scholarly journals The knowledge and use of misoprostol among women in a Nigerian population

2021 ◽  
Vol 10 (7) ◽  
pp. 2553
Author(s):  
Abidoye Gbadegesin ◽  
Ayokunle Olumodeji ◽  
Yusuf A. Oshodi ◽  
Oladimeji Makinde ◽  
Haleemah Olalere ◽  
...  
Keyword(s):  
Health Facility ◽  
Health Personnel ◽  
Current Knowledge ◽  
Population Based ◽  
Self Administration ◽  
Cross Sectional ◽  
Entire Study ◽  
Nigerian Women ◽  
Skilled Health Personnel ◽  
Skilled Health

Background: Increasing the availability and accessibility of misoprostol in low resource settings has been advocated to reduce maternal deaths from primary postpartum haemorrhage (PPH). WHO recommends a strategy of antenatal distribution of misoprostol to pregnant women, for self-administration for the prevention of PPH, in settings where women are likely to give birth outside of a health facility or in the absence of skilled health personnel. The success of such strategies depends on the current knowledge and acceptability of misoprostol among women in such population. The aim of this study was that we assessed the knowledge and use of misoprostol among Nigerian women.Methods: It was a prospective cross-sectional population based survey in which 16445 consenting women, from randomly selected households and communities across the 20 local government areas (LGA) of Lagos state, had in-depth interview with the aid of an interviewer administered structured questionnaire to assess their knowledge and use of misoprostol. Data obtained were presented in frequency and proportions.Results: Thirteen per cent and 6.5% of the respondents were aware of drugs that could be used to terminate pregnancy and stop bleeding following childbirth, respectively. Only 5.2% of the women were aware of misoprostol, two-third (67%) of which knew it could be used to terminate pregnancy and 5% of women aware of misoprostol knew it could be used to reduce or stop bleeding following childbirth. Only 2.3% of the entire study population admitted to personal use of misoprostol.Conclusions: Knowledge about the safe, life-saving and effective use of misoprostol among Nigerian women is low. There is need to disseminate information about misoprostol especially in settings where women are likely to give birth outside of a health facility or in the absence of skilled health personnel. 

scholarly journals The development of the WHO Labour Care Guide: an international survey of maternity care providers

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Veronica Pingray ◽  
Mercedes Bonet ◽  
Mabel Berrueta ◽  
Agustina Mazzoni ◽  
María Belizán ◽  
...  
Keyword(s):  
Decision Making ◽  
Maternity Care ◽  
Health Personnel ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Research Network ◽  
Respectful Maternity Care ◽  
Care Providers ◽  
Skilled Health Personnel ◽  
Skilled Health

Abstract Background The partograph is the most commonly used labour monitoring tool in the world. However, it has been used incorrectly or inconsistently in many settings. In 2018, a WHO expert group reviewed and revised the design of the partograph in light of emerging evidence, and they developed the first version of the Labour Care Guide (LCG). The objective of this study was to explore opinions of skilled health personnel on the first version of the WHO Labour Care Guide. Methods Skilled health personnel (including obstetricians, midwives and general practitioners) of any gender from Africa, Asia, Europe and Latin America were identified through a large global research network. Country coordinators from the network invited 5 to 10 mid-level and senior skilled health personnel who had worked in labour wards anytime in the last 5 years. A self-administered, anonymous, structured, online questionnaire including closed and open-ended questions was designed to assess the clarity, relevance, appropriateness of the frequency of recording, and the completeness of the sections and variables on the LCG. Results A total of 110 participants from 23 countries completed the survey between December 2018 and January 2019. Variables included in the LCG were generally considered clear, relevant and to have been recorded at the appropriate frequency. Most sections of the LCG were considered complete. Participants agreed or strongly agreed with the overall design, structure of the LCG, and the usefulness of reference thresholds to trigger further assessment and actions. They also agreed that LCG could potentially have a positive impact on clinical decision-making and respectful maternity care. Participants disagreed with the value of some variables, including coping, urine, and neonatal status. Conclusions Future end-users of WHO Labour Care Guide considered the variables to be clear, relevant and appropriate, and, with minor improvements, to have the potential to positively impact clinical decision-making and respectful maternity care.

scholarly journals Time trends of vitamin D concentrations in northern Sweden between 1986 and 2014: a population-based cross-sectional study

2019 ◽  
Vol 59 (7) ◽  
pp. 3037-3044
Author(s):  
Eva Summerhays ◽  
Mats Eliasson ◽  
Robert Lundqvist ◽  
Stefan Söderberg ◽  
Tanja Zeller ◽  
...  
Keyword(s):  
Vitamin D ◽  
Time Trends ◽  
Time Trend ◽  
Population Based ◽  
Cross Sectional Study ◽  
Northern Sweden ◽  
Sectional Study ◽  
Cross Sectional ◽  
Potential Health ◽  
Entire Study

Abstract Purpose Vitamin D, produced through cutaneous photosynthesis or ingested via foods or supplements, has generated considerable research interest due to its potential health effects. However, epidemiological data on the time trends of vitamin D status are sparse, especially from northern Europe. We examined the time trend of vitamin D concentrations in northern Sweden between 1986 and 2014. Methods We used data on 11,129 men and women (aged 25–74 years) from seven population-based surveys (the Northern Sweden MONICA study), recruited between 1986 and 2014. Serum vitamin D (25-hydroxyvitamin D) status was measured using a one-step immunoassay (Abbott Architect). Multivariable linear regression models, adjusted for age, sex, and a number of other variables, were used to estimate the time trend of vitamin D concentrations. Results The mean value of vitamin D in the entire study population was 19.9 ng/mL [standard deviation (SD) 7.9], with lower values in men (19.4 ng/mL; SD 7.5) than in women (20.5 ng/mL; SD 8.2). Using the survey in 1986 as reference category, the multivariable-adjusted mean difference [95% confidence interval (CI)] in ng/mL was 2.7 (2.2, 3.3) in 1990, 3.2 (2.7, 3.7) in 1994, 1.6 (1.0, 2.1) in 1999, − 2.0 (− 2.5, − 1.4) in 2004, 1.0 (0.4, 1.5) in 2009, and 3.1 (2.5, 3.6) in 2014. Conclusion In this large cross-sectional study, we observed no clear upward or downward trend of vitamin D concentrations in northern Sweden between 1986 and 2014.

Determinants of nutritional knowledge, attitude, and practice among southwestern Iranian households: A community-based study

2020 ◽  
Vol 26 (2) ◽  
pp. 93-102
Author(s):  
Mahshid Naghashpour ◽  
Samaneh Mansouri ◽  
Ali Vadizadeh ◽  
Bahman Cheraghian ◽  
Reza Fallahi ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Rural Areas ◽  
Current Knowledge ◽  
Household Head ◽  
Population Based ◽  
Cluster Sampling ◽  
Nutritional Knowledge ◽  
Cross Sectional ◽  
Nutritional Interventions ◽  
Household Heads

Background: Malnutrition is generally due to a lack of nutritional information rather than food deficiency. Therefore, the current knowledge, attitudes, and practice (KAP) of the target audience should be evaluated to eliminate malnutrition. However, KAP varies across demographic status and socioeconomic status (SES). Aim: The associations of nutritional KAP with demographic and socioeconomic variables were evaluated among households living in urban and rural areas of southwestern Iran. Methods: A cross-sectional, population-based study was conducted on 842 household heads (492 urban and 350 rural) using a standardized NUTRIKAP Household Questionnaire. The data evaluating nutritional KAP as well as demographic and socioeconomic information were obtained using a multi-stage cluster sampling method. SES score was also computed. Results: Urban households had a higher level of nutritional knowledge ( p < 0.05) but a lower level of nutritional attitude ( p < 0.001) and practice ( p < 0.001) compared with the rural ones. Rural households with the poorest quintiles of SES were 0.4 times less likely to have good nutritional knowledge (adjusted odds ratio = 0.4, confidence interval: 0.2, 0.9; p < 0.05), compared with higher quintiles. Households with an over-60-years-old household head had significantly higher nutritional attitude ( p < 0.05) and practice ( p <0.01) scores than households with younger ones. Households with male household heads had a higher nutritional practice score compared with households with female ones. Conclusions: These results can indicate the role of demographic and socioeconomic determinants in KAP of Iranian households towards the principle of nutrition and can be effective in prioritizing the implementation of nutritional interventions including nutrition education for them.

Assessment of health provider readiness for telemedicine services in Uganda

2018 ◽  
Vol 48 (1) ◽  
pp. 33-41 ◽  
Author(s):  
Vincent Micheal Kiberu ◽  
Richard E Scott ◽  
Maurice Mars
Keyword(s):  
Health Facility ◽  
Healthcare System ◽  
Healthcare Workers ◽  
Public Healthcare ◽  
Mulago Hospital ◽  
Health Provider ◽  
Self Administration ◽  
Cross Sectional ◽  
Referral Hospitals ◽  
Job Title

Background: There are few telemedicine projects in Africa that have reached scale. One of the reasons proposed for this has been failure to assess health provider readiness for telemedicine prior to implementation. Objective: To assess health provider readiness for implementation and integration of telemedicine services at three levels of Uganda’s health facilities, namely, a national referral hospital (NRH), regional referral hospitals (RRHs) and level 4 health centres (HC-IVs) and to investigate factors associated with readiness for telemedicine. Method: A cross-sectional descriptive study was conducted at public healthcare facilities in Uganda. One RRH and HC-IV was identified from each of the Western, Eastern and Northern regions using a multistage random sampling technique. Mulago Hospital, which doubles as an RRH and HC-IV in the central region, was purposively identified for the study. After validation, a questionnaire was distributed for self-administration to senior administrators and doctors selected at the NRH, RRHs and HC-IVs. Data were analysed using bivariate associations between the outcome and the potential independent variables. Results: In total, 114 healthcare workers completed the questionnaire. Of the respondents, 24 (21%) were from HC-IVs, 44 (39%) were from RRHs, and 46 (40%) from NRH. Doctors made up 45.8% (11) of respondents at HC-IVs, 59% (26) at RRHs, and 30.4% (14) at NRH. Administrators across all health facility levels were more likely to integrate telemedicine into the healthcare system than doctors (odd ratio = 1.39 [95% confidence interval = 0.38–4.95]). A significant association existed between the state of readiness and type of health facility, p < 0.001. The NRH and RRHs are more likely to integrate telemedicine into their systems than the HC-IVs. Among the factors investigated (job title, health facility, technology type, reason for referral and frequency of electronic communication), the level of health facility and title or role of healthcare worker were found to have a significant statistical association with being ready to integrate telemedicine into the healthcare system. Conclusion: Health provider readiness to integrate telemedicine services varies at the different levels of the health facility and job title or role. However, referral hospitals and administrators were more likely to integrate telemedicine than HC-IVs and doctors, respectively. While this study shows physicians and administrators are ready, other sectors (nurses, allied healthcare workers, public) will also need to be assessed.

scholarly journals State of the art of population-based attitude research on mental health: a systematic review

2016 ◽  
Vol 26 (3) ◽  
pp. 252-264 ◽  
Author(s):  
M. C. Angermeyer ◽  
G. Schomerus
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Disorders ◽  
Help Seeking ◽  
State Of The Art ◽  
Current Knowledge ◽  
Population Based ◽  
Theoretical Frameworks ◽  
Cross Sectional ◽  
Attitude Research

Aims.Population surveys have become a frequently used method to explore stigma, help-seeking and illness beliefs related to mental illness. Methodological quality however differs greatly between studies, and our current knowledge seems heavily biased towards high-income countries. A critical appraisal of advances and shortcomings of psychiatric attitude research is missing. This review summarises and appraises the state of the art in population-based attitude research on mental health.Methods.Systematic review of all peer-reviewed papers reporting representative population studies on beliefs and attitudes about mental disorders published between January 2005 and December 2014 (n = 478).Results.Over the decade covered by this review considerably more papers on psychiatric attitude research have been published than over the whole time period before. Most papers originated in Europe (36.3%), North America (23.2%) and Australia (22.6%), only 14.6% of all papers included data from low- or middle income countries. The vast majority of papers (80.1%) used correlational cross-sectional analyses, only 4% used experimental or quasi-experimental designs. Data in 45.9% of all papers were obtained with face-to-face interviews, followed by telephone (34.5%), mail (7.3%) and online surveys (4.0%). In almost half of papers (44.6%) case-vignettes served as stimulus for eliciting responses from interviewees. In 20.7% instruments meeting established psychometric criteria were used. The most frequently studied disorder was depression (44.6% of all paper), followed by schizophrenia (33%). 11.7% of papers reported time trend analyses of attitudes and beliefs, 7.5% cross-cultural comparisons. The most common focus of research was on mental health literacy (in total 63.4% of all papers, followed by various forms of stigma (48.3%).There was a scarcity of papers (12.1%) based on established theoretical frameworks.Conclusions.In the current boom of attitude research, an avant-garde of studies uses profound and innovative methodology, but there are still blind spots and a large proportion of conventional studies. We discuss current and future methodological challenges that psychiatric attitude research needs to embrace. More innovative and methodologically sound studies are needed to provide an empirical basis for evidence-based interventions aimed at reducing misconceptions about mental disorders and improve attitudes towards those afflicted.

scholarly journals The Development of the WHO Labour Care Guide: An International Survey of Maternity Care Providers

2020 ◽  
Author(s):  
Veronica Pingray ◽  
Mercedes Bonet ◽  
Mabel Berrueta ◽  
Agustina Mazzoni ◽  
María Belizán ◽  
...  
Keyword(s):  
Decision Making ◽  
Maternity Care ◽  
Health Personnel ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Research Network ◽  
Respectful Maternity Care ◽  
Care Providers ◽  
Skilled Health Personnel ◽  
Skilled Health

Abstract BackgroundThe partograph is the most commonly used labour monitoring tool globally. However, it is used incorrectly or inconsistently in many settings. In 2018, a WHO expert group reviewed and revised the design of the partograph in view of emerging evidence and developed the first version of the Labour Care Guide (LCG). The objective of this study was to explore views and opinions of skilled health personnel on the first version of the WHO Labour Care Guide.MethodsSkilled health personnel (including obstetricians, midwives and general practitioners) of any age and gender from Africa, Asia, Europe and Latin America were identified through a large global research network. Country coordinators from the network invited 5 to 10 mid-level and senior skilled health personnel who have worked in labour wards anytime in the last 5 years. A self-administered, anonymous, structured, online questionnaire including closed and open-ended questions was designed to assess the clarity, relevance, appropriateness of the frequency of recording, and the completeness of the variables on the LCG. ResultsA total of 110 respondents from 23 countries completed the survey between December 2018 and January 2019. Variables included in the LCG were generally considered clear, relevant and with appropriate recording frequency. Most sections of the LCG were considered complete. Respondents agreed or strongly agreed with the overall design, structure of the LCG, and the usefulness of reference thresholds to trigger further assessment and actions. They also agreed that LCG will potentially impact positively on clinical decision-making and respectful maternity care. Respondents disagreed with the value of some variables including coping, urine, and neonatal status.ConclusionsFuture end-users of WHO next generation partograph considered the variables to be clear, relevant and appropriate, and to have the potential to positively impact on clinical decision-making and respectful maternity with minor improvements.

scholarly journals DETERMINAN KULTURAL DAN STRUKTURAL DALAM KEMITRAAN BIDAN DENGAN DUKUN BAYI (BHISA/SANDO) DI KABUPATEN WAKATOBI, SULAWESI TENGGARA

2021 ◽  
Vol 12 (1) ◽  
pp. 89-101
Author(s):  
Luxi Riajuni Pasaribu ◽  
Lely Indrawati
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Health Personnel ◽  
Traditional Birth Attendants ◽  
Child Health Services ◽  
Structural Determinants ◽  
Birth Attendants ◽  
And Child Health ◽  
Skilled Health Personnel ◽  
Skilled Health

Abstract   Background: Births assisted by skilled health personnel in health facilities is the prevention of maternal mortality. Wakatobi District has a low coverage of birth attendance by skilled health personnel, and the community has a powerful culture in all aspects of life, including visiting traditional birth attendants known as Bhisa/Sando in caring for women from pregnant to childbirth. Objective: To identify the cultural and structural determinants that affect the partnership between Bhisa/Shando and midwives in maternal and child health services (MCH). Methods: This study used an operational research design with a qualitative approach. A total of 68 informants were involved in focus group discussions, in-depth interviews, and participatory observations. Thematic analysis was used in processing all information. Results: Cultural determinants that affect the partnership between Bhisa/Shando and midwives were hereditary traditions and a powerful belief in Bhisa/Shando's ability to take care for pregnant women, labor women, postpartum women, and newborns. Meanwhile, structural determinants included inadequate facilities and health personnel for MCH services and suboptimal supports from related parties. These results may cause the partnership between Bhisa/Shando and midwives will not be optimal. Conclusion: Cultural and structural factors have a strong influence in realizing the partnership between Bhisa/Sando and midwives. The involvement of Bhisa/Sando in MCH services conducted by midwives, adequate MCH service infrastructure, and support from community leaders, cadres, and related agencies is essential to be carried out to improve Bhisa/Sando's partnership with midwives in improving MCH services.   Keywords: Bhisa/Shando, partnership of midwives and traditional birth attendants, maternal and child health   Abstrak   Latar belakang: Persalinan yang ditolong oleh tenaga kesehatan di fasilitas kesehatan merupakan upaya untuk mencegah kematian ibu. Kabupaten Wakatobi memiliki cakupan penolong persalinan oleh tenaga kesehatan yang rendah, dan masyarakatnya memiliki budaya yang sangat kuat dalam segala aspek kehidupan, termasuk mendatangi dukun bayi yang disebut sebagai Bhisa/Sando dalam menangani ibu hamil hingga bersalin. Tujuan: Mengidentifikasi determinan kultural dan struktural yang memengaruhi kemitraan antara Bhisa/Shando dengan bidan dalam pelayanan kesehatan ibu dan anak (KIA). Metode: Studi ini menggunakan desain riset operasional dengan pendekatan kualitatif. Total 68 informan terlibat dalam diskusi grup terarah, wawancara mendalam, dan observasi partisipasi. Analisis tematik digunakan dalam mengolah seluruh informasi. Hasil: Determinan kultural yang memengaruhi kemitraan antara Bhisa/Shando dengan bidan yaitu tradisi turun temurun dan kepercayaan yang kuat terhadap kemampuan Bhisa/Shando dalam menangani ibu hamil, ibu bersalin, ibu nifas, dan bayi baru lahir. Sedangkan determinan struktural meliputi fasilitas dan tenaga kesehatan untuk pelayanan KIA yang belum memadai serta dukungan dari pihak terkait yang belum optimal. Hal ini menyebabkan kemitraan antara Bhisa/Shando dengan bidan belum optimal. Kesimpulan: faktor kulturan dan struktural berpengaruh kuat dalam mewujudkan kemitraan antara Bhisa/Sando dengan bidan. Keterlibatan Bhisa/Sando dalam pelayanan KIA yang dilakukan bidan, infrastruktur pelayanan KIA yang memadai, dan dukungan dari tokoh masyarakat, kader, dan instansi terkait perlu dilakukan untuk meningkatkan kemitraan Bhisa/Sando dengan bidan dalam meningkatkan pelayanan KIA. Kesimpulan: Kualitas hidup ibu hamil dan ibu nifas relatif sama dengan kecenderungan lebih rendah pada kualitas hidup ibu nifas   Kata kunci: Bhisa/Shando, kemitraan bidan dan dukun bayi, kesehatan ibu dan anak

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