Assessment of Knowledge, Attitude and Practice of skilled assistance seeking for maternal healthcare services and associated factors among Women in West shoa zone, Oromia, Region, Ethiopia, 2017

Abstract Background: Access to skilled health services during pregnancy, childbirth and postpartum is crucial element which promotes the health and wellbeing of the mother and new born. The aim of the study was to assess women’s knowledge, attitude and practice of skilled assistance seeking for maternal healthcare services in West Shoa zone. Methods: A community based cross sectional quantitative design was conducted in West Shoa zone, Oromia, Ethiopia in 2017. A multistage, random sampling technique was used to select women who had birth in the past one year preceding the study. Interviewed administered structured questionnaire were used to collect the data. A total of 654 women were involved in this study. Data was analysed using SPSS version 20 statistical software package. Pre-tested and structured questionnaires were used to collect the data by trained data collectors. Logistic regression model was used to control the confounding variables at p-value< 0.05. Results: Out of 654 respondents, 416 (63.6%) delivered at health facilities and 268 (36.4%) at home. Skilled assistance seeking for maternal health services was significantly associated with mother’s education (AOR=3.0, 95%CI=1.18-7.84), mother’s access to maternal health information (AOR=3.1, 95% CI=1.13-8.41). Women’s awareness was significantly associated with antenatal‐care attendance (AOR 1.9) and institutional delivery (AOR 3.1). Women who had experience obstetric problems were twice seek skilled provider than those who had not had complications (AOR=2.3, 95%CI=1.39-3.75. P-value=0.001). Women who experiences complications seek a skilled postnatal care more likely compared with those who did not have such characters (AOR=2.2, 95%CI=1.35-3.66. P-value=0.002). Conclusion: The study revealed that low practice of sought care from skilled providers. Hence, it is highly recommended to improve the socioeconomic factors such as maternal literacy, availability of transport facility in case of emergency referral and service availability may increase care seeking from health facilities. Keywords: Skilled assistance, Seeking and Maternal healthcare services.

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Assessment of Knowledge, Attitude, and Practice of Skilled Assistance Seeking Maternal Healthcare Services and Associated Factors among Women in West Shoa Zone, Oromia Region, Ethiopia

Nursing Research and Practice ◽

10.1155/2021/8888087 ◽

2021 ◽

Vol 2021 ◽

pp. 1-11

Author(s):

Eden Girmaye ◽

Kassa Mamo ◽

Birhanu Ejara ◽

Fikadu Wondimu ◽

Maru Mossisa

Keyword(s):

Maternal Health ◽

Health Services ◽

Healthcare Services ◽

Maternal Health Services ◽

Care Utilization ◽

Skilled Delivery ◽

Attitude And Practice ◽

Skilled Assistance ◽

Study Participants ◽

Knowledge Attitude And Practice

Background. This study aimed to assess women’s knowledge, attitude, and practice towards skilled assistance seeking maternal healthcare services in West Shoa Zone, Oromia Region, Ethiopia. Methods. Cross-sectional survey design was conducted from 1 February to 23 March 2018 in West Shoa Zone, Oromia, Ethiopia. A simple random sampling technique was used to select the participants. The data were collected using a pretested and structured questionnaire. Data were entered using EpiData version 3.1, and descriptive analysis and bivariate and multivariate logistic regression analyses were carried out using SPSS version 20 statistical software package. Results. The study revealed that the knowledge, attitude, and practice towards skilled maternal health services were found such that 473.3 (72.4%) of the study participants had good knowledge, 180.7 (27.6%) had poor knowledge, and 400 (61.3%) had positive attitude, 254 (38.84%) had negative attitude, 460.3 (70.4%) had good practice, and 193.7 (29.6%) had poor practice towards skilled maternal health services. Factors that had a significant association with antenatal care utilization were planned pregnancy (AOR = 8.2, 95% CI = 3.39-19.78-0.87) and access to transport (AOR = 3.1, 95% CI = 1.46–6.61). Attending ANC at least once (AOR = 3.1, 95% CI = 1.13–8.41), women’s education (AOR = 3.0, 95% CI = 1.18–7.84), and unplanned pregnancy (AOR = 0.3, 95% CI = 0.21–0.75) were factors associated with skilled delivery service utilization. Attending ANC at least once (AOR = 2.1, 95% CI = 1.1–4.2), birth complications (AOR = 2.2, 95% CI = 1.35–3.66), unplanned pregnancies (AOR = 0.3, 95% CI = 0.22–0.68), and awareness about skilled obstetric care (AOR = 3.7, 95% CI = 1.68–12.79) were factors associated with postnatal care utilization. Conclusions. This study found that the knowledge, attitude, and practice of skilled maternal health services among the study participants are low, showing less than three-quarters of the total sample size. Therefore, this study implied that interventions are required to improve women’s knowledge, attitude, and practice of skilled maternal health services in the study area. Furthermore, women’s education is significantly associated with skilled delivery service utilization. Accordingly, this study recommends that improving equity among the marginalized population is needed to increase maternal health service coverage.

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Impact of Distance in the Provision of Maternal Health Care Services and Its Accountability in Murarai-II Block, Birbhum District

Space and Culture India ◽

10.20896/saci.v4i1.182 ◽

2016 ◽

Vol 4 (1) ◽

pp. 81

Author(s):

Alokananda Ghosh ◽

Biswaranjan Mistri

Keyword(s):

Maternal Health ◽

Health Services ◽

Distribution System ◽

Healthcare Services ◽

P Value ◽

Theoretic Model ◽

Access To Health Services ◽

Maternal Healthcare ◽

Risk Pregnancy ◽

Birbhum District

The maternal health issue was a part of the Millennium Development Goals (MDGs, Target-5). Now it has been incorporated into Target-3 of 17 points Sustainable Development Goal-2030, declared by the United Nations, 2015. In India, about 50% of newborn deaths can be reduced by taking good care of the mother during pregnancy, childbirth and postpartum period. This requires timely, well-equipped healthcare by trained providers, along with emergency transportation for referral obstetric emergency. Governments need to ensure physicians in the rural underserved areas. The utilisation of maternal healthcare services (MHCSs) depends on both the availability and accessibility of services along with accountability.This study is based on an empirical retrospective survey, also called a historic study, to evaluate the influences of distance on the provision of maternal health services and on its accountability in Murarai-II block, Birbhum District. The major objective of the study is to identify the influence of distance on the provision and accountability of the overall MHCSs. The investigation has found that there is a strong inverse relationship (-0.75) between accessibility index and accountability score with p-value = <0.05, where the direct connectivity index seem to have no direct influence on the accountability score (as the ‘r’ is 0.56 and p-value= >0.05). Tracking of pregnant women, identification of high risk pregnancy and timely Postnatal Care (PNC) have become the dominant factors of the maternal healthcare services in the first Principal Component Analysis (PCA), explaining 49.67% of the accountability system. Overall, institutional barriers to accessibility are identified as important constraints behind lesser accountability of the services, preventing the anticipated benefit. This study highlights the critical areas where maternal healthcare services are lacking. The analysis has highlighted the importance of physical access to health services in shaping the provision of maternal healthcare services.Drawing on empirical observations of operation of public distribution system in different states of India, the paper constructs a preliminary game theoretic model. It argues that an effective public distribution must be as universal as possible, delivery mechanism of fair price shops should be reformed, they should be make them commercially viable and that special attention should be paid to PDS at times of high food inflation.

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Inequalities in access to birth by caesarean section in the context of user fee exemption for maternal health services in southwest and north central Nigeria

International Health ◽

10.1093/inthealth/ihz118 ◽

2020 ◽

Author(s):

Anthony Idowu Ajayi

Keyword(s):

Maternal Health ◽

Health Services ◽

Positive Impact ◽

Binary Logistic Regression ◽

Healthcare Services ◽

Maternal Health Services ◽

Maternal Healthcare ◽

Logistic Regression Models ◽

Fee Exemption ◽

User Fee

Abstract Background User fee exemption for maternal healthcare services was introduced with a focus on providing free maternal health services, including caesarean sections (CS), in Nigeria. This policy has had a positive impact on access to facility-based delivery; however, the extent to which inequality in access to CS exists in the context of user fee exemption is unclear. The objective of this study was to examine inequalities in access to birth by CS 5 y after the implementation of the user fee exemption policy. Methods Data were obtained from 1227 women who gave birth between 2011 and 2015 and were selected using cluster random sampling between May and August 2016 from two of the six main regions of the country. Adjusted and unadjusted binary logistic regression models were performed. Results An overall CS rate of 6.1% was found, but varied by income, education and place of residence. Women who earned a monthly income of ≤20 000 naira (US$150) were 50% less likely to have a birth by CS compared with those who earned more. Compared with women who were educated to the tertiary level, women who had a secondary education or less were 51% less likely to give birth by CS. Conclusions This study shows that inequality in access to CS persists despite the implementation of free maternal healthcare services.

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Knowledge, Attitude and Practice of Health Care Professionals towards Covid-19 and Associated Factors at Public Health Facilities of Sidama Region, Ethiopia

10.21203/rs.3.rs-1166007/v1 ◽

2021 ◽

Author(s):

Sisay Dejene Babulo ◽

Ezedin Molla ◽

Ephrem Geja ◽

Emnet Tesfaye ◽

Yilikal Simachew ◽

...

Keyword(s):

Health Care ◽

Health Care Professionals ◽

Good Practice ◽

Work Conditions ◽

Health Facilities ◽

World Health ◽

P Value ◽

Sufficient Knowledge ◽

Attitude And Practice ◽

Knowledge Attitude And Practice

Abstract Background: As the World Health Organization situation report of November 14, 2021, globally there were over 252 million confirmed cases and over 5 million deaths attributable to the COVID-19 pandemic. How COVID-19 is transmitted put health care professionals (HCPs) at higher risk of contracting the disease because of their work conditions. Information regarding knowledge, attitude, and practice (KAP) towards the disease among HCPs are of higher importance to devise interventions that will tackle the pandemic.Methods: A facility based cross-sectional study was conducted from September 29 to October 07, 2020, among randomly selected 422 health care professionals. Epi-data and SPPS software were used for entry and analysis of the data respectively. Frequencies, percentages, and charts were used to describe the KAP of HCPs towards the disease. Binary logistic regression was conducted to identify factors that are associated with the KAP of HCPs. Variables with a p-value less than 0.05 were declared as significantly associated.Results: 406 HCPs have participated in this study. Less than half (45%) HCPs had sufficient knowledge about COVID-19. HCPs aged 30 or more years, working in health centers, and HCPs that received an orientation or training regarding COVID-19 had significantly higher knowledge. About 77% HCPs had a positive attitude towards COVID-19. Educational level and knowledge about COVID-19 were significant predictors of attitude. About three-fifths (59%) of study participants had good practice towards COVID-19. Types of health facilities, work experience, and orientation or training status were significantly associated with the practice.Conclusion: This study found a low proportion of HCPs having sufficient knowledge about COVID-19. About four in ten HCPs had poor practice towards COVID-19. Training, monitoring and supervision, knowledge and skill-sharing activities should be given due emphasis to tackle the pandemic in the region.

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Effect of the COVID-19 on perceptions of health, anticipated need for health services, and cost of healthcare

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2021.174 ◽

2021 ◽

pp. 1-28

Author(s):

Natalia Rekhter ◽

Natalia Ermasova

Keyword(s):

Health Services ◽

Healthcare Services ◽

Care Seeking ◽

Financial Barriers ◽

Health Concerns ◽

Anova Test ◽

Targeted Interventions ◽

Early Stages ◽

Care Seeking Behavior ◽

Related Stress

Abstract Objective: This article investigates how perceived vulnerability to the COVID-19 pandemic at its early stages is associated with people’s perception of their health, the need for healthcare services, and expenses related to addressing the COVID-19 impact on their health. Methods: The results are based on the analysis of surveys that were distributed among members of 26 random Facebook groups in April-May, 2020. Perceived COVID-19 pandemic related stress and health concerns were examined by using the ANOVA test. Results: Among 315 respondents, 64% have experienced COVID-19 related stress and identified anxiety, headache, insomnia, and weight gain as their primary health concerns. The ANOVA test revealed that females are more impacted by the COVID-19 stress than males. Around 40% of respondents believed that the COVID-19 would lead to an increase in the cost of health services, and 20% of respondents anticipated that the COVID-19 pandemic would increase their need for health services. Conclusions: Learning about how people perceive the COVID-19 pandemic impact on their health, particularly in the pandemic’s early stages can allow health professionals to develop targeted interventions that can influence pandemic preventative behaviors among different population groups. This study can help understand utilization patterns and mitigate financial barriers that could interfere with patients’ care-seeking behavior.

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Knowledge, Attitude, and Practice Related to Malaria Diagnosis among Healthcare Workers in Hospitals: A Cross-Sectional Survey

Journal of Tropical Medicine ◽

10.1155/2019/1414079 ◽

2019 ◽

Vol 2019 ◽

pp. 1-9

Author(s):

Kwuntida Uthaisar Kotepui ◽

Manas Kotepui ◽

Chuchard Punsawad

Keyword(s):

Early Detection ◽

Healthcare Workers ◽

Malaria Diagnosis ◽

Medical Emergency ◽

Medical Laboratory ◽

P Value ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Attitude And Practice ◽

Knowledge Attitude And Practice

Malaria is a potential medical emergency and should be treated immediately because delays in diagnosis and treatment are the leading causes of death in many countries. This study aimed to assess the knowledge, attitude, and practice related to malaria diagnosis for early detection among healthcare workers in the laboratories of hospitals in Thailand. The design of the study was a descriptive cross-sectional study carried out between January 2016 and March 2017 at 11 hospitals in Thailand. The interviewees included any scientists who were currently working in a medical laboratory. Mean scores for knowledge, attitude, and practice for each healthcare group were calculated and compared between groups. Data analysis was performed using the SPSS version 11.5 software package (SPSS Inc., Chicago, IL, USA). Among a total of 118 healthcare workers, most of the healthcare workers had fair to good knowledge, attitude, and practice related to malaria detection. Among the various positions of healthcare workers, medical technologists possessed a greater knowledge on malaria detection than medical technician assistants or laboratory assistants (X2 = 9.822, d.f. = 2, and P value=0.007). This study infers that knowledge, attitude, and practice related to malaria detection among healthcare workers in laboratories were adequate. However, some points of knowledge and practice must be updated. There is a very urgent need to update knowledge on malaria, especially about the number of Plasmodium species causing relapse in malaria patients. In addition, there is an urgent need to update the practice related to malaria detection, especially about the staining process for early detection of malaria.

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Cost of Ante-natal Care among Health Insurance (HI) Enrollees and Out-of-Pocket (OOP) Payers accessing Maternal Healthcare Services in a Tertiary Health Institution in Southwest Nigeria

TEXILA INTERNATIONAL JOURNAL OF PUBLIC HEALTH ◽

10.21522/tijph.2013.09.02.art002 ◽

2021 ◽

Vol 9 (2) ◽

pp. 11-22

Author(s):

Taofeek Adedayo Sanni

Keyword(s):

Health Insurance ◽

Antenatal Care ◽

Healthcare Services ◽

Reproductive Age ◽

P Value ◽

Maternal Healthcare ◽

Cross Sectional ◽

Health Institution ◽

Total Cost ◽

Southwest Nigeria

Maternal Mortality Remains A Leading Cause Of Death Among Women Of Reproductive Age Group. This Study Determined The Cost Of Antenatal Care Among Health Insurance (HI) Enrollees And Out-Of-Pocket (OOP) Payers Accessing Maternal Healthcare Services In A Tertiary Health Institution In Southwest Nigeria. A Comparative Cross-Sectional Study Was Carried Out Among 380 Women (190 HI Enrollees And 190 OOP Payers) Attending Antenatal Care Services In A Tertiary Health Institution In Southwest Nigeria Using A Systematic Random Sampling Technique. Data Was Gathered Using An Interviewer-Administered Semi-Structured Questionnaire And Analyzed Using IBM SPSS Version 23. Chi-Square And Binary Logistic Regression Were Used To Assess The Association Between Dependent And Independent Variables And A P-Value Of <0.05 Was Taken As Significant. The Overall Mean Age Of Respondents In This Study Was 33.8 ± 5.0 Years (HI Group: 34.1 ± 4.9 Years And OOP Group: 33.6 ± 5.0 Years). The Mean Total Cost Of Antenatal Care (ANC) Is Lesser For HI Enrollees (₦5,095.2 ± 1,753.1 Equivalent To $13.3 ± 4.6) As Compared With OOP Payers (₦15,050.6 ± 5,548.9 Equivalent To $39.6 ± 14.6). Predictors And Enablers For HI Uptake Are Marital Status, Family Size, Level Of Education, Occupation, Appropriate And Quality HI Package, And Trust In The HI Scheme. It Was Concluded That The Total Cost Of Antenatal Care Is Lower Among The Health Insurance Enrollees Than The Out-Of-Pocket Payers. Therefore, Interventions To Increase Awareness And Designing More Enticing HI Packages Are Recommended.

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Assessment of Knowledge, Attitude, and Practice Regarding COVID-19 Ocular Manifestations in the Western Region of Saudi Arabia

The Open Ophthalmology Journal ◽

10.2174/1874364102115010025 ◽

2021 ◽

Vol 15 (1) ◽

pp. 25-33

Author(s):

Mohammed G. Alsaedi ◽

Bader S. AlQahtani ◽

Anhar Khalid Zahrani ◽

Shaima E. Alshareef ◽

Khlood A. Alzubaidy ◽

...

Keyword(s):

Saudi Arabia ◽

General Population ◽

P Value ◽

Western Region ◽

Age Group ◽

Ocular Manifestations ◽

Attitude And Practice ◽

Validated Questionnaire ◽

The Western Region ◽

Knowledge Attitude And Practice

Introduction: Ocular manifestations, such as conjunctivitis, redness, and tearing, were reported in patients with Coronavirus Disease 2019 (COVID-19). Objective: To investigate the level of knowledge, attitude, and practice about the ocular manifestations of COVID-19 and protective eye measures among the general population in the western region of Saudi Arabia. Methods: A cross-sectional study was conducted over two months with 800 participants from the general population and a 39-item online structured validated questionnaire using Google Forms. The collected data were analyzed using the SPSS program version 20 and a P-value <0.05 was considered statistically significant. Results and Discussion: Among the participants (n = 800), 71.9% were females, 50% were highly educated, and 61.8% had moderate incomes. The overall mean total knowledge score was 25.185 ± 3.774, with significant differences regarding age group, gender, and income. Most of the Saudi residents with high monthly incomes, especially females, were knowledgeable regarding the ocular manifestations of COVID-19 (25.0957 ± 3.4311). The average total knowledge, attitude, and practice score was 42.1419 ± 4.833, which was average (medium level), with significant differences regarding age group, gender, and income; a high mean was obtained from the age group >50–60, females, and high-income class. Conclusion: Detailed information about the epidemiology of COVID-19 and an understanding of emerging related health issues, such as ocular manifestations, should be empowered to the public while considering the least knowledgeable groups.

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Knowledge, Attitude and Practice towards Hepatitis B Virus Prevention and its Associated Factors among Private Medical/Health Sciences College Students, Bahir Dar, Ethiopia

10.21203/rs.2.12731/v1 ◽

2019 ◽

Author(s):

Tigabu Birhan Kassa ◽

Getasew Mulat Bantie ◽

Achenef Motbainor Begosew

Keyword(s):

College Students ◽

Logistic Regression ◽

Hepatitis B Virus ◽

Hepatitis B ◽

Health Sciences ◽

P Value ◽

Bahir Dar ◽

Attitude And Practice ◽

B Virus ◽

Knowledge Attitude And Practice

Abstract Background: Hepatitis B virus (HBV) infection is a huge public health problem. Among health professionals, medical and health sciences college students are risk groups. Objective: The objective of the study was to determine the knowledge, attitude, and practices towards Hepatitis B virus prevention and associated factors among private Medical, and Health Science’s College students in Bahir Dar city, North West Ethiopia. Methods: An institution-based cross-sectional study was conducted from May 1st – 30th /2017. All the available four private Medical and Health Sciences Colleges in Bahir Dar city were considered and included in the study to select 390 students using a systematic sampling technique. A pre-tested structured questionnaire, which has socio-demographic, knowledge, attitude and practice sections, was used to collect the data. Data were coded, entered and cleaned using Epi data version 3.1 and exported to SPSS version 21.0 software for analysis. Bivariate logistic regression analysis was used to identify potential variable for multivariable logistic regression and those variables with 0.2 and less P-value entered in the next logistic regression model to identify the possible factors associated with knowledge, attitude, and practice towards Hepatitis B virus prevention. Significance level was set at P-value less than 0.05. Results: The age of the respondents ranged from 18-48 years with the mean (±SD) age of 23.74(3.48). About eighty-four, percent (83.8%) of respondents had good knowledge, whereas 44.6% had a favorable attitude and 32.6% had a good practice. Being unmarried (AOR=2.34, 95% CI: 1.32-4.15), age category 20-24 (AOR=11.5, 95% C.I: 2.60-51.5), and ≥ 25 (AOR=11.6, 95% CI: 2.47-54.4) was associated to knowledge, whereas study year (AOR=1.59, 95% CI: 1.01,2.51) and practice (AOR=2.95, 95% CI: 1.89, 4.58) were significantly associated to attitudes; and good knowledge (AOR=2.07, 95% C.I: 1.06, 4.04) and favorable attitude (AOR=2.79, 95% CI: 1.79,4.34) were significantly associated with practice, respectively. Conclusion: The overall knowledge status of the respondents about Hepatitis B virus prevention was good. But their attitudes and practices were unfavorable and not good respectively.

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Looking at the bigger picture: effect of performance-based contracting of district health services on equity of access to maternal health services in Zambia

Health Policy and Planning ◽

10.1093/heapol/czz130 ◽

2019 ◽

Author(s):

Collins Chansa ◽

Mulenga Mary Mukanu ◽

Chitalu Miriam Chama-Chiliba ◽

Mpuma Kamanga ◽

Nicholas Chikwenya ◽

...

Keyword(s):

Maternal Health ◽

Health Services ◽

Health System ◽

Health Expenditure ◽

Maternal Health Services ◽

Health Facilities ◽

District Level ◽

Health Service Provision ◽

Equity Of Access ◽

The Impact

Abstract Zambia has been using output-based approaches for over two decades to finance whole or part of the public health system. Between 1996 and 2006, performance-based contracting (PBC) was implemented countrywide with the Central Board of Health (CBoH) as the provider of health services. This study reviews the association between PBC and equity of access to maternal health services in Zambia between 1996 and 2006. A comprehensive document review was undertaken to evaluate the implementation process, followed by a trend analysis of health expenditure at district level, and a segmented regression analysis of data on antenatal care (ANC) and deliveries at health facilities that was obtained from five demographic and health survey datasets (1992, 1996, 2002, 2007 and 2014). The results show that PBC was anchored by high-level political support, an overarching policy and legal framework, and collective planning and implementation with all key stakeholders. Decentralization of health service provision was also an enabling factor. ANC coverage increased in both the lower and upper wealth quintiles during the PBC era, followed by a declining trend after the PBC era in both quintiles. Further, the percentage of women delivering at health facilities increased during the PBC era, particularly in rural areas and among the poor. The positive trend continued after the PBC era with similar patterns in both lower and upper wealth quintiles. Despite these gains, per capita health expenditure at district level declined during the PBC era, with the situation worsening after the PBC era. The study concludes that a nationwide PBC approach can contribute to improved equity of access to maternal health services and that PBC is a cost-efficient and sustainable policy reform. The study calls for policymakers to comprehensively evaluate the impact of health system reforms before terminating them.

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