scholarly journals Knowledge and Perceptions of Preconception Care Among Health Workers and Women of Reproductive Age in Mzuzu City, Malawi. A Cross-sectional Study

Author(s):  
Mtondera Eness Munthali-Nkhoma ◽  
Isabel Kazanga-Chiumia ◽  
Chrispin Mandiwa ◽  
Saul Mwale

Abstract Background: Preconception care is one of the preventive strategies in maternal and new-born health as recommended by WHO. However, in sub-Saharan Africa there is poor preconception care practices. This study examined knowledge and perceptions of preconception care among health workers and women of reproductive age group in Mzuzu city, Malawi. Methods: A descriptive cross-sectional mixed methods approach utilizing quantitative and qualitative methods was employed. Selection of respondents was done through a multistage and purposive sampling techniques. A total of 253 women of reproductive age from 9 townships of Mzuzu City responded to the questionnaire and 20 health workers were interviewed.Results: Of the 253 women, 57.7% (n =146) demonstrated a good level of knowledge of preconception care while 42.3 % (n =107) had poor knowledge level. About 72% (n =105) of those with good level of knowledge lacked awareness on possibilities of talking to a health care provider on intentions of getting pregnant. About 74.7 % (n =189) of women had a positive perception towards preconception care. Knowledge level of women was a good predictor of positive perception (AOR = 2.5; 95% CI = 1.215 – 5.023), however its prediction capacity varied with the academic level attained. Those with secondary (AOR =10.2; 95% CI = 3.285 - 26.276) and tertiary (AOR=2.3; 95% CI = 1.146 – 4.952) were more likely to have good knowledge than those with primary school level education. About 95% (n =19) of health workers lacked details about preconception care but they admitted their role in preconception care.Conclusion: Preconception care practice among health workers and women of reproductive age in Mzuzu City is low but there is positive perception towards preconception care among both parties. There is an opportunity in existing platforms for implementation of interventions targeting identified predictors for increased knowledge and uptake of preconception care.

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Mtondera Munthali ◽  
Isabel Kazanga Chiumia ◽  
Chrispin Mandiwa ◽  
Saul Mwale

Abstract Background Preconception care is one of the preventive strategies in maternal and new-born health as recommended by WHO. However, in sub-Saharan Africa there is poor preconception care practices. This study examined knowledge and perceptions of preconception care among health workers and women of reproductive age group in Mzuzu City, Malawi. Methods A descriptive cross-sectional study was conducted using a mixed methods approach. Selection of respondents was done through a multistage and purposive sampling techniques respectively. A total of 253 women of reproductive age from nine townships of Mzuzu City responded to the questionnaire and 20 health workers were interviewed. Results A total of 136 (54%) respondents had heard of preconception care. About 57.7% (n = 146) demonstrated a good level of knowledge of preconception care while 42.3% (n = 107) had poor knowledge. About 72% (n = 105) of those with good of knowledge of preconception care, lacked awareness on possibilities of talking to a health care provider on intentions of getting pregnant. About 74.7% (n = 189) of women had a positive perception towards preconception care. Knowledge of preconception care was a good predictor of positive perception (AOR = 2.5; 95% CI 1.2–5.0), however its predictability was influenced by the academic level attained. Those with secondary (AOR = 10.2; 95% CI 3.2–26.2) and tertiary (AOR = 2.3; 95% CI 1.1–4.9) were more likely to have good knowledge of preconception care than those with primary school education level. About 95% (n = 19) of health workers lacked details about preconception care but they admitted their role in preconception care. Conclusion Preconception care practice among health workers and women of reproductive age in Mzuzu City was low. However there was positive perception towards preconception care in both parties. There is an opportunity in existing platforms for implementation of interventions targeting identified predictors for increased knowledge and uptake of preconception care.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Sylvain Honoré Woromogo ◽  
Gwladys Guetsé Djeukang ◽  
Félicité Emma Yagata Moussa ◽  
Jesse Saint Saba Antaon ◽  
Kingsley Ngah Kort ◽  
...  

Background. Biomedical waste (BMW) is defined as unwanted materials generated during diagnosis, treatment, operation, immunization, or in research activities including production of biologicals. Healthcare workers are responsible for the proper management of this waste for human safety and for the protection of the environment. Methods. An analytical knowledge, attitude, and practice (KAP) study was carried out at Biyem-Assi District Hospital from June 1st to July 5th, 2018, including 100 health workers from different departments. Variables of interest were knowledge, attitudes, and practices of the respondents. A structured and pretested questionnaire was used for data collection. Data analysis was carried out using software Epi Info version 7.2.2.6. Logistic regression was used to establish the relationship between knowledge, attitudes, and practices. Results. Nurses constituted 32.0% of the participants, and more than half of the participants had 1–4 years of working experience (56.0%). Overall, the level of knowledge was satisfactory at 50.0%, that of attitudes was as unfavorable at 83.0%, and that of practices was as poor at 50.0%. Favorable attitudes were associated to satisfactory level of knowledge (ORa = 5.14 [3.10–8.51] and p=0.005). Good practices were associated to good level of knowledge (ORa = 5.26 [3.17–8.7] and p<0.001) and a favorable attitude (ORa = 7.30 [2.25–23, 71] and p<0.001). Conclusion. The level of knowledge was considered unsatisfactory for half of the staff interviewed. Attitudes were unfavourable at 83.0% and poor practices at 50.0%. Staff with a good level of knowledge were more likely to have favourable attitudes towards BWM. Also, good knowledge and attitude positively influenced the practice with regard to BMW management.


2012 ◽  
Vol 4 (2) ◽  
pp. 106-109
Author(s):  
Sulbha Joshi ◽  
Varsha Kose

ABSTRACT Objective To assess the awareness and level of knowledge toward emergency contraception among married women in the reproductive age group. Methods A prospective cross-sectional study was conducted employing prestructured questionnaire, which included information about age, occupation, income, education, obstetric profile, knowledge and use of emergency contraception. Results The average age of women included in the study was 24.6 years. About 33% of women knew about emergency contraception. They mainly belonged to educated category, working class and with income group more than 5000 per month. There are about 5% of women who know about emergency contraception and have used it in the past. Conclusion There is a need to popularize emergency contraception in India for its better usages among women to avoid unwanted pregnancies and abortions. How to cite this article Kose V, Joshi S. Knowledge of Emergency Contraception among Married Women of Reproductive Age in a Rural-based Teaching Hospital of Nagpur, Maharashtra, India. J South Asian Feder Obst Gynae 2012;4(2):106-109.


2017 ◽  
Vol 11 (2) ◽  
pp. 49-54
Author(s):  
Chusnul Khotimah ◽  
Dyah Noviawati Setya Arum ◽  
Munica Rita Hernayanti

Cervical cancer is the second most common cancer in the world. In developing countries still ranks first as a cause of cancer deathsin women of reproductive age. Pap smear has proved very useful for early detection of cervical cancer since pre-cancerous stage,but many women are reluctant to undergo a pap smear because of ignorance, shame, fear, and cost factors. While the Pap smearcoverage lowest in Imogiri health center II is 0%. The type of research is a descriptive study with cross-sectional approach. Todescribe the level of knowledge and overview of the implementation of Pap smears in women in fertile age couple in the KemasanHamlet Karang Tengah Village Imogiri Bantul. The entire population of mothers in fertile age couple who attended of the PKK andwilling to become respondents in the Kemasan Hamlet Karang Tengah Village Imogiri Bantul. The results of research that themajority of respondents aged> 35 years (51.1%), basic education (50%), does not work (53.44%), obtain resources through onesource (63.3%). The level of knowledge about Pap smears in women PUS (Pasangan Usia Subur) in the Kemasan Hamlet KarangTengah Village Imogiri Bantul 2015 is in the category enough that 72.7% and most did not carry out pap smear that is, 86.4%. Theconclusion that the level of knowledge about the EFA mother pap smear EFA in the Kemasan Hamlet Karang Tengah Village ImogiriBantul 2015 enough and did not carry out pap smear.


2019 ◽  
Vol 40 (3) ◽  
pp. 177-183 ◽  
Author(s):  
Rosemary N. Ogu ◽  
Omosivie Maduka ◽  
Vetty Agala ◽  
Folusho Alamina ◽  
Obelebra Adebiyi ◽  
...  

Background Diabetes mellitus (DM) has attained the status of an epidemic in slow motion. Gestational DM (GDM) is a subtype of DM, which occurs in pregnancy. As part of a baseline assessment, the knowledge of GDM was determined among women of reproductive age. Methods The study was a descriptive cross-sectional household survey involving 2,595 women of reproductive age residing in five local government areas in Southern Nigeria. It employed a multistage sampling technique to collect data using an interviewer administered questionnaire built using Open Data Kit software uploaded on android mobile phones. Results The response rate was 100%. Mean age was 29.25 ± 7.11 years. The majority (2,351; 90.6%) had heard about DM but only 991 (38.2%) knew that diabetes can occur for the first time in pregnancy. Only 747 (28.8%), 929 (35.8%), and 790 (30.4%) respondents had good knowledge scores for GDM definition and risk factors, GDM screening diagnosis and treatment, and GDM complications, respectively. Only 681 (26.2%) had good overall knowledge of GDM. The major sources of knowledge of GDM were from friends (49.8%), health workers (34.6%), and mass media (10.4%). Residence in two urban local government areas (adjusted odds ratio [adj OR] = 1.79; 95% confidence interval [CI] = 1.36–2.34 and adj OR = 1.89; 95% CI = 1.37–2.61), being married (adj OR = 1.50; 95% CI = 1.16–1.95), and having been pregnant (adj OR = 2.69; 95% CI = 1.99–3.64) positively predicted good overall knowledge of GDM. Conclusion These results underscore the need for diabetes information and education activities on a large scale targeted at women of reproductive age and their partners for the prevention and control of GDM.


2020 ◽  
pp. 201010582095872
Author(s):  
Roghieh Bayrami ◽  
Alireza Didarloo ◽  
Afsaneh Asadinejad

Purpose: Although preconception care (PCC) has been integrated into women’s care programmes in the country for more than a decade, it has not yet been welcomed by Iranian women, and the rate of PCC uptake is very low. Therefore, this study aims to determine predictors of uptake of PCC based on the Beliefs, Attitudes, Subjective Norms and Enabling Factors (BASNEF) model among women of reproductive age referred to health centres in Urmia, Northwest Iran, in 2019. Methods: This cross-sectional study was carried out on 230 women of childbearing age at Urmia health centres during 2019. Subjects were selected using a multistage sampling method. A valid reliable researcher-made questionnaire, including demographic information, items related to the BASNEF model constructs regarding PCC and items related to PCC behaviour, was used to collect data. Data were analysed using descriptive and inferential statistics (frequencies, means and standard deviations, independent t-test, chi-square test, logistic and linear regression). Results: The findings showed that the rate of receiving PCC was 19.6%. Overall, the BASNEF model predicted 42% of the intention to receive health care. Among the model constructs, enabling factors (β=0.32, p<0.001) and attitude (β=0.41, p<0.001) significantly explained women’s behavioural intention towards receiving PCC. In the logistic regression model, intention (β=0.15, p<0.001) and enabling factors (β=0.12, p=0.034) had a significant role in predicting PCC. Conclusion: The low uptake of PCC by women of childbearing age in Urmia suggests the need to design and implement interventions based on women’s attitudes, intentions and enabling factors in order to stimulate and maintain women’s health-promoting behaviours during childbearing age.


2020 ◽  
Vol 7 (2) ◽  
pp. 112-123
Author(s):  
Laxmi Devi Khanal

Introduction: Preconception care is a critical component of maternal and child health care services to reduce adverse outcomes of pregnancy and to improve desired health outcomes for women, new-born, and children by focusing on health promotion, screening, and interventions. This study aimed to find out the knowledge and utilization of preconception care among women. Method: A cross-sectional design was carried out among women. Non-probability purposive sampling technique was adopted to select married women of reproductive age in Tokha municipality-10, Kathmandu. Data was collected using face-to-face structured interview. Descriptive and inferential statistics were used to analyze the data. Association among variables was measured by Kruskal–Wallis H test. Result: More than half of the 200 women surveyed, 133 (66.5%) had average level of knowledge and 61 (30.5%) adequate and 6 (3%) inadequate level of knowledge regarding preconception care. Similarly, 196 (98%) had low utilization and 4 (2%) had high utilization level. There was statistically significant association between educational level of respondents with the level of knowledge (p=0.05) and their husband’s educational level (p=0.00). There was no significant association with age, type of family, occupation, monthly family income, number of pregnancy, history of abortion/still birth and age at first pregnancy. Conclusion: This study shows more than half of respondents had an average level of knowledge about preconception care whereas only 2% had high level of utilization of care.


2019 ◽  
Vol 10 (4) ◽  
pp. 11-15
Author(s):  
Muhammad Siddique Khan Qadr ◽  
Huda Abbas ◽  
Wajahat Hussain et al.

ABSTRACT:OBJECTIVE: The single most important factor that has long-lasting impact on lives of women is education. The study was conducted to determine the effect of women and partner's education on utilization of antenatal services in the urban slums.STUDY DESIGN AND SUBJECTS: This descriptive cross sectional study was conducted in urban slums of Bahawalpur City from January 2018 to December 2018 after taking ethical approval from hospital ethical committee. Women of reproductive age n=377, between 15 to 49 years, having at least one alive child less than one year of age and irrespective of current pregnancy were included in the study. Out of selected slum area sample was drawn by non-probability consecutive method. The preformed, pretested questionnaire with the help of lady health workers of the areas was used for collection of data. RESULTS: Mean age of the respondents was 28.26 ± 6.03 years. The age distribution showed that 31.1% respondents belonged to 30-34 years age group followed by 29.7% in 25-29 years, 19.1% in 20-24 years. The utilization of antenatal services was poor in 41.1% (n=155), fair in 24.9% (n=94) and good in 34.0% (n=128) women. The utilization of antenatal services was significantly higher in literate group (p <0.001). Regarding husband's educational status the wives of educated husbands had better utilization (p <0.001). The use of antenatal services among wives of uneducated and primary educated husbands was 67.8% and 61.5% respectively. The 52.1% women having graduate and above educational level of husband had good antenatal care use. CONCLUSION: Educational status significantly affect the utilization of antenatal services.


Author(s):  
Junita Indarti ◽  
Sandy Prasetyo

Objective: To investigate the knowledge of midwives about hypertensive disorders during pregnancy.   Methods: The study design is cross-sectional by evaluating the knowledge of midwives regarding hypertensive disorders during pregnancy by using questionnaire. This study was conducted in Jakarta during the period between September and October 2017. The subject is a midwife member of Indonesian Midwives Association (IBI) practicing in DKI Jakarta, Indonesia.   Results: Total respondents were 639 practicing midwives in Central, South, West and North Jakarta. A total of 323 (50.5%) of the respondents had a sufficient level of knowledge about the basic science of high blood pressure in pregnancy, 372 (58.2%) of respondents had a good level of knowledge related to clinical examination and early diagnosis of high blood pressure in pregnancy, and 385 (60.3%) of respondents had a good level of knowledge about the management of high blood pressure in pregnancy. The location of the clinic, physician attendance, the number of patients treated by the midwives, and the number of midwives attending the clinic had significant association with the knowledge level of the subjects (all P values < 0,05)   Conclusion: The lowest knowledge level was about the basic science of hypertensive disorders during pregnancy. Factors affecting the knowledge levels of the midwives were location of the clinic, physician attendance, the number of patients treated by the midwives, and the number of midwives attending the clinic   Keywords: knowledge, midwive, hypertensive disorders, pregnancy, preeclampsia


2021 ◽  
Vol 4 (2) ◽  
pp. 90
Author(s):  
Anisah Sri Utami ◽  
Djohar Nuswantoro ◽  
Ivon Diah Wittiarika

AbstractBackground: The MCH (Maternal Child Health) Handbook is a mandatory handbook for mother and children that has function as information especially for pregnant women until childbirth and also newborn to toddlers. One of the utilization of MCH Handbook is by an active reading role is considered to be able to  achieve the goal so that mothers can carry out health care independently so that pregnant women can detect complications as early as possible. Method : The research method is analytic Observational with cross-sectional design. The total sample is 114 pregnant women, using purposive sampling technique. The independent variable is the ownership of MCH Handbook which is categorized in 3 groups of reading activities and the dependent variable is the level of knowledge. Data analysis using Kruskal Wallis test. Result : The result showed that pregnant women who read entire contents of the MCH Handbook had a good level of knowledge is 47 respondents and none had sufficient or insufficient knowledge, while pregnant women who read some of the contents of the MCH Handbook had a good level of knowledge is 55 people and 2 others had enough knowledge.For the group of pregnant women who did not read the contents of MCH Handbook, there were 10 people and all of them had a good level of knowledge. The result of Kruskal Wallis test is p values = 0,365 ( p>0,05). Conclusion : There is no different of the knowledge level on 3 reading group.


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