logistic regressions at 5% level of significance were used to determine factors influencing eye injuries. Data were entered into Microsoft excel and exported to Stata 16/MP for analysis. Results. We found 59.7% of welders engaged in electric/arc welding and 40.3% in gas welding. Overall prevalence of eye injuries was 47.9%, higher among electric/arc welders (73.7%) compared to gas welders (9.7%). Factors associated with eye injuries were engaging in gas welding [AOR: 0.08, 95% CI: 0.04–0.16], higher monthly income [AOR = 5.26; 95% CI: 1.72–16.09], nonuse of eye PPE while working [AOR = 1.86; 95% CI: 1.02–3.43], and no training on the use of eye personal protective equipment [AOR = 2.17; 95% CI: 1.07–4.38]. Conclusion. There is high prevalence of welding-related eye injuries among electric welders. Gas welding, high monthly income, nonuse of eye protective equipment, and inadequate training on the use of eye protective equipment were significantly associated with eye injuries. Health policies should be implemented to ensure all welders use eye personal protective equipment.

scholarly journals Factors influencing the uptake of pulse vitamin A supplementation among children in a rural area in India: a cross sectional study

2019 ◽  
Vol 7 (1) ◽  
pp. 61
Author(s):  
Vinod K. Ramani ◽  
Anand Lakshman
Keyword(s):  
Vitamin A ◽  
Technical Assistance ◽  
Health Workers ◽  
Vitamin A Deficiency ◽  
Health Department ◽  
Cross Sectional Study ◽  
Leafy Vegetables ◽  
Cross Sectional ◽  
Vitamin A Supplementation ◽  
Factors Influencing

Background: The change in strategy of India’s National Program for the prevention and control of nutritional blindness due to Vitamin A deficiency during 2006, aims for all children aged 9 months to 5 years to receive biannual pulse dose of Vitamin A with a total nine mega doses of Vitamin A. Micronutrient initiative (MI) was providing technical assistance to the State Health department of Karnataka in implementing the new bi-annual strategy, in partnership with UNICEF during the period 2006 to 2010.Methods: During July 2006, the Investigator evaluated its coverage in Gulbarga district. This study assessed the factors influencing the uptake of pulse Vitamin A supplementation (VAS) among children from impoverished background. Using oral questionnaires, a total of 30 Parents (Mothers) of these children, 12 childcare workers (AWWs), 12 peripheral health workers (ANMs) were interviewed regarding barriers towards implementing this Program and assessment of the facilities (12 Anganwadi centres) were conducted.Results: Only 28% of the facility had some IEC display regarding VAS. 75% of ANMs were aware that either green leafy vegetables or fish or fruits are the main source of micronutrients. A similar number of ANMs knew that Vitamin A deficiency causes night blindness, >90% of AWW had informed parents about the program during the monthly mother meetings. <20% of parents were aware of the current pulse VAS program and a similar number were aware of the next round of supplementation.Conclusions: Regular interaction with families, monitoring the activities of field level health workers and supportive supervision will enable uptake of VAS Program. Future action should prioritize sub-district level units – blocks and villages, with higher concentration of poor households.

scholarly journals Level of exclusive breastfeeding and its enabling factors among lactating women who delivered in health facilities of Asosa town, Ethiopia: a cross sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Megersa Kumera ◽  
Jemal Haidar
Keyword(s):  
Exclusive Breastfeeding ◽  
Postnatal Care ◽  
Maternal Education ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Sub Saharan Africa ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Influencing

Abstract Background Despite the enormous benefit of exclusive breastfeeding (EBF) to mothers and infants, the practice of exclusive breastfeeding is globally low. In sub-Saharan Africa and Ethiopia, the prevalence of EBF stands at 35% and 59%, respectively. The low EBF practice in Ethiopia as well as in the studied region calls for further study and thus we studied the EBF practice in the study area since little is known about its current magnitude and factors influencing its practice for some programmatic improvements. Methods A facility based cross-sectional study linked to a community was conducted from June-July 2019 among 412 mothers who had antenatal follow-up and delivered in health facilities of Asosa town over a period of one year prior to the study. Data on socio demographic characteristics and other important variables were collected through face to face interview while gestational age in weeks was recorded from their medical chart by trained health extension workers in accordance with relevant ethical guidelines and regulations. The collected data were then cleaned and entered into Epi-data software version 3.02. Analysis was done by SPSS version 20. Binary and multivariate logistic regression were performed to identify the contributing factors. P-value of less than 0.05 and 95% confidence interval was considered to determine statistical significance. Results Of the 412 respondents, the majority (88.1%) were multi-gravida and above. Slightly higher than a quarter (26.0%) and over half (55.4%) had neither received antenatal nor postnatal care. The proportion of mothers who exclusively breastfed their children was 76.0% and the overall aggregated good practice of EBF score was 64.1%. Mothers who completed primary school [AOR = 4.5; 95% CI = 1.1,18.2], had four or more ANC [AOR = 1.8;95CI = 0.79–0.98], and postnatal follow-up [AOR = 0.21;95% CI = 0.07–0.67], and had male infants [AOR = 2.3; 95% CI = 1.0–4.95] were among the factors influencing the exclusive breastfeeding practice score. Conclusion While three in four mothers exclusively breastfed their newborns and about two-thirds had good EBF score, the observed women’s retention on the continuum of the maternal care pathway is low with one in four had no antenatal and over half had no postnatal care which are important derivers for EBF practice. To improve the EBF score and narrow the observed maternal and child health disparities, it is essential to promote maternal education and increase the recomended coverage of antenatal and postnatal care for mothers.

scholarly journals Management of diarrheal diseases among children under five years: a case study of mothers at Kakamega county, Kenya

2017 ◽  
Vol 4 (8) ◽  
pp. 2762
Author(s):  
Peterson M. Njeru ◽  
John M. Kariri ◽  
Mary W. Murigi ◽  
Heuston M. Waweru ◽  
Felister M. Muriithi
Keyword(s):  
Health Workers ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Systematic Sampling ◽  
Bivariate Analysis ◽  
Diarrheal Diseases ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Children Under Five ◽  
Under Five

Background: Despite much effort and successes in the management of diarrhoea, the disease has remained among the top five causes of mortality and morbidity in Kenya, particularly among infants and children below five years. Advent of HIV/AIDS and the harsh economic situation is Kenya has led to increase in diarrhoea diseases. This study was conducted to determine the mother’s knowledge, attitude and practice in the management of diarrheal diseases among children under five years of age.Methods: This was a cross-sectional study conducted at Lurambi sub-County, Kakamega County. Systematic sampling technique was used to determine the study population. The research instruments were; observational checklists, an in-depth interview schedule, self-administered semi-structured questionnaires and focused group discussions. Quantitative data analysis was conducted using SPSSand involved univariate and bivariate analysis. Qualitative data was analyzed by thematic content analysis.Results: Overall, 88% mothers each with at least one child under five years took part in the study. 84% of the respondents had knowledge of the causes of diarrhoea; however only 31% knew methods of diarrhoea prevention. 41% of the respondents managed diarrhoea cases with non-recommended home remedies such as salt and sugar solutions. The study also established that 37% of the health workers were not trained on diarrhoea management despite them being directly involved in the case management.Conclusions: Overall, the research identified a gap between knowledge and practice. There is need for improving home based case management and implementing a community strategy for diarrhoea management.

scholarly journals Factors influencing the work performance of Mitanins (ASHA) in Bilaspur district, Chhattisgarh, India: a cross sectional study

2017 ◽  
Vol 5 (5) ◽  
pp. 1921
Author(s):  
Ashish Baghel ◽  
Kamlesh K. Jain ◽  
Sachin Pandey ◽  
Gopal Prasad Soni ◽  
Anubha Patel
Keyword(s):  
Community Health ◽  
Work Performance ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Health Staff ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Influencing ◽  
The Government ◽  
Major Factors

Background: The Mitanin programme is a community health volunteer programme which was initiated by the Government of Chhattisgarh, India in 2002. The Mitanin programme further progressed to lay foundation for the Accredited Social Health Activists (ASHA) programme by the National Rural Health Mission. There is robust indication that the Community health workers could significantly contribute towards the betterment of health outcomes. The objective of the study was to study the factors influencing the work performance of Mitanins in Bilaspur district, Chhattisgarh, India.Methods: A community based cross sectional study was carried out among 180 Mitanins selected through multistage random sampling in Bilaspur district, Chhattisgarh, India during March to August 2015. A predesigned, pretested questionnaire was used for data collection.Results: Regarding counselling to pregnant mother on maternal and child health about (65.6%) Mitanins were having knowledge and out of these prevalence of its practice was found to be (75.4%). Their less knowledge for content of responsibility significantly affected their practices in community. Other major factors influencing their work performance are better training sessions (37.8%), support from health staff (65.6%), drug kit refilling (80%), and fewer hurdles in receiving incentives (85.6%.Conclusions: Less knowledge of the work component, less cooperation from health staff, delay refilling of drug kit, incentive oriented practices, delayed and inadequate payment of incentives for Mitanins influences the work performance.

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