Utilisation of antenatal care services as determinants of satisfaction and its challenges in Lagos, Nigeria

2020 ◽  
Vol 28 (4) ◽  
pp. 242-250
Author(s):  
Iyabo Yewande Ademuyiwa ◽  
Rosaline Oluremi Opeke ◽  
Titilayo Dorothy Odetola
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Sampling Technique ◽  
World Health ◽  
African Countries ◽  
Pregnancy And Childbirth ◽  
Care Services ◽  
Validated Questionnaire ◽  
Determinants Of Satisfaction

Despite the growing interest and efforts by government to popularise antenatal care services in Nigeria as recommended by the World Health Organization, high levels of infant and maternal mortality remains a major public health challenge facing the country. Complications of pregnancy and childbirth cause more deaths and disabilities than any other reproductive health problems in African countries, including Nigeria. Antenatal care presents an opportunity for recognition and appropriate intervention for some of the causes of maternal mortality in developing countries. The study investigates the level of utilisation of antenatal care services as determinants of satisfaction and its challenges among pregnant women in Lagos, Nigeria. A multistage sampling technique was used to determine the sample size of 1 500 pregnant women. A validated questionnaire was used for data collection. The Cronbach's alpha reliability coefficients for the tools ranged from 0.94–0.97. Data were analysed using descriptive and inferential (correlation, simple and multiple regression) statistics. The results showed that utilisation of antenatal care services had a significant influence on pregnant women's satisfaction with the services. Long waiting hours in the clinic, income/financial constraints, high cost of services and distance to health centres are the major challenges faced by pregnant women in Lagos.

scholarly journals Awareness and satisfaction with antenatal care services among pregnant women in Lagos state, Nigeria

2021 ◽  
Vol 5 ◽  
pp. 21-27
Author(s):  
Iyabo Yewande Ademuyiwa ◽  
Rosaline O. Opeke ◽  
Adekunbi Abosesde Farotimi ◽  
Adeolu Ejidokun ◽  
Atinuke O. Olowe ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Sampling Technique ◽  
World Health ◽  
Care Services ◽  
Validated Questionnaire ◽  
Lagos State ◽  
Ethical Approval ◽  
Health Organization ◽  
High Level

Objectives: Despite the growing interest and efforts by government to make popular use of antenatal care (ANC) services in Nigeria as recommended by the World Health Organization, high level of infant and maternal mortality remains a major public health challenge facing the country. Dissatisfaction toward ANC services among pregnant women may be attributed to low level of awareness. This study assessed the level of awareness and satisfaction of ANC services among pregnant women in Lagos state, Nigeria. Material and Methods: The study adopted a survey research design. A multistage sampling technique was utilized to recruit participants for this study. A validated questionnaire was used for data collection and data were analyzed using both descriptive and inferential statistics. Ethical approval was obtained from Babcock University Health Research Ethics Committee with approval no: BUHREC543/17. Approval was also obtained from health service commission and in the six general hospitals used for the study. Informed consent was taken and respondents were reassured of the privacy and confidentiality of the information obtained. Results: The results showed that most of the respondents (85.6%) were in their reproductive years, that is, ages 23–37. The results showed that the level of awareness had a significant influence on pregnant women’s satisfaction with the services (β = 0.460, F(1,1313) = 351.499, R2 = 0.211, P < 0.05). The level of awareness of ANC services was high (M = 4.31, SD = 1.01) on a scale of 5. Conclusion: The study concluded that awareness of ANC services positively impacts pregnant women’s satisfaction with the services in Lagos state. Efforts should be made to improve the level of awareness of pregnant mothers to achieve greater satisfaction with ANC services in Lagos state.

The Correlation of Mothers’ Satisfaction on Antenatal Care Service by Midwife and Motivation to Do Antenatal Care

2021 ◽  
Vol 8 (2) ◽  
pp. 161-165
Author(s):  
Laily Prima Monica ◽  
Maria Ulfa
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Care Service ◽  
Sampling Technique ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Care Services ◽  
Correlational Research ◽  
High Motivation

The problem of maternal mortality and morbidity in Indonesia is still become a big problem. In fact, the maternal mortality rate in Indonesia is still the highest in Asean. The factors above are the direct causes of maternal mortality. The causes of this death can be minimized by antenatal care which monitors the condition of the mother's pregnancy regularly to predict the risks that may arise so that preventive measures can be taken. The design used correlational research with a cross-sectional approach. The population in this research was all pregnant women aged 20-35 years who did antenatal care at Polindes Jatinom Kecamatan Kanigoro Kabupaten Blitar as many as 12 pregnant women. The sampling technique used accidental sampling. The sample was some of the pregnant women aged 20-35 years who did antenatal care at the time of the research as many as 12 pregnant women. Results: The result showed 67% was in the category of very satisfied and 75% of pregnant women had high motivation towards antenatal care. There was a correlation between the satisfaction of pregnant women on antenatal care services by midwife and  motivation to do antenatal care proven by the results of the Spearman Rank statistical test which showed the value of sig = 0,000. Midwives are expected to maintain and keep the quality of service, especially in providing antenatal care to pregnant women so that the needs of mothers during antenatal care are always satisfied.

GAMBARAN PENGETAHUAN IBU HAMIL TENTANG STANDAR PELAYANAN ANTENATAL CARE DI PUSKESMAS BILALANG KOTAMOBAGU

2021 ◽  
Vol 13 (1) ◽  
pp. 1-7
Author(s):  
St. Rahmawati Hamzah
Keyword(s):  
Public Health ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Center ◽  
Sampling Technique ◽  
World Health ◽  
Maternal Deaths ◽  
Public Health Center ◽  
Pregnancy And Childbirth ◽  
Health Organization

Background. According to the World Health Organization, it is estimated that every day there are around 830 maternal deaths caused by complications of pregnancy and childbirth. A total of 550 deaths in Africa and 180 deaths occurred in the Asian region, this confirms that many maternal deaths occur in developing countries. Knowledge of pregnant women about Antenatal Care is very important because it will help reduce maternal and infant mortality rates. Objective. The purpose of this study was to describe the knowledge of pregnant women about the standard of Antenatal Care (ANC) services at the Bilalang Public Health Center in Kotamobagu City. Method. This type of research is a descriptive survey with a sample size of 50 respondents. The sampling technique used was accidental sampling. The data were collected using a questionnaire through direct interviews, then the data were analyzed using descriptive percentages. Results. The results showed that the description of the knowledge of pregnant women about Antenatal Care (ANC) services at the Bilalang Public Health Center there were 50% pregnant women who had sufficient knowledge, there were 30% pregnant women in Kotamobagu City who had less knowledge and there were 20% pregnant women who had good knowledge. Conclusion. Based on the results of the study it can be concluded that most of the knowledge of pregnant women about Antenatal Care (ANC) services at the Bilalang Public Health Center in Kotamobagu City is in sufficient category.

Quantifying Pregnant Women’s Knowledge of Educational Components of Antenatal Care in Lesotho

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Rural Areas ◽  
Geographic Location ◽  
Sub Saharan Africa ◽  
World Health ◽  
Cross Sectional ◽  
Danger Signs ◽  
In Pregnancy

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.

scholarly journals Prevalence and factors associated with late antenatal care visit among pregnant women in Lushoto, Tanzania

2017 ◽  
Vol 19 (3) ◽  
Author(s):  
Flora Njiku ◽  
Herman Wella ◽  
Adellah Sariah ◽  
Joyce Protas
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Health Care Services ◽  
First Trimester ◽  
Antenatal Clinic ◽  
World Health ◽  
P Value ◽  
Cross Sectional ◽  
Factors Associated ◽  
Care Services

Background: Adequate utilization of antenatal health care services is associated with improved maternal and neonatal health outcomes. The World Health Organization recommends pregnant women to attend antenatal care services as early as in the first trimester. However, many women due to various reasons fail to meet the recommendations. The objective of this study was to determine the prevalence and factors associated with late antenatal booking among pregnant women in Lushoto district of north-eastern Tanzania.Methods: This hospital based cross sectional study involved pregnant women and was conducted in August-September 2015. A standardized questionnaire was used to obtain participants demographic characteristics and obstetrics history. Data analysis was done using (SPSS) and relationship between outcome variables and exposure variable was done using Chi-square test. Multivariate logistic regression was used to measure the association.Results: A total of 240 participants were involved in the study.  Out of these, 169 (70.4%) participants booked late for antenatal care (ANC) services. Delayed booking was mainly associated with not being married (AOR=3.08; 95%CI 1.149-8.275; P value=0.025) and unemployment (AOR=4.28; 95% CI 2.11-8.679; p-value=0.000)Conclusion:  Late first antenatal clinic visit was high in Lushoto, and was highly associated with unmarried and unemployment status. Therefore, provision of continuous health education and community sensitization on the importance of timely seeking ANC services should be strengthened.

scholarly journals Hubungan pendidikan ibu hamil terhadap persepsi mutu pelayanan pada kunjungan pelayanan antenatal care

2020 ◽  
Vol 9 (2) ◽  
pp. 123
Author(s):  
Umi Khasanah
Keyword(s):  
Service Quality ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Center ◽  
Care Service ◽  
Sampling Technique ◽  
P Value ◽  
Cross Sectional ◽  
Level Of Education ◽  
Care Services

Integrated Antenatal Care is a comprehensive and quality antenatal service for all pregnant women provided by trained and professional medical personnel. Providing quality services and services needed by pregnant women will make the perception of pregnant women about Antenatal Care services better. The purpose of this study was to analyze the relationship of education of pregnant women to the perception of service quality at Antenatal Care service visits in the Surakarta Region Health Center. This quantitative research method uses a cross-sectional approach with an accidental sampling technique in sampling so that as many as 108 respondents obtained then the data analysis uses chi-square. The results of this study most of the highly educated pregnant women expressed a good perception about the quality of Antenatal Care Services in the Surakarta Region Health Center. The conclusion of the study is that there is a relationship between the level of education of pregnant women with the perception of service quality at Antenatal Care visits with a p-value of 0.027. The p-value is smaller than 0.05 (0.027 <0.05). Improving the level of education in the community needs to be done so that pregnant women are more understanding and critical about services provided during Antenatal Care visits.

scholarly journals LITERATURE REVIEW OF PERCEPTION, MATERNAL, PREGNANCY, AND LABOR IN 2015-2021

2021 ◽  
Vol 1 (3) ◽  
pp. 159-170
Author(s):  
Eddy Siswanto ◽  
Junardi Harahap
Keyword(s):  
Mortality Rate ◽  
Health Services ◽  
Literature Review ◽  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Basic Assumption ◽  
Risk Groups ◽  
African Countries ◽  
Vos Viewer

The aim of this literature review was to find out any topics which had discussed and researched scientifically according to behavior, perception, maternal, pregnancy, and labor, especially in 2015 - 2021. The method of literature review was descriptive quantitative. Literatures were tracked by using Mendeley, then selected and processed by using VOS Viewer. They were also manually processed according to completeness of each literature. Of the 4 main discussion clusters had been found, i.e.  target clusters, mothers, risk groups, and health services, there were determined several main topics and keywords i.e: examination (care), mothers, factors, experiences, childbirth, and antenatal care. Meanwhile, topics those rarely discussed or researched were perceptions and adolescents. The most collected literatures were published in 2019 (29%), followed by 2020 (22%), and 2015 (15%). Most of the research or studies of the collected literatures were conducted descriptively and took research locations in Indonesia and African countries. Of the selected literatures rose basic assumption that the high maternal mortality rate, especially in Indonesia, is closely related to the lack of utilization of health facilitaties, as a result of the improper behavior of pregnant women in maintaining pregnancy and labor. This behavior is based on mindsets and perceptions related to pregnancy and labor, which have been formed since the pregnant women were teenagers. (9 pt).

scholarly journals HUBUNGAN PENGETAHUAN DENGAN SIKAP IBU HAMIL TENTANG PELAYANAN ANTENATAL CARE TERINTEGRASI

2019 ◽  
Vol 1 (2) ◽  
pp. 79
Author(s):  
Indah Permatasari ◽  
Tri Sunarsih
Keyword(s):  
Child Health ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Center ◽  
Health Workers ◽  
Sampling Technique ◽  
Total Sample ◽  
Cross Sectional ◽  
Care Services ◽  
Study Type

Developing countries have a serious health problem with maternal death and illness. The maternal mortality rate in Indonesia is 190 per 100,000 live births. Antenatal Care is a solution to reduce maternal and child mortality. Pregnant women are advised to carry out antenatal surveillance at least 4 times; once in trimester 1, once in trimester II, and twice in trimester III. Mlati II Sleman Health Center has met the target coverage for Visiting 1 (100%) and Visiting 4 (93.5%), but some pregnant women who examined did not know what Integrated Antenatal Care was. The purpose of this study was to determine the relationship of knowledge with attitudes of pregnant women about integrated antenatal care services at Mlati Sleman Public Health Center. The type of research used was a quantitative explanatory study type. The method used in the survey was a cross-sectional approach. The study was conducted at the Mlati II Health Center, Sleman, Yogyakarta. A total sample of 80 pregnant women TM II and TM III. The sampling technique uses purposive sampling. Test statistics with Kendall's Tau. There was no significant relationship between knowledge and attitudes of pregnant women regarding integrated antenatal care services at Mlati II Health Center Sleman Yogyakarta because integrated antenatal care has become a program so that pregnant women have been directed to follow it. The significance value is 0.457> α (0.05) and the correlation value shows -0.075. Pregnant women should more routinely check pregnancy according to the 10 T standard. Health workers need to improve the quality of integrated antenatal care services, it is necessary to motivate pregnant women to read the Mother-Child Health book so that mothers can remember the information contained in the Mother-Child Health book.

EFFECTIVENESS OF USING MCH BOOKS AND MONSCA APPLICATIONS IN THE IMPLEMENTATION OF 14 T ANTENATAL SERVICE STANDARDS

2020 ◽  
Vol 12 (1) ◽  
pp. 68-73
Author(s):  
Rahmawati Rahmawati ◽  
Syarif Syafruddin ◽  
Nontji Wena
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Continuity Of Care ◽  
Control Design ◽  
Sampling Technique ◽  
Limited Time ◽  
Control Groups ◽  
Post Test ◽  
Service Standards

The component of antenatal care received by pregnant women is classified as incomplete because the implementation of standard pregnancy services is still using conventional methods. There are obstacles faced by midwives, such as the limited time in a recording, which has an impact on the declining quality of antenatal care standards. This research aims to compare the effectiveness of the use of KIA books and MONSCA applications in midwives in the application of the standard Antenatal service 14 T. This research was conducted in Puskesmas Tanete and Puskesmas Bontobangun Bulukumba District. The method used in the study is experimental quasi (pre-test post-test nonequivalent control design). Using a sample of midwives in this study, as many as 36 people were divided into two groups (18 intervention groups and 18 control groups). The sampling technique in this study used purposive sampling. Data were analyzed using the Mann-Whitney Test. The results showed that there was a difference in the effectiveness of using KIA books with MONSCA applications, MOSCA's applications were easier to use, faster, safer, and more accurate than KIA books. It can be concluded that the MONSCA application is more effective than KIA books. Key words: Effectiveness, Android-based Smart Continuity of Care application, KIA book, Antenatal service 14 T

FAKTOR– FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ANEMIA PADA IBU HAMIL DI PUSKESMAS TALANG RATU PALEMBANG TAHUN 2014

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Yuhemy Zurizah Yuhemy Zurizah
Keyword(s):  
Mortality Rate ◽  
Health Service ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Health Center ◽  
Significant Relationship ◽  
World Health ◽  
Chi Square ◽  
Cross Sectional ◽  
Maternal Mortality Rate

  ABSTRACT Maternal Mortality Rate is a barometer of mother health service in a country. At this time maternal mortality rate in Indonesia is still very high. Indonesia Demography Survey on 2007, maternal mortality rate is about 28 per 100.000 of live births. The direct cause of maternal mortality in Indonesia as well as in the other country is hemorraghe (25%), sepsis (15%), eklampsia (12%), abstructed labor (8%). World Health Organization (WHO), 35-37% of pregnant women in developing coutries get anemy. Causing factor’s of anemy on pregnant women is age of pregnant, parity, economi socio, job, education, and nutritional status. Purpose of this research is to know the associated factors with incidence of anemy on pregnant women at the Health Center Talang Ratu Palembang in 2014. This research use analytic survey method with “cross sectional” approach. Population in this research is all of preganant women in medical treatment at Talang Ratu Palembang in 2014. Sample taking in this research with non random samplingmethod and accidental sampling technic. Analysis with univariatly and bivariatlywith Chi Square Statistic test with significant level α 0,05. The result of this research show that from 35 respondent there is (48,6%) respondent with anemy, high–risk age (28,6%), high parity (60,0%) and low economi socio (37,1%). This result show that there is significant relationship between age with incidence of anemy on pregnant women at the health center Talang Ratu Palembang in 2014 with p value0,027, there is significant relationship between parity with incidence of anemy on pregnant women at the health center Talang Ratu Palemabang in 2014 with p value0,023, and there is significant relationship between economi socio with incidence of anemy on pregnant women at the health center Talang Ratu Palembang in 2014 with p value0,026. Of the result, the author hope that health service worker at Talang Ratu health center can improve health service to pregnant women and often giving information about anemy on pregnant and nutritional for pregnant women during pregnancy.     ABSTRAK Angka Kematian Ibu (AKI) merupakan barometer pelayanan kesehatan ibu di suatu negara. Pada saat ini angka kematian ibu di Indonesia masih sangat tinggi. Menurut Survey Demografi dan Kesehatan Indonesia (SDKI) tahun 2007, angka kematian kematian ibu adalah 28 per 100.000 kelahiran hidup. Penyebab langsung kematian ibu di Indonesia seperti halnya Negara lain adalah perdarahan (25%), sepsis (15%), eklampsi (12%), partus lama (8%). Menurut World Health Organization (WHO), 35-37% ibu hamil di negara berkembang dan 18% di negara  maju mengalami anemia. Faktor penyebab terjadinya anemia pada ibu hamil secara tidak langsung adalah umur ibu, paritas, sosial ekonomi, pekerjaan, pendidikan, jarak kehamilan, dan status gizi.Tujuan penelitian ini adalah untuk mengetahui faktor - faktor apa saja yang berhubungan dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014. Penelitian ini menggunakan metode survey analitikdengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil yang berobat di Puskesmas Talang Ratu Palembang Tahun 2014. Pengambilan sampel pada penelitian ini dengan metode non random sampling dengan teknik Accidental sampling. Analisis dilakukan secara univariat dan bivariat. Dengan uji statistik chi square tingkat kemaknaan α 0,05. Hasil penelitian menunjukkan dari 35 responden terdapat (48,6%) responden yang anemia, umur yang beresiko  tinggi (28,6%), paritas tinggi (60,0%), dan sosial ekonomi rendah (37,1%). Hasil penelitian ini menunjukkan ada hubungan yang bermakna antara umur dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan  p value0,027,  ada hubungan bermakna antara paritas dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan p value0,023 dan ada hubungan yang bermakna antara sosial ekonomi dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan p value0,026. Dari hasil penelitian ini penulis berharap petugas kesehatan di Puskesmas Talang Ratu Palembang meningkatkan pelayanan kesehatan pada ibu hamil dan lebih sering melaksanakan penyuluhan anemia pada kehamilan dan nutrisi yang baik bagi ibu hamil.    

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