scholarly journals Knowledge of danger signs during pregnancy and health seeking behaviours among women attending antenatal care; the case of two referral hospitals in Southwest Cameroon

Author(s):  
Elvis Nkengasong Ajabmoh ◽  
Confidence Alemajo Atemnkeng ◽  
Denis Chap Nkemayim ◽  
Yannick Lechedem Ngunyi ◽  
Thomas Obinchemti Egbe

Abstract Background: Danger signs of pregnancy are alerts of obstetric complications which commonly occur from mid to late pregnancy and can lead to maternal and/or fetal morbidity/mortality if appropriate care is not sort in a timely manner. Delay in seeking care is one of the key factors leading to maternal death, which can be associated with poor knowledge on obstetric danger signs. In Cameroon, published data on the assessment of knowledge of danger signs in pregnancy is rare, despite the burden of maternal morbidity and mortality. Objective: The aim of this study was to assess the knowledge of danger signs during pregnancy and health care seeking behaviours among women attending antenatal care at the Buea and Limbe Regional Hospitals, Cameroon. Methods: This was a hospital based, cross sectional study, conducted at the Antenatal Care unit of Buea and Limbe Regional Hospitals from 24th February 2020 to 24th May 2020. Convenient sampling was used to recruit participants, and data was collected using a structured questionnaire with closed and open-ended questions. Data analysis was done using SPSS Version 25. Multivariate logistic regression was used to assess the association between dependent and independent variables. Statistical significance was set at a 95% CI, with a P-value < 0.05. Results: A total of 400 pregnant women were enrolled in study, 117(29.3%) had experienced danger signs during pregnancy and reported the healthcare seeking behaviours after recognizing the danger sign. Among those who recognized danger signs, majority 91(77.8%) visited a healthcare facility. Almost two-thirds 246(61.5%) of respondents had poor knowledge of danger signs. The most commonly mentioned danger sign was vaginal bleeding 257(64.25%). Women who were older than 19 years (AOR=3.96; 95%CI: 2.8-4.1, P=0.006), and women who attended at least high school (AOR=3.02; 95%CI: 1.7-5.3), P= 0.001) were associated with good knowledge of danger signs. Conclusion: Knowledge of danger signs during pregnant was poor among antenatal care attendees in both hospitals. Age older than 19 years and at least high school attendance was associated with good knowledge. Also, women took appropriate healthcare seeking actions after recognizing danger signs during pregnancy. Thus, intervention programs aiming to improve women’s knowledge on pregnancy danger signs should be intensified during antenatal care visits.

2021 ◽  
Vol 1 (2) ◽  
pp. 116-122
Author(s):  
Mst. Salma Khatun ◽  
Laskhy Rani Roy ◽  
Mst. Raziatul Humayra ◽  
Ashees Kumar Saha ◽  
Rowshan Ara

Adequate knowledge regarding danger signs during pregnancy, child birth and postpartum period plays a vital role in safeguarding mothers as well as child health. This cross sectional study was conducted by purposively selected 262 pregnant women in two hospitals in Bogura district from 1st January to 31st December, 2018 with the aim to assess the knowledge of pregnant women on danger signs related to pregnancy and child birth. Data were collected with a semi-structured questionnaire through face-to-face interview. The mean age of the respondent’s was SD = 23.37 ± 4.47 years. Most of the respondents 61.4%, (n=161) knew about danger signs during pregnancy from health workers and 65.6 % (n=172) had poor knowledge regarding danger signs during pregnancy whereas 34.4% (n=90) respondents had good knowledge. Most of the respondents 61.5%, (n=161) understood danger signs during child birth and 68.7 % (n=180) had poor knowledge regarding danger signs during child birth. Among the respondents 40.5% (n=106) understood dang.er signs after child birth and only 12.2% (n=32) respondents had good knowledge regarding danger signs after child birth. Significant association was found between age of the respondents and level of knowledge regarding danger signs during pregnancy (p=0.0001). Health education on danger signs related to pregnancy and child birth should be imparted to all pregnant women to increase their knowledge regarding this issue.


1970 ◽  
Vol 28 (5) ◽  
Author(s):  
Asmamaw Abayneh Badane ◽  
Mohammed Gebre Dedefo ◽  
Edao Sado Genamo ◽  
Nigatu Addisu Bekele

BACKGROUND: Tuberculosis (TB) now ranks alongside HIV (Human Immunodeficiency Virus) as a leading cause of death worldwide. Globally, 9.6 million people were estimated to have fallen ill with TB in 2014. The aim of this study is to assess the knowledge and healthcare seeking behaviour of tuberculosis patents in Gimbi General Hospital, West Ethiopia.METHODS: A cross sectional study was conducted among tuberculosis patients from March 8 to April 30, 2015. The data collection method was face-to-face interview through structuredstandard questionnaire. To identify the factors associated with knowledge about TB and healthcare seeking behavior, backward logistic regression analysis was used.RESULTS: Of the 138 TB patients, 85(61.6%) had good knowledge about TB while 53(38.4%) had poor knowledge about TB. On multivariable logistic analysis, poor knowledge about TB was more likely to occur among TB patients in intensive treatment phase (Adjusted odds ratio (AOR)=4.1, 95% CI= 1.7-9.6, p=0.001).CONCLUSION: TB patients had good knowledge on signs and symptoms of TB, transmission of TB and healthcare seeking behaviour of TB, but their knowledge on the cause of TB, treatment of TB and prevention of TB were not adequate. This study also revealed that the health careseeking behaviour of TB patients were good. 


2017 ◽  
Vol 6 (1) ◽  
pp. 21
Author(s):  
Tadele Girum ◽  
Mulugeta Shegaze

<p><span lang="EN-US">Knowledge of mothers about obstetric danger sign is the basic influencing factor for utilization of skilled maternal and neonatal cares which reduce maternal and new born mortality and morbidity. Therefore this study intended to assess knowledge about obstetric danger sign and identify associated factors among antenatal care attendants. Institutional based cross- sectional study was conducted from April to June 2015 among 358 randomly selected antenatal care attendants. Epi Info version 7 and SPSS version 20 software were used for data entry and analysis respectively. Logistic regression was run to look for the association between dependent and explanatory variables; and using variables which have p-value ≤ 0.25 binary logistic regression was fitted. Association presented in Odds ratio with 95% confidence interval and significance determined at P-value less than 0.05. </span><span>M</span><span lang="EN-US">ost of the respondents able to name some of the accepted danger signs. Two hundred eight (58%), 182(51%) and, 161(45%) of mother were knowledgeable for obstetric danger sign which could occur during pregnancy, at child birth and post-partum period respectively. The most mentioned dander signs were bleeding, retained placenta and prolonged labor. The factors that associated with Knowledge of obstetric danger signs were urban residence (AOR=2.6; 95% CI: 1.8, 4.2), being literate (AOR=2.54; 95% CI: 1.14, 5.76), multiparity (AOR 1.5; 95% CI: 1.14, 2.3) and being informed (AOR=3; 95% CI: 1.6, 6.4). The study showed that attendant’s knowledge was low. This could be averted through strategies designed to address women’s through health extension workers and health professionals</span><span>.</span></p>


2017 ◽  
Vol 6 (1) ◽  
pp. 21
Author(s):  
Mulugeta Shegaze

<p>Knowledge of mothers about obstetric danger sign is the basic influencing factor for utilization of skilled maternal and neonatal cares which reduce maternal and new born mortality and morbidity. Therefore this study intended to assess knowledge about obstetric danger sign and identify associated factors among antenatal care attendants. Institutional based cross- sectional study was conducted from April to June 2015 among 358 randomly selected antenatal care attendants. Epi Info version 7 and SPSS version 20 software were used for data entry and analysis respectively. Logistic regression was run to look for the association between dependent and explanatory variables; and using variables which have p-value ≤ 0.25 binary logistic regression was fitted. Association presented in Odds ratio with 95% confidence interval and significance determined at P-value less than 0.05. Most of the respondents able to name some of the accepted danger signs. Two hundred eight (58%), 182(51%) and, 161(45%) of mother were knowledgeable for obstetric danger sign which could occur during pregnancy, at child birth and post-partum period respectively. The most mentioned dander signs were bleeding, retained placenta and prolonged labor. The factors that associated with Knowledge of obstetric danger signs were urban residence (AOR=2.6; 95% CI: 1.8, 4.2), being literate (AOR=2.54; 95% CI: 1.14, 5.76), multiparity (AOR 1.5; 95% CI: 1.14, 2.3) and being informed (AOR=3; 95% CI: 1.6, 6.4). The study showed that attendant’s knowledge was low. This could be averted through strategies designed to address women’s through health extension workers and health professionals.</p>


2019 ◽  
Author(s):  
Fissaha welay Tekulu ◽  
Nega Assefa Kassa ◽  
Gebrekiros Aregawi Hadera ◽  
Natnael Etsay Assefa ◽  
Meresa Berwo Mengesha ◽  
...  

Abstract Objective: The purpose of this study was to assess knowledge about neonatal danger signs and associated factors among mothers who gave birth in the last 4 months attending immunization services. Result: The study recruited 432 mothers to participate. A knowledge score of neonatal danger signs was found [32.9% (95% CI: 28.9%, 37%)]. Mothers educated to secondary level were 4.9 times more likely to know about neonatal danger signs [(AOR=4.9, 95% CI: (1.15, 21). Similarly, mothers whose husband educated to college and above [AOR=4.95, 95% CI: (1.15, 21)], and being multipara mother [(AOR=2.59, 95% CI: (1.05, 6.6)], were factors significantly associated with good knowledge of mothers about neonatal danger signs. Keywords: Neonatal danger sign, Mothers' knowledge, Immunization


2019 ◽  
Author(s):  
Fissaha welay Tekulu ◽  
Nega Assefa Kassa ◽  
Gebrekiros Aregawi Hadera ◽  
Natnael Etsay Assefa ◽  
Meresa Berwo Mengesha ◽  
...  

Abstract Objective: The purpose of this study was to assess knowledge about neonatal danger signs and associated factors among mothers who gave birth in the last 4 months attending immunization services. Result: The study recruited 432 mothers to participate. A knowledge score of neonatal danger signs was found [32.9% (95% CI: 28.9%, 37%)]. Mothers educated to secondary level were 4.9 times more likely to know about neonatal danger signs [(AOR=4.9, 95% CI: (1.15, 21). Similarly, mothers whose husband educated to college and above [AOR=4.95, 95% CI: (1.15, 21)], and being multipara mother [(AOR=2.59, 95% CI: (1.05, 6.6)], were factors significantly associated with good knowledge of mothers about neonatal danger signs. Keywords: Neonatal danger sign, Mothers' knowledge, Immunization


Author(s):  
Krishna Sahithi J. ◽  
Gaurav Venkat Cuddapah

Background: The main objective of this study was to assess the awareness of danger signs during pregnancy, labour, child birth and during the first seven days of life among the antenatal women attending the OPD of Kamineni Academy of Medical Sciences and Research Centre.Methods: This was a cross sectional observational study. 200 antenatal women were assessed during the two months study period who attended the antenatal care.Results: 73.5% of the respondents knew at least one danger sign during pregnancy, 67.5% respondents knew at least one danger sign during labour and 65% of the respondents knew at least one danger sign of New born.Conclusions: Knowledge of signs of danger in pregnancy, during labour and delivery, and new born was low.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Anna Galle ◽  
Malica De Melo ◽  
Sally Griffin ◽  
Nafissa Osman ◽  
Kristien Roelens ◽  
...  

Abstract Background The role of the male partner and wider family in maternal health, especially in case of emergencies, has been receiving increasing attention over the last decade. Qualitative research has highlighted that women depend on others to access high quality maternity care. Currently little is known about these factors in relation to maternal health in Mozambique. Methods A cross sectional household survey was conducted with men and women in southern Mozambique about decision making, financial support and knowledge of danger signs. A multivariable logistic model was used to identify factors associated with knowledge of danger signs and Cohen’s kappa for agreement among couples. Results A total of 775 men and women from Marracuene and Manhica districts were interviewed. Maternal health care decisions were frequently made jointly by the couple (32–49%) and financial support was mainly provided by the man (46–80%). Parental and parent-in-law involvement in decision making and financial support was minimal (0–3%). The average number of danger signs respondents knew was 2.05 and no significant difference (p = 0.294) was found between men and women. Communication with the partner was a significant predictor for higher knowledge of danger signs for both men (p = 0.01) and women (p = 0.03). There was very low agreement within couples regarding decision making (p = 0.04), financial support (p = 0.01) and presence at antenatal care consultations (p = 0.001). Results suggest women and men have a high willingness for more male participation in antenatal care, although their understanding of what constitutes this participation is not clear. Conclusion The study findings highlight the important role men play in decision making and financial support for maternal health care issues. Strengthening male involvement in antenatal care services, by investing in counselling and receiving couples, could help accelerate gains in maternal health in Mozambique. Maternal health care studies should collect more data from men directly as men and women often report different views and behavior regarding maternal health care issues and male involvement.


Author(s):  
Nimmy N. John ◽  
Amrutha George

Background: Maternal health services have a potentially critical role in the improvement of reproductive health. The use of health service related to availability, quality and cost of services as well as the social structures, health beliefs and personal characteristics of the users. Objective was to determine the level of knowledge, attitude, and practice related to antenatal care (ANC), danger signs and family planning among the pregnant women.Methods: This cross-sectional study was carried out in May 2020 to August 2020 in a rural area of Thrissur district of Kerala, India. 150 pregnant women (aged 18‑35 years) attending the antenatal clinics were interviewed using a predesigned, pretested questionnaire.Results: The knowledge and attitude of the participants towards antenatal care, danger signs of pregnancy and adopting family planning methods was adequate in the study population. The total score of knowledge was 80%, positive attitude was 91% and practice was 77%. The participants also had knowledge regarding pregnancy danger signs. Nearly 92% were aware of bleeding per vagina being a danger sign, 85% stated weak or no movement of baby as a danger sign, 75% knew that pain in abdomen was a danger, 68% knew excessive vomiting as a danger sign while a mere 41% reported that convulsions were a danger sign.Conclusions: The role of health workers in increasing awareness among mothers about the importance of ANC, the danger signs of pregnancy and adopting family planning methods are of paramount concern.


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