scholarly journals Knowledge and Myths about Preeclampsia and Eclampsia and its influence on Antenatal Service Utilization among Expecting Couples in Mtwara Regional: 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 ◽  
Service Utilization ◽  
Analytical Study ◽  
Data Entry ◽  
Principal Component ◽  
Care Utilization ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Adequate Knowledge ◽  
Study Participants

Abstract Background : Hypertensive disorders of pregnancy, 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 expecting couples 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 couples with 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, only 292(38%) 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 492(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 = 0.0229-0.599; 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 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 Antenatal service utilization among women in South India: a community based cross sectional study

2020 ◽  
Vol 9 (3) ◽  
pp. 1110
Author(s):  
Chethana K. ◽  
Manjula Anil ◽  
Maria Nelliyanil
Keyword(s):  
Antenatal Care ◽  
Service Utilization ◽  
Univariate Analysis ◽  
Cross Sectional Study ◽  
Care Utilization ◽  
Snowball Sampling ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Validated Questionnaire

Background: Antenatal period is important for identifying pregnancy related threats and antenatal care (ANC) is one of the most effective health interventions during this period. It provides a unique opportunity for screening and diagnosis, health promotion and disease prevention. This study assessed the antenatal service utilization pattern and its determinants among women.Methods: A community based cross sectional study was conducted in the field practice area of a teaching hospital in Mangalore. Study included 142 women who had delivered in the last one year in the study area, selected using snowball sampling method. A pretested semi-structured validated questionnaire was used to collect the data. Predictors of full ANC were identified using univariate analysis and explanatory variables were entered into multivariate regression model to obtain the adjusted odds ratios to find the association between full ANC coverage and its determinants.Results: Among the participants, 99.3% registered their pregnancy and 78.9% had early registration. Majority, 91.5% had minimum antenatal visits, 83.1% consumed iron and folic acid supplements for more than three months and tetanus toxoid (TT) coverage was 98.6%. Full ANC coverage was found to be 81% and unadjusted analysis showed higher odds of full ANC coverage among housewives, primiparous, women in joint family and among literates. However, multi variable analysis revealed literacy as the major determinant of full ANC.Conclusions: In the present study, majority of the women had adequate antenatal care utilization. Full antenatal coverage was found to be statistically significant among literate women.

scholarly journals Magnitude and determinants of adequate antenatal care service utilization among mothers in Southern Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0251477
Author(s):  
Lielt Gebreselassie Gebrekirstos ◽  
Tsiyon Birhanu Wube ◽  
Meron Hadis Gebremedhin ◽  
Eyasu Alem Lake
Keyword(s):  
Antenatal Care ◽  
Service Utilization ◽  
Care Service ◽  
Public Health Intervention ◽  
Southern Ethiopia ◽  
Care Utilization ◽  
Multivariable Logistic Regression Analysis ◽  
Cross Sectional ◽  
Survey Tool ◽  
Antenatal Care Utilization

Background Mortality from preventable pregnancy-related complications remains high in Ethiopia. Antenatal care remains a major public health intervention that prevents maternal and neonatal mortality. Thus, this study aimed to assess the magnitude and determinants of adequate antenatal care utilization in Southern Ethiopia. Methods A community-based cross-sectional study was conducted between November and December 2019. A systematic random sampling technique was used to select 670 women. Data were collected using a pre-tested structured questionnaire administered with a digital survey tool (open data kit) and directly exported to STATA version 15 for analysis. Descriptive statistics followed by a multivariable logistic regression analysis were performed. Both crude and adjusted odds ratios (ORs) with 95% confidence intervals were reported. Results The magnitude of adequate antenatal care utilization was 23.13%. Tertiary and above education (AOR,4.15;95%CI: 1.95, 8.83), having the best friend who used maternal care (AOR,2.01;95%CI: 1.18,3.41), husband support (AOR,3.84; 95%CI: 1.05, 14.08), high wealth index (AOR,3.61; 95%CI: 1.86, 6.99), follow-up in private health facilities (AOR, 2.27;95% CI:1.33, 3.88), having a history of risky pregnancy (AOR,2.59; 95%CI: 1.55, 4.35), and planned pregnancy (AOR,2.60;95% CI: 1.35, 4.99) were significant determinants of overall adequate ANC service utilization. Conclusion The utilization of adequate antenatal care services is quite low. The study findings suggest that interventions should be in place to improve husband’s support, social networks, and women’s education. There is also a need to counsel women to utilize family planning.

scholarly journals Factors Affecting Antenatal Care Utilization Among the Disadvantaged Dalit Population of Nepal: A Cross- sectional Study

2019 ◽  
Vol 12 (1) ◽  
pp. 155-163
Author(s):  
Surendra Prasad Chaurasiya ◽  
Nilesh Kumar Pravana ◽  
Vishnu Khanal ◽  
Dhiraj Giri
Keyword(s):  
Maternal Health ◽  
Antenatal Care ◽  
Service Utilization ◽  
Health Workers ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Maternal Health Service ◽  
Care Utilization ◽  
Sectional Study ◽  
Cross Sectional

Background: Antenatal Care (ANC) visits are intended to prevent, identify and treat conditions that may threaten the health of the mother and newborn, and to increase the chance she has a smooth pregnancy and and safe childbirth. The most disadvantaged and underprivileged caste (Dalit) of Nepal has benefitted the least from maternal health service improvements in the recent years. Objective: This study was conducted to determine the rate and factors associated with the antenatal care service utilization among the most disadvantaged ethnic group (Dalit women) and recommend interventions to improve ANC utilisaiton, in the Mahottari district of Nepal. Methods: A cross-sectional study was conducted during July-December 2014 using a structured questionnaire. A total of 328 recently delivered mothers were interviewed covering the entire district. Descriptive statistics, binary and multivariable logistic regression analyses were computed. Statistical significance was considered at p < 0.05 and the strength of statistical association was assessed by odds ratios with 95% confidence intervals. Results: ANC utilization rate (≥ 4 ANC visit) was found to be 42%. Mother's education, husband's education, mother's occupation, perceived “good quality” ANC, hearing about incentive program, maternal health message, non-perception of health workers behaviours as discriminatory, and exposure to Female Community Health Volunteer were found to be significantly associated with ANC utilization. Conclusion: ANC service utilization is low. So, there is an urgent need to address the issue of ANC quality and discriminatory behaviour of health workers toward Dalit. A targeted & comprehensive maternal health program should be developed to raise awareness and motivate pregnant women for maximum utilisation of ANC services.

scholarly journals Antenatal care among women in Chitwan district of Nepal: A cross-sectional study

2021 ◽  
Vol 9 (01) ◽  
pp. 74-86
Author(s):  
Sharmila Pokharel ◽  
Ram Krishna Maharjan
Keyword(s):  
Antenatal Care ◽  
Educational Level ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Care Utilization ◽  
Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Care Community

Antenatal care is one of the most effective measures to reduce maternal mortality in Lower Middle-income Countries. The study aims to assess the utilization of antenatal care and related factors by breastfeeding mothers in Chitwan district of Nepal. A cross-sectional study was carried out in Bharatpur municipality in April 2020, among all women of the reproductive age group (15-49) who have had a birth child in the last 12 months before the survey date. A census sampling technique was used to select respondents. The vaccination period was two weeks. All the mothers who came to the vaccine center to vaccinate their children were the respondents of this study. The data were collected by using an interview schedule. The collected data were managed using SPSS Version 20. The study found that 84.31 percent of respondents attended more than four antenatal care utilization. The educational level of the respondents and the occupation of their partners were linked to the use of antenatal care. The number of pregnancies, the number of live births, the place of delivery, and the educational level and occupations of the birth attendees were also significantly linked to the use of antenatal care. Community mobilization and intensive use of community health workers are essential factors to improve the use of antenatal care.

scholarly journals A cross sectional study on alcoholism and its comorbidity patterns among urban adult population in Salem Tamil Nadu

2019 ◽  
Vol 6 (7) ◽  
pp. 2861
Author(s):  
Dhanasekar Gurupatham ◽  
Jeevithan Shanmugam
Keyword(s):  
Alcohol Use ◽  
Tamil Nadu ◽  
Adult Population ◽  
Data Entry ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Co Morbidity ◽  
Study Participants ◽  
Salem District

Background: Alcohol use is associated with serious public health problems thereby raising the global morbidity and mortality. The main aim of this study is to estimate the prevalence of alcoholism and its co morbidity pattern among urban adult population in Salem district, Tamil Nadu.Methods: A community based cross-sectional study was carried out among urban adult population in Salem district involving 493 participants. Convenient sampling method was used. Informed consent was obtained from each participant and information was collected by using a predesigned structured questionnaire. Microsoft Excel 2007 was used for data entry and SPSS version 24 was used for data analysis.Results: It was found from the study that the prevalence of alcoholism was high. Alcohol use in any form was found in 38% of the study participants. 8% of the participants confessed that alcohol is an eye opener to them. 6% of the participants lost their job and 15% of the participants were hospitalised due to alcohol.Conclusions: The study showed higher prevalence of alcohol use among urban adult population in Salem district. Awareness about the ill effects of alcoholism among the population and necessary rehabilitation will help to reduce alcoholism consumption and its related disorders.

scholarly journals Prevalence of husband antenatal care attendance and associated factors among husbands whose wives gave birth in the last twelve months in Enebsiesarmider District, Northwest Ethiopia, 2018.

2019 ◽  
Author(s):  
Haimanot Abebe
Keyword(s):  
Antenatal Care ◽  
Health System ◽  
Associated Factors ◽  
Health Department ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Safe Motherhood ◽  
Cross Sectional ◽  
Multi Stage ◽  
Study Participants

Abstract Background Globally, husband attendance of skilled maternal ANC care remains a challenge to safe motherhood. Even though husband attendance in antenatal care is one of the strategies for enhancing reproductive and sexual health in Ethiopia, the magnitude of husband attendance in ANC is not well investigated in the study area. Therefore, this study aimed to assess husband antenatal care attendance and associated factors among husbands whose wives gave birth in the last twelve months prior to the study in Enebsiesarmider district, Northwest Ethiopia.Methods A Community-based cross-sectional study was employed to assess husband antenatal care attendance and associated factors among husbands whose wives gave birth in the last twelve months in Enebsiesarmider district, Northwest Ethiopia. The study was conducted from February 10-March 10, 2018. A total of 402 participants were involved in the study. Multi stage sampling method was used to recruit study participants. Data were collected using structured interviewer administered questionnaire. Data were entered using epi Data software and exported to SPPS for analysis. Descriptive statistics including mean, proportion were used to describe study variables. Binary and multivariable logistic regression was employed to describe variables in relation to the outcome variable.Result: The prevalence of husband antenatal care attendance was found to be 31.8% [95%CI, 27.4-36.3]. Attending secondary education and above [AOR 1.93, 95%CI, 1.14-3.26], good antenatal care knowledge [AOR 3.30, 95%CI, 2.02-5.39] and hadn’t health system barriers [AOR 2.32, 95%CI, 1.35-4.00] were statistically associated with husband antenatal care attendance.Conclusion Husband ANC attendance was found to be low in the study area. Regional health department shall design behavioral change interventions to reducing health system pitfalls towards ANC in the study area, furthermore, enabling all pregnant women to be booked for ANC and providing invitation letter to their husbands in the subsequent ANC visits seems essential to initiate husband ANC attendance.

scholarly journals Factors Influencing Antenatal Care Utilization in the East Akim Municipality of Ghana

2020 ◽  
Author(s):  
Richard Dickson Amoako ◽  
Innocent Kwau Doku ◽  
Juliana Yartey Enos
Keyword(s):  
Antenatal Care ◽  
Health Facility ◽  
First Trimester ◽  
Socioeconomic Background ◽  
Care Utilization ◽  
Reproductive Health Services ◽  
African Countries ◽  
Cross Sectional ◽  
Unintended Pregnancies ◽  
Factors Influencing

Abstract Background Maternal and neonatal mortality rates continue to be high in sub-Saharan African countries, including Ghana. Timely and regular antenatal care (ANC) during pregnancy are essential for early identification and management of potential risk factors associated with poor pregnancy outcomes. The purpose of this study was to investigate the uptake of ANC services in the East Akim Municipality of Ghana and identify factors influencing ANC utilization. Methods A cross-sectional study which employed stratified sampling methodology to select 310 women in their reproductive ages (15–49 years) in East Akim Municipality was conducted. A structured questionnaire was used to examine the determinants of ANC utilization among respondents. Data was managed using Microsoft Excel 2016 and analysed using Stata version 14. Descriptive, bivariate and multivariable logistic regression analyses were performed. Results ANC attendance, at least once during pregnancy, was almost universal (98.4%) with 83.5% making 4 + visits. However, only 58% of respondents made early ANC visits in the first trimester and 61% attended all regularly scheduled visits. Employment status, distance to health facility and pregnancy intention were significantly associated with regular ANC attendance. Self-employed women were 2.4 times more likely to attend ANC regularly (AOR: 2.42, 95%CI :1.20–4.88) than the unemployed; those who lived < 5 km to a health facility were 3.2 times more likely to attend ANC regularly than those who lived > 10 km (AOR: 3.24, 95%CI: 1.20, 8.72); and women with intended pregnancies were 2.5 times more likely to attend all ANC scheduled visits than those with unintended pregnancies (AOR: 2.46, 95%CI: 1.32, 4.57). Conclusion Although ANC utilization in East Akim Municipality is high, socioeconomically disadvantaged women who were unemployed; lived more than 10 km from a health facility; and those with unintended pregnancies did not attend ANC early and regularly. Interventions to ensure equitable access to quality reproductive health services at the community level for all women, irrespective of their socioeconomic background, is needed to improve timely and regular ANC utilization. These include strengthening of community-based health centers, provision of ANC through outreach services to poor women in remote, hard-to-reach locations and improvements in the socioeconomic conditions in which people live.

scholarly journals Knowledge of antenatal care among mothers of infants in rural area of Belagavi: a cross sectional study

2019 ◽  
Vol 6 (11) ◽  
pp. 4838
Author(s):  
Pragya Sinha ◽  
Praveena R. Gunagi ◽  
R. G. Viveki ◽  
Manjunath Kamble ◽  
Sunanda Halki
Keyword(s):  
Antenatal Care ◽  
Rural Area ◽  
Health Knowledge ◽  
Cross Sectional Study ◽  
Systematic Sampling ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Level Of Knowledge

Background: Antenatal care (ANC) is the care given to pregnant women for safe pregnancy and healthy babies. It is the most effective health intervention for preventing maternal morbidity and mortality. Health knowledge is an important element which enables women to be aware of their health status and promotes service utilization which further improves the health of the beneficiaries. This study was conducted among mothers of rural area of Belagavi with an objective to determine the level of knowledge related to ANC and the factors associated with the same.Methods: A cross-sectional study was carried out in February-April 2018 among mothers who had delivered within one year from date of study and who had registered and availed antenatal services in field practice area of Department of Community Medicine, BIMS, Belagavi. Sample size was calculated as 161. Mothers were selected using systematic sampling. Data was collected after obtaining an informed, written consent from the participants and was compiled, tabulated and analysed in MS Excel. The results are presented as percentage and proportions and chi square test has been applied.Results: 50% participants had fair knowledge regarding ANC. The level of knowledge was found to be statistically significant with employment status and BPL status.Conclusions: The study found adequate knowledge among majority of mothers. 

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