scholarly journals Knowledge, attitude and practices for antenatal care, danger signs of pregnancy and family planning among pregnant women in a rural area of Kerala, India

Author(s):  
Nimmy N. John ◽  
Amrutha George

Background: Maternal health services have a potentially critical role in the improvement of reproductive health. The use of health service related to availability, quality and cost of services as well as the social structures, health beliefs and personal characteristics of the users. Objective was to determine the level of knowledge, attitude, and practice related to antenatal care (ANC), danger signs and family planning among the pregnant women.Methods: This cross-sectional study was carried out in May 2020 to August 2020 in a rural area of Thrissur district of Kerala, India. 150 pregnant women (aged 18‑35 years) attending the antenatal clinics were interviewed using a predesigned, pretested questionnaire.Results: The knowledge and attitude of the participants towards antenatal care, danger signs of pregnancy and adopting family planning methods was adequate in the study population. The total score of knowledge was 80%, positive attitude was 91% and practice was 77%. The participants also had knowledge regarding pregnancy danger signs. Nearly 92% were aware of bleeding per vagina being a danger sign, 85% stated weak or no movement of baby as a danger sign, 75% knew that pain in abdomen was a danger, 68% knew excessive vomiting as a danger sign while a mere 41% reported that convulsions were a danger sign.Conclusions: The role of health workers in increasing awareness among mothers about the importance of ANC, the danger signs of pregnancy and adopting family planning methods are of paramount concern.

Author(s):  
Joseph Massenga ◽  
Rita Noronha ◽  
Bayoum Awadhi ◽  
Dunstan R. Bishanga ◽  
Oliva Safari ◽  
...  

In Tanzania, 27.1% of all women of reproductive age are currently using modern contraception and 16.8% have an unmet need for family planning. We therefore examined factors associated with family planning uptake after giving birth in two regions of Tanzania. The survey, which collected information beyond that collected in the Tanzania Demographic Health Survey, used a two-stage, stratified-cluster sampling design, conducted in April 2016 in Mara and Kagera regions in Tanzania. A total of 1184 women aged 15–49 years, who had given birth less than two years prior to the survey were included. Logistic regression mixed effect modelling was used to examine factors associated with family planning uptake. A total of 393 (33.2%) women used family planning methods and 929 (79%) required prior approval from their partners. Participation of men in utilization of maternal health care was low, where 680 (57.8%) women responded that their partners accompanied them to at least one antenatal care (ANC) counselling visit and 120 (10%) responded that their partners participated in family planning counselling. Women who did not want to disclose whether they had discussed family planning with their partners, strikingly had the highest percentage of using family planning methods after birth. Factors independently associated with family planning uptake included: having discussed family planning with the partner (aOR 3.22; 95% CI 1.99–5.21), having been counselled on family planning during antenatal care (aOR 2.68; 95% CI 1.78–4.05), having discussed family planning with a community health worker (CHW) (aOR 4.59; 95% CI 2.53–8.33) and with a facility health care worker (aOR 1.93; 95% CI 1.29–2.90), having primary or higher educational level (aOR 1.66; 95% CI 1.01–2.273), and being in union (aOR 1.86; 95% CI 1.02–3.42). Educational interaction with community and facility health workers, as well as having a supportive partner as facilitator increased uptake of family planning. This needs to be prioritized in regions with similar socio-cultural norms in Tanzania and beyond.


2020 ◽  
Vol 10 (2) ◽  
pp. 51-55
Author(s):  
Nurhikmah ◽  
Tahir Abdullah ◽  
Stang ◽  
Suriah ◽  
Andi Imam Arundhana ◽  
...  

Objective: This study was to examine the effects of counselling delivered during antenatal care on the knowledge and attitudes of pregnant women about danger signs in pregnancy.Methods: This was a pre-experimental design using one group pre- and post-test only. This study was conducted in Takalar, specifically within Sanrobone Community Health Service working area. Takalar is located in South Sulawesi Province Indonesia and this area is coastal with the majority of people working as a fisherman. Participants of this study were pregnant women living in the villages which are included in the working area of Sanrobone Community Health Service.Results: The study shows that counselling improved knowledge and attitude of pregnant women about danger signs in pregnancy (p=0.011 and p=0.025, respectively). The number of pregnant women with good knowledge and positive attitude increased after the intervention (43.8% vs 93.8%, 62.5% vs 93.8%, respectively).Conclusions: In can be concluded that intervention by means of counselling can improve the knowledge and attitude of pregnant women about danger signs in pregnancy. Therefore, it is important to implement the counselling program delivered by health workers in Community Health Service in order to mitigate the risk of maternal mortality.


2016 ◽  
Vol 15 (1) ◽  
pp. 49-52
Author(s):  
Md Moktel Hossain ◽  
Umme Jamila Akther Manni

This descriptive study was conducted in Darogarchala, Sreepur Upazilla with a view to assessing the acceptance of contraceptive methods among the married male. Total 325 participants of age ranging from 20 to 60 years were interviewed. The mean age of the respondents was 38.5 years. Maximum 107 (33%) were in the age group of 30 to 39 years. Majority of the respondents (34%) were illiterate. Among the rest, 91 (28%) had primary education, 87 had completed SSC and 26 had completed HSC and 5 were graduate. In the study, it was found that, majority respondents (34%) were businessmen, 20% were laborers, 19% were service holders, 16% were farmers, and 12% were unemployed. More than 98% of the respondents were muslims. Majority 211 (65%) of the family were nuclear family and 114 (35%) were family from joint family. According to monthly income, it was found that, 141 had monthly income in between 1000 taka to 5000 taka, 110 respondents had income in between 5001 to 10000 taka, 33 had income in between 10001 to 15000 taka, 22 had income between 15001 to 20000 taka, and 10 had income between 20000 to 30000 taka. Only a small fraction (2.54%) earned more than 30000 taka. Maximum (45%) of the respondents were married between the ages 22 to 24 years. According to number of children, majority of the respondents (74.69%) had 1 to 3 alive children and 73.23% wished to have children in the future. 97 of the respondents obtained information from health workers and about 40% from Radio or TV. Most of the respondents (66%) did not use any method of family planning and 33.66% applied one of the family planning methods. Majority (99.02%) used temporary methods of family planning. Only one used permanent method. It revealed that 90.85% did not face any complications and only 9.15% faced difficulties during the use of contraceptives.Chatt  Shi Hosp Med Coll J; Vol.15 (1); Jan 2016; Page 49-52


2021 ◽  
Vol 5 (1) ◽  
pp. 424
Author(s):  
Revinel Revinel ◽  
Aning Subiyatin

ABSTRAKMasa pandemi  Covid-19 di Indonesia sangat berdampak di berbagai sektor layanan publik, terutama sektor layanan kesehatan khususnya pemanfaatan layanan Antenatal Care (ANC). Pemerintah merekomendasikan  menunda pemeriksaan kehamilan ke tenaga kesehatan kecuali ibu mengalami tanda – tanda bahaya kehamilan. Terkait dengan kondisi ibu hamil tetap harus mendapatkan informasi yang adekuat dan terpantau kesehatannya maka diperlukan kelas ibu hamil guna meningkatkan pengetahuan tentang kehamilan, persalinan, nifas dan parenting. Pengabdian kepada masyarakat  bertujuan untuk memberdayakan kelompok ibu hamil dalam meningkatkan pengetahuan dan merubah sikap dan perilaku ibu hamil agar  memahami tentang kehamilan yang sehat tanpa anemia agar dapat  mencegah komplikasi secara dini selama masa kehamilan  dan dapat mempersiapkan  persalinan normal,  mengikuti protokol kesehatan secara optimal. Metode yang diberikan melalui edukasi  interaktif, dengan pendekatan secara langsung, curah pendapat, ceramah, tanya jawab tentang pencegahan  anemia pada kehamilan, diikuti 19 ibu hamil dibagi 2 kelompok di Puskesmas kecamatan Tanah Abang. Hasilnya  menunjukkan bahwa terjadi peningkatan rata-rata skor pengetahuan sebesar dari 70,53±26,34 SD menjadi 88,94±14,48 SD. Kata kunci: anemia; ibu hamil; kelas ibu hamil.  ABSTRACTThe Covid-19 pandemic in Indonesia has greatly impacted various public service sectors, especially the health service sector, especially the use of Antenatal Care (ANC). The government recommends postponing Antenatal Care to health workers unless the mother experiences danger signs of pregnancy. Regarding the condition of pregnant women, they still have to get adequate information and their health is monitored, so a class for pregnant women is needed to increase knowledge about pregnancy, childbirth, postpartum and parenting. Community service aims to empower groups of pregnant women in increasing knowledge and changing attitudes and behavior of pregnant women in order to understand about a healthy pregnancy without of anemia in order to prevent complications early during pregnancy and be able to prepare for normal delivery, following health protocols optimally. The method provided was through interactive education, with a direct approach, brainstorming, lectures, questions and answers about preventing anemia in pregnancy, followed by 19 pregnant women divided into 2 groups at the Tanah Abang sub-district health center. The results showed that there was an increase in the average knowledge score from 70.53±26.34 SD to 88.94±14.48 SD. Keywords: anemia; pregnant women; class of pregnant women. 


2020 ◽  
Vol 7 (1) ◽  
pp. 14-20
Author(s):  
Intan Monik Pratami

Indonesia is currently enjoying a demographic bonus period where the number of productive agepopulation is more than non-productive age, which is more than 68% of the total population. Inthis case the government through BKKBN try to improve family planning services as it is expectedto prevent the explosion of population by means of family planning (KB). There are various typesof contraception, one of them is injection. Its high effectiveness can be relied upon as acontraceptive method so the number of acceptors is very high compared to other methods. Thereare various factors that influence, among others, the level of knowledge and support of thehusband. 3-month injection contraception is a contraceptive in the form of a liquid that containsonly the hormone progesterone and is injected into a woman's body periodically that is 3 months(MOH RI. 2002). Based on the Research Results 35 respondents (100%) Injecting KB acceptors, 9respondents (25.72%) with high knowledge, medium knowledge 11 respondents (31.43%), lowknowledge 15 respondents (42.85%). Husbands who gave support were 20 respondents (57.115%)and those who did not support 15 respondents (42.85%). Health workers played an important rolein providing information about Family Planning methods for prospective acceptors, in this casespecifically fertile age couples. Provision of this information is done through counseling using KBDecision-Making Aids (ABPK).


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