scholarly journals A study on evaluation of utilization of antenatal care services in a rural area of North Kerala, India

Author(s):  
Sateesh B. C. ◽  
Rajeev K. H.

Background: Antenatal care is the care of the woman during her pregnancy. The primary aim of antenatal care is to achieve at the end of a pregnancy a healthy mother and a healthy baby National Health Mission mainly aims at reduction in maternal, neonatal, infant mortality and increasing institutional deliveries. This study was conducted to evaluate the antenatal care services utilization in a rural area of North Kerala among the women who delivered in the past six months. The objective of the study was to evaluate the antenatal care services utilization among the women who delivered in the past six months in a rural area of North Kerala.Methods: A cross sectional study was conducted in the rural field practice area of Kannur Medical College, Kannur among women who delivered in the past 6 months by using convenient sampling method. A total of 150 mothers were interviewed using pre-validated, semi structured questionnaire. Descriptive statistics were used to analyze the data.Results: The mean age of the participants was 27.2±3.4 years. About 98% (147) mothers had at least four ANC visits, all mothers had two doses or one booster dose of TT injections and 90% (135) consumed minimum hundred IFA tablets during pregnancy. Around 96% (144) of the mothers have received the full antenatal care during pregnancy.Conclusions: Our study showed that, the full antenatal care services utilization by the mothers is better compared to National and State averages. But there is slightly increased level of delivery by caesarean which is a matter of concern.


2017 ◽  
Vol 4 (5) ◽  
pp. 1466 ◽  
Author(s):  
D. Jena ◽  
S. Sabat ◽  
R. M. Tripathy ◽  
D. K. Mahapatra

Background: MCP card has been developed as a tool for families to learn, understand and follow positive practices for achieving good health of antenatal mothers and children. It serves as informative tool with pictorial contents for enrichment of mother’s knowledge, which may be a determinant of their practice. The objectives of this study were to evaluate the perception among mothers about antenatal care from MCP card and to associate selected variables of interest with their knowledge. Method: A cross-sectional study was conducted among 200 mothers attending immunization OPD of MKCG Medical College during June to August 2016. Data was obtained from them by pre-designed and pre-structured questionnaire. Results: 86% have read the MCP card and understood it. Among them 10% have understood it pictorially, 62% have understood it both pictorially and literally. It was found that higher education, multiparity, early pregnancy registration, were statistically significantly associated with adequate knowledge (p<0.05). About various aspects of antenatal care, 90% correctly stated that 2 injections of TT are given in pregnancy but only 12% could say that deworming is done after 3rd month of pregnancy. 86% correctly said bleeding as a danger sign but only 2% knew about pallor as a danger sign. 81% said contacting health worker as an arrangement for emergency labour but only 35% said that they would identify a hospital in advance.  Conclusion: This can be utilized as a tool of health education for counseling during ANC visit at village level in the Anganwadis.



2019 ◽  
Vol 13 (2) ◽  
pp. 1-7
Author(s):  
Linda Muleya Libingi ◽  
Catherine M Ngoma ◽  
Yolan Banda

Background: Antenatal care refers to the assessment and care of pregnant women. In southern Zambia, the high number of maternal deaths related to pregnancy complications could be prevented by high quality antenatal care. Aims: To explore midwives' knowledge of antenatal care and assess their skill levels. Methods: A quantitative cross-sectional study was conducted between October 2016 and February 2017 with 89 midwives. A structured questionnaire was used to collect data. Descriptive statistics were used to summarise the data test associations between variables. Findings: Knowledge levels were high, but 61.8% of respondents did not have the required clinical skills when observed. Overall, 70% of respondents had received supervision in the past 6 months before data collection. Conclusions: Knowledge levels of midwives were high compared to the skills levels. Intensive, onsite, supportive mentorship and supervision is recommended to improve midwives knowledge and skills in antenatal care.



2018 ◽  
Vol 16 (2) ◽  
pp. 156-159
Author(s):  
Anup Ghimire ◽  
Shyam Sundar Budhathoki ◽  
Surya Raj Niraula ◽  
Abha Shrestha ◽  
Paras K Pokharel

Background: Injuries are a problem worldwide in all occupations. Welders are exposed to many hazards at work resulting in a variety of health problems including injuries at work. This study was conducted to find out the prevalence and factors associated with injuries among welders in Dharan city of eastern Nepal.Methods: A cross sectional study was conducted among 86 welders in Dharan city. Occurrence of injury in past 2 weeks and past 12 months were recorded. Data regarding sociodemographic along with occupational characteristics was collected using semi structured questionnaire. Data analysis was done using SPSS version 17.Results: All the welders in this study were male with almost half of the welders under the age of 25 years and about a fifth (21.1%) of the welders having received some form of welding training. In the past 12 months, 21.1% of the welders suffered from work related injuries. More than 95% welders used at least one personal protective equipment in this study. More injuries were seen among welders with age ≥35 years, working experience ≥ 5 years, not received training and not using of PPE at work. However, these factors were not found to be statistically significant.Conclusions: Work related injuries are high among welders of Dharan. Further research is required to explore the relationship between age, literacy, training and use of personal protective equipment with the occurrence of injuries among the welders.



2013 ◽  
Vol 2 (2) ◽  
pp. 61-66 ◽  
Author(s):  
Md Shahjahan ◽  
Hasina Akhter Chowdhury ◽  
Jesmin Akter ◽  
Afsana Afroz ◽  
M Mizanur Rahman ◽  
...  

Antenatal care (ANC) includes care during pregnancy, should begin from the early stages of pregnancy. ANC al-lows management of pregnancy, detection and treatment of complications, and promotion of better maternal and child health. This study assessed the factors relating to maternal healthcare practices in rural Bangladesh and exam-ined the association between use of antenatal care services and socio-demographic variables of rural women. A community based cross-sectional study was conducted in Madhupur upazila of Tangail district. Postnatal mothers who visited the Expanded Programme on Immunization (EPI) centers constituted as sampling frame and selected. The sample size was determined based available information on the Bangladesh Demographic and Health Survey (BDHS) 2007. In total 360 randomly selected postnatal mothers were interviewed using structured questionnaire for collecting information on demographic characteristics, knowledge on ANC and practices. The mean (±SD) age of the respondents was 24(±4.4) years. Most (95.6%) of them were housewives. Twenty-two percent of the respon-dents were from the poorest socioeconomic class. Mothers who had one living child had the highest percentage of adequate ANC use compared to those who had two or more living children. Access to mass media (newspapers and TV) had a positive significant (p<0.001) effect on the use of ANC services. The results of logistic regression analy-sis showed that, after adjusting other factors, respondents who had secondary-level education were 4.5 times more likely to use ANC adequately compared to those who had no education. The findings suggested that education of the mothers is an important determinant of ANC visits during pregnancy. Therefore, information, education and communication on ANC must be intensified in order to reach the rural mothers. DOI: http://dx.doi.org/10.3329/seajph.v2i2.15956 South East Asia J Public Health | Jul-Dec 2012 | Vol 2 Issue 2 | 61-66



2021 ◽  
pp. 19-20
Author(s):  
C. Hemachithra ◽  
N. Meena

Cerebral palsy (CP) is the most common congenital neurological disorder. The etiological and the risk factors are many and an awareness of the interplay of multiple factors in the causation is crucial. The aim of the study is to investigate the clinical prole and risk factors of CP children in and around Chidambaram. A retrospective cross sectional study was conducted in the Division of Physical Medicine and Rehabilitation, Rajah Muthiah Medical College and Hospital, Chidambaram. Seventy clinically diagnosed CP children were enrolled and clinical prole and history were retrieved from the case sheets and the parents of CP children. The result shows that out of 70 CP children 53% of males and 47% of females were found. The anthropometric measurements like height and weight of the CP children were found lower than the normal. Among 70 children spastic type of CP was the most common, Athetoid type (5.7%) and ataxic type (5.7%) are the least common type. This study concluded that neonatal care services in Chidambaram should be reviewed to get more attention which helps to promote early intervention and rehabilitation of CP children.



Author(s):  
Gayatri Aseri ◽  
Sudesh Agrawal

Background: This study was carried out to assess the knowledge, attitude, and practice of contraceptive methods among women attending a tertiary care hospital in Western Rajasthan.Methods: This cross-sectional study was conducted in the department of obstetrics and gynecology, PBM and the associated group of hospitals, attached to Sardar Patel Medical College, Bikaner, Rajasthan, India. Total 500 married women between age group 15-49 yrs were included. These all women interviewed using a structured questionnaire after approval of the hospital’s ethical committee.Results: Total 500 women interviewed for their knowledge, attitude, and practices about contraception. Out of which, 402 (80.4%) women had some knowledge of at least one contraception method at the time of the study.  The most common sources of information about contraception were husband and family member. Amongst the various contraceptives most commonly known was condom (78.4%). Only 265 (53%) women were practicing contraception at present. Most commonly used contraceptive was condom (40.8%). The most common reason for the non-practice of contraception was need of more child or male child in 34.8% families followed by opposition from in-laws (12.4%).Conclusions: Literacy was positively associated with family planning related knowledge and practices. Preconception knowledge and practices about contraception are poor in our study population. Many of the women were getting MTP pills over the counter without consulting to health care persons and then later presents with complications.



2014 ◽  
Vol 3 (3) ◽  
pp. 206 ◽  
Author(s):  
Shriya Ankit Seksaria ◽  
Mini K Sheth

<p>Diarrhoea, a major contributor of childhood morbidity and mortality is mostly caused by poor hygiene and sanitation. Literature reveal that hygiene practices at household levels greatly affects the occurrence of diarrhoea among children. A cross sectional study was conducted to determine association between hygiene knowledge and practices of mothers with occurrence of diarrhoea in young children below 3 years in the tribal villages of Gujarat. Structured questionnaire was used to elicit information on personal hygiene (PH), food Hygiene (FH), and environmental Hygiene (EH) practices of 536 mothers with children between 6-36 months of age. Past one month diarrhoeal episodes were recorded using the recall method. The mean percent scores for FH, PH and EH practices were 77%, 88% and 80% respectively. Almost 35% children suffered from diarrhoea in the past one month of which 10 were admitted to the hospital. Diarrhoeal incidences were associated with FH and EH practices (p&lt;0.001) and not with PH practices. Improvement in the environmental and personal hygiene practices of the mothers can contribute largely in reducing the prevalence of diarrhoea among children in Chikhli taluka of Gujarat.</p>



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