scholarly journals Mass Media Exposure and Timing of Antenatal Care Initiation among Women in Uganda

Author(s):  
Quraish Sserwanja ◽  
Linet M. Mutisya ◽  
Milton W. Musaba

Abstract Background : Early initiation of quality antenatal (ANC) in the first trimester and received quality care are highly emphasized by WHO in the new 2016 guidelines. Mass media have the potential to promote early initiation of ANC because they have been used successfully in several programmes. However, there is a paucity of literature on the impact of media exposure on the timing of ANC initiation in Uganda. Hence our study aimed at exploring associations between the different mass media exposure and timing of antenatal care initiation among women in Uganda.Methods : A cross sectional study was conducted using the Uganda Demographic and Health Survey (UDHS) 2016 weighted data of 10,152 women of reproductive age (15–49 years). Multistage stratified sampling was used to select study participants. Multivariable logistic regression was used to determine the association between mass media exposure and early initiation of antenatal care. All our analyses were done using SPSS version 25.Results : Almost a third of the women (2953/10,152, 29.1%, 95% CI: 27.9-29.6) initiated their first ANC contact in the first trimester. In the final multivariable analyses, exposure to television (TV) and radio, belonging to the Northern and Western regions, younger age and less household size each had a significant positive association with earlier ANC initiation while lower education attainment had an inverse association. Women who were exposed to TV (adjusted OR (AOR 1.19, 95% CI 1.03 to 1.38) and radio (AOR 1.14, 95% CI 1.01 to 1.29) were 19% and 14% more likely to initiate ANC earlier compared to those who were not exposed to TV and radio respectively.Conclusion : In Uganda, less than a third of women initiated ANC in the first trimester. Young women from a smaller household with access to either a radio or television, and residing in Northern and Western regions were more likely to initiate ANC early enough. In order to promote early initiation of ANC, the government needs to intensify mass media campaigns on local media houses that promote this practice.

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Quraish Sserwanja ◽  
Linet M. Mutisya ◽  
Milton W. Musaba

Abstract Background Early initiation of antenatal care (ANC) within the first trimester is highly recommended in the current 2016 World Health Organization (WHO) guidelines. Mass media has the potential to promote early initiation of ANC because it has been used successfully in several programs. However, there is paucity of literature on the effect of exposure to different types of media on the timing of ANC initiation in Uganda. Our study aimed at exploring associations between exposure to different types of mass media and timing of ANC initiation among women in Uganda. Methods We used a cross sectional study design, to conduct a secondary analysis of data collected in the 2016 Uganda Demographic and Health Survey (UDHS). We included weighted data of all the 10,152 women of reproductive age (15–49 years). Multistage stratified sampling was used to select study participants. Multivariable logistic regression was used to determine the association between exposure to different types of mass media and early initiation of ANC. Results Almost a third of the women (2953/10,152, 29.1%, 95% CI 27.9–29.6) initiated their first ANC contact in the first trimester. Women who listened to radio at least once a week (adjusted OR (aOR 1.14, 95% CI 1.01–1.30) and those who watched television less than once a week (aOR 1.28, 95% CI 1.07–1.53) had higher odds of initiating ANC earlier compared to their counterparts not exposed to radio and television respectively. Conclusion Exposure to radio and television is associated with timing of ANC initiation in Uganda. Importantly, the two types of mass media have the potential to reach women with low levels of education and encourage them to utilize maternal health services. The Ugandan government needs to prioritize and intensify the use of radio and television to promote the benefits associated with timing of ANC initiation.


2019 ◽  
Author(s):  
Habtamu Alganeh ◽  
Berhanu Fikade Endehabtu

Abstract Background Mass media is a significant force in the digital divide era in which communities and individuals are engaged constantly with messages from a crowd of information sources. As family planning is influenced by mass media, there is a need to study the impact of mass media exposure on family planning utilization.


2020 ◽  
Author(s):  
Kaniz Fatema ◽  
Joseph Lariscy

Maternal mortality is a serious issue in the developing world due in part to inadequate healthcare before, during, and after childbirth. Mass media has the potential to disseminate information on maternal healthcare that can improve birth outcomes for mothers and infants, particularly among women with limited educational attainment. This study examines the impact of mass media exposure (e.g., television, radio, and newspaper) and sociodemographic factors on maternal healthcare utilization in four South Asian countries: India, Bangladesh, Nepal, and Afghanistan. Analyses use 2014–2016 Demographic and Health Surveys, nationally representative surveys of women aged 15–49 years. Results show that maternal healthcare utilization is significantly higher among women exposed to mass media across countries, even after controlling for mother’s, husband’s, and household socioeconomic status. Women exposed to mass media are 39–113% more likely to receive antenatal care, 17–99% more likely to deliver their babies by skilled birth attendants, and 24–95% more likely to receive postpartum check-ups after their delivery across countries. Mother’s educational attainment moderates the association between mass media and maternal healthcare in three of the four countries. Governments and public health organizations can consider mass media as a key intervention in promoting maternal health in developing contexts.


2012 ◽  
Vol 4 (2) ◽  
pp. 383 ◽  
Author(s):  
A. M. Fazle Rabbi

On the way to reduce fertility rate of Bangladesh, mass media plays significant role to raise consciousness about the family planning program on general peoples. In this study the impact of mass media has been measured by the pattern of watching television, listening radio and reading newspaper. Using the proportional hazards model, the mass media exposure found to be a significant differential of fertility even after controlling the effects of contraception, place of residence, and mother’s educational and employment status. This implies, by taking necessary steps, mass media can be used much more adequately to reduce fertility rate of Bangladesh. Keywords: Fertility; Mass media exposure; Hazards model. © 2012 JSR Publications. ISSN: 2070-0237 (Print); 2070-0245 (Online). All rights reserved. doi: http://dx.doi.org/10.3329/jsr.v4i2.8917 J. Sci. Res. 4 (2), 383-395 (2012)


Author(s):  
Smit Smarak Mishra ◽  
Dipak Kumar Bose ◽  
Jahanara Jahanara

Villages and its farmers are the base of Odisha. But, when farmers suffer from ailments, they have to pay heavy economic, social and emotional price. Financial hazard and health related expenses led the farmer to suffer in poverty. Whereas, Biju Krushak Kalyan Yojana (BKKY) brought as a solution to farmers for their health security. The study was conducted in Angul district of Odisha under ex-post facto research design. 120 respondents from 10 villages of Angul block in Angul district of Odisha was selected for the study. Primary data were collected from the respondents with the help of pre-tested semi-structured interview schedule through personal interview. Data collected were subjected to statistical analysis and the identified that majority of the respondents were middle aged, illiterate, earns medium level of annual income, with medium level of mass media exposure and extension contact. Further added that, respondents reported positive impact on BKKY and socio-economic characteristics like education, income, mass media exposure and extension contact has positive and significant association with the impact of BKKY among the farmers. It was suggested to create awareness among farmers on benefits of BKKY, providing quality health consultations, proper knowledge at timely manner.


2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Pranta Das ◽  
Nandeeta Samad ◽  
Hasan Al Banna ◽  
Temitayo Eniola Sodunke ◽  
John Elvis Hagan ◽  
...  

Abstract Background Although women in South Asia and South-east Asia have developed their knowledge regarding modern contraceptive and other family planning techniques, limited information exists on the influence of mass media exposure on the utilization of contraceptives and family planning. The current study examined the association between media exposure and family planning in Myanmar and Philippines. Methods The study analyzed data from the 2017 Philippines National Demographic and Health Survey (NDHS) and 2015–16 Myanmar Demographic and Health Survey (MDHS). Three family planning indicators were considered in this study (i.e., contraceptive use, demand satisfied regarding family planning and unmet need for family planning). A binary logistic regression model was fitted to see the effect of media exposure on each family planning indicator in the presence of covariates such as age group, residence, education level, partner education level, socio-economic status, number of living children, age at first marriage, and working status. Results The prevalence of contraception use was 57.2% in the Philippines and 55.7% in Myanmar. The prevalence of demand satisfied regarding family planning was 70.5 and 67.1% in the Philippines and Myanmar respectively. Unmet need regarding family planning was 16.6% and 19.9% in the Philippines and Myanmar respectively. After adjusting for the covariates, the results showed that women who were exposed to media were more likely to use contraception in Philippines (aOR = 2.24, 95% CI = 1.42–3.54) and Myanmar (aOR 1.39, 95% CI = 1.15–1.67). Media exposure also had a significant positive effect on demand satisfaction regarding family planning in the Philippines (aOR = 2.19, 95% CI = 1.42–3.37) and Myanmar (aOR = 1.34, 95% CI = 1.09–1.64). However, there was no significant association between media exposure and unmet need in both countries. Conclusions The study established a strong association between mass media exposure and the use and demand satisfaction for family planning among married and cohabiting women in Philippines and Myanmar. Using mass media exposure (e.g., local radio, television- electronic; newspapers) to increase both access and usage of contraceptives as well as other family planning methods in these countries could be pivotal towards the attainment of United Nations Sustainable Development Goal 3 (SDG 3) of improving maternal health.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Samuel Oduse ◽  
Temesgen Zewotir ◽  
Delia North

Abstract Background Sub-Saharan Africa, as opposed to other regions, has the highest under-five mortality rates yet makes the least improvement in reducing under-five mortality. Despite the decline, Ethiopia is among the top ten countries contributing the most to global under-five mortalities. This article examines the impact of the number of antenatal care and the timing of first antenatal care on child health outcomes. We specifically investigated if the utilization of antenatal care services positively affects the reduction of under-five mortality. Methods We employ a difference-in-differences design with propensity score matching to identify direct causal effects of antenatal care on under-five mortality based on the Ethiopian Demographic Health Survey data of 2011 and 2016. Our sample includes 22 295 women between the ages of 14–49 who had antenatal care visits at different times before delivery. Results The study revealed 1 481 cases of reported under-five mortality. 99.0% of that under-five mortality cases are women who had less than eight antenatal care visits, while only 1% of that is by women who had eight or more antenatal care visits. Antenatal care visit decreases the likelihood of under-five mortality in Ethiopia by 45.2% (CI = 19.2–71.3%, P-value < 0.001) while the timing of first antenatal care within the first trimester decreases the likelihood of under-five mortality by 10% (CI = 5.7–15.6%, P-value < 0.001). Conclusions To achieve a significant reduction in the under-five mortality rate, Intervention programs that encourages more antenatal care visits should be considered. This will improve child survival and help in attaining Sustainable Development Goal targets.


2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Célestin Ndosimao Nsibu ◽  
Célestin Manianga ◽  
Serge Kapanga ◽  
Esther Mona ◽  
Philippe Pululu ◽  
...  

Background. Antenatal care (ANC) attendance helps pregnant women to benefit from preventive and curative services.Methods. Determinants for ANC attendance were identified through a cross-sectional survey in the Democratic Republic of Congo. Sociocultural bottlenecks were assessed via focus groups discussion of married men and women.Results. In this survey, 28 of the 500 interviewed pregnant women (5.6%) did not attend ANC services and 82.4% booked over the first trimester. The first visit is positively influenced by the reproductive age (OR: 0.52, 95% CI(0.28–0.95),p<0.04), the educational level (OR: 0.41,95% CI(0.17–0.97),p<0.04), the nearby health center (OR: 0.43, 95% CI(0.2–0.92),p<0.03), and the presence of a male partner (OR: 10.48, 95% CI(2.1–52.23),p<0.001). The barriers to early booking were (i) the cost of service; (ii) the appearance or individual income; (iii) the geographical inaccessibility or distance to health facilities; (iv) social and religious prohibitions; (v) the stigmatization from other women when conceiving in the late ages or young or while still lactating (parity); (vi) the time for waiting for services.Conclusion. The early ANC attendance is delayed among poor women with little education and living alone.


2017 ◽  
Vol 17 (3) ◽  
pp. 1-14
Author(s):  
Seham Othman ◽  
Taha Almahbashi ◽  
Alabed Ali A. Alabed

Antenatal care is a vital part of primary healthcare that is known to improve maternal and newborn outcomes. The aim of this study was to identify the factors affecting utilization of antenatal care services for women in reproductive age in Yemen. This cross-sectional community-based study was conducted in six districts of Sana’a City, Yemen. Data were collected from 460 mothers who gave birth in the past six months via face-to-face interviews at home between September to December 2010. Only 54% of mothers were found to have made four or more antenatal care visits. Almost two third of participants made their first visit during their first trimester due to presence of health problems and did not follow up when they became healthy during pregnancy. Reasons for not receiving antenatal care services due to absence of health problems, high cost of antenatal care services, long waiting time, and poor staff attitude. Sixty percent of participants were unaware of the danger symptoms of common health problems in pregnancy. The significant factors affecting utilization of antenatal services were mother education, residence place, age at first pregnancy, gravida, parity, occurrence of pregnancy without planning, and number of live children (P<0.05). The factors affecting the number of visits were mother education, place of residence, and husband work were (P<0.05). Future healthcare activities should focus on improving women’s awareness of the importance of antenatal care even in the absence of noticeable health problems and lack of education about the common danger signs and symptoms of pregnancy.


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