scholarly journals Assessment of knowledge and attitude regarding intrauterine devices among auxiliary nurse midwife in two districts of North Bengal

Author(s):  
Romy Biswas ◽  
Sharmistha Bhattacherjee ◽  
Kuntala Ray ◽  
Jayanta K. Roy ◽  
Tapas K. Sarkar ◽  
...  

Background: Despite being one of the most easily available and reversible methods of family planning, IUD utilization continue to remain low, as evident in the nationwide surveys. One of the reasons was poor knowledge and skills on IUD provision among health care providers. This study examined factors related to providers, by examining their IUD-related knowledge, and their attitudes toward recommending or inserting the IUD.Methods: A descriptive cross sectional study was conducted among 503 ANMs from Uttar Dinajpur and Darjeeling Districts using a semi-structured questionnaire exploring the service providers’ knowledge, current practices and experience with IUD insertion. Attitudes regarding IUDs were assessed by asking how much they agreed with a number of hypothetical statements about the IUD.Results: The proportion of good knowledge and favourable attitude was 57.5% and 60% respectively. The knowledge was found to be significantly higher among ANMs aged less than 30 years and who had graduate education than their counterparts. Better knowledge and favourable attitude was found among the ANMs posted in Darjeeling and had service experience of more than 5 years.Conclusions: The knowledge and attitude of the ANMs were found to be less than satisfactory. Addressing IUDs and other newer contraceptives in pre-service curriculum, within job training and peer group education in both public and private areas may help the situation.

2021 ◽  
Vol 9 (E) ◽  
pp. 328-335
Author(s):  
Ghada Wahby Elhady ◽  
Tarek Amin Tawfik ◽  
Eman Aly Hussein ◽  
Sherry Magdy ◽  
Marwa Rashad Salem

Objectives: Postnatal care (PNC) is an essential component of maternal care program. However, gap exists between high coverage with antenatal and natal care and low coverage with PNC in Egypt. Consequently, the current study was conducted to explore pattern of early PNC (after first day following delivery) among rural mothers. Methods: An exploratory cross-sectional study was done in four Primary Health Care (PHC) centers related to one district in rural Egypt. Mothers who had delivered in the previous year were invited to a structured exit interview. Focus group discussions and in-depth interviews were done with mothers and health care providers (HCPs). Results: Out of the total mothers (n=600), 34.2% received PNC. Multivariate analysis showed that low family income was a significant negative predictor for receiving PNC (P=0.000), while utilization of ANC (P=0.00), delivery at public (P=0.004) or private health facility (P=0.00) were significant positive predictors for receiving PNC. Qualitative data identified barriers for seeking PNC as shortage in HCPs, especially nurses, poor communication by HCPs, mothers perceived HCPs as incompetent in PNC service delivery. Lack of knowledge among women about the importance of PNC and unavailability of female physicians formed social barriers. Conclusion: Inadequate knowledge about the importance and components of PNC among service providers and served community reduces the demand for PNC.


Author(s):  
Fatmah Almoayad ◽  
Isherah A. Assiri ◽  
Haifa F. Almarshoud ◽  
Atheer M. Safhi ◽  
Hend M. Altahan ◽  
...  

Objectives: Herbal treatments are commonly used during pregnancy by Saudi women. However, inappropriate use of some herbs can have side effects for both mother and foetus. Thus, a comprehensive understanding of their use during pregnancy is crucial. To explore the use of herbal treatments by Saudi women during pregnancy using the knowledge-attitude-practice (KAP) model. Methods: A cross-sectional study was conducted among 400 subjects in Riyadh using an online questionnaire. Results: All participants lacked knowledge about the side effects of herbs, but 62.5% of them knew about unsafe herbs in general. Most participants had a neutral attitude towards herbs. Almost half of the participants did not use herbs during pregnancy, and a similar number sometimes use herbal treatments during pregnancy. There was a significant positive correlation between practice and attitude and a negative correlation between knowledge and attitude and between knowledge and practice (p < 0.0001). Conclusion: While the participants’ knowledge was generally poor, their attitudes and practices regarding the use of herbal treatments during pregnancy were good. It is recommended that more efforts be made by health care providers to target attitudes by providing accurate knowledge and reinforce healthy practices among Saudi women. Keywords: herbal treatment, pregnancy, Saudi Arabia, KAP model.


Author(s):  
Rekha Acharya ◽  
Gaurav Sharma ◽  
Renu Sethia ◽  
Ratti Ram Meena

Background: Different types of waste are generated during healthcare activities. The waste so generated has chance of causing serious infection and also injury to persons who come in contact with it whether the contact is direct or indirect. Safe and sustainable health care waste management is not possible without a favourable attitude among health care providers. The objective of the study was to assess the attitude of Intern doctors and B.Sc. nursing students: the future health care providers, regarding various aspects of Biomedical Waste (Management and handling) Rules. Methods: This was a cross-sectional study. The study was conducted amongst Intern doctors and B.Sc. nursing students posted at Prince Bijay Singh Memorial (PBM) and associated group of hospitals attached to Sardar Patel Medical College, Bikaner. Results: In the study out of 204 respondents, 54.4% were B.Sc. nursing students and 45.6% were intern doctors. Statistically significant difference was seen in overall attitude of study population belonging to different professional group regarding biomedical waste management. Overall the attitude of study group was favourable. Conclusions: Favourable attitude of health care workers will go a long way in better implementation of biomedical waste management rules and thereby help in decreasing adverse health effects of improper waste handling. 


Author(s):  
Suhas Aithal ◽  
Jagmohan S. V. ◽  
Niveditha S.

Background: Nebulization is an important tool in the treatment of respiratory conditions. Nurses are primary health care providers for using the nebulizers in a hospital setting. The examination of nurse's knowledge and performance regarding the nebulizer therapy is of utmost importance for proper nebulization. Aim of the study was to access the knowledge and attitude of staff nurses towards nebulization therapy.Methods: A cross sectional study was conducted at the RL Jalappa hospital, Kolar, Karnataka, India. 50 nurses working the intensive care units and wards were given a questionnaire regarding the key aspects of nebulization therapy. A workshop was then conducted for the same participants on correct nebulization techniques and the questionnaire was given and the results post workshop was analyzed.Results: In pre-study, most nurses had unsatisfactory knowledge with respect to breathing pattern during nebulization (72.2%), types of masks used (83.3%), changing of filter (62.5%). On comparing satisfactory knowledge level of nurses pre-and post, it was found statistically significant increase in knowledge for breathing pattern during nebulization, knowledge of types of nebulization, nebulization time, nebulization end point, types of drugs used, type of dilution, proportion of dilution, ideal volume of drugs in medication, replacement of tubing, changing of filter, types of disinfections used, types of nebulization and types of mask (p <0.05).Conclusions: The knowledge of the staff nurses regarding the nebulization therapy was unsatisfactory which was reflected by improvement in the knowledge post workshop training. The staff nurses should be provided periodic training on nebulization therapy to give effective and safe care to patients.


2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Karimah Hanim Abd Aziz ◽  
Nurjasmine Aida Jamani ◽  
Nur Wajihah Lahasan ◽  
Syazwana Amirah Che Ujang ◽  
Nur Ili Dalia Mohd Ali Hanafiah

Introduction: Topic on sexuality has largely remained a taboo subject for discussion between parents and their children in Malaysia, which might contributed to increase sexual activity among adolescent age group. This study was undertaken to assess the level of knowledge, attitude and their associated factors among standard 4 and 5 students in a primary school in Kuantan, Pahang. Materials and Methods: A cross-sectional study was conducted involving 281 students from standard 4 and 5 students using a self-administered validated Malay version KAPSRH questionnaire. Universal sampling was used for selection of students who fulfilled the inclusion and exclusion criteria. Descriptive statistics was used to explain respondents' background characteristics and multiple logistic regression was used to find the association. Results: Of the 252 students completed the surveys, 135 were males and 117 were females with the mean age of 10.47. It was found that more that half students reported to have good knowledge (56.3%) and attitude (59.4%) towards sexual and reproductive health. Year of study (p<0.0001), involvement in religious activities (p<0.0001) and household income were associated with both knowledge and attitude. While prayers (p=0.04), practice fasting (p=0.03), mothers' education (p<0.0001), fathers' education (p<0.0001) and fathers' working status (p=0.04) were associated with good attitude only. Conclusion: Although majority of the students have good level of sexual and reproductive health knowledge and attitude , there is still room for improvement. Parents, schools and health care providers are challenged with the task of providing adolescents with accessible sexual and reproductive health information to promote healthy sexual and reproductive lives.


2020 ◽  
Author(s):  
Emad Aborajooh ◽  
Mohammed Qussay Al-Sabbagh ◽  
Baraa Mafrachi ◽  
Muhammad Yassin ◽  
Rami Dwairi ◽  
...  

UNSTRUCTURED We aimed to measure levels of knowledge, awareness, and stress about COVID-19 among health care providers (HCP) in Jordan. This was a cross-sectional study on 397 HCPs that utilized an internet-based questionnaire to evaluate knowledge about COVID-19, availability of personal protective equipment (PEE), future perception, and psychological distress. Ordinal logistic regression analysis was used to evaluate factors associated with knowledge and psychological stress. Overall, 24.4% and 21.2% of the participants showed excellent knowledge and poor knowledge, respectively. Social media (61.7%) was the most commonly used source of information. Being female (β= 0.521, 95% CI 0.049 to 0.992), physician (β=1.421, 95% CI 0.849 to 1.992), or using literature to gain knowledge (β= 1.161, 95% CI 0.657 to 1.664) were positive predictors of higher knowledge. While having higher stress (β= -0.854, 95% CI -1.488 to -0.221) and using social media (β= -0.434, 95% CI -0.865 to -0.003) or conventional media (β= -0.884, 95% CI -1.358 to -0.409) for information were negative predictors of knowledge levels. HCPs are advised to use the literature as a source of information about the virus, its transmission, and the best practice. PPEs should be secured for HCPs to the psychological stress associated with treating COVID-19 patients.


2020 ◽  
Vol 18 (6) ◽  
pp. 658-661
Author(s):  
Mafalda Lemos Caldas ◽  
Miguel Julião ◽  
Ana João Santos ◽  
Harvey Max Chochinov

AbstractIntroductionThe Patient Dignity Question (PDQ) is a clinical tool developed with the aim of reinforcing the sense of personhood and dignity, enabling health care providers (HCPs) to see patients as people and not solely based on their illness.ObjectiveTo study the acceptability and feasibility of the Portuguese version of the PDQ (PDQ-PT) in a sample of palliative care patients cared for in primary care (PC).MethodA cross-sectional study using 20 palliative patients cared for in a PC unit. A post-PDQ satisfaction questionnaire was developed.ResultsTwenty participants were included, 75% were male; average age was 70 years old. Patients found the summary accurate, precise, and complete; all said that they would recommend the PDQ to others and want a copy of the summary placed on their family physician's medical chart. They felt the summary heightened their sense of dignity, considered it important that HCPs have access to the summary and indicated that this information could affect the way HCPs see and care for them. The PDQ-PT's took 7 min on average to answer, and 10 min to complete the summary.Significance of resultsThe PDQ-PT is well accepted and feasible to use with palliative patients in the context of PC and seems to be a promising tool to be implemented. Future trials are now warranted.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Najmieh Saadati ◽  
Poorandokht Afshari ◽  
Hatam Boostani ◽  
Maryam Beheshtinasab ◽  
Parvin Abedi ◽  
...  

Abstract Background The COVID-19 pandemic has affected many countries around the world and Iran was no exception. The aim of this study was to evaluate health anxiety of Iranian pregnant women during the COVID-19 pandemic. Methods In this cross-sectional study, 300 pregnant women in different trimesters (n = 100 in each trimester) were recruited. A demographic questionnaire and the Health Anxiety Questionnaire were used to collect data. Scores of < 27, 27–34 and more than 35 were defined as low, moderate and high health anxiety, respectively. Due to nationwide restrictions, data were collected through social media groups. Chi-square tests, ANOVA and multiple linear regression were used to analyze the data. Results Mean (SD) total anxiety scores were 22.3 ± 9.5, 24.6 ± 9.3 and 25.4 ± 10.6 in the first, second and third trimesters of pregnancy, respectively. 9, 13 and 21% of women had severe anxiety in the first, second and third trimesters of pregnancy, respectively. Women in the third trimester had significantly higher health anxiety scores than those in the first trimester (p = 0.045). Conclusion At the time of the COVID-19 pandemic, women in the second and third trimesters of pregnancy were more worried about consequences of disease, but total health anxiety scores were significantly higher among women in the third trimester of pregnancy. Health care providers should pay more attention to the mental health of pregnant women in times of crises such as the COVID-19 pandemic.


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