scholarly journals Strategies to Improve Facility-based Attendance of Skilled Birth Among Slum Residents, Addis Ababa, Ethiopia: a Qualitative Study.

2021 ◽  
Author(s):  
Endalew Gemechu Sendo ◽  
Motshedisi E. Chauke ◽  
M Ganga-Limando
Keyword(s):  
Focus Group ◽  
Health Facility ◽  
Qualitative Data ◽  
Addis Ababa ◽  
Health Facilities ◽  
The Body ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Study Results ◽  
Delivery Services

Abstract Background: Global strategies to target high maternal mortality ratios are focused on providing skilled attendance at delivery along with access to emergency obstetric care. Research that examines strategies to increase facility-based skilled birth attendance among slum residents in Addis Ababa, Ethiopia, is limited.Objective: The objective of the study was to explore women’s views on measures needed to enhance the utilization of health facility-based delivery services. Methods: A qualitative exploratory and descriptive research design was used. The design was contextual. Participants in the study were women in the reproductive age group (18-49 years of age) living in the slum areas of Addis Ababa, Ethiopia. A purposive sampling strategy was used to select study participants. Four audio-recorded Focus Group Discussions [FGDs] were conducted with 32 participants from the three public health centers chosen and one district hospital. The number of participants in FGDs was between 6 to 10 women. Data were analyzed simultaneously with data collection. Thematic analysis was done for the study. The qualitative data were analyzed in three phases: exploring and creating initial codes; searching for themes by collecting coded data addressing particular themes, and identifying and naming themes found. To explain the study results, verbatim excerpts from participants were given. The researcher used Techs' eight steps of qualitative data analysis method for analysing the data. The analysis involved the use of both a priori codes (from the question guide) and emergent inductive codes. A multi-level life-course framework of facility-based delivery in low- and middle-income countries (LMICs) developed by Bohren, et al was used to frame the current study and link the findings of the study to the body of knowledge. Results: The Focus Group Discussions included a total of 32 participants. The mean age of the overall sample was 32.6 years (±SD = 5.2). Participants' educational characteristics indicate that the majority (24 out of 32) was found to have no formal education, and two-thirds of participants were found to have one to five children. Three-fourths of them attended the ANC twice and they all gave birth to their last child at home. Two themes emerged from the analysis of focus group interviews data, namely provision of quality, respectful and dignified midwifery care, and increased awareness of FANC. These themes were described as a rich and comprehensive account of the views and suggestions made by FANC participants on measures required to improve the use of delivery services based on health facilities. The findings of the study raise concerns about the effectiveness of FANC in encouraging facility-based deliveries since FANC participants had not used health facilities for their last childbirth. According to the findings of the focus groups, women who took part in this study identified measures required to increase the use of health facility-based delivery services among FANC participants in Addis Ababa's slum residents. It is to be expected that diligent counseling during antenatal care about birth plans would facilitate prompt arrival at facilities consistent with the desires of women.

scholarly journals Women’s perspectives on the measures that need to be taken to increase the use of health-care facility delivery service among slums women, Addis Ababa, Ethiopia: a qualitative study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Endalew G. Sendo ◽  
Motshedisi E. Chauke ◽  
M. Ganga-Limando
Keyword(s):  
Data Analysis ◽  
Focus Group ◽  
Antenatal Care ◽  
Thematic Analysis ◽  
Addis Ababa ◽  
Facility Delivery ◽  
Health Facilities ◽  
Delivery Service ◽  
Study Results ◽  
Delivery Services

Abstract Background Global strategies to target high maternal mortality ratios are focused on providing skilled attendance at delivery along with access to emergency obstetric care. Research that examines strategies to increase facility-based skilled birth attendance among slum residents in Addis Ababa, Ethiopia, is limited. Objective The study aimed to explore women's perspectives on the measures that need to be taken to increase the use of the facility—delivery service among slums women, Addis Ababa, Ethiopia Methods Qualitative exploratory and descriptive research designs were used. Participants in the study were women in the reproductive age group (18–49 years of age) living in the slum areas of Addis Ababa, Ethiopia. A purposive sampling strategy was used to select study participants. Potential participants' names were gathered from health facilities and followed to their homes for the study. Four audio-recorded focus group discussions [FGDs] were conducted with 32 participants from the three public health centers and one district hospital. The number of participants in FGDs was between 6 and 10 women. Data were analyzed simultaneously with data collection. Thematic analysis was used in data analysis, which entails three interconnected stages: data reduction, data display, and data conclusion. In addition, thematic analysis entailed evaluating the structure and content of textual data, identifying data themes, coding the themes, and then interpreting the structure and content of the themes. A codebook was first devised, discussed, and adopted by the writers before they could use this technique. Using the codebook, the theme codes were then manually produced. To explain the study results, verbatim excerpts from participants were given. The researcher used Techs' eight steps of qualitative data analysis method for analyzing the data. A multi-level life-course framework of facility-based delivery in low- and middle-income countries (LMICs) developed by Bohren et al. was used to frame the current study and link the findings of the study to the body of knowledge. Results The FGDs included a total of 32 participants. The mean age of the overall sample was 32.6 years (± SD = 5.2). Participants' educational characteristics indicate that the majority (24 out of 32) was found to have no formal education, and two-thirds of participants were found to have one to five children. Three-fourths of them attended the ANC twice and they all gave birth to their last child at home. Two themes emerged from the analysis of focus group data, namely provision of quality, respectful and dignified midwifery care, and lack of awareness about facility delivery. These themes were described as a rich and comprehensive account of the views and suggestions made by focused antenatal care [FANC] participants on measures required to improve the use of the facility-delivery services. The findings of the study raise concerns about the effectiveness of FANC in encouraging facility-deliveries since FANC participants had not used health facilities for their last childbirth. According to the findings of the focus groups, women who took part in this study identified measures required to increase the use of health facility-delivery services among FANC participants in Addis Ababa's slum residents. It is to be expected that diligent counseling during antenatal care about birth plans would facilitate prompt arrival at facilities consistent with the desires of women.

Understanding Factors Related to Prolonged Trial of Detained Defendants in the Philippines

2017 ◽  
Vol 62 (8) ◽  
pp. 2461-2487 ◽  
Author(s):  
Raymund E. Narag
Keyword(s):  
Focus Group ◽  
Qualitative Data ◽  
The Philippines ◽  
Cultural Dynamics ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Western Literature ◽  
Loosely Coupled ◽  
Official Data

Utilizing a combination of jail official data and qualitative data gathered through Focus Group Discussions and interviews with inmates, court actors, and jail officers, this article investigates the factors related to prolonged trial of detained defendants in the Philippines. Sensitizing concepts derived from Western literature are utilized to understand individual, court, and jail-level variations to prolonged detention. Results from official jail data show the magnitude and extent of the problem. The narrative data suggests the salience of organizational and cultural dynamics that lead to the delay of cases for detained defendants. Specifically, courts that are loosely coupled and subscribe to workgroup culture that condones leniency are more likely to be delayed. Implications to theory and policy are discussed.

scholarly journals Mobile Phone Influence on Sexual Behaviour of Undergraduate Students: A Case Study of Jomo Kenyatta University of Agriculture and Technology, Kenya

2021 ◽  
Vol 6 (2) ◽  
pp. 17-41
Author(s):  
Ondicho Machuki ◽  
Joan Mutua
Keyword(s):  
Focus Group ◽  
Undergraduate Students ◽  
Mobile Phones ◽  
Sexual Behaviour ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Safe Sex ◽  
Focus Group Discussions ◽  
Group Discussions

Purpose: The study sought to examine the influence of mobile phone use on sexual behaviour of university students: a case study of Jomo Kenyatta University of Agriculture and Technology, Kenya. The study specifically, sought to examine the effect of characteristics of mobile phones users, uses and gratification of mobile phones and the frequency of using mobile phones on sexual behaviour of university students in Jomo Kenyatta University of Agriculture and Technology, Kenya. Methodology: The research design that was adopted was descriptive in nature. The study also used both quantitative and qualitative data obtained from the respondents using questionnaires and Focus Group Discussions (FGDs) guides. Quantitative data was collected using questionnaires while qualitative data was collected using Focus Group Discussions. The study adopted a stratified random sampling technique to select the sample size from the three strata, which are the various Faculties in JKUAT. The study then used Fisher’s formula to arrive at an adequate scientific sample size of 384 students who were targeted using convenient sampling, that is those that are ready to respond to the questionnaires and the Focus Group Discussions (FGDs). The quantitative data in this research was analyzed using descriptive statistics and inferential statistics using SPSS v22.0. Results: It was concluded that male students are more likely to use protection consistently compared to female students. In addition, the findings imply that consistency in condom use is a factor that is dependent on the age of the individual. In addition, relationship status is a contributor to the behaviour of the students sexually. For those that are in serious relationships, their use of protection declines due to the build-up of emotional and intimate trust towards each other. The findings likewise indicate that the student’s usage of mobile phones correlates significantly with the consistent use of protection for safe sex. Those students who have had their phones since they joined Campus are more likely to practice safe sex. In addition, heavy users of mobile phones are likely to practice safe sex including those who browse the internet for news updates. Unique contribution to theory, policy and practice: The study recommends the media practitioners need to step up the production of morally acceptable media content and offer a platform for advertising and campaigning for sexual conduct by encouraging and stressing the use of protection. The Ministry of Health and Ministry of Education should actively involve the undergraduate students in reproductive information awareness campaigns for ensuring positive attitudes towards responsible sexual behaviour and promoting best sexual practices.         

Methods and Techniques for Qualitative Data Gathering

2016 ◽  
Author(s):  
Bridget Ogharanduk ◽  
Darren Jubb ◽  
Sean Lochrie ◽  
Ross Curran ◽  
Kevin D O'Gorman
Keyword(s):  
Focus Group ◽  
Qualitative Data ◽  
Data Gathering ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Methods And Techniques ◽  
Research Findings

This chapter discusses three main methods for gathering qualitative data. These methods are interviews, focus group discussions and ethnography. Important steps and procedures for gathering qualitative data using these methods are highlighted with examples to enable users to conduct their own data gathering. The chapter also provides potential challenges that users may encounter while using these methods and suggestions to manage these challenges or minimise the effect on the data and overall research findings.

scholarly journals Social-ecological influences on unhealthy dietary behaviours among Moroccan adolescents: a mixed-methods study

2020 ◽  
Vol 23 (6) ◽  
pp. 996-1008
Author(s):  
Abdelghaffar El-Ammari ◽  
Hicham El Kazdouh ◽  
Siham Bouftini ◽  
Samira El Fakir ◽  
Youness El Achhab
Keyword(s):  
Mixed Methods ◽  
Focus Group ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Snack Food ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Dietary Behaviours ◽  
Social Ecological ◽  
Modifiable Factors

AbstractObjective:To identify the prevalence of unhealthy dietary behaviours and their social-ecological influences in adolescents.Design:The study used a sequential explanatory mixed-methods design, which begins with the collection of quantitative data, followed by the collection of qualitative data to explain and enrich the quantitative findings. Quantitative data were collected via a global school-based student health survey and were analysed using quantitative approaches. Qualitative data were obtained via focus group discussions and were analysed thematically.Setting:Middle and high secondary schools in Taza city, Morocco.Participants:Our quantitative analyses included 764 students (14–19 years). For the qualitative part, seventeen focus group discussions were conducted with 100 participants (fifty-six adolescents, twenty-six parents and eighteen teachers).Results:Of total student participants, 46·1 % skipped breakfast, 60·6 % had inadequate intake of fruits and vegetables (F&V), 39·4 % consumed soft drinks and 28·0 % consumed fast foods. All of these dietary behaviours could coexist in the same person except for inadequate intake of F&V. Gender, academic performance, age, perceived family income and education level of mother were associated with unhealthy dietary behaviours. Qualitative findings identified seven themes regarding social-ecological influences on adolescents’ dietary behaviours: cognitive, affective/biological, lifestyle, outcome expectation, social network, accessibility/availability and macro-level influences.Conclusions:The prevalence of unhealthy dietary behaviours in our study group is a concern. Dietary behaviours are the result of inseparable interactions among social-ecological influences. Modifiable factors identified may be useful when designing a future intervention aimed at improving breakfast and F&V consumption and reducing fast/snack-food consumption among adolescents.

Effects of Alcohol Consumption and Abuse Among Younger Adults in Nsukka, Nigeria

2020 ◽  
Vol 7 (10) ◽  
pp. 612-625
Author(s):  
Anthony Obinna Iwuagwu ◽  
Christian Chiedozie Iyiani ◽  
Christopher Ndubuisi Ngwu ◽  
Stanley Emeka Agholor ◽  
Brian Obue Eyang ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Focus Group ◽  
Alcohol Abuse ◽  
Random Sample ◽  
Qualitative Data ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Younger Adults ◽  
Multi Stage ◽  
Depth Interviews

Globally, there has been availability and misuse of alcohol among youths and the consequences have been a thing of serious concern. This study investigates the effects of alcohol consumption and abuse among younger adults in Nsukka, Nigeria. The study used a multi stage random sample of 110 younger adults aged 17-40 years. They were interviewed using in-depth interviews (10) and Focus Group Discussions (10 FGD) that elicited information on the effects of alcohol consumption and abuse among younger adults. The qualitative data generated were analyzed in themes. Results indicate that majority of the respondents negatively perceived alcohol consumption to be depraved due to its health, religious and social implications, especially when it is abused. However, they conserved that many positive benefits are inherent in alcohol consumption if it is not abused. Given the rate of alcohol abuse among younger adults as findings show, there is the urgent need for policies and programmes that will help regulate alcohol consumption and abuse. This will go a long way in sensitizing, rehabilitating and reintegrating alcohol addicts and the at-risk persons to the larger society and the findings has potentials to influence policies on alcoholism.

scholarly journals The impact of climate change on food and human security in Nigeria

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kelechi Johnmary Ani ◽  
Vincent Okwudiba Anyika ◽  
Emmanuel Mutambara
Keyword(s):  
Climate Change ◽  
Focus Group ◽  
Qualitative Data ◽  
Human Security ◽  
Primary Data ◽  
The South ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Content Type ◽  
The North

Purpose The purpose of this study is to unravel the changing nature of climate change impact on the food and human security sector of the Nigerian State. Design/methodology/approach This study is an in-depth case study that involves the use of both quantitative and qualitative data. Statistical data on climate variability in Nigeria obtained from reliable databases were use in the making of analysis. Also, data derived from semi-structure interviews and special reports from International Non-governmental organizations on the subject matter were also used in the study. The findings of the study were based on an in-depth analysis of both primary and secondary sources of data. The secondary data were derived from existing published academic works. The primary data was developed using qualitative data that were collected from January to November, 2018 to 2019 in the different regions of Nigeria. For the South East, primary data was collected from Abakaliki, Ebonyi State. In the South-South, primary data was collected from Asaba, Delta State. In the South West, primary data was collected from Barutin, Kwara State. In the North East, primary data was collected from Maiduguri, while in North West, data was collected from Gusau, Zamfara State. In the North Central, data was collected from Markurdi, Benue State. During the data collection, 48 semi-structured Key Informant Interviews (KIIs) were carried out in the six selected research areas that represented their geo-political zones. Six Focus Group Discussions (FGDs) were carried out, one for each of these six selected cities. Each of the Focus Group Discussions comprised between five and seven respondents. The idea of KIIs and FGDs is to allow the respondents to freely express their ideas comprehensively. Again, in other to get varied forms of responses, the respondents are mainly farmers however, a number of NGOs, civil servants, fertilizer sellers, government officials, transporters and aged men and women/retirees. It should be noted that the respondents cut across male and female gender of all ages and ethnic configuration. The respondents were also randomly selected through social networking. To avoid having people of similar The KIIs were three academics; two community leaders; two small scale fish farmers; rice, cassava, fish, livestock and crop farmers. All KIIs ad TIs were transcribed and analysed using thematic content analysis. Findings The findings revealed that climate change has negatively affected food security in Nigeria. it has also led to continuous armed confrontations over natural resources thereby undermining human security in the country. Originality/value This study is 100% original and can be assessed through turn it in evaluation.

scholarly journals Resilience of Traditional Livelihood Approaches Despite Forest Grabbing: Ogiek to the West of Mau Forest, Uasin Gishu County

Land ◽  
2018 ◽  
Vol 7 (4) ◽  
pp. 140 ◽  
Author(s):  
Jemaiyo Chabeda-Barthe ◽  
Tobias Haller
Keyword(s):  
Focus Group ◽  
Qualitative Data ◽  
Agrarian Reform ◽  
Research Work ◽  
Reform Process ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Social Actors ◽  
Bargaining Position

This paper is a summary of the findings of research work conducted in two case studies in the Rift Valley, Kenya. This study used the Neo-Institutional theory to interrogate how the rules and regulations (institutions involved) of the agrarian reform process in Kenya are constantly changing and helping to shape the livelihoods of social actors around Mau Forest. The first case study—Ndungulu, is a settlement scheme where the Ogiek ethnic community were resettled between 1995 and 1997 after the land clashes of 1992. The second case study is the Kamuyu cooperative farm, a post-colonial settlement scheme owned by a cooperative society that was founded in 1965 by members from the Kikuyu ethnic group. This study employed qualitative data collection methods intermittently between 2012 and 2017 for a total of two years. A total of 60 interviews were conducted for this research. Thirteen (13) of these were key informant interviews with experts on land. The qualitative interviews were complemented by participant observations and nine focus group discussions. The qualitative data from the interviews and focus group discussions were transcribed, coded and analyzed thematically. Observations documented as field notes were also analyzed to complement the study findings. In this paper, the challenges, bargaining position and power play between social actors and government institutions implicated in the agrarian reform process in Kenya has been brought to the forefront. For instance, due to the structural issues that date back to the colonial period, the Ogiek have found innovative ways to maintain their daily existence (e.g., maintaining traditional methods of apiculture in Mau Forest). However, constraints in accessing forest land has resulted in them taking desperate measures, namely; selling off land to the Kalenjin in what is called “distress land sales”. On the contrary, the neighboring Kikuyu have maintained their land ownership status despite recurrent ethnic clashes that have occurred during general election years.

scholarly journals Gender inequities in sexually transmitted infections: implications for HIV infection and control in Lagos State, Nigeria

2011 ◽  
Vol 3 (1) ◽  
pp. 7 ◽  
Author(s):  
Ezekiel Oluwagbemiga Adeyemi
Keyword(s):  
Focus Group ◽  
Support Groups ◽  
Qualitative Data ◽  
Analytical Techniques ◽  
Sexual Partners ◽  
Heterosexual Transmission ◽  
People Living With Hiv ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Sexually Transmitted

Beyond the statistics of sex-based differences in infection rates, there are profound differences in the underlying causes and consequences of HIV infections in male and female which need to be examined. The study therefore examines; the gender differences in the STI knowledge and gender-related potential risks of HIV heterosexual transmission. Quantitative and qualitative data were collected. A multi-stage random sampling procedure was employed in administration of 1358 questionnaires. For qualitative data, four focus group discussions (FGD) were conducted to collect information from stakeholders within the study population, while In-depth interview was employed to collect information from 188 people living with HIV/AIDS through support groups in the State. The data collected were subjected to basic demographic analytical techniques. Combination of univariate, bivariate, and multivariate analysis were employed. Information from focus group discussions and in-depth interviews were transcribed and organized under broad headings that depict different aspects of the discussions. Majority of the respondents interviewed did not inform their partners about their infection in the study area. It was also discovered that stigmatization did not allow some women to disclose their status to their sexual partners. Some of the HIV-positive patients interviewed agreed that they did not attend the health facilities to treat the STI’s before they were finally confirmed positive. The study hypothesis revealed that communication between partners about STI’s was associated with an increase in risk reduction behaviour. The paper concluded that there is need for more information and education on communication about STI’s between the sexual partners; to reduce the spread of sexually transmitted diseases within the nation.

scholarly journals Dietary practices and associated factors among pregnant women in West Gojjam Zone, Northwest Ethiopia

2019 ◽  
Author(s):  
Yeshalem Mulugeta ◽  
Getu Degu Alem ◽  
Tefera Belachew
Keyword(s):  
Focus Group ◽  
Pregnant Women ◽  
Qualitative Data ◽  
Northwest Ethiopia ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Dietary Practices ◽  
Key Informant ◽  
West Gojjam ◽  
West Gojjam Zone

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

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