scholarly journals Assessment of the Quality of Antenatal Care Services Provided by Health Workers Using a Mobile Phone Decision Support Application in Northern Nigeria: A Pre/Post-Intervention Study

PLoS ONE ◽  
2015 ◽  
Vol 10 (5) ◽  
pp. e0123940 ◽  
Author(s):  
Marion McNabb ◽  
Emeka Chukwu ◽  
Oluwayemisi Ojo ◽  
Navendu Shekhar ◽  
Christopher J. Gill ◽  
...  
Keyword(s):  
Decision Support ◽  
Antenatal Care ◽  
Mobile Phone ◽  
Intervention Study ◽  
Health Workers ◽  
Northern Nigeria ◽  
Post Intervention ◽  
Care Services

scholarly journals Analysis Risk Factors of Asphyxia Neonatorum

2015 ◽  
Vol 3 (3) ◽  
pp. 265
Author(s):  
Agustin Dwi Syalfina ◽  
Shrimarti Rukmini Devy
Keyword(s):  
Antenatal Care ◽  
Health Workers ◽  
Case Control ◽  
Asphyxia Neonatorum ◽  
The Public ◽  
Pregnancy And Childbirth ◽  
Care Services ◽  
Prediction And Prevention ◽  
Confounding Variables

ABSTRACTAntenatal care is designed to promote, protect, and maintain the health during pregnancy and reduce maternal and neonatal mortality. The scope of antenatal care also includes the detection and special care for high risk cases as well as the prediction and prevention of complications during pregnancy and childbirth. Complications of pregnancy and childbirth causes of neonatorum asphyxia. Neonatorum asphyxia is a condition where the baby can not breathe spontaneously and regularly after birth. Neonatorum asphyxia cases in Mojokerto district has 46.9% in 2010 and 39.7% in 2014. This aim of this study was to analyze the effect of the quality of antenatal care to neonatorum asphyxia in Mojokerto. The type of this study was observational analytic with case control design with a sample of cases and controls amounted to 80 babies. Data was analyzed using univariate, bivariate and multivariate analysis with logistic regression. The results of this study showed that the quality of antenatal care was significant with neonatorum asphyxia (OR = 8,556; 95% CI:2,777–26,358). Confounding variables associated with neonatorum asphyxia were maternal occupation (OR = 4,558;95% CI:1,391– 14,298), primary education (OR = 21,620; 95% CI: 1,932–241,886), secondary education (OR = 20,977; 95%CI: 1,819–241,872). The conclusion quality of antenatal care has effect of nenatorum asphyxia. Suggestions can be drawn based on the results of this study are for health workers are expected to do health education to the public and families about the importance of antenatal care and antenatal care services that should be obtained from health workers.Keywords: quality of antenatal care, neonatorum asphyxia, case control

scholarly journals Analysis Risk Factors of Asphyxia Neonatorum

2015 ◽  
Vol 3 (3) ◽  
pp. 265
Author(s):  
Agustin Dwi Syalfina ◽  
Shrimarti Rukmini Devy
Keyword(s):  
Antenatal Care ◽  
Health Workers ◽  
Case Control ◽  
Asphyxia Neonatorum ◽  
The Public ◽  
Pregnancy And Childbirth ◽  
Care Services ◽  
Prediction And Prevention ◽  
Confounding Variables

Antenatal care is designed to promote, protect, and maintain the health during pregnancy and reduce maternal and neonatal mortality. The scope of antenatal care also includes the detection and special care for high risk cases as well as the prediction and prevention of complications during pregnancy and childbirth. Complications of pregnancy and childbirth causes of neonatorum asphyxia. Neonatorum asphyxia is a condition where the baby can not breathe spontaneously and regularly after birth. Neonatorum asphyxia cases in Mojokerto district has 46.9% in 2010 and 39.7% in 2014. This aim of this study was to analyze the effect of the quality of antenatal care to neonatorum asphyxia in Mojokerto. The type of this study was observational analytic with case control design with a sample of cases and controls amounted to 80 babies. Data was analyzed using univariate, bivariate and multivariate analysis with logistic regression. The results of this study showed that the quality of antenatal care was significant with neonatorum asphyxia (OR = 8,556; 95% CI:2,777–26,358). Confounding variables associated with neonatorum asphyxia were maternal occupation (OR = 4,558;95% CI:1,391– 14,298), primary education (OR = 21,620; 95% CI: 1,932–241,886), secondary education (OR = 20,977; 95%CI: 1,819–241,872). The conclusion quality of antenatal care has effect of nenatorum asphyxia. Suggestions can be drawn based on the results of this study are for health workers are expected to do health education to the public and families about the importance of antenatal care and antenatal care services that should be obtained from health workers.Keywords: quality of antenatal care, neonatorum asphyxia, case control

Poor quality of antenatal care services—Is lack of competence and support the reason? An observational and interview study in rural areas of Lao PDR

Midwifery ◽  
2013 ◽  
Vol 29 (3) ◽  
pp. 195-202 ◽  
Author(s):  
Chanthanom Manithip ◽  
Kerstin Edin ◽  
Amphoy Sihavong ◽  
Rolf Wahlström ◽  
Hans Wessel
Keyword(s):  
Antenatal Care ◽  
Rural Areas ◽  
Lao Pdr ◽  
Poor Quality ◽  
Interview Study ◽  
Care Services

scholarly journals Quality of antenatal care services in Rwanda: assessing practices of health care providers

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Akashi Andrew Rurangirwa ◽  
Ingrid Mogren ◽  
Joseph Ntaganira ◽  
Kaymarlin Govender ◽  
Gunilla Krantz
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Health Care Providers ◽  
Care Providers ◽  
Care Services

scholarly journals The Correlation of Maternal Factors and The Quality of Antenatal Care Services With Low Birth Weight Babies In Health Facilities Level I

2018 ◽  
Vol 3 (1) ◽  
pp. 103
Author(s):  
Wira Meiriza ◽  
Aladin Aladin ◽  
Edison Edison
Keyword(s):  
Birth Weight ◽  
Maternal Health ◽  
Nutritional Status ◽  
Antenatal Care ◽  
Maternal Age ◽  
Economic Status ◽  
Maternal Factors ◽  
Care Services ◽  
Low Birth Weight Babies

Infant Mortality Rate in West Sumatra still increased from 96 cases in 2015 becomes 111 cases in 2016. One of the contributors to this was the case of Low Birth Weight Babies (LBWB), wich is birth weight < 2500 grams. Causative factors of LBWB are derived from maternal factors because it is related to fetal growth, starting from the moment of conception until the baby is born. Maternal health is very influential towards the growth and development of the fetus. In addition, Antenatal Care is also require to monitor maternal health. Antenatal service care quality can detect the occurrence of risk in pregnancy. This study aims to determine the relationship of maternal factors based on maternal age, parity, distance of pregnancy, complications of pregnancy, economic status, nutritional status, anemia status, antenatal care implementation and the quality of antenatal care services with LBWB incidence on health facilities level 1 in Padang City.This study used a comparative cross-sectional design totalling 72 respondents consisting of a group of mothers who gave birth to babies with birth weight < 2500 grams and ≥ 2500 grams using consecutive sampling technique. Then conducted interviews and observations by using questionnaires as well as data processing were carried out using SPSS. The results showed there was a correlation between pregnancy complications (p = 0.033), anemia status (p = 0.016) and the implementation of antenatal care (p = 0.000) with the incidence of LBWB, while the unrelated were maternal age (p = 0.405), parity (p = 1,000), pregnancy distance (p = 1,000), economic status (p = 0.637), nutritional status (p = 0.326), and quality of antenatal care services (p = 0.812).The conclusion of this study is that there is no correlation between the quality of antenatal care services and the incidence of LBWB, and the implementation of antenatal care is the dominant factor related with the incidence of LBWB in Padang City.

scholarly journals Quality of the documentation of the Nursing process in clinical decision support systems

2021 ◽  
Vol 29 ◽  
Author(s):  
Neurilene Batista de Oliveira ◽  
Heloísa Helena Ciqueto Peres
Keyword(s):  
Decision Support ◽  
Clinical Decision Support ◽  
Clinical Decision Support Systems ◽  
Clinical Decision ◽  
P Value ◽  
Nursing Process ◽  
Post Intervention ◽  
Quasi Experimental ◽  
Process Documentation

Objective: to compare the quality of the Nursing process documentation in two versions of a clinical decision support system. Method: a quantitative and quasi-experimental study of the before-and-after type. The instrument used to measure the quality of the records was the Brazilian version of the Quality of Diagnoses, Interventions and Outcomes, which has four domains and a maximum score of 58 points. A total of 81 records were evaluated in version I (pre-intervention), as well as 58 records in version II (post-intervention), and the scores obtained in the two applications were compared. The interventions consisted of planning, pilot implementation of version II of the system, training and monitoring of users. The data were analyzed in the R software, using descriptive and inferential statistics. Results: the mean obtained at the pre-intervention moment was 38.24 and, after the intervention, 46.35 points. There was evidence of statistical difference between the means of the pre- and post-intervention groups, since the p-value was below 0.001 in the four domains evaluated. Conclusion: the quality of the documentation of the Nursing process in version II of the system was superior to version I. The efficacy of the system and the effectiveness of the interventions were verified. This study can contribute to the quality of documentation, care management, visibility of nursing actions and patient safety.

Evaluation of integrated antenatal care implementation in primary health care

2020 ◽  
Vol 28 (2) ◽  
pp. 99-117 ◽  
Author(s):  
Sandra Hakiem Afrizal ◽  
Achmad Nizar Hidayanto ◽  
Putu Wuri Handayani ◽  
Besral Besral ◽  
Evi Martha ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Antenatal Care ◽  
Local Governments ◽  
Health Workers ◽  
Practical Implication ◽  
Functional Integration ◽  
Content Type ◽  
Primary Health

PurposeThis study was aimed to evaluate the implementation of an integrated antenatal care (ANC) scheme through a retrospective document study using a checklist for measuring the adequacy of the cohort ANC register documented by midwives in an urban area and to describe the barriers for the midwives during the ANC record process.Design/methodology/approachAn exploratory descriptive study using a sequential mixed method was utilised where a quantitative method was employed by collecting secondary data of 150 entries of the cohort ANC register and followed by in-depth interviews among midwives and community health workers.FindingsThe results show that the cohort registry indicators for integrated care such as laboratory and management were poorly recorded. Several barriers were found and categorised during the implementation of the integrated ANC, namely (1) governance and strategy, (2) process of care, (3) organisation and management support.Research limitations/implicationsThe contribution of this present research is that it provides empirical data of the integrated ANC implementation in primary health care (PHC) which has the responsibility to deliver an integrated level of care for ANC using a cohort registry for pregnancy registration monitoring which facilitates the continuity and quality of care.Practical implicationsPractical implication of the finding is that functional integration such as the clinical information system to facilitate an efficient and effective approach during the implementation of integrated ANC in primary care should be considered to support the clinical, professional, organisational, system and normative integration.Originality/valueSince only limited studies have been conducted to assess the quality of the cohort ANC registry and to investigate the barriers against integrated ANC implementation in Indonesia, the research findings are valuable information for the national and local governments to improve the ANC service in Indonesia.

Improving use of maternal care services among married adolescent girls: an intervention study in rural India

2020 ◽  
pp. 1-20
Author(s):  
Ashok Dyalchand ◽  
Rohini Prabha Pande ◽  
Gopal Kulkarni ◽  
Manisha Khale
Keyword(s):  
Antenatal Care ◽  
Community Health ◽  
Community Health Workers ◽  
Adolescent Girls ◽  
Maternal Care ◽  
Health Workers ◽  
Care Delivery ◽  
Scale Up ◽  
Care Services ◽  
Study Sites

Abstract This study examined the effect of the Safe Adolescent Transition and Health Initiative (SATHI) programme on the use of maternal care services among rural, pregnant adolescents in India. This was an intensive community-based, multi-site intervention project conducted in Maharashtra state between 2008 and 2011. Its aims were to improve the reproductive health of married adolescent girls and avert the adverse consequences of early motherhood. It had a quasi-experimental, case-control, pre-post design to enable rigorous evaluation. This study used cross-sectional data from 644 married girls aged under 19 years at baseline and 802 at endline to assess the maternal care outcomes of antenatal care, delivery and postnatal services and nutrition during pregnancy. Difference-in-differences analysis showed that all outcomes improved significantly in the study sites between baseline and endline, and the improvement in study sites was significantly larger than in the control sites. Multivariate analysis showed a statistically significant dose–response effect of intervention participation for antenatal care, pregnancy nutrition and postnatal care. Study participation was not statistically significantly associated with higher rates of safe or institutional delivery. The analysis suggests that training and supporting community health workers to work with married adolescent girls using interpersonal communication and interacting frequently with them and their families and communities can significantly improve the use of maternal care services among this population. With almost a million community health workers and 200,000 auxiliary nurse midwives at the community level providing primary level care in India, this intervention offers a proven strategy to replicate and scale-up to reach large numbers of married adolescent girls who do not currently use maternal care services.

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