Assessment of KAP Towards Oral Health of Under Five Children Among Mothers Visiting Federal Defense Force “Torhayiloch” Hospital, Maternal and Child Health Clinic, Addis Ababa, Ethiopia, 2017

Background. Globally, immunization is among the major contributors to public health, preventing 20% of childhood mortality annually. The highest fatality rates from vaccine preventable diseases are usually among children under five. Despite immunization guidelines put in place by the World Health Organization, globally, 1.5 million children die annually related to inadequate vaccination coverage. Existing literature indicate that there is an increase in nonadherence to immunization schedule in developing countries, and therefore, there is an increased demand to improve adherence to immunization schedule. Objective. To explore strategies that will improve adherence to immunization schedule among children under 24 months attending the Maternal and Child Health clinic at Kenyatta National Hospital. Methods. A cross-sectional mixed method study involving caregivers (n=214) of well babies attending the Maternal and Child Health clinic. Data was collected using semistructured questionnaires, focus group discussions, and key informant interviews and analyzed using SPSS V.20. Results. There was a significant relationship between the level of education and marital status of the caregivers and adherence to immunization schedule. Barriers found that is related to adherence to immunization schedule included far distance from health facility, baby’s sickness, and vaccine stock-outs while employment of a caregiver was a constrainer factor. Conclusion. The enabling factors to current strategies of improving adherence to immunization schedule were having more health facilities near residential areas, using text messages reminders a day before the clinic date to remind caregivers of the due date for the clinic, and constant availability of vaccines. The health system strategies that would improve adherence to immunization schedules were more flexible clinic hours, availability of vaccines on daily basis, phone call reminders by health care providers, and increasing awareness on the importance of both vaccinations and adherence to immunization schedule.

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Potential teratogenecity risk and prescription drug use among pregnant women attending maternal and child health clinic of Kemisse General Hospital, Northeastern, Ethiopia

10.21203/rs.2.13253/v1 ◽

2019 ◽

Author(s):

Belete Kassa Alemu ◽

Nesredin Nigatu Wolle

Keyword(s):

Drug Use ◽

Child Health ◽

Pregnant Women ◽

Maternal And Child Health ◽

Medical Records ◽

First Trimester ◽

Health Clinic ◽

Third Trimester ◽

Child Health Clinic ◽

And Child Health

Abstract Background Drug use during pregnancy requires special consideration because both fetus and the mother are affected. Drug teratogenicity is most likely to occur when drugs are taken during first trimester of pregnancy when fetal organs are formed. In addition, drugs at second and third trimester may affect the growth and functional development of the fetus or have toxic effect on fetal tissues. Objective The objective of this study was to assess potential teratogenecity risk and drug use pattern in Kemisse General Hospital. Methods An institution based cross sectional study was conducted by reviewing a one year medical records (from January 1, 2010 to December 31, 2011) of pregnant women attending maternal and child health clinic of the hospital. Systematic random sampling was employed to select a total of 263 pregnant women. Structured data abstraction format was used for collection of data and then data were coded, entered and analyzed by using Statistical Package for Social Sciences version 23. Result A total of 263 medical records of pregnant women were reviewed, of which 234 pregnant women were prescribed with a total of 430 prescription drugs. The average numbers of drugs per pregnant women was found to be 1.84. Most pregnant women 166 (63.2%) were in the third trimester and more than half of them (51.3%) were multigravida. The maximum number of drugs were prescribed in the second trimester 162 (37.67%) followed by third trimester 143(33.26%). Supplemental drugs were the most widely used medications 297 (69.07%) and followed by 82 (19.1%) drugs from category B; 54 (12.6%) drugs from category C; and the rest 7 (1.6%) drugs from category D. There was no any drug from category X. Conclusion Approximately one third of the pregnant women encountered with drugs from category B, C and D. However, there were no FDA category C and D drugs prescribed in first trimester. There was no drug utilized by pregnant women from FDA pregnancy risk category X.

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Traditional and Complementary Medicine Use During Postpartum Period: A Cross-Sectional Analysis at a Rural, Public Maternal and Child Health Clinic in West Malaysia

Cureus ◽

10.7759/cureus.15410 ◽

2021 ◽

Author(s):

Mohd Hafiz Ridzuan ◽

Mohd Fairuz Ali ◽

Chai-Eng Tan ◽

Aznida Firzah Abdul Aziz

Keyword(s):

Child Health ◽

Complementary Medicine ◽

Maternal And Child Health ◽

Postpartum Period ◽

Health Clinic ◽

Medicine Use ◽

Cross Sectional ◽

Child Health Clinic ◽

Sectional Analysis ◽

And Child Health

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Knowledge of Birth Preparedness and Complications Readiness: An Urban- Rural Comparison of Maternal and Child Health Clinic Attendees in Anambra State, Nigeria

Asian Journal of Medicine and Health ◽

10.9734/ajmah/2018/40634 ◽

2018 ◽

Vol 11 (2) ◽

pp. 1-10 ◽

Cited By ~ 1

Author(s):

U Umeh ◽

C Onwasigwe ◽

E Adinma ◽

C Nnebue

Keyword(s):

Child Health ◽

Maternal And Child Health ◽

Health Clinic ◽

Birth Preparedness ◽

Anambra State ◽

Child Health Clinic ◽

Urban Rural ◽

And Child Health

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Assessment of Maternal and Child Health Care Services Performance in The Context of COVID-19 Pandemic in Addis Ababa, Ethiopia: Evidence From Routine Service Data

10.21203/rs.3.rs-1015494/v1 ◽

2021 ◽

Author(s):

Senedu Bekele Gebreegziabher ◽

Solomon Sisay Marrye ◽

Tsegaye Hailu Kumssa ◽

Kassa Haile Merga ◽

Alemu Kibret Feleke ◽

...

Keyword(s):

Health Care ◽

Child Health ◽

Health Services ◽

Maternal And Child Health ◽

Addis Ababa ◽

Child Health Services ◽

P Value ◽

Health Management Information System ◽

Under Five ◽

And Child Health

Abstract Background In many settings, health care service provision has been modified to managing COVID-19 cases, and this has been affecting the provision of maternal and child health services. The aim of this study was to assess trends in selected maternal and child health services performance in the context of COVID-19 pandemic. Methods A cross-sectional data review was conducted in Addis Ababa, Ethiopia from April to May 2021. Routine health management information system database was reviewed from Addis Ababa Health Bureau for the period from July 2019 to March 2021 across all quarters. Proportions and mean with standard deviations were computed. T-test was used to assess statistically significant differences in services mean performance. Results PNC visit, new contraceptives accepters, safe abortion care and number of under-five years old children treated for pneumonia significantly decreased by 9.3% (p-value 0.04), 20.3% (p-value 0.004), 23.7% (p-value 0.01) and 77.2% (P-value < 0.001), respectively during the first eight months of the COVID-19 pandemic compared to the previous eight months’ average performance. The trends in ANC first visit, new contraceptive accepters, pentavalent-3 vaccination and under-five children treated for pneumonia began to decline between January-March 2020 when the COVID-19 pandemic began; with accelerated declines between April-June 2020 following national lockdown. The trends for the stated services began to increase during July-September 2020, during the last quarter of national lockdown. Contraceptive accepters and pentavalent-1 vaccination continued to decline and showed no recovery until January-March 2021when this study was completed. Conclusions Most of the maternal and child health services performance declined following the onset of COVID-19 pandemic and national lockdown, and most of the services began recovering during July-September 2020, the last quarter of national lockdown. However, new and repeat contraceptive accepters and pentavalent-1 recipients continue to decline and show no recovery during end of the study period. Implementing COVID-19 prevention measures and assuring the community about the safety of service delivery is imperative to ensure continuity of the maternal and child health services. Regular monitoring and evaluation of services performance is required to identify slowly recovering services and respond to potentially volatile changes during the COVID-19 pandemic.

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