scholarly journals Prevalence and Correlates of Suicide Ideation and Attempt among Pregnant Women Attending Antenatal Care Services at Public Hospitals in Southern Ethiopia

2021 ◽  
Vol Volume 17 ◽  
pp. 1517-1529
Author(s):  
Kenean Belete ◽  
Tilahun Kassew ◽  
Demeke Demilew ◽  
Tadele Amare Zeleke
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Suicide Ideation ◽  
Public Hospitals ◽  
Southern Ethiopia ◽  
Care Services

Willingness of antenatal care attendees towards voluntary HIV counseling and testing, Southern Ethiopia

2020 ◽  
Vol 6 (4) ◽  
pp. 104-112
Author(s):  
Sintayehu Assefa ◽  
Dubale Dulla
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Information Dissemination ◽  
Statistical Significance ◽  
Southern Ethiopia ◽  
Cross Sectional ◽  
Care Clinic ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling And Testing

Background: Voluntary counseling and testing (VCT) is an entry point for the prevention of HIV transmission from mother to child and accessing VCT benefit from PMTCT services. Even though, some pregnant women clearly know the benefits /advantages of PMTCT services, they are not willing to test and access the services. Hence, this study was aimed to assess the willingness of pregnant women attending antenatal care towards VCT/PMTCT at Adare general hospital in southern Ethiopia. Method: An institution-based cross-sectional study was conducted at Hawassa Adare hospital, southern Ethiopia from February to April/2018. A total of 338 randomly selected pregnant women who were attending antenatal care clinic were included. Data was collected using structured and pretested questionnaire; entered and analyzed using SPSS version 20 computer software. Important descriptive and logistic models were used for data analysis assuming statistical significance at p < 0.05. Result: A total of 338 mothers were interviewed with a response rate of 100%. The willingness towards voluntary HIV counseling and testing among study participants was 82.2%. Participants who attended primary and High school and above were 3.9 (AOR= 3.87, 95% CI- 1.705, 8.782) and 9.5 times (AOR 9.53 at 95% CI- 3.155, 28.76); those who had good knowledge about VCT/PMTCT were 3.47 times (AOR=3.47, 95% CI-1.721, 7.003); women who followed two to three ANC visit, were 5.1 times more likely have willingness towards VCT/PMTCT (AOR 5.11 at 95% CI -1.095, 23.81) more likely willing to be tested than their counterparts respectively. Conclusion: Willingness towards voluntary HIV counseling was encouraging however it needs advancement. Since boosted knowledge and awareness promote willingness to VCT/PMTCT uptakes, initiation of community-based information dissemination, increased quality of ANC service, and empowering women to be educated could be effective in order to promote high VCT and PMTCT program uptakes

scholarly journals Attitudes of Pregnant Women Towards Antenatal Care Services Provided in Primary Health Care Facilities of Mbombela Municipality, Mpumalanga Province, South Africa

2020 ◽  
Vol 13 (1) ◽  
pp. 569-575
Author(s):  
Lucia Drigo ◽  
Masane Luvhengo ◽  
Rachel T. Lebese ◽  
Lufuno Makhado
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Healthcare Providers ◽  
Health Care Facilities ◽  
Care Services ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Background: Pregnant woman’s personal experience of antenatal care services can either be positive or negative; however, knowledge and experience appear to be of paramount importance in shaping their attitudes towards any healthcare-related services. This implies that women's experience of antenatal care services may affect their decision for seeking antenatal care in their present pregnancy, which can lead them to delay seeking care. Purpose: This study sought to explore the attitudes of pregnant women towards antenatal care services provided in primary health care facilities of Mbombela Municipality, Mpumalanga Province, South Africa. Methods: A qualitative exploratory descriptive study design was used for this study. Purposive sampling technique was used to sample pregnant women who fail to attend antenatal services as expected. Data were collected through face to face unstructured in-depth interview. A total of eighteen pregnant women participated in the study until data saturation. Data were analysed using Tech’s method of analysis. Results: Results revealed the following theme and sub-themes: Attitudes of pregnant women related to individual perceptions, perceived barriers to utilizing antenatal care services,’ attitudes of healthcare providers, long waiting times in healthcare facilities, lack privacy and confidentiality in healthcare facilities and attitudes of pregnant women related to attendance of antenatal services. Conclusion: Attitudes of pregnant women about antenatal care are shaped by their knowledge and previous encounters with the health care services that they had previously received. It is therefore important to provide women-friendly services. It is recommended that health education regarding the importance of antenatal care services must be given to all women daily in the waiting areas of each primary health care facilities, thus, the healthcare providers should promote the active participation of pregnant women during the health education sessions and provide opportunities to ask questions.

scholarly journals Client Satisfaction on Antenatal Care Service by Pregnant Women in Public and Private Hospitals in Addis Ababa, Ethiopia: A Cross-sectional Comparative Descriptive Study

2020 ◽  
Vol 4 (1) ◽  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Waiting Time ◽  
Client Satisfaction ◽  
Addis Ababa ◽  
Care Service ◽  
Public Hospitals ◽  
Private Hospitals ◽  
Public And Private ◽  
Public And Private Hospitals

Background: Antenatal care (ANC) is an important health care service which is intended to potentially reduce maternal morbidity and mortality particularly in areas where the general health status of women is presumed poor, choice of facilities is limited and the service delivery compromised by geography (terrain, transport), socio-demographic factors, financial capability and awareness. Though improving the quality of health care is one of the targeted strategies in the Health Sector Development Program IV (HSDP IV) of Ethiopia, little is known about the quality of antenatal care service and client satisfaction at the different hospitals in Addis Ababa, the capital city of Ethiopia. Objective: To determine satisfaction of ANC services among pregnant women at the public teaching and private hospitals in Addis Ababa, Ethiopia. Methods: Health institution-based comparative cross-sectional study was conducted from February to June, 2019 in public and private hospitals, in Addis Ababa, using sample size determination for comparisons of proportion between the two populations. All participants who fulfilled the inclusion criteria were enrolled based on the flow of pregnant women to the ANC clinics at the selected hospitals. Data were entered and cleaned using EPI-info version 3.5.1 and analysis was performed by SPSS version 21. Association of independent variables with the client satisfaction was done using binary and multivariate logistic regression. Significant association of variables with outcome was determined using adjusted odds ratio (AOR) together with 95 % confidence interval. Level of significance was set at P-value of ≤ 0.05. Results: Five hundred seventy one pregnant women attending Antenatal Care at private (281) and public (290) hospitals were included with response rates of 94.1 and 91.2% for public and private hospitals, respectively. The age distribution of the participants was between 17 and 43 years with a mean age of 27.3±5.1 years. Most of the clients, 249 (88.7%) at private and 276 (95.2%) at public hospitals were between the ages of 20 and 34 years. One hundred fourteen (39.3%) of the clients at public and 113 (40.2%) at private hospitals were nulliparous. The clients overall satisfaction with antenatal care was mostly positive both at the private and public hospitals and two hundred twenty eight (81.1%) of the private and 174 (60%) of the public hospitals were satisfied with the services provided. Having ANC follow up at the private hospitals had statistically significant difference in client satisfaction compared to those in public hospitals with P value of 0.019, (AOR 2.97, 95% CI:1.19 -7.74). Clients’ satisfaction with the cleanliness of the environment was 11.1 times more likely to be satisfied with the general ANC service, P<0.05, (AOR 12.18 95% CI: 7.45-19.91). Having more than 4 ANC visits was positively associated with client overall satisfaction, P= 0.021, (AOR 2.41, 95% CI: 1.12-5.24,) while long waiting time is negatively associated with client satisfaction. Conclusions: The study showed significant difference in client satisfaction rate between the selected private and public facilities. Private facilities outperformed public facilities with regards to structural features (privacy, waiting time, space, and neatness). We recommend concerted effort to improve ANC visits and pay due attention to the privacy, waiting time, and the neatness of the facilities in public hospitals.

scholarly journals Dietary Habits Associated with Anemia Among Pregnant Women Attending Antenatal Care Services

2020 ◽  
Author(s):  
Nyasiro S Gibore ◽  
Agatha F Ngowi ◽  
Mariam J Munyogwa ◽  
Mwanaisha M Ali
Keyword(s):  
Higher Education ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Birth Interval ◽  
Dietary Habits ◽  
Dietary Diversity ◽  
Education Level ◽  
Morbidity And Mortality ◽  
Care Services ◽  
Prevalence Of Anemia

Abstract Background Anemia is a major cause of morbidity and mortality of pregnant women and increases the risks of fetal and neonatal morbidity and mortality. Approximately 50% of all anemia is estimated to be caused by low dietary intake of iron, poor absorption of dietary iron, or blood loss. The objective of the present study was to determine the prevalence and assess the dietary habits associated with anemia among pregnant women receiving antenatal care in Unguja Island, Tanzania. A cross-sectional study was conducted to select 338 pregnant women at Kivunge, Mwembeladu and Mnazimmoja hospitals from March to June, 2018. Hemoglobin concentration was measured using a HemoCue photometer on capillary blood. Sociodemographic data and dietary habits were collected using a structured questionnaire. The data were analysed using the SPSS version 21.0. Multivariate logistic regression analysis was carried out to determine the predictors of anemia among pregnant women. The overall prevalence of anemia was 80.8%. Of these 68.64% had mild anemia, 11.24% had moderate anemia and 0.89% had severe anemia. Anemia was significantly associated with inadequate dietary diversity (Adjusted Odds Ratio (AOR) = 1.16, 95%CI = 0.57–2.36, p &lt; 0.05), drinking tea or coffee with meal (AOR = 0.06, 95%CI = 0.03–0.13, p &lt; 0.001), consuming less than three meals per day (AOR = 2.92, 95%CI = 1.60–5.84, p &lt; 0.001), higher education level (AOR = 3.4, 95%CI = 1.6–7.2, p &lt; 0.0001), birth interval of less than two years (AOR = 3.6, 95%CI = 1.1–11.9, p &lt; 0.05) and multigravida (AOR = 1.2, 95% = 0.3–4.4, p &lt; 0.0001). The prevalence of anemia in this study demonstrates a severe public health problem among pregnant women. Inadequate dietary diversity coupled with inadequate daily meal intake and consumption of tea or coffee were the dietary habits predictors of anemia among pregnant women. Other predictors of anemia were higher education level, multigravida and birth interval of less than two years. Nutrition policy interventions are needed in order to complement antenatal care services by providing important information on healthy eating habits during pregnancy.

scholarly journals Prevalence of gestational diabetes mellitus among pregnant women attending antenatal care services in Diette Koki memorial hospital, Opolo Bayelsa state, Nigeria

2019 ◽  
Vol 8 (3) ◽  
pp. 802
Author(s):  
Otovwe Agofure ◽  
Stella Odjimogho ◽  
Oghenenioborue R. A. Okandeji-Barry ◽  
Imomotimi Glasgow
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Care Professionals ◽  
Memorial Hospital ◽  
Negative Consequences ◽  
High Blood Glucose ◽  
Care Services

Background: Gestational diabetes mellitus is a condition in which women without previously diagnosed diabetes exhibit high blood glucose levels during pregnancy. Gestational diabetes which prevalence is on the increase in Nigeria may have negative consequences on the health of the foetus or mother. This study was designed to determine the prevalence of gestational diabetes mellitus and its complications among pregnant women attending antenatal services in Diette Koki memorial hospital Opolo Bayelsa State from 2014-2016.Methods: This was a retrospective study carried out at the Diette Koki Memorial Hospital Opolo in Bayelsa State. The study population comprised pregnant women that attended antenatal care services within the period of January 2014-December 2016. A designed proforma was used to collect the data from the hospital record department.Results: The results of the study showed that the prevalence of gestational diabetes in the year 2014 was 0.023% or 2.33 per 10,000 pregnancies while the prevalence for 2015 was 0.026% or 2.59% per 10000 pregnancies. Furthermore, other complications recorded were hypertension, pre-eclampsia and eclampsia. Similarly, there was a significant correlation between prevalence of gestational diabetes and other complications (r=0.898, p=0.022).Conclusions: In conclusion, prevalence of gestational diabetes was recorded among pregnant women of Diette Koki memorial hospital Opobo Bayelsa State. Therefore, prompt screening and preventive measures should be enforced by health care professionals to prevent maternal and foetal morbidity and mortality.

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