scholarly journals Perception and utilization of traditional birth attendants by pregnant women attending primary health care clinics in a rural Local Government Area in Ogun State, Nigeria

Author(s):  
Olufunke Ebuehi ◽  
Akintujoye
2017 ◽  
Vol 1 ◽  
pp. 45-52
Author(s):  
JC Daboer ◽  
TO Afolaranmi ◽  
ME Banwat ◽  
YO Tagurum ◽  
JD Gokir

Background: Malaria remains the most important infectious disease in sub-Saharan Africa. Over exposure of the parasite to antimalarial medicines has precipitated the emergence of drug resistance to these medicines. The World Health Organization in 2010 issued a new policy of universal parasite-based diagnosis as a prerequisite for treatment. This study aimed at determining if Primary Health Care workers in Pankshin Local Government Area are complying with the new policy.  Methods: Using stratified sampling technique, six clinics were selected from Pankshin Local Government Area. Relevant information on all patients treated for malaria between 1st May 2015 and 30th April 2016 was extracted from clinic records. All health workers who attended to patients were interviewed while a facility inventory form was used to collect information on availability of drugs and supplies. Data generated were analyzed using Statistical Package for Social Sciences version 20. Results: Out of 2909 patients studied, only 37.3% were tested for malaria parasites before treatment; 68.4% of whom had microscopy while 20.5% had Rapid Diagnostic Test. For those not tested 22.5% had Artemisinin Combination Therapy while 48.1% had non-Artemisinin Combination Therapy. Out of those who tested negative for malaria parasite, 8.8% and 21.6% were treated with Artemisinin Combination Therapy and non-Artemisinin Combination Therapy respectively Those who tested positive received Artemisinin Combination Therapy alone (35.5%) or in combination with other drugs (64.5%). Testing influenced the choice of drug for malaria treatment and this was statistically significant (p < 0.001). Conclusion:  Pretreatment testing for malaria and adherence to test results in Primary Health Care clinics in Pankshin are low. Concerted efforts are required for their training and supervision on the current guidelines on malaria diagnosis and treatment.


2020 ◽  
Vol 6 (2) ◽  
pp. 171-183
Author(s):  
K Sodeinde ◽  
O Onigbogi ◽  
O Odukoya ◽  
O Abiodun

Background: Clients’ satisfaction with the quality of care in an antenatal clinic is the extent to which the health care system meets the clients’ expectations, aims and choices. Objective:  To assess the clients’ knowledge and satisfaction with antenatal care (ANC) services in Primary Health Centres in Ikenne Local Government Area of Ogun State, Nigeria. Methods: This descriptive cross-sectional study was conducted among 380 registered pregnant women who were selected using a multistage sampling method. The data were collected using a structured interviewer-administered questionnaire, constructed from a review of the Safe Motherhood Needs Assessment package and other available literature on antenatal care. Results: The mean age of the respondents was 27.8±5.5 years. The majority were married (91.6%). Health education was the leading ANC activity recognized by 98.7% of the respondents. Knowledge was poor as only 46.1% had good knowledge of at least 50% of total knowledge score. Overall, satisfaction with the services was good as the majority (96.8%) of the respondents were satisfied with the services. Marital status, number of antenatal visits and level of education were statistically significantly associated with the level of satisfaction (p < 0.001, 0.02 and 0.007 respectively). Conclusion: Though the knowledge of ANC was poor, overall satisfaction level was good. Programmes that improve maternal knowledge about ANC should be emphasized in PHCs.


2021 ◽  
Author(s):  
Sana ’ Al-Aqqad ◽  
Nihal Al-Natour ◽  
Mariam Al-Tell

Abstract Background: Complications observed during pregnancy affect both mother and fetus, and are more commonly observed among pregnant women from developing countries. The study aims to identify the most common pregnancy and fetal complications during pregnancy, and associated risk factors with these complications. Methods: A longitudinal study was conducted from September 2017 to July 2018 among pregnant women attending and registering in primary health care clinics of the Palestinian Ministry of Health in Nablus city. Data were collected through interviews and by reviewing medical records. Women were followed up during their regular visits to the primary health care clinics. Any complication affecting either the fetus or the mother during the pregnancy period was recorded. Binary logistic regression was used to identify independent risk factors for pregnancy and fetal complications. Results: A total of 380 pregnant women were included in the study. The most common complications seen among women during pregnancy were preterm labor (PTL) (11.3%), followed by an equal number of gestational diabetes (GDM) and pregnancies induce hypertension (PIH), i.e. (7.9%). Large for gestational age (LGA) (11.6 %) and small for gestational age (SGA) (10.5%) were the most commonly observed fetal complications. Pregnant women living in camps (O.R 2.35, 95% [CI] 1.02- 5.45), nulliparity (O.R 14.9, 95% [CI] 1.09-202.5) and low parity women (O.R 16.8, 95% [CI] 1.47- 192.5) were at higher risk of having pregnancy complications. However, lower risk was noticed between women with gravida 4 (O.R 0.11, 95% [CI] 0.03-0.47) compared to women having more than 6 pregnancies. Age younger than 41 years was a protective factor against fetal complications, while parity (≤ 6 parities) especially 4 to 6 parities (OR 36.17; 95% CI 4.88-268) and active smoking mothers (OR 1.25; 95% CI 1.0-3.07) were identified as risk factors that are associated with an increased risk of fetal complications. Conclusions: Fetal and pregnancy-related complications are prevalent among Palestinian pregnant women. Increasing the awareness and improving the understanding of the identified risk factors related to these complications among the public, and specifically, females may help to reduce the prevalence of these conditions and the associated risk of these complications.


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