scholarly journals Factors Shaping Uptake of Antenatal Care in Surabaya Municipality, Indonesia: A Qualitative Study

2021 ◽  
Vol 16 (3) ◽  
Author(s):  
Lisa Jones ◽  
Nyoman Anita Damayanti ◽  
Nicola Wiseman ◽  
Neil Harris

Five focus group discussions (FGDs) with 61 pregnant women were conducted in June and July 2019 at primary health care (PHC) services within five urban areas of Surabaya, Indonesia. In addition, five semi-structured interviews with five midwives were carried out to explore the experiences of pregnant women accessing Antenatal Care (ANC) and the factors shaping uptake of ANC services. Data were audio-recorded, transcribed, and translated into English, and analyzed using thematic analysis. Findings from focus group discussions suggested that fears of negative diagnosis before initial ANC appointment and personal beliefs and myths surrounding pregnancy may delay uptake of ANC. Further, the influence of husbands, family, and friends and long waiting times with overcrowding leading to limited seating shaped timely access and return visits. In addition, feeling comfortable with the quality of the service and receiving a friendly service from the practitioners assisted women in feeling comfortable to return. Finally, midwives acknowledged feeling afraid of being referred to a hospital if deemed a high-risk pregnancy-shaped return ANC visits. The findings highlighted several factors needing to be addressed to increase the promptness of first ANC visits and ensure return visits to achieve great ANC coverage.

2021 ◽  
Author(s):  
Temesgen Gebeyehu Wondmeneh

Abstract Background: Women in low-income countries are frequently malnourished when they become pregnant, and the demands of pregnancy can exacerbate nutritional deficiencies, particularly micronutrient deficiencies, with serious health effects on the fetus. Antenatal nutritional supplements can help to improve birth outcomes and maternal health. As a result, determining the magnitude of dietary diversity and its influencing factors among pregnant women in the pastoral region of Afar, where no study has been conducted, is an essential in order to establish an intervention program in the region. Method: A mixed study comprising 241 pregnant women and six focus group discussions was conducted from October 1 to November 10, 2018. Participants in the quantitative study were selected by a systematic sampling method, whereas those in the focus group discussions were chosen by using purposive sampling method. The data was collected using pretested questionnaires administered via face-to-face interviews. The relationship between dietary diversity practice and its affecting factors was investigated using logistic regression analysis. The strength of the association was determined by odds ratio with a 95 % confidence interval. Thematic framework was used to analyse the qualitative data.Results: Seventy-three percent of pregnant women had poor dietary diversity. Dietary diversity was higher in younger pregnant women who were under the age of 20 years (AOR=5.8; at 95% CI: 1.6-13.5) and aged between 21-25 years (AOR=3.9; at 95 percent CI:1.1-12.2) than in older pregnant women with over the age of 30 years. Those participants with a high average family income (above 4500 birr) had a good dietary diversity when compared to those with family income less than 1500 birr (AOR=0.1:95% 39 CI;0.02-0.7) and between 1500-3000 birr (AOR=0.05:95% CI;0.01-0.2). Pregnant women who had one antenatal care visit practiced less dietary diversity than those who had four or more (AOR=0.18: 95 percent CI; 0.04-0.8). Protein-rich foods (meat and eggs), semisolid foods (porridge and cereal soup), milk, fruit (banana) and vegetable (cabbage) 43 were the most commonly avoided foods by pregnant women. These meals were commonly avoided since they produced large babies and were attached to the fetus's body.Conclusion: The majority of study participants had a poor dietary diversity. Pregnant women with a low family income and only one prenatal care visit were less likely than those with a high family income and four or more antenatal care visits to practice dietary diversity, respectively. Most pregnant women avoided high-protein diets, semi-solid foods, milk, vegetable and fruit. Due to the presumptions of producing large fetus and attached to the fetus's body, these foods were avoided.


2021 ◽  
Vol 40 (1) ◽  
Author(s):  
Yrence Urielle Amoussou Lokossou ◽  
Ayuk Betrand Tambe ◽  
Colette Azandjèmè ◽  
Xikombiso Mbhenyane

Abstract Background Malnutrition is a major public health problem. It contributes to the high death rate among children in developing countries despite the various advocacies of institutions such as WHO and FAO and many other organisations. More research needs to be done in order to contribute to the achievement of the Sustainable Development Goals. The aim of this study was to explore socio-cultural practices and their influence on feeding practices of mothers and their children in Grand Popo, Benin. Methods A qualitative research methodology was used with an inductive approach. A pretested discussion guide was used to conduct focus group discussions with participants in their local language. Four focus group discussions were held in 4 villages located in both the rural and the semi-urban areas with each focus group comprising seven to eight participants. The study protocol was approved by the Health Research Ethics Committee of Stellenbosch University. Focus group discussions were recorded, transcribed and translated to English. The data was analysed following the Creswell data analysis steps. Results All the children were breastfed, and 56.1% of children under 6 months received breast milk exclusively. Children were introduced to family foods at 5 months with very low consumption of animal protein and fruits. Mothers and children had monotonous diets with high consumption of vegetables and maize-based meals. Food taboos, particularly during pregnancy, were revealed. Those cultural beliefs were still followed by some mothers, and food rich in nutrients were pushed aside. Conclusions There is a need for educational interventions to raise awareness of the negative impacts of some socio-cultural practices on the health of the mother and child.


2016 ◽  
Vol 28 (1) ◽  
pp. 69-84 ◽  
Author(s):  
Mufaro Magidi ◽  
Rinie Schenk ◽  
Charlene Erasmus

The culture of gang violence has become deeply entrenched in South Africa. The present study explored the experiences of non-gang school-going adolescents regarding gangs and gangsterism in Hanover Park in the Western Cape. A qualitative exploratory approach was used. Data collection instruments were focus group discussions supported by qualitative semi-structured interviews involving 18 adolescents between the ages of 16 and 18 from two secondary schools in Hanover Park, Cape Town. The data were thematically analysed. The results have shown that the presence of gangs affects the learners’ school attendance, restricts their mobility, increases bullying at school and seriously disrupts family and community life.


2019 ◽  
Vol 6 (02) ◽  
pp. 77-86
Author(s):  
Anisah Aninditya Rahmaputri ◽  
Dianti Endang Kusumawardhani

Teachers have an important role in educating students well. One way that teachers can do to be able to increase motivation and school engagement is by providing social support to students. This study aims to find out the overview of perceived social support from teachers by high school “X” students in South Tangerang. The research method is descriptive qualitative research with data collection techniques through focus group discussions and structured interviews. The results of data retrieval show that the perceived social support from some teachers by high school "X" students is quite satisfying for students but not from every teachers. This means it can still be improved again. This is because not all teachers are considered good enough at providing social support to students. The total number of teachers are 17 people and for students are 67. It should be able to be improved in communication skills so that they can provide better social support to students. Keywords : Adolescent, School, Social support. Abstrak Guru memiliki peran penting dalam mendidik siswa dengan baik. Salah satu cara yang dapat guru lakukan untuk dapat meningkatkan motivasi serta keaktivan siswa di sekolah adalah dengan memberikan dukungan sosial kepada siswa. Penelitian ini bertujuan untuk mencari tahu gambaran dukungan sosial dari guru yang dirasakan oleh siswa SMA “X” di Tangerang Selatan. Metode penelitian berupa penelitian kualitatif deskriptif dengan teknik pengambilan data melalui focus group discussion dan wawancara terstruktur. Hasil pengambilan data menunjukkan bahwa gambaran dukungan sosial dari guru yang dirasakan oleh siswa SMA “X” cukup memuaskan bagi siswa tetapi masih dapat ditingkatkan lagi. Hal ini dikarenakan belum semua guru dianggap sudah bagus dalam memberikan dukungan sosial kepada siswa. Total guru yang berjumlah 17 orang untuk siswa sebanyak 67 orang seharusnya dapat ditingkatkan dalam kemampuan komunikasi sehingga mampu memberikan dukungan sosial kepada siswa dengan lebih baik lagi.


2021 ◽  
Author(s):  
Gunta Lazdane ◽  
◽  
Dace Rezeberga ◽  
Ieva Briedite ◽  
Elizabete Pumpure ◽  
...  

Qualitative research is focused on the influence of COVID-19 pandemic and restriction measures on sexual and reproductive health in Latvia. Results of the anonymous online survey (I-SHARE) of 1173 people living in Latvia age 18 and over were used as a background in finalization the interview and the focus group discussion protocols ensuring better understanding of the influencing factors. Protocols included 9 parts (0.Introduction. 1. COVID-19 general influence, 2. SRH, 3. Communication with health professionals, 4.Access to SRH services, 5.Communication with population incl. three target groups 5.1. Pregnant women, 5.2. People with suspected STIs, 5.3.Women, who require abortion, 6. HIV/COVID-19, 7. External support, 8. Conclusions and recommendations. Data include audiorecords in Latvian of: 1) 11 semi-structures interviews with policy makers including representatives from governmental and non-governmental organizations involved in sexual and reproductive health, information and health service provision. 2) 12 focus group discussions with pregnant women (1), women in postpartum period (3) and their partners (3), people living with HIV (1), health care providers involved in maternal health care and emergency health care for women (4) (2021-02-18) Subject: Medicine, Health and Life Sciences Keywords: Sexual and reproductive health, COVID-19, access to services, Latvia


1998 ◽  
Vol 28 (4) ◽  
pp. 218-220 ◽  
Author(s):  
J G Johnson ◽  
V Goode Sen ◽  
H Faal

In The Gambia many patients identified as blind or as having low vision are not attending for surgery. The aim of this study was to investigate the reasons for non-attendance. Three methods were used: semi-structured interviews; focus group discussions; and written questionnaires completed by staff. The most frequently identified barrier by all three methods was cost, closely followed by lack of information about services, fear, transport difficulties, and the lack of an escort. In addition to the existing measures taken by the National Eye Care Programme (NECP) to reduce these barriers, further research into both the public's knowledge and attitudes regarding surgery for cataract is needed. More contact between members of the eye care programme and the communities would aid the transfer of information about the surgery.


2019 ◽  
Author(s):  
Yeshalem Mulugeta ◽  
Getu Degu Alem ◽  
Tefera Belachew

Abstract Background: The optimal dietary practice is a critical requisite for maternal nutrition. However, the majority of Ethiopian pregnant women have inadequate nutrient intakes. These may be due to their poor dietary habits. Identifying factors affecting the dietary practices of pregnant women is crucial to design appropriate interventions. In this country, the dietary practices of pregnant women and determinants are not well studied. Therefore, the purpose of this study was to assess the dietary practices and associated factors among pregnant women in West Gojjam Zone, Northwest Ethiopia. Methods: A community-based cross-sectional study was carried out among 712 pregnant women from May to August 2018. Quantitative data complemented with a qualitative method. Pregnant women were selected using a cluster sampling technique. Structured questionnaires were utilized for data collection. Data were entered into Epi-Info version 7.2.2 and exported to SPSS version 23 software for analysis. Data were described using frequencies and mean. A logistic regression analysis was done. Three focus group discussions and 17 key-informant interviews were conducted for the qualitative data. Focus group discussion participants were mothers, husbands, and health professionals. Typical case and homogeneous sampling techniques were used for the key-informant interviews and focus group discussions, respectively. Thematic analysis was used for the qualitative data. Results: Only 19.9% of respondents had appropriate dietary practices. On the multivariable logistic regression analyses, being food secure [AOR=2.25, 95% CI: (1.1, 4.5)], having high edible crop production [AOR=2.00, 95% CI: (1.2, 3.2)] and a favorable attitude [AOR=1.69, 95% CI: (1.1, 2.6)] were significantly associated with the appropriate dietary practices of pregnant women. In the qualitative study, lack of knowledge on maternal diet, cultural prohibition, and knowledge gap of the professionals were barriers that interfere with dietary practices during pregnancy. Conclusion: Pregnant women in the study area are found to have suboptimal dietary practices. Therefore, health professionals should give regular nutrition counseling using cards and role models for promoting diversified food production and consumption. Keywords: Pregnant women, dietary practice, dietary diversity, food variety score


2017 ◽  
Vol 13 (1) ◽  
pp. 77-87
Author(s):  
Tuti Surtimanah ◽  
Yanti Herawati

Background of this research was the still high number of infant mortality and high use of Traditional Birth Attendants (TBAs). The This study aims aimed to determine TBAs positioning on the effort of strengthening partnership with midwives. A number of pregnant women, TBAs, and midwives become became informants, through in-depth interviews and focus group discussions. The results showed positioning TBAs still needed with different roles but side by side with midwife role, used by primi and multi pregnant women before and during pregnancy, during and after birth. The requirement forrequirement for TBAs was derived from parents as a cultural heritage, whereas the requirement for midwife obtained was from formal and non- formal information. The TBAs services toward maintain family health care including include cultural events. The midwife is givingserved professional servicescare. The partnership includes clients registration, motivation, abnormalities early detection. There has had been an unwritten financing unwritten agreement. The TBAs midwife partnership needs to be strengthened through legislation and , communication to diverse audiences in order to form the right positioning.


Dialogia ◽  
2019 ◽  
Vol 16 (1) ◽  
pp. 21
Author(s):  
Riza Wulandari ◽  
Ni Nyoman Wulan Antari

Abstract:The rapid growing of urban industrial sector require villages in urban areas having various ways to survive for life. Recently, urban villages do not have distinctive characteristics. They are gradually eroded by the presence of elite housing as a result of the resolution of the kampongs. The purpose of this research is to map the economic potential of the Kepaon Islamic Village which is located in the majority Hindu circumstances. Rapid Rural Apraissal was employed as a method in solving problems and the data were collected by Focus Group discussions, interviews and mini surveys. The results of this study showed that in addition to the social, cultural and religious potential,  there is economic potential in the form of Mukena Bali Business that can strengthen the identity of Kepaon Islamic Village in the midst of the Hindu community.ملخص:تطور مجال الصناعيات المدنية أصبح تطورا هائلاما يلزم سكان القرية الواقعة في المدينة البقاء على قيد الحياة حارصين على سبيل العيش بمختلف طرقه، فكلما حركة القرية المدنية تبقى جامدة أي لا تملك مميزات خاصة كانت امكانيتها الاقتصادية تنخفض وتنحدر، ولاسيما إذ بناء المنازل الفاخرة تستمر تلبية لأمنية مستقبلية بدعم من بيئة تمنع أهلها لاستظهار هويته. وتهدف هذه الدراسة إلى تحديد امكانيات اقتصادية في قرية المسلمين قرية كفاؤون حيث إنهم يعيشون في وسط مناطق مجتمع المتمسكين بديانة الهنود في الأغلب. Rapid Rural Apraissal عبارة عن طريقة تحليل المسألة بوسيلة جمع البيانات، والحوار، والاستطلاع. وتتضح نيتجة الدراسة بأن إمكانيات سكان قرية كفاؤون ليست مقصورة على ناحية اجتماعية، وثقافية، ودينية فحسب وإنما امتدت إلى امكانيات اقتصادية قادرة على تقوية هوية سكان قرية كفاؤون وسط مجتمع الهنود، وتلك امكانية اقتصادية تأتي على انتاج ملابس دينية.Abstrak: Sektor industrial perkotaan semakin berkembang pesat mengharuskan kampung yang ada di perkotaan harus memiliki berbagai cara untuk tetap bertahan untuk hidup. Semakin kampung kota tidak memiliki ciri khas, lambat laun akan semakin tergerus dengan hadirnya perumahan-perumahan elite wujud dari resolusi kampung kota didukung pula dengan lingkungan yang bukan menjadi jati diri mereka. Tujuan dilakukan penelitian ini adalah untuk memetakan potensi ekonomi dari Kampung Islam Kepaon yang berada di lingkungan mayoritas agama Hindu.Rapid Rural Apraissal merupakan metode dalam penyelesaian masalah dengan teknik pengumpulan data berupa focus group discussion, wawancara dan mini survey. Hasil dari penelitian ini adalah selain potensi yang telah dimiliki oleh Kampung Islam Kepaon yaitu potensi sosial, budaya dan religi, ternyata terdapat potensi ekonomi yang dapat memperkuat identitas kampung Islam kepaon di tengah masyarakat umat Hindu yakni usaha mukena bali.


2021 ◽  
Vol 2 (1) ◽  
pp. 57-75
Author(s):  
Victor Selorme Gedzi ◽  
George Jr. Anderson

This study reviewed the religious market theory in relation to the religious economy of Neo-Prophetic Pentecostal-Charismatic churches in Ghana. Using unstructured qualitative interviews and focus group discussions, the study discovered that the theory in its present western context ignored Ghanaian religio-cultural sensibilities that affect decision-making in every aspect of the Ghanaian's life. It also ignored ethical and human rights cases such as flogging or at times stepping on pregnant women for alleged involvement in sinful acts. In other cases, prophets/pastors touch women's private parts for alleged claims of casting out demons. These missing links in the theory appear to produce a distorted view of the realities of religious actors in Ghana. Thus, the analysis implicates the widening of the theoretical framework to encompass the missing links that significantly influence the behavior of religious actors in Ghana.


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