scholarly journals The study of knowledge, attitude and practice about abortion and technology at the tertiary centre in the region of Mewar, Rajasthan, India

Author(s):  
Archana Bamniya ◽  
Savitri Verma

Background: Availability of safe, effective and acceptable abortion-care services is one of the most important aspects of women’s reproductive health. Unsafe abortion is one of the four main causes of maternal mortality and morbidity. To study knowledge, attitude, and practice (KAP) regarding abortion and methods used among/for women of child bearing age to formulate recommendation for improving the safe abortion servicesMethods: This prospective study was done among 100 cases who came for MTP at department of Obstetrics and Gynaecology, RNT medical college, Udaipur during November and December 2017. Data was collected using a self-semi structured questionnaire related to abortion technology.Results: 58% of women knew that there were provisions for abortion in public hospitals but only 38% of them knew that abortion should be performed/carried out by a trained doctor only. 70% of the women knew that there were medicines available for abortion (MMA) but only 20% of them knew how and from where to avail them. 69% knew about other methods and that D and E can be done in hospitals both at private and public sector, 25% knew the complications related to unsafe abortion. About the attitude almost all women wanted abortion should be done if needed only 10% knew that abortion is legal. 66% of women consider MMA to be safe and 27% of women consider contraception is necessary.Conclusions: Majority of women have positive attitude towards the abortion. The most prefer method chosen for abortion was medical method of abortion (MMA).

Author(s):  
Vanitha Gnanasoundran ◽  
Thanigaivelan Dhandayuthapani

Background: Siddha medicine is one of the commonest alternative medicine among AYUSH (ayurveda, yoga and naturopathy, unani, siddha, homeopathy) medicine practiced in Tamilnadu, one of the southern states of India, where it originated originally. To assess the knowledge, attitude and practice of siddha medicine practitioners towards Tuberculosis, a leading infectious disease-causing increased mortality and morbidity in the country where world’s one fifth of the diseased patients of tuberculosis live and how these alternative medicine practitioners are helping the national programme of eradicating TB in 2025 with their practice.Methods: A Questionnaire was prepared regarding the symptoms, investigations, treatment of TB and about its knowledge of recent trend. One siddha medicine practitioner was randomly selected from the 32 districts of the state from the registry, interviewed and assessed.Results: Out of the 32 siddha practitioners interviewed, 96% referred the tuberculosis patients to the nearby government hospitals for the antituberculous treatment but with the supportive siddha medicine. Regarding the awareness or update of the recent change in the TB regime and the national programme, only 10% of the siddha medicine practitioners were sensitised that too only those working in government hospitals.Conclusions: Siddha medicine practitioners mostly referred the tuberculosis patients, but they are insisting on the supportive role of siddha medicine along with the standard anti tuberculous drugs for the general improvement of the patient. Also, the sensitisation programmes for these Siddha practitioners should be initiated for the better outcome of the RNTCP (Revised National Tuberculosis Control Programme), especially in the private setup.


2021 ◽  
Vol 10 (4) ◽  
pp. 171-180
Author(s):  
Diana Muradyan ◽  
Anahit Demirchyan ◽  
Varduhi Petrosyan

Aim: The objectives of the study were measuring knowledge, attitude, and practice scores among general practitioners on antibiotic resistance; exploring associations between antibiotics prescribing practice score among general practitioners and their knowledge and attitude scores after adjusting for other factors; and identifying barriers for rational antibiotics prescription by general practitioners. Methods: A cross-sectional study design was used. A self-administered survey was conducted among general practitioners employed in private and public polyclinics in Yerevan, Armenia. All general practitioners, working in Yerevan polyclinics and fluent in the Armenian language, were eligible for the study. The study was conducted in primary healthcare facilities of Yerevan, Armenia. All polyclinics (n=18) serving 30,000 or more populations were included in the study. All general practitioners available in selected polyclinics at the time of the survey were invited to take part in the survey, to target 20 general practitioners from each polyclinic. Results: Overall, 291 general practitioners participated in the study. Knowledge, attitude, and practice mean percent scores were 58.3%, 67.5%, and 63.0%, respectively. In the adjusted analysis, the practice percent score was significantly associated with the attitude percent score, though the relationship between the practice and knowledge scores was insignificant. The main barriers reported by general practitioners: lack of rapid diagnostic tests, high costs of laboratory tests, high costs of some antibiotics, and lack of guidelines. Conclusion: Identified low knowledge, attitude, and practice mean percent scores suggest a need for improvements in these areas. Availability of rapid and inexpensive diagnostic tests, enforcement of prescriptions could potentially prevent the development of antibiotic resistance. Keywords: drug resistance, general practitioners, polyclinics, prescribing


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2259-2265
Author(s):  
Rakesh KS ◽  
Santosh Kumar K

Knowledge of Breastfeeding and its practice among lactating mothers is an essential factor which determines the breastfeeding rates. Exclusive breastfeeding helps in preventing neonatal and infant mortality and morbidity and is one of the most important public health intervention, which can reduce the under-five mortality also. This study was conducted in Saveetha medical college hospital between March 2020 and June 2020. To assess the knowledge, attitude, Practice of Breastfeeding among lactating mothers. Descriptive cross-sectional study. 100 lactating mothers admitted to our hospital after delivery were selected randomly. They were interviewed based on a questionnaire which was prepared to assess the knowledge attitude and practice of breastfeeding. Informed consent was obtained after explaining the objective of the study. Out of 100 mothers, 71.38% had good knowledge, 66.6% showed a positive attitude towards breastfeeding, and 63.33% had acceptable breastfeeding practices. The breastfeeding practices followed in our hospital can be improved further by proper counselling and nutritional education of the mothers in the antenatal and immediate postnatal period. The comprehensive lactation management programme which has recently been started in our hospital could aid in the same. Dedicated lactation counsellor and lactation nurse could also help achieve improved breastfeeding practices and attitude towards breastfeeding.


Author(s):  
Astrid Blystad ◽  
Haldis Haukanes ◽  
Getnet Tadele ◽  
Marte E. S. Haaland ◽  
Richard Sambaiga ◽  
...  

Abstract Introduction Unsafe abortion is a major contributor to the continued high global maternal mortality and morbidity rates. Legal abortion frameworks and access to sexuality education and contraception have been pointed out as vital to reduce unsafe abortion rates. This paper explores the relationship between abortion law, policy and women’s access to safe abortion services within the different legal and political contexts of Ethiopia, Tanzania and Zambia. The research is inspired by recent calls for contextualized policy research. Methods The research was based in Addis Ababa (Ethiopa), Dar es Salaam (Tanzania) and Lusaka (Zambia) and had a qualitative exploratory research design. The project involved studying the three countries’ abortion laws and policies. It moreover targeted formal organizations as implementers of policy as well as stakeholders in support of, or in opposition to the existing abortion laws. Semi-structured interviews were carried out with study participants (79) differently situated vis-à-vis abortion, exploring their views on abortion-related legal- and policy frames and their perceived implications for access. Results The abortion laws have been classified as ‘liberal’ in Zambia, ‘semi-liberal’ in Ethiopia and ‘restrictive’ in Tanzania, but what we encountered in the three study contexts was a seeming paradoxical relationship between national abortion laws, abortion policy and women’s actual access to safe abortion services. The study findings moreover reveal that the texts that make up the three national abortion laws are highly ambiguous. The on-paper liberal Zambian and semi-liberal Ethiopian laws in no way ensure access, while the strict Tanzanian law is hardly sufficient to prevent young women from seeking and obtaining abortion. In line with Walt and Gilson’s call to move beyond a narrow focus on the content of policy, our study demonstrates that the connection between law, health policy and access to health services is complex and critically dependent on the socio-economic and political context of implementation. Conclusions Legal frameworks are vital instruments for securing the right to health, but broad contextualized studies rather than classifications of law along a liberal-restrictive continuum are demanded in order to enhance existing knowledge on access to safe abortion services in a given context.


2020 ◽  
Vol 9 (2) ◽  
pp. 1-5
Author(s):  
Legesse Abera ◽  
Adisalem Debebe

Background: Ethiopian abortion law is relatively liberal, but due to lack of knowledge and negative attitude toward legalization of abortion among most women, shortage of safe abortion services provision and significant amount of sociocultural pressures women still go to unsafe abortion service. So the objective of this study was to assess the knowledge, attitude and practice toward legalization of abortion among female students of Sabiyan secondary school, Dire Dawa, March 20-30/ 2018. Subjects & Methods:   The study was conducted in Dire Dawa city,   in Sabiyan high school. An institutional based cross-sectional survey was employed on randomly selected female students. Data was collected using pre- tested self-administered questionnaire and analyzed using computer software SPSS version 24.0. Tables, graphs and charts were used for some variable to describe the results of the study. Results: A total of 320 regular female students were included making the response rate of 100%. Ethiopian abortion law was assessed only 40 (12.5%) of participants were knowledgeable and only 98 (30.6%) of the respondents were having positive attitude. Out of 24 (7.5%) who ever get pregnant, 15 (4.7%) seek for unsafe abortion and only 7 (2.2%) were having experience (practice) of legal abortion. Conclusion: there was a low level of knowledge of the revised Ethiopian abortion law among study participants and majority of the participants had a negative attitude towards legal abortion services and only few of them had practice of legal abortion. So focusing on awareness creation strategy by each stakeholder is an important.


Author(s):  
Mekonnen Seifu ◽  
Fanta Gashe ◽  
Awol Jemal ◽  
Shibiru Tessema ◽  
Wote Amelo

<p class="abstract"><strong>Background:</strong> With global expansion of contraceptive information and services, contraceptive technologies have continually improved and contraceptive prevalence has risen throughout most of the world. Emergency contraceptive pills have become more available in many developing countries. However, limited provider knowledge and negative attitudes, as well as poor user awareness and access, have hindered clients in learning about and using it. The aim of the present study is to assess the knowledge, attitude and practice of EC and also barriers to its use among the antenatal care attendees of Sululta health centers.</p><p class="abstract"><strong>Methods:</strong> A cross sectional study was conducted in Sululta health centres from January to February 2013/2014. Eighty seven Antenatal care attendees were interviewed. Pretested and structured questionnaire was used to collect data.</p><p class="abstract"><strong>Results:</strong> Of the 87 women included in the study 23 (26.4%) reported that the current pregnancy was unplanned and 5 (5.7%) reported that they had induced abortion in the previous years. Of the study participants 25 (28.7%) had ever heard about EC. Whereas only 6 (6.9%) of the women had actually used EC. The preferred places for the provision of EC were public hospitals 2 (8%), health centers 17(68%), private clinics 3 (12%) &amp; pharmacies 11 (44%).</p><strong>Conclusions:</strong> This study showed that the major barrier to the use of EC is lack of awareness &amp; also there is demand for education.


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