scholarly journals Components of antenatal care received by women in fishing communities on Lake Victoria, Uganda; a cross sectional survey

2020 ◽  
Author(s):  
Ali Ssetaala ◽  
Joan Nabawanuka ◽  
Gideon Matovu ◽  
Nusula Nakiragga ◽  
Judith Namugga ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Health Workers ◽  
Lake Victoria ◽  
Cost Effective ◽  
Fishing Communities ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Island Communities ◽  
Development Goals ◽  
Victoria Island

Abstract Background: Uganda has one of the highest maternal deaths at a ratio of 336 per 100,000 live births. As Uganda strives to achieve sustainable development goals, appropriate antenatal care is key to reduction of maternal mortality. We explored women’s reported receipt of seven of the Uganda guidelines components of antenatal care, and associated factors in hard to reach Lake Victoria island fishing communities of Kalangala district. Methods: A cross sectional survey among 486 consenting women aged 15-49 years, who were pregnant at any time in the past 6 months was conducted in 6 island fishing communities of Kalangala district, Uganda, during January-May 2018. Interviewer administered questionnaires, were used to collect data on socio-demographics and receipt of seven of the Uganda guidelines components of antenatal care. Regression modeling was used to determine factors associated with receipt of all seven components. Results: Over three fifths (65.0%) had at least one ANC visit during current or most recent pregnancy. Fewer than a quarter of women who reported attending care at least four times received all seven ANC components [(23.6%), P<0.05]. Women who reported receipt of ANC from the mainland were twice as likely to have received all seven components as those who received care from islands (aOR=1.8; 95% CI:0.9-3.7). Receipt of care from a doctor was associated with thrice likelihood of receiving all components relative to ANC by a midwife or nurse (aOR=3.2; 95% CI:1.1-9.1). Conclusions: We observed that the delivery of antenatal care components per Ugandan guidelines is poor in these communities. Cost effective endeavors to improve components of antenatal care received by women are urgently needed. Task shifting some components of ANC to community health workers may improve care in these island communities. Trial Registration: PACTR201903906459874 (Retrospectively registered).

scholarly journals Components of antenatal care received by women in fishing communities on Lake Victoria, Uganda; a cross sectional survey

2020 ◽  
Author(s):  
Ali Ssetaala ◽  
Joan Nabawanuka ◽  
Gideon Matovu ◽  
Nusula Nakiragga ◽  
Judith Namugga ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Health Workers ◽  
Lake Victoria ◽  
Cost Effective ◽  
Fishing Communities ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Island Communities ◽  
Development Goals ◽  
Victoria Island

Abstract Background: Uganda has one of the highest maternal deaths at a ratio of 336 per 100,000 live births. As Uganda strives to achieve sustainable development goals, appropriate antenatal care is key to reduction of maternal mortality. We explored women’s reported receipt of seven of the Uganda guidelines components of antenatal care, and associated factors in hard to reach Lake Victoria island fishing communities of Kalangala district.Methods: A cross sectional survey among 486 consenting women aged 15-49 years, who were pregnant at any time in the past 6 months was conducted in 6 island fishing communities of Kalangala district, Uganda, during January-May 2018. Interviewer administered questionnaires, were used to collect data on socio-demographics and receipt of seven of the Uganda guidelines components of antenatal care. Regression modeling was used to determine factors associated with receipt of all seven components. Results: Over three fifths (65.0%) had at least one ANC visit during current or most recent pregnancy. Fewer than a quarter of women who reported attending care at least four times received all seven ANC components [(23.6%), P<0.05]. Women who reported receipt of ANC from the mainland were twice as likely to have received all seven components as those who received care from islands (aOR=1.8; 95% CI:0.9-3.7). Receipt of care from a doctor was associated with thrice likelihood of receiving all components relative to ANC by a midwife or nurse (aOR=3.2; 95% CI:1.1-9.1). Conclusions: We observed that the delivery of antenatal care components per Ugandan guidelines is poor in these communities. Cost effective endeavors to improve components of antenatal care received by women are urgently needed. Task shifting some components of ANC to community health workers may improve care in these island communities.Trial Registration: PACTR201903906459874 (Retrospectively registered).

scholarly journals Components of antenatal care received by women in fishing communities on Lake Victoria, Uganda; a cross sectional survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ali Ssetaala ◽  
Joan Nabawanuka ◽  
Gideon Matovu ◽  
Nusula Nakiragga ◽  
Judith Namugga ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Health Workers ◽  
Lake Victoria ◽  
Cost Effective ◽  
Fishing Communities ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Island Communities ◽  
Development Goals ◽  
Victoria Island

Abstract Background Uganda has one of the highest maternal deaths at a ratio of 336 per 100,000 live births. As Uganda strives to achieve sustainable development goals, appropriate antenatal care is key to reduction of maternal mortality. We explored women’s reported receipt of seven of the Uganda guidelines components of antenatal care, and associated factors in hard to reach Lake Victoria island fishing communities of Kalangala district. Methods A cross sectional survey among 486 consenting women aged 15–49 years, who were pregnant at any time in the past 6 months was conducted in 6 island fishing communities of Kalangala district, Uganda, during January–May 2018. Interviewer administered questionnaires, were used to collect data on socio-demographics and receipt of seven of the Uganda guidelines components of antenatal care. Regression modeling was used to determine factors associated with receipt of all seven components. Results Over three fifths (65.0%) had at least one ANC visit during current or most recent pregnancy. Fewer than a quarter of women who reported attending care at least four times received all seven ANC components [(23.6%), P < 0.05]. Women who reported receipt of ANC from the mainland were twice as likely to have received all seven components as those who received care from islands (aOR = 1.8; 95% CI:0.9–3.7). Receipt of care from a doctor was associated with thrice likelihood of receiving all components relative to ANC by a midwife or nurse (aOR = 3.2; 95% CI:1.1–9.1). Conclusions We observed that the delivery of antenatal care components per Ugandan guidelines is poor in these communities. Cost effective endeavors to improve components of antenatal care received by women are urgently needed. Task shifting some components of ANC to community health workers may improve care in these island communities. Trial registration PACTR201903906459874 (Retrospectively registered).

scholarly journals Components of antenatal care received by women in fishing communities on Lake Victoria, Uganda; a cross sectional survey

2020 ◽  
Author(s):  
Ali Ssetaala ◽  
Joan Nabawanuka ◽  
Gideon Matovu ◽  
Nusula Nakiragga ◽  
Judith Namugga ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Lake Victoria ◽  
Open Data ◽  
Fishing Communities ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Need To Evaluate ◽  
Development Goals ◽  
Victoria Island ◽  
Open Data Kit

Abstract Background: Uganda has one of the highest maternal deaths at a ratio of 336 per 100,000 live births. As Uganda strives to achieve sustainable development goals, components of antenatal care are key to reduction of maternal mortality. We explored women’s receipt of seven of the Uganda guidelines components of antenatal care, and associated factors in hard to reach Lake Victoria island fishing communities of Kalangala district.Methods: A cross sectional survey among 486 consenting women aged 15-49 years, who were pregnant or had a birth or abortion in the past 6 months was conducted in 6 island fishing communities of Kalangala district, Uganda, during January-May 2018. Interviewer administered questionnaires, in Open Data Kit software were used to collect data on socio-demographics and receipt of seven of the Uganda guidelines components of antenatal care. Regression modeling was used to determine factors associated with receipt of all seven components. Analyses were done using STATA version 15.1.Results: Women’s median (range) age was 26 (15-45) years, majority were married [87.0%, (423/486)], their main occupation was housewives (stay home mums) [45.1%, (219/486)] and never studied beyond seven years of education [69.1%, (336/486)]. Over three quarters of women who attended the nationally recommended four focused ANC visits did not receive all seven components of care at least once during the visits [76.4%, (107/140), P<0.05]. Women who reported being attended to by a doctor were thrice as likely to have received all seven components as those seen by a midwife/nurse (aOR=3.2; 95% CI:1.1-9.1).Conclusions: There is need to improve components of antenatal care received by women in these communities. Implementation programs need to evaluate receipt of antenatal care components among attendees in these hard to reach communities.Trial Registration: PACTR201903906459874 (Retrospectively registered).

scholarly journals Antenatal Care Practices Among Hard-to-Reach Fishing Communities on Lake Victoria: A Community-Based Cross-Sectional Survey

2020 ◽  
Vol 11 ◽  
pp. 215013272092310 ◽  
Author(s):  
Ali Ssetaala ◽  
Joan Nabawanuka ◽  
Gideon Matovu ◽  
Nusula Nakiragga ◽  
Judith Namugga ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Lake Victoria ◽  
Public Health Facility ◽  
Adverse Outcomes ◽  
Sub Saharan Africa ◽  
Fishing Communities ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Care Community ◽  
Late Start

Background: Uganda has one of the highest maternal deaths in sub-Saharan Africa, with a mortality ratio of 336 per 100 000 live births. Early regular antenatal care (ANC) helps prevent adverse outcomes, including deaths, through prevention, identification, treatment, and/or referral of at-risk women. We explored ANC practices and associated factors among women from hard-to-reach Lake Victoria islands fishing communities in Kalangala district, Uganda. Methods: A cross-sectional survey among 486 consenting women aged 15 to 49 years, who were pregnant or had a birth or abortion in the past 6 months was conducted in 6 island fishing communities of Kalangala district, Uganda, during January to May 2018. ODK software interviewer-administered questionnaires were used to collect data on sociodemographics and ANC practices. Regression modeling using STATA version 15 was used to determine factors associated with ANC visits. Results: Women’s median (range) age was 26 (15-45) years, 63% (304/486) had up to primary level education, 45% (219/486) were housewives (stay home mums), 87% (423/486) were married. ANC visits ranged from 0 to 10, with over three-fifths of women having their first visit late after 3 months of being pregnant (63%, 198/316). Women without a history of pregnancy loss (adjusted odds ratio [AOR] = 1.8, 95% CI 1.1-3.0), those not staying with their partners (AOR = 2.5, 95% CI 1.1-6.0), and those whose partners were working in fishing-related activities (AOR = 1.8, 95% CI 1.0-3.0) were likely to have started care late. Women from communities with a public health facility and those with partners working in none fishing-related activities had the highest predicted number of visits. Conclusion: Antenatal practices among these communities are characterized by late start of care. Community-led early ANC awareness interventions are needed. Targeted health policies need to consider public ANC facilities for each island for improved antenatal outcomes and maternal health.

scholarly journals Faktor-Faktor Yang Mempengaruhi Kunjungan Antenatal Care Terhadap Perilaku Antenatal Care

2020 ◽  
Vol 1 (2) ◽  
pp. 67-76
Author(s):  
Puji Astuti Wiratmo ◽  
Lisnadiyanti ◽  
Nurkamilia Sopianah
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Family Support ◽  
Health Workers ◽  
P Value ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Correlation Design

Introduction: Antenatal Care (ANC) is an effort to detect the occurrence of high risk in pregnant women. However, ANC non-compliance was still found due to several factors. Aim of study: This study aims to determine factors that influence ANC visits to ANC behavior at Puskesmas Pasar Rebo East Jakarta. Method: This study used a descriptive correlation design with a cross-sectional survey. Data analysis used Spearman's rho with 117 respondents. Results and Discussion: The results showed that there are some factors that influence ANC visits to ANC behavior, including age with a correlation value (r = 0.419), a p-value of 0.000; education with a correlation value (r = 0.425), p-value of 0.000; jobs with a correlation value (r = 0.279), p-value of 0.002; income with a correlation value (r = 0.407), p-value of 0.000; knowledge with a correlation value (r = 0.409), p-value of 0.000; husband / family support with a correlation value (r = 0.417), p-value of 0.000; attitude with a correlation value (r = 0.597), p-value of 0.000 (<0.05). Irregularity in carrying out ANC has a bad impact on pregnant women because they are not aware of the risk factors that may occur to the mother and her fetus and can not be detected early on the disease suffered by pregnant women. Conclusion: The conclusion of this study is nurses as health workers need to increase their role as educators and health care provider to pregnant women and their families about the importance of ANC to reduce maternal mortality and monitor the state of the fetus.

scholarly journals Correlates of family planning knowledge among people in fishing communities of Lake Victoria in Uganda

2020 ◽  
Author(s):  
Annet Nanvubya ◽  
R.K. Wanyenze ◽  
T. Nakaweesa ◽  
J. Mpendo ◽  
B. Kawoozo ◽  
...  
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Hiv Prevention ◽  
Lake Victoria ◽  
Cultural Beliefs ◽  
Fishing Communities ◽  
Modern Contraceptive ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Prevention Trials

Abstract BackgroundFamily planning (FP) is a key component in the conduct of HIV prevention trials and FP knowledge is a determinant of modern contraceptive use. Although fishing communities (FCs) participate in HIV prevention trials, knowledge about FP in this population is scarcely known. We determined correlates of FP knowledge in FCs of L. Victoria in Uganda to inform improvements in FP interventions in preparation for other HIV prevention trials.MethodsWe conducted a cross-sectional survey among participants aged 16-49 years in Kigungu and Nsazi FCs. A semi-structured questionnaire was administered to assess FP knowledge. A composite score with 5 parameters including; awareness about FP methods, knowledge about ideal number of children for a couple, knowledge about ideal birth spacing interval, knowledge about FP methods and their side effects and interval between the last 2 children was used to determine whether participant’s knowledge was or wasn’t satisfactory. Satisfactory FP knowledge was attributed to a score of ≥80% from the five parameters. We also conducted 10 in-depth interviews and 4 focus group discussions.ResultsOf the 1,410 screened participants, 95% were aware of at least one FP method while only 21% had satisfactory knowledge. Participants aged 30-39 years, those engaged in trade/business, housewives, those from Nsazi, the married or those who were divorced, separated or widowed were more likely to have satisfactory FP knowledge compared to those aged 16-29 years (aOR: 1.59 95% CI: 1.14-2.22), farmers (aOR: 3.14 95% CI: 1.21-8.17), and (aOR: 3.69 95% CI: 1.35-10.1), those from Kigungu (aOR: 1.58 95%CI: 1.09-2.30), those who were single (aOR: 6.96 95% CI: 3.42-14.13) or (aOR: 17.67 95% CI: 8.54-36.54).There were concerns about side effects and effectiveness of some modern FP methods. Misconceptions about effects of FP like sterility, cancers and foetal abnormalities were common. Cultural beliefs on contraception are key barriers to FP information.ConclusionPeople from FCs in Uganda are aware of FP but their knowledge is largely unsatisfactory. Concerns about method safety, effectiveness of some methods, misconceptions and cultural barriers exist. A FP education tool tailored for a mobile, high risk and remote population is recommended to improve FP knowledge.

Quality of Antenatal Care Services in a Developing Country: A Cross-Sectional Survey

2020 ◽  
Vol 26 (1) ◽  
pp. e25-e34
Author(s):  
Jacoline Sommer Albert ◽  
Ahtisham Younas ◽  
Gideon Victor
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Health Care Providers ◽  
Health Workers ◽  
World Health ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Organization

The global adult lifetime risk of maternal mortality is 1 in 180; in Pakistan, it is 1 in 170; in developed regions, 1 in 4,900 (Alkema et al., 2016; Filippi, Chou, Ronsmans, Graham, & Say, 2016; World Health Organization [WHO], 2015). The differences in maternal mortality between developed and developing countries are mainly due to the quality of antenatal care (ANC) available in the two groups of countries. The purpose of this study was to assess the structural and procedural quality of ANC services provided and to assess satisfaction levels of women receiving ANC services in two large hospitals in Islamabad, Pakistan. A cross-sectional survey was conducted at the hospitals' outpatient maternal and child health clinics, with a random sample of 138 women. The overall quality of ANC was rated as good (61%), average (17.5%), or poor (17.5%). The findings suggest a need to cultivate quality of care at public health facilities, train health workers in communication skills, and build technical capacity by continuing education and supportive supervision to train health-care providers to follow standard protocols for provision of quality ANC services.

scholarly journals Correlates of knowledge of family planning among people living in fishing communities of Lake Victoria, Uganda

2020 ◽  
Author(s):  
Annet Nanvubya ◽  
R.K. Wanyenze ◽  
T. Nakaweesa ◽  
J. Mpendo ◽  
B. Kawoozo ◽  
...  
Keyword(s):  
Family Planning ◽  
Clinical Research ◽  
Lake Victoria ◽  
Good Knowledge ◽  
Fishing Communities ◽  
Access To Health Services ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Poor Knowledge ◽  
The Mean

Abstract Knowledge of family planning (FP) is a key determinant of contraceptive use which ultimately plays a role in attainment of good health and in conduct of clinical research. People living in fishing communities (FCs) have limited access to health services including FP and are targeted for future clinical research but their knowledge of FP and its correlates are scantily known. We determined correlates of knowledge of FP among people living in FCs of L. Victoria in Uganda to inform future FP education programs in FCs. We conducted a comparative cross-sectional survey among participants aged 15-49 years from Kigungu and Nsazi. Participants were asked if they were aware of any FP method. All those who responded in the affirmative were further asked to mention what FP methods they had heard of or knew. Those who reported knowledge of at least one FP method were asked a series of questions about FP methods and their side effects. Knowledge was categorized into good or poor knowledge based on their mean total score. Poor knowledge constituted a score below the mean while good knowledge constituted a score of more than or equal to the mean total score. To further explore attitudes and perceptions of FP, ten in-depth interviews and four focus group discussions were conducted. Of the 1,410 screened participants, 94.5% were aware of at least one FP method. Pills and injectable hormonal methods were the most commonly known methods. Slightly over a third (38%) had good knowledge of FP. Correlates of knowledge of FP were; being female (aOR: 1.92 95% CI: 1.39-2.67), residing in Kigungu (aOR: 4.01 95% CI: 2.77-5.81), being married (aOR: 1.59 95% CI: 1.11-2.28) and currently being in a sexual relationship (aOR: 1.75 95% CI: 1.18-2.60). Concerns about safety and effectiveness of some modern FP methods exist. Misconceptions on effects of FP like sterility, cancers and foetal abnormalities were common. FP awareness among people living in FCs of L. Victoria in Uganda is high. However, good knowledge about specific methods tends to be low. Correlates of knowledge of FP include gender, residence, marital status and sexual engagement.

scholarly journals Correlates of knowledge of family planning among people living in fishing communities of Lake Victoria, Uganda

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Annet Nanvubya ◽  
Rhoda K. Wanyenze ◽  
Teddy Nakaweesa ◽  
Juliet Mpendo ◽  
Barbarah Kawoozo ◽  
...  
Keyword(s):  
Family Planning ◽  
Clinical Research ◽  
Lake Victoria ◽  
Good Knowledge ◽  
Fishing Communities ◽  
Access To Health Services ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Poor Knowledge ◽  
The Mean

Abstract Background Knowledge of family planning (FP) is a key determinant of contraceptive use which ultimately plays a role in attainment of good health and in conduct of clinical research. People living in fishing communities (FCs) have limited access to health services including FP and are targeted for future clinical research but their knowledge of FP and its correlates are scantily known. We determined correlates of knowledge of FP among people living in FCs of L. victoria in Uganda to inform future FP education programs in FCs. Methods We conducted a comparative cross-sectional survey among participants aged 15–49 years from Kigungu and Nsazi. Participants were asked if they were aware of any FP method. All those who responded in the affirmative were further asked to mention what FP methods they had heard of or knew. Those who reported knowledge of at least one FP method were asked a series of questions about FP methods and their side effects. Knowledge was categorized into good or poor knowledge based on their mean total score. Poor knowledge constituted a score below the mean while good knowledge constituted a score of more than or equal to the mean total score. To further explore attitudes and perceptions of FP, ten in-depth interviews and four focus group discussions were conducted. Results Of the 1410 screened participants, 94.5% were aware of at least one FP method. Pills and injectable hormonal methods were the most commonly known methods. Slightly over a third (38%) had good knowledge of FP. Correlates of knowledge of FP were; being female (aOR: 1.92 95% CI: 1.39–2.67), residing in Kigungu (aOR: 4.01 95% CI: 2.77–5.81), being married (aOR: 1.59 95% CI: 1.11–2.28) and currently being in a sexual relationship (aOR: 1.75 95% CI: 1.18–2.60). Concerns about safety and effectiveness of some modern FP methods exist. Misconceptions on effects of FP like sterility, cancers and foetal abnormalities were common. Conclusion FP awareness among people living in FCs of L. Victoria in Uganda is high. However, good knowledge about specific methods tends to be low. Correlates of knowledge of FP include gender, residence, marital status and sexual engagement.

scholarly journals Barriers and Facilitators of Family Planning Use in Fishing Communities of Lake Victoria in Uganda

2020 ◽  
Vol 11 ◽  
pp. 215013272094377 ◽  
Author(s):  
Annet Nanvubya ◽  
Rhoda Kitty Wanyenze ◽  
Onesmus Kamacooko ◽  
Teddy Nakaweesa ◽  
Juliet Mpendo ◽  
...  
Keyword(s):  
Family Planning ◽  
Lake Victoria ◽  
Cultural Influences ◽  
Sexual Partners ◽  
Barriers And Facilitators ◽  
Fishing Communities ◽  
Gender Preferences ◽  
Cross Sectional Survey ◽  
Excessive Bleeding ◽  
Cross Sectional

Introduction: Family planning (FP) is a key element in the conduct of research and is essential in managing family sizes. Although fishing communities (FCs) are targeted populations for HIV prevention research, their FP practices are poorly understood. We explored barriers and facilitators of FP use in FCs of Lake Victoria in Uganda. Methods: We employed a mixed-methods approach comprising a cross-sectional survey, in-depth interviews, and focus group discussions in 2 FCs. Multivariable logistic regression was used to analyze quantitative data and a thematic approach to generate themes from the qualitative data. Results: Up to 1410 individuals participated in the survey and 47 in the qualitative study. Just over a third (35.6%) used FP. The most commonly used methods were condoms, pills, and injectables. In Kigungu community, participants whose religion was Anglican and Muslim were more likely to use FP than Catholics (adjusted odds ratio [aOR] 1.45; 95% CI 1.05-1.99 and aOR 1.45; 95% CI 1.05-2.07, respectively). Participants were more likely to use FP if they had satisfactory FP knowledge compared to those with no satisfactory FP knowledge (aOR 1.79; 95% CI 1.23-2.61), or if they were married compared to their single counterparts (aOR 1.84; 95% CI 1.32-2.57). In both communities, participants were more likely to use FP if they had 2 or more sexual partners in the past 12 months than those with less than 2 sexual partners (aOR 1.41 95% CI 1.07-1.87 and aOR 2.60; 95% CI 1.36-4.97). Excessive bleeding and delayed fecundity; fertility desire; gender preferences of children; method stock outs and lack of FP trained personnel constituted barriers to FP use. There were also cultural influences in favor of large families. Conclusion: FP use in FCs is suboptimal. Barriers of FP use were mainly biomedical, religious, social, and cultural, which underscores a need for FP education and strengthening of FP service provision in FCs.

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