Antenatal exercises during pregnancy: knowledge, attitude, and practice of pregnant women in Ethiopia: a cross-sectional study

2020 ◽  
Author(s):  
Balamurugan Janakiraman ◽  
Moges Gashaw ◽  
Mulualem Yinunie

Abstract Background “Is pregnancy opportunity or a barrier for engaging in exercise”. Maternal health still is a top priority in sub-Saharan Africa including Ethiopia. Participation in exercises during pregnancy in low-middle income countries is constrained. The objective of this study was to evaluate the knowledge, attitude, and practice of antenatal exercises among Ethiopian women during pregnancy, and also to find out why some women do not exercise during pregnancy. Method: A descriptive hospital-based cross-sectional study was conducted and 349 pregnant women receiving prenatal care at the ANC clinic, University of Gondar comprehensive specialized hospital were recruited. Data were obtained on maternal characteristics, knowledge, attitude, practice, and barriers towards antenatal exercise (ANEx) by interview method. Results Among 349 pregnant women, 138 (39.5%) and 193 (55.3%) had adequate knowledge, a positive attitude, and good practice respectively. Overall, 108 (30.9) of the respondents practiced antenatal exercise, while only 41 (37.9%) among them had a good practice. Brisk walking (90.7%), relaxation (38.9%), and breathing exercise (36.1%) were most practice ANEx, while pelvic floor 6 (5.6%) and 3 (2.8%) yoga were the least practiced. Enhancing post-natal recovery (71%) and vaginal bleeding (64.5) were perceived as benefits and contraindication of ANEx. More than half of them (53.6) think that ANEx doesn’t suit Ethiopian culture. Knowledge, attitude, and practice of ANEx among pregnant women are significantly associated with higher education, government employees, pre-pregnancy exercise, and being advised on ANEx before. Women with adequate knowledge are more likely to have a good practice (AOR 4.53, 95%CI: 1.64, 15.3). Conclusion The findings of this study suggest that knowledge concerning antenatal exercise is low and their attitude is reasonably favorable. However, very few Ethiopian pregnant practices ANEx according to recommended guidelines during pregnancy.

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247533
Author(s):  
Balamurugan Janakiraman ◽  
Tsiwaye Gebreyesus ◽  
Mulualem Yihunie ◽  
Moges Gashaw Genet

Background “Is pregnancy opportunity or a barrier for engaging in exercise”. Maternal health still is a top priority in sub-Saharan Africa including Ethiopia. Participation in exercises during pregnancy in low-middle income countries is constrained. The objective of this study was to evaluate the knowledge, attitude, and practice of antenatal exercises among Ethiopian women during pregnancy, and also to examine the barriers to prenatal physical activity. Methods A descriptive hospital-based cross-sectional study was conducted and 349 pregnant women receiving prenatal care at the ante-natal care clinic, University of Gondar comprehensive specialized hospital were recruited. Data were obtained on maternal characteristics, knowledge, attitude, practice, and barriers towards antenatal exercise (ANEx) by interview method. Results Among 349 pregnant women, 138 (39.5%) and 193 (55.3%) had adequate knowledge, a positive attitude, and good practice respectively. Overall, 108 (30.9) of the respondents practiced antenatal exercise, while only 41 (37.9%) of those pregnant women had a good practice. Brisk walking (90.7%), relaxation (38.9%), and breathing exercise (36.1%) were most practice ANEx, while pelvic floor 6 (5.6%) and 3 (2.8%) yoga were the least practiced. Enhancing post-natal recovery (71%) and vaginal bleeding (64.5) were perceived as benefits and contraindication of ANEx. More than half of the pregnant women (53.6) reported that ANEx is not appropriate for Ethiopian culture. Knowledge, attitude, and practice of ANEx among pregnant women are significantly associated with higher education, government employees, pre-pregnancy exercise, and being advised on ANEx before. Women with adequate knowledge are more likely to have a good practice (AOR 4.53, 95%CI: 1.64, 15.3). Conclusion The findings of this study suggest that knowledge concerning antenatal exercise is low and their attitude is reasonably favorable. However, very few Ethiopian pregnant practices ANEx according to recommended guidelines during pregnancy.


2021 ◽  
Vol 2021 ◽  
pp. 1-14
Author(s):  
Belaynesh Tazebew Flatie ◽  
Abaineh Munshea

Background. Malaria is one of the most severe public health problems worldwide. It is a leading cause of suffering, death, and socioeconomic problem, especially in many developing countries like Ethiopia. To introduce appropriate preventive and control measures, assessment of community’s levels of knowledge, attitude, and preventative practices regarding malaria is crucial. This study was aimed at assessing the knowledge, attitude, and practice (KAP) towards malaria and its preventive and control methods among people attending Mekaneeyesus primary hospital, South Gondar, northwestern Ethiopia. Methods. A hospital-based cross-sectional study was conducted from September 2017 to April 2018. A structured questionnaire was administered to collect data on sociodemographic characteristics and KAP of 390 randomly selected individuals. The data collecting tool was pretested before commencing the actual data collection. The data were analyzed using the SPSS version 21 software. P values less than 0.05 were considered statistically significant. Results. The overall prevalence rate of malaria in the study area was 8.5%. Nearly two-third of the participants had good knowledge (63.1%) and positive attitude (62.6%) scores towards malaria while only half of the participants had (50.8%) good practice score towards malaria prevention and control measures. Sex, age category, family monthly income, residence, and occupational and educational status of the participants were significantly associated with knowledge and practice scores ( P < 0.05 ). The odds of malaria were 26.93 ( CI = 3.67 ‐ 197.47 , P = 0.001 ) and 13.09 ( CI = 0.93 ‐ 183.47 , P = 0.036 ) times higher among individuals who had poor knowledge and poor practice towards malaria, respectively, as compared to individuals who were knowledgeable and had good practice score towards malaria. Conclusion. The overall knowledge score, attitude, and practice level of respondents towards malaria was relatively good. However, significant proportion of the participants still have misconception about the cause, sign and symptoms, modes of transmission, and practices towards prevention methods of malaria. Thus, health education which is aimed at raising community’s awareness about the disease is necessary to address the gaps identified by this study.


2020 ◽  
Vol 8 (2) ◽  
pp. 10
Author(s):  
Rupendra K. Bharti ◽  
Joginder S. Pathania ◽  
Vikas Sood ◽  
Pratima Koshewara ◽  
Tankeswar Dewangan

Introduction: The knowledge, attitude & Practice of antimicrobials use and resistance is very essential to combat global antimicrobial resistance (AMR). As there were many studies focused on MBBS undergraduates but none of these studies compared their outcome between two other major medical disciplines like BDS & BSc Nursing. Methods: It was an observational-based cross-sectional study, including 23 validated objectives based questionnaire. Out of 440 students, 359 students (94 MBBS, 52 BDS & 213 BSc Nursing) fulfilled the criteria and participated. Statistical Package for Social Sciences (SPSS) version 23 for Chicago Inc. was used and considered for descriptive analyses. Results: More than 81% of all participants had adequate knowledge of AMR but in the case of sore throat and cold 50% BDS, 49.3% BSc Nursing opt antibiotics as the first choice of drugs as compared to 33% MBBS students. More than 81% of participants not willing to prescribe their choice of drug in the sickness of family members. Giving leftover antibiotics was higher among MBSS students than others. Conclusion: As we observed, even after completion of pharmacology more specifically, antibiotics & chemotherapy chapters in their courses many students didn’t understand what; where; when; and whom they can use antibiotics in real scenarios. We have to teach them the practicality of global emergence of AMR because these students going to become doctors, dentist, and nurses in various medical fields and will help to combat against global AMR.


2020 ◽  
Author(s):  
Dr Zahir Ansari ◽  
Dr Babu Dhanendra Chaurasiya ◽  
Dr Sirjana Adhikari ◽  
Dr Uday Chandra Prakash ◽  
Bikram Adhikari ◽  
...  

Background: Being an added high-risk group, ophthalmic HCP are actively providing emergency eye care services, also enthusiastically participating in prevention and control of the COVID-19 pandemic. Hence, this study aimed to assess the level of knowledge, attitude, and practice (KAP) among ophthalmic HCP towards COVID-19 pandemic. Methods: A web-based cross-sectional study was conducted during the period of lockdown among ophthalmic HCP including consultant ophthalmologist, resident, optometrist, ophthalmic assistant, nursing staff, and other paramedics of eye care centers in Nepal. The KAP questionnaire was designed and distributed online. Data were analyzed using the Chi-square test, Pearson correlation, and binary logistic regression. All tests were performed at 95% Confidence Interval (CI) and p-value <0.05 was considered statistically significant. Results: Of 694 participants, the majority were male (59.1%) from the age group 31-40 years (41.5%) and tertiary eye center (68.9%). Among ophthalmic HCP, there were 29.8% consultants ophthalmologist, 22.6% residents, 23.3% optometrist, 15% ophthalmic assistant, and 9.2% other ophthalmic paramedics, 11.7% working as front-liners in COVID-19 centers. Findings showed, 98.1% had good knowledge, 59.4% had a positive attitude and only 13.3% had good practice regarding COVID-19. Binary logistic regression analysis demonstrated the age of HCP to be a significant determinant of good knowledge (Crude Odds Ratio (COR)=0.72, 95%CI=0.62-0.82), positive attitude (COR=0.92, 95%CI=0.90-0.94) and good practice (COR=1.16, 95%CI=1.10-1.21). Lower odds of poor practice was seen among junior resident (COR=0.26, 95% CI=0.14-0.47) and higher odds of poor practice was seen among HCP with job experience of 5-10 years (COR=2.38, 95% CI=1.23-4.60) towards COVID-19 pandemic. Conclusion: The majority of ophthalmic HCP have good knowledge, insufficient positive attitude, and inadequate evidence-based practice towards the COVID-19 pandemic in Nepal. Hence, this study conclusively recommends to modify existing guidelines and formulate new policies to improve KAP among ophthalmic HCP to effectively control the spread of COVID-19.


2021 ◽  
Vol 9 ◽  
Author(s):  
Thinley Dorji ◽  
Karma Wangmo ◽  
Yezer ◽  
Tashi Wangchuk ◽  
Tshokey ◽  
...  

Bhutan has reopened schools and colleges after an initial closure to contain coronavirus disease 2019 (COVID-19) transmission. However, the risk of transmissions is higher in the schools and colleges due to crowding. Therefore, this study aimed to assess the level of knowledge, attitude, and practice (KAP) toward COVID-19 among the students of Sherubtse College in Bhutan. A cross-sectional study using a questionnaire was conducted in September 2020 among the students of Sherubtse College, Bhutan. The questionnaire was made in the Google Forms and administered through a social forum WeChat app. The KAP scores were calculated that include mean scores. The association between the KAP was assessed using the Pearson's correlation coefficient. A total of 613 students participated in the survey. The majority of the participants (57%) were female and 56% were from the third year. The mean knowledge score was 10.7 (SD = 1.7; range 0–14), mean attitude score of 3.67 (SD = 1.0; range: 0–5), and mean practice score of 5.19 (SD = range: 0–6). A majority of the students had good knowledge (98%) and practice (93.5%) scores, and a positive attitude (86.6%) toward COVID-19. A positive but weak correlation between good knowledge and practice (r = 0.1, p = 0.0126) was observed. Having a positive attitude led to practicing appropriately most of the time (r = 0.1866, p &lt; 0.001). The students had good KAP scores and followed the COVID-19 prevention protocols advocated by the government. Good knowledge and a positive attitude were translated into good practice. Therefore, the education campaign of the Bhutan government seems to be effective in the students.


2021 ◽  
Vol 9 (2) ◽  
pp. 130
Author(s):  
Indah Suci Widyahening ◽  
Muhammad A Aufa ◽  
Muhammad F Alhas ◽  
Aji B Widodo ◽  
Dewi Friska

The first 1000 days of life is the window period which critically determines the children’s growth and development and individual’s health afterwards. The knowledge, attitude, and practice (KAP) of pregnant mothers and mothers with children under two years old greatly influence the optimum growth and development of children during the period. This study was aimed to evaluate the KAP of mothers about the first 1000 days of life and its associated factors. A cross-sectional study was conducted at a sub-district in Depok city in August 2017. Subjects were purposively recruited to fill the validated KAP questionnaire on the first 1000 days. A total of 110 subjects were recruited, the higher proportion of them have adequate knowledge (42.7%), good attitude ((62.7%), and good practice (61.8%). The mothers’ knowledge was associated with attitude and practice (p<0.001) but the attitude and practice were not associated (p=0.175). Maternal education was the only factor that associated with knowledge (p=0.018) and attitude (p=0.013) while family income was associated with practice (p=0.018). This finding strengthened the importance of the existing community empowerment program such as the integrated health post (posyandu) in improving the KAP of mothers to achieve better child’s development during the first 1000 days period.


2021 ◽  
Vol 9 (2) ◽  
pp. 129
Author(s):  
Indah Suci Widyahening ◽  
Muhammad A Aufa ◽  
Muhammad F Alhas ◽  
Aji B Widodo ◽  
Dewi Friska

The first 1000 days of life is the window period which critically determines the children’s growth and development and individual’s health afterwards. The knowledge, attitude, and practice (KAP) of pregnant mothers and mothers with children under two years old greatly influence the optimum upbringing of the fetus and children during the period. This study was aimed to evaluate the KAP of mothers about the first 1000 days of life and its associated factors. A cross-sectional study was conducted at a district in Depok city in August 2017. Subjects were purposively recruited to fill the validated KAP questionnaire on the first 1000 days. A total of 110 subjects were recruited, the higher proportion of them have adequate knowledge (42.7%), good attitude ((62.7%), and good practice (61.8%). The mothers’ knowledge was associated with attitude and practice (p<0.001) but the attitude and practice were not associated (p=0.175). Maternal education was the only factor that associated with knowledge (p=0.018) and attitude (p=0.013) while family income was associated with practice (p=0.018). This finding strengthened the importance of the existing community empowerment program such as posyandu in improving the KAP of mothers to achieve better results in the first 1000 days period of their children. Keywords: the first 1000 days of life, knowledge, attitude, practice, nutrition.   Pengetahuan, Sikap dan Perilaku Ibu mengenai 1000 Hari Pertama Abstrak Seribu hari pertama kehidupan (1000 HPK) adalah periode emas yang sangat menentukan tumbuh kembang anak hingga kesehatan individu pada masa selanjutnya. Pengetahuan, sikap dan perilaku (PSP) ibu hamil dan ibu yang mengasuh anak berusia dua tahun ke bawah sangat menentukan asuhan 1000 HPK yang optimal. Penelitian ini bertujuan untuk mengetahui PSP ibu hamil dan ibu dengan anak berusia di bawah 2 tahun mengenai konsep 1000 HPK serta faktor – faktor yang berhubungan dengan ketiga aspek tersebut. Studi potong lintang dilakukan di Kampung Lio, Depok pada Agustus 2017. Ibu hamil dan ibu dengan anak berusia kurang dari 2 tahun direkrut secara purposif untuk mengisi kuesioner PSP tentang 1000 HPK. Sebanyak 110 subjek direkrut, proporsi terbesar subject memiliki tingkat pengetahuan cukup (42,7%), sikap sebagian besar baik (62,7%) dan perilaku sebagian besar juga baik (61,8%). Pengetahuan berhubungan dengan sikap dan perilaku (p<0.001) tetapi sikap dan perilaku tidak berhubungan (p=0,175). Tingkat pendidikan ibu adalah faktor yang berhubungan dengan pengetahuan (p=0,019) dan sikap (p=0,013). Tingkat penghasilan keluarga adalah faktor yang berhubungan dengan perilaku (p=0,018) mengenai 1000 HPK. Hasil ini menguatkan pentingnya posyandu sebagai upaya partisipasi masyarakat dalam meningkatkan PSP ibu untuk mencapai perkembangan anak yang optimal pada periode 1000 HPK. Kata kunci: seribu hari pertama kehidupan, pengetahuan, sikap, perilaku, nutrisi.


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