scholarly journals Drug use Pattern and Antenatal Care Utilization Among Pregnant Women in Ethiopia

2020 ◽  
Author(s):  
Getahun Asmamaw ◽  
Wondim Ayenew ◽  
Dinksew Tewuhibo
Keyword(s):  
Drug Use ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Multivariate Regression ◽  
Medication Use ◽  
Care Utilization ◽  
Second Trimester ◽  
Statistical Association ◽  
Use Pattern ◽  
Significant Statistical Association

Abstract Background: Taking medications during pregnancy can harm both the mother and fetus. However, avoiding drug utilization is a difficult due chance to occur maternal complications. The irrational use of medicine remains to worsen in developing countries. The main objective of this study was to evaluate the medication use pattern and its determinants among pregnant women in Ethiopia. Methods: This study used the national representative secondary data obtained from the 2016 Ethiopian Demographic health survey (DHSprogram.com/Data). Simple descriptive statistics were used to present the socio-economic characteristics of the respondents. Bivariate and multivariate regression models were performed consecutively to examine the significant statistical association between medication use and independent variables. Variables p < 0.25 during bivariate analysis were further analyzed with a multivariate regression model. A significant statistical association was detected if p < 0.05 at 95% confidence interval (CI). The 95% CIs and Odds ratios (OR) were also calculated for significant variables in bivariate regression. Stata/SE 14.2 statistical software was used to analyze the data.Results: About 10,29 (91.8%) of surveyed pregnant had taken at least one prescription drug. Thus, supplementary drugs were dominant (34% of iron folate). The prevalence of non supplementary drugs such as anthelmintic (15.3%), antibiotics (6%) followed by antimalarial (1.7%) drugs. Less than half 380 (34%) pregnant had received antenatal care (ANC) during their pregnancy. Thus, the majority of 364 (96%) of them received the ANC service at public health sectors. Most pregnant were in the second trimester when they started ANC. Pregnant aged from 35-49 years used drugs less likely by 65% (OR = 0.35, 95% CI =0.069-1.772) compared to younger pregnant. Poorer mothers were more likely to take medications by 53% (OR=0.47, 95% CI = 0.218-1.628) than middle income. The majority of pregnant were used medication during the second trimester (39.3%) followed by the third trimester (38.5%). Conclusion: The utilization of ANC was lower among pregnant women. Hence, increasing the coverage and utilization of ANC services is needed to improve the consumption of supplements and other preventive chemotherapy. Likewise, to expand the ANC service channel is important to monitor the irrational drug use of pregnant.

scholarly journals Drug use evaluation in pregnant women attending antenatal care in Shashemene Referral Hospital, Oromia Regional State, Ethiopia

2020 ◽  
Vol 8 ◽  
pp. 205031212095917
Author(s):  
Gudeta Duga Geresu ◽  
Dirirsa Tashome Sondesa ◽  
Tadele Mekuriya Yadesa ◽  
Andrew G Mtewa ◽  
Bontu Aschale Abebe
Keyword(s):  
Drug Use ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Second Trimester ◽  
Third Trimester ◽  
Pregnancy Risk ◽  
Cross Sectional ◽  
Collection Form

Objectives: The main aim of this study was to estimate relative proportions of medication use according to different pregnancy risk categories (A, B, C, D, X) among pregnant women attending antenatal care (ANC) visits at Shashemene Referral Hospital. Methods: A hospital-based retrospective cross-sectional study was conducted at Shashemene referral hospital from February 2016 to February 2017. Structured data collection form was used to capture data from patient medication cards. SPSS version 16.0 was used to analyze the results after entering and importing from MS-Excel. Results: A total of 317 pregnant women cards were collected and assessed during the study period in May, 2017. Most, 208(65.6%), of the pregnant women were in their second trimester of pregnancy followed by third trimester, 78(24.6%). Tetanus prevention in pregnancy, 274(86.4%), was the most common reason for drug use. Number of medications prescribed was highest, 384(68.2%), in second trimester followed by third trimester, 130(23.1%). More than half, 305(54.2%), of the drugs prescribed were under category C, tetanus toxoid (TT) vaccine alone accounting for 274 (89.8%) of them, followed by 36.8% from category A. Conclusion: Vaccines, vitamins and minerals were the most frequently prescribed medications. The overall drug use condition during pregnancy in this study was inappropriate as more than half of the prescribed medications were from category C. On the other hand, category X medications were not prescribed.

scholarly journals Determinants of Anemia Among Pregnant Women Attending Antenatal Care in Bale-Robe Town Health Facilities, Bale zone, Southeast Ethiopia: A Case-Control Study

2021 ◽  
Author(s):  
Mohammed Hasen Badeso ◽  
Falaho Sani Kalili ◽  
Mohammed Seid Abdulle
Keyword(s):  
Antenatal Care ◽  
Dietary Intake ◽  
Pregnant Women ◽  
Case Control Study ◽  
Case Control ◽  
Health Facilities ◽  
Menstrual Bleeding ◽  
Second Trimester ◽  
Southeast Ethiopia ◽  
Control Study

Abstract IntroductionIn Ethiopia, the prevalence of anemia in pregnant women differs geographically and ranged from 15.8–56.8%. The objective of this study is to identify the determinants of anemia among pregnant women attending antenatal care in health facilities of Bale-Robe Town, Southeast Ethiopia.MethodsA facility-based case-control study was conducted in Bale-Robe hospital and Baha-biftu health center in Bale-Robe, Southeast Ethiopia. A total of 282 pregnant women participated in the study (141 cases and 141 controls). Cases were pregnant women with altitude-adjusted hemoglobin value < 11.0 g/dl at the first and third trimesters, and < 10.5 g/dl at the second trimester. Controls were pregnant women with hemoglobin value ≥ 11.0 g/dl at first and third trimesters and ≥ 10.5 g/dl at the second trimester. A structured and pretested questionnaire was used to collect data. A multivariable logistic regression analysis was applied to assess the determinants of anemia. Determinants were categorized as sociodemographic and economic, obstetric and medical, and dietary intake and behavioral.ResultsHousewife occupation (AOR=2.1, 95% CI=1.12-3.92), prolonged menstrual bleeding (AOR=2.33, 95% CI=1.38-3.92) and undernutrition (AOR=4.03, 95% CI=1.38-11.83) were factors significantly associated with anemia in pregnant women.ConclusionHousewife occupation, prolonged menstrual bleeding, and malnutrition were the determinants of anemia in pregnant women. Hence, anemia prevention and control strategy in pregnant women should include adequate dietary intake, and strengthening nutritional counseling for pregnant women during antenatal care is also required by the health care provider.

scholarly journals Knowledge and Myths about Preeclampsia and Eclampsia and its influence on Antenatal Service Utilization among pregnant women and their male partners  in Mtwara Region-Tanzania: A Cross Sectional Analytical Study.

2020 ◽  
Author(s):  
Aziza Shaibu Machenje ◽  
Stephen M. Kibusi ◽  
Nyasiro Gibore ◽  
Athanase Lilungulu ◽  
Fabiola V. Moshi
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Service Utilization ◽  
Analytical Study ◽  
Care Utilization ◽  
Male Partners ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Adequate Knowledge ◽  
Study Participants

Abstract Background : Pregnancy induced hypertension, including preeclampsia and eclampsia are the major health problem and the main cause of the maternal and perinatal morbidity and mortality in Tanzania. The aim of this study was to assess knowledge and myths about preeclampsia and eclampsia and its influence in Antenatal Clinics (ANC) utilization among pregnant women and their male partiners in Mtwara region. Method : A community based cross-sectional analytical study conducted in Mtwara Region, a random sampling procedure was employed to obtain a sample size of 384 pregnant women and their male partners a total of 768 participants (male=384 and female =384). Interviewer structured questionnaire was used for data collection and Statistical package for social science (SPSS v.20) software was used for data entry and analysis. Descriptive statistics, cross tabulation, Principal component analysis (PCA) was conducted and inferential statistics were used to test association between variables obtained. Results: Among 768 participants, male partners 167(43.5%) and pregnant women 171 (44.5%) had adequate knowledge about preeclampsia and eclampsia. More than a half 396(51.6%) of study respondents had weak myths while 372(48.4%) had strong myths on pre-eclampsia and eclampsia. Furthermore, pregnant women 244 (64%) had adequate antenatal care utilization. Study participants who had adequate knowledge on pre-eclampsia and eclampsia were almost 3 times more likely to utilize antenatal care services (AOR = 2.827; CI = 1.719 – 4.651; p<0.001). Study participants who had weak myth on pre-eclampsia and eclampsia were less likely to have adequate antenatal care attendance (AOR= 0.370; CI= 0.229; p< 0.001) Conclusion : The overall knowledge of preeclampsia and eclampsia was low. Majority of the female had adequate antenatal service utilization. Majority of respondents had weak myths. Government and stakeholders should ensure that community is equipped with knowledge about preeclampsia and eclampsia and the available Myths should be dispelled.

scholarly journals Developing targeted client communication messages to pregnant women in Bangladesh: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jesmin Pervin ◽  
Bidhan Krishna Sarker ◽  
U. Tin Nu ◽  
Fatema Khatun ◽  
A. M. Quaiyum Rahman ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Text Messages ◽  
Care Utilization ◽  
Behavior Change Techniques ◽  
Lack Of Information ◽  
Antenatal Care Utilization ◽  
Client Communication ◽  
Study Participants

Abstract Background Timely and appropriate evidence-based practices during antenatal care improve maternal and neonatal health. There is a lack of information on how pregnant women and families perceive antenatal care in Bangladesh. The aim of our study was to develop targeted client communication via text messages for increasing antenatal care utilization, as part of an implementation of an electronic registry for maternal and child health. Methods Using a phenomenological approach, we conducted this qualitative study from May to June 2017 in two sub-districts of Chandpur district, Bangladesh. We selected study participants by purposive sampling. A total of 24 in-depth interviews were conducted with pregnant women (n = 10), lactating women (n = 5), husbands (n = 5), and mothers-in-law (n = 4). The Health Belief Model (HBM) was used to guide the data collection. Thematic analysis was carried out manually according to the HBM constructs. We used behavior change techniques to inform the development of targeted client communication based on the thematic results. Results Almost no respondents mentioned antenatal care as a preventive form of care, and only perceived it as necessary if any complications developed during pregnancy. Knowledge of the content of antenatal care (ANC) and pregnancy complications was low. Women reported a variety of reasons for not attending ANC, including the lack of information on the timing of ANC; lack of decision-making power; long-distance to access care; being busy with household chores, and not being satisfied with the treatment by health care providers. Study participants recommended phone calls as their preferred communication strategy when asked to choose between the phone call and text message, but saw text messages as a feasible option. Based on the findings, we developed a library of 43 automatically customizable text messages to increase ANC utilization. Conclusions Pregnant women and family members had limited knowledge about antenatal care and pregnancy complications. Effective health information through text messages could increase awareness of antenatal care among the pregnant women in Bangladesh. This study presents an example of designing targeted client communication to increase antenatal care utilization within formal scientific frameworks, including a taxonomy of behavior change techniques. Trial registration ISRCTN69491836. Registered on December 06, 2018. Retrospectively registered.

scholarly journals EVALUATING SOCIO-CULTURAL BARRIERS TO ANTENATAL CARE UTILIZATION AMONG REPRODUCTIVE AGE WOMEN IN WUSHISHI AND ZUNGERU COMMUNITIES IN NIGER STATE, NIGERIA: A LOGISTIC REGRESSION APPROACH

2020 ◽  
Vol 1 (4) ◽  
pp. 93-100
Author(s):  
Phillips Edomwonyi Obasohan ◽  
Dorcas Nike Obasohan ◽  
Egbako Umar Ahmed ◽  
Muhammad Jibril Toroko
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Care Service ◽  
Traditional Birth Attendant ◽  
Health Facilities ◽  
Reproductive Age ◽  
World Health ◽  
Care Utilization ◽  
Childbearing Age ◽  
African Region

More than 33% of Nigerian pregnant women do not use the Antenatal Care service during pregnancy. In 2015, for instance, World Health Organization (WHO) revealed that only 61% of Nigerian pregnant women had attended ANC at least once during their pregnancy period. Only 51% of these women met the WHO standard of a minimum of 4 visits. This ANC rate is, without doubt, lower than the WHO African region average of 77%. The situation in Wushishi and Zungeru communities of Niger State may not be different. Despite the number of health facilities available in these communities, some women of childbearing age do not access antenatal care. Most times, many of them lose their lives during delivery at home, some end up with complications or lose their babies at births. This situation raised concern why pregnant women do not attend antenatal care in health facilities around them? This paper examined the socio-cultural impediments to accessing antenatal care services among reproductive-aged women in Wushishi and Zungeru Communities of Niger State. We used a Multivariate Logistic Analysis. A total of 150 subjects were involved in this study comprising 83 from Zungeru and 67 from Wushishi. The questionnaire used for data collection was a structured consist of 17 items. The results indicated that ethnicity and preference for traditional birth attendant are major influences to accessing ANC in these communities

scholarly journals Impact of COVID-19 on Antenatal Care Utilization Among Pregnant Women in Qassim, Saudi Arabia

Cureus ◽  
2021 ◽  
Author(s):  
Unaib Rabbani ◽  
Abdullah A Saigul ◽  
Amel Sulaiman ◽  
Tayseer H Ibrahim
Keyword(s):  
Saudi Arabia ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Care Utilization ◽  
Antenatal Care Utilization

scholarly journals Developing Targeted Client Communication Messages to Women in Bangladesh: A Qualitative Approach Based on Women’s and Family Members’ Perceptions and Knowledge of Antenatal Care

2020 ◽  
Author(s):  
Jesmin Pervin ◽  
Bidhan Krishna Sarker ◽  
U Tin Nu ◽  
Fatema Khatun ◽  
A M Quaiyum Rahman ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Pregnancy Complications ◽  
Text Messages ◽  
Care Utilization ◽  
Behavior Change Techniques ◽  
Lack Of Information ◽  
Antenatal Care Utilization ◽  
Client Communication ◽  
Study Participants

Abstract Background: Timely and appropriate evidence-based practices during antenatal care improve maternal and neonatal health. There is a lack of information on how pregnant women and families perceive antenatal care in Bangladesh. This study explores their perceptions towards developing targeted client communication via text messages for increasing antenatal care utilization, as part of an implementation of an electronic registry for maternal and child health.Methods: We conducted this qualitative study between May and June 2017 in two sub-districts of Chandpur district, Bangladesh. We selected study participants by purposive sampling. A total of 24 in-depth interviews were conducted with pregnant women (n=10), lactating women (n=5), husbands (n=5), and mothers-in-law (n=4). The health belief model was used to guide data collection and analysis. Thematic analysis was carried out manually. We used behavior change techniques to inform the development of targeted client communications based on the thematic results.Results: Almost no respondents mentioned antenatal care as a preventive form of care, and only perceived it as necessary if any complications developed during pregnancy. Knowledge of the content of antenatal care and pregnancy complications was low. Women reported a variety of reasons for not attending ANC, including the lack of information on the timing of ANC; lack of decision-making power; long-distance to access care; being busy with household chores and not being satisfied with the treatment by health care providers. Study participants recommended phone calls as their preferred communication strategy when asked to choose between the phone call and text message, but saw text messages as a feasible option. We developed a library of 43 automatically customizable text messages to increase ANC utilization. Conclusions: Pregnant women and family members had limited knowledge about antenatal care and pregnancy complications. Effective health information through text messages could increase awareness of antenatal care among study participants. This study presents an example of designing targeted client communication to increase antenatal care utilization within formal scientific frameworks, including a taxonomy of behavior change techniques.

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