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.

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.

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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.

10.21203/rs.3.rs-32334/v1 ◽

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.

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Antenatal service utilization among women in South India: a community based cross sectional study

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20200884 ◽

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.

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Seroprevalence of hepatitis B virus among pregnant women attending Antenatal care in Dilla University Referral Hospital Gedio Zone, Ethiopia; health facility based cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0249216 ◽

2021 ◽

Vol 16 (3) ◽

pp. e0249216

Author(s):

Adugnaw Atnafu Atalay ◽

Reta Kassa Abebe ◽

Aberash Eifa Dadhi ◽

Worku Ketema Bededa

Keyword(s):

Hepatitis B Virus ◽

Hepatitis B ◽

Antenatal Care ◽

Pregnant Women ◽

Cross Sectional Study ◽

Referral Hospital ◽

Sectional Study ◽

Cross Sectional ◽

B Virus ◽

Study Participants

Introduction A pregnancy that has been complicated with Hepatitis B virus (HBV) infection results in typical management problems for both the mother and the newborn. One of the universal efforts in tackling the impact of chronic HBV is the prevention of mother-to-child transmission during Antenatal care via prompt screening as the majority of chronic infections globally harbored during this period. Rewarding result have been achieved in reducing this problem at this period of life through maternal screening programs and universal vaccination of infants. This study was aimed at assessing the seroprevalence and associated risk factor of HBV among pregnant women attending Antenatal Care (ANC) in Dilla University Referral Hospital (DURH), Southern Ethiopia. Method A facility- based cross- sectional study was conducted from December 01 to May 30, 2017 among pregnant women attending ANC. A total of 236 pregnant women were included in this study. All Pregnant women who were attending antenatal clinic and were volunteer during the study period were included, whereas those women who were unable to communicate due to any problem, and not volunteer to give informed consent were excluded. Volunteer participants were asked to complete a questionnaire and had offered to test for HBsAg infection. The data was analyzed using SPSS version 20 software. Logistic regression was used to determine the association between dependent and independent variables. Results From 215 pregnant women attending ANC, the prevalence of HBsAg by the rapid test was found to be 11 (5.1%). Among the study participants, 91.1% (215) were tested for HIV antibody during the ANC visit, with the positivity rate of 4.5%. The result showed 1.86% of the study participants who were tested for HIV were also positive for HBsAg. Among those factors affecting the transmission of HBV infection, multiple partners and HIV confection have significant association at P-value less than 0.05. Conclusion The Seropositivity of Hepatitis B Virus among Pregnant Women was found to be significant and hence, routine screening of pregnant mother at Antenatal care for this virus, and subsequent management according to the guideline for both the mother and child is recommended.

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Prevention of Mother-to-Child HIV Transmission Service Utilization among Pregnant Women in Northeast Ethiopia: A Cross-Sectional Survey

Scientifica ◽

10.1155/2020/7584975 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Betregiorgis Zegeye ◽

Gorems Lemma ◽

Abebe Balcha ◽

Mitku Mammo Taderegew

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Service Utilization ◽

Hiv Transmission ◽

Utilization Rate ◽

Northern Ethiopia ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Debre Berhan ◽

Mother To Child

Background. Targeting pregnant women attending antenatal care clinics provides a unique opportunity for implementing the Prevention of Mother-to-Child Transmission (PMTCT) programs against human immunodeficiency virus (HIV) infection of newborn babies. The objective of this study was to assess the PMTCT service utilization rate and to characterize its reasons among pregnant women attending antenatal care clinics at selected public health facilities in Debre Berhan Town, Northern Ethiopia. Methods. A facility-based cross-sectional survey was conducted among 355 pregnant women from May 1 to June 15, 2019. The participants were selected by systematic random sampling technique, and data were collected using a pretested interviewer-administered structured questionnaire. Descriptive statistics like frequency, mean, and standard deviation were reported using text, table, and graphs. Results. The mean ages of the respondents were 24 (±5.6) years, and the majority of the respondents (287 (80.8%)) were urban residents. In this study, prevention of mother-to-child HIV transmission service utilization rate was 86.8%. The most frequently mentioned reasons for not utilization of services were fear of stigma and discrimination (42.6%), fear of rejection by partner (19.1%), fear of positive test results (17.0%), lack of awareness (12.7%), and wastage of time (8.5%). Hence, continuous health education and comprehensive counseling are necessary to increase the awareness and reduce stigma, fear of the positive result, and partner rejection.

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

BMC Public Health ◽

10.1186/s12889-021-10811-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Jesmin Pervin ◽

Bidhan Krishna Sarker ◽

U. Tin Nu ◽

Fatema Khatun ◽

A. M. Quaiyum Rahman ◽

...

Keyword(s):

Qualitative Study ◽

Antenatal Care ◽

Pregnant Women ◽

Text Messages ◽

Care Utilization ◽

Behavior Change Techniques ◽

Lack Of Information ◽

Antenatal Care Utilization ◽

Client Communication ◽

Study Participants

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

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Utilization of Prevention of Mother-to-Child Transmission of HIV Services and Associated Factors among Antenatal Care Attending Mothers in Sebeta Town, Central Ethiopia

Advances in Public Health ◽

10.1155/2016/6250898 ◽

2016 ◽

Vol 2016 ◽

pp. 1-10 ◽

Cited By ~ 5

Author(s):

Hailu Merga ◽

Kifle Woldemichael ◽

Lamessa Dube

Keyword(s):

Hiv Infection ◽

Antenatal Care ◽

Pregnant Women ◽

Service Utilization ◽

Associated Factors ◽

Pmtct Service ◽

Mother To Child Transmission ◽

Child Transmission ◽

Cross Sectional ◽

Mother To Child

Background. HIV transmission from mother to child continues to be the major source of HIV infection among children under the age of fifteen. Targeting pregnant women attending antenatal clinics provides a unique opportunity for implementing prevention of mother-to-child transmission (PMTCT) programs against HIV infection of newborn babies. This study assessed utilization of PMTCT service of HIV and associated factors among ANC attending mothers.Methods. An institutional based cross-sectional study was conducted from February 20 to March 30, 2015, using exit interviews with 377 ANC attendees using consecutive sampling method. In-depth interviews with service provider were conducted to complement the quantitative data. Data were entered and analysed using EpiData and SPSS, respectively.Results. The prevalence of PMTCT service utilization was 86.9% in this study. Only 8.6% of respondents attended the facility for HCT. After controlling confounders using logistic regression, PMTCT service utilization was associated with age (25–34) of respondents (AOR (95% CI) = 0.46 (0.22, 0.97)), mother’s occupational status (being merchant AOR (95% CI) = 0.31 (0.12, 0.83), government employee AOR (95% CI) = 0.05 (0.01, 0.28), student AOR (95% CI) = 0.1 (0.01, 0.44), and daily laborer AOR (95% CI) = 0.13 (0.05, 0.33)), husband’s educational status (lack of formal education (AOR (95% CI) = 3.3 (1.1, 9.9))), having discussion with husband (AOR (95% CI) = 6.1 (2.6, 14.1)), partner tested (AOR (95% CI) = 8.2 (1.9, 34.46)), and being not satisfied with the service (AOR (95% CI) = 0.46 (0.2, 0.99)).Conclusions. This study revealed that utilization of HIV counseling and testing during antenatal care was high among pregnant women in Sebeta town. It highlights that focusing on improvement of quality and coverage of health services has significant effects on PMTCT service utilization. Effective use or uptake of ARV drug among HIV-positive pregnant women should be further investigated so that utilization will be enhanced.

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

10.21203/rs.3.rs-44789/v1 ◽

2020 ◽

Author(s):

Jesmin Pervin ◽

Bidhan Krishna Sarker ◽

U Tin Nu ◽

Fatema Khatun ◽

A M Quaiyum Rahman ◽

...

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Pregnancy Complications ◽

Text Messages ◽

Care Utilization ◽

Behavior Change Techniques ◽

Lack Of Information ◽

Antenatal Care Utilization ◽

Client Communication ◽

Study Participants

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

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

PLoS ONE ◽

10.1371/journal.pone.0251477 ◽

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.

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HUBUNGAN DUKUNGAN KELUARGA DENGAN SIKAP IBU HAMIL DALAM PEMANFAATAN ANC DI WILAYAH KERJA PUSKESMAS PEGIRIAN KOTA SURABAYA

Jurnal Kebidanan Mutiara Mahakam ◽

10.36998/jkmm.v7i1.38 ◽

2019 ◽

Vol 7 (1) ◽

pp. 26-30

Author(s):

Dewi Mardahlia ◽

Herni Johan

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Family Support ◽

Care Utilization ◽

Test Results ◽

Cross Sectional ◽

Antenatal Care Utilization ◽

Relationship Of ◽

The Relationship ◽

Good Support

The coverage of pregnant women visit K4 in Surabaya for 2016 amounting to98.48%, the percentage is not far SPM targets have been set. This study was conducted inorder to determine the relationship of family support with the attitude of pregnant womenin antenatal care pemanfaartan Pegirian Puskesmas working area of Surabaya. Theresearch type is descriptive analytic with cross sectional approach or cross sectional. Thestudy was conducted in October-November 2017 in Pegirian PHC Surabaya. Thepopulation in this research that all pregnant women in the Puskesmas Peggirian.Sampling is by accidental sampling that 64 pregnant women who visited the health centerPegirian Surabaya. Data collected through interviews with the questionnaire guide.Analysis of the data that is in univariate and bivariate. The Results:results showed thatout of 64 pregnant women who lack family support but has a good enough attitude that asmany as 1 (100%), pregnant women who have pretty good support and have a prettygood attitude as well as 43 (72.9%). While pregnant women are getting support but theattitude of the mother is not good in 2 (50%). The test results meninjukkan OR sig 0.000and 9.660. there is a significant relationship between family support with the attitude ofpregnant women in antenatal care utilization in Puskesmas Wonokusumo Surabaya

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

The Open Public Health Journal ◽

10.2174/1874944501912010155 ◽

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.

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