scholarly journals An Evaluation of Antenatal Screening Services Provided in Health Facilities of Lundazi District, Zambia

2020 ◽  
Vol 6 (2) ◽  
pp. 63-69
Author(s):  
Patricia Mambwe
Keyword(s):  
Antenatal Care ◽  
Scale Up ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Antenatal Screening ◽  
Cross Sectional ◽  
Rhesus Factor ◽  
Screening Services ◽  
Urine Testing ◽  
Timely Treatment

Background: Provision of quality Antenatal care requires holistic screening and timely treatment to prevent neonatal and maternal mortalities. Methods: A facility based cross- sectional study evaluated antenatal screening services offered in Lundazi District, Zambia. The study was conducted between October 2019 and June2020. Study units comprised 5 health facilities, 60 ANC mothers and 75 ANC providers. The study used facility audit, observation and self-administered questionnaires. Results: The study found that ANC mothers could not be weighed in all the health facilities due to dysfunctional weighing scales. Facilities lacked Multistix for urine testing. Facilities could not test for blood grouping or screen blood for Rhesus factor. One facility could not screen for HIV and Malaria as reagents were out of stock. Another facility could not screen Haemoglobin levels for anaemia as the Hamacue machine was dysfunctional. Routine ultrasound was not done in all the five facilities. Conclusion: Lack of functional equipment and essential supplies used for screening ANC mothers for any abnormality is a significant missed opportunity for early diagnosis and timely treatment of medical conditions. Reinforcing this component improves provision of quality antenatal care. Therefore, increased Antenatal care coverage requires a simultaneous scale-up of ANC equipment, supplies and drugs.

scholarly journals Pregnant women’s retention and associated health facility characteristics in the prevention of mother-to-child HIV transmission in Indonesia: cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e034418
Author(s):  
Christina Lumbantoruan ◽  
Margaret Kelaher ◽  
Michelle Kermode ◽  
Endang Budihastuti
Keyword(s):  
Antenatal Care ◽  
Health Facility ◽  
Hiv Transmission ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Hiv Positive ◽  
Pmtct Programme ◽  
Cross Sectional ◽  
Hiv Epidemic ◽  
Mother To Child

ObjectivesDespite the national effort to integrate the Prevention of Mother-to-Child Transmission (PMTCT) programme into antenatal care clinics in Indonesia, the rate of mother-to-child HIV transmission remains high. This national study was conducted to describe PMTCT programme performance and to identify health facility characteristics associated with this performance in order to inform programme planning and policy development.DesignA retrospective cross-sectional study in December 2017.SettingAll health facilities providing PMTCT programmes in Indonesia.ParticipantsAll health facilities registering at least one woman in antenatal care in 2017.InterventionPMTCT data extraction from the national reporting system on HIV/AIDS and government reports.OutcomesWomen retention in the PMTCT programme for at least 3 months and associated health facility characteristics.ResultsA total of 373 health facilities registering 6502 HIV-positive women in antenatal care were included in the analysis. One-third of women (2099) never started antiretroviral treatment. Of the 4403 women who started, 2610 (57%) were retained; 462 (10%) were not retained; and the retention status of 1252 (28%) women referred out of the health facilities was unknown. Compared with primary health centres, hospitals were more likely to retain women (OR=2.88, 95% CI 2.19 to 3.79). The odds of retention were higher in hospital types A and B (OR=3.89, 95% CI 3.19 to 4.76), located within concentrated HIV epidemic areas (OR=2.09, 95% CI 1.83 to 2.38) and a high-priority area for the HIV programme (OR=1.83, 95% CI 1.60 to 2.09). We observed no differential retention between women who initiated PMTCT under different options (B+/non-B+).ConclusionsWe observed low retention of HIV-positive pregnant women in the PMTCT programme in Indonesia in 2017. Additional efforts are needed to improve women’s retention in the PMTCT programme. Retention could be increased through the delivery of PMTCT programmes by replicating strategies implemented at hospital types A and B located in concentrated HIV epidemic areas where an HIV programme is a high priority.

scholarly journals Readiness of health facilities in providing basic antenatal care laboratory test services and client satisfaction in Ethiopia

2021 ◽  
Author(s):  
Hailemariam Segni Abawollo ◽  
Ismael Ali Beshir ◽  
Zergu Tafesse Tsegaye ◽  
Binyam Fekadu Desta ◽  
Asfaw Adugna Guteta ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Laboratory Test ◽  
Pregnant Women ◽  
Human Resource ◽  
Client Satisfaction ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Laboratory Equipment ◽  
Cross Sectional ◽  
Satisfaction Rate

Abstract Background: To enable early identification of pregnancy-related health complications and other potential problems that affect the outcomes of pregnancy, pregnant women need to receive the basic laboratory test services during antenatal care. The provision of antenatal care laboratory test services is influenced by the availability and capacity of support systems.Methods: A health facility based cross-sectional study design was employed. Results: One hundred and ninety-nine facilities and 960 pregnant women were involved. Sixty-seven-point one percent of facilities had the minimum required infrastructure; the minimum required laboratory documents were present in 67.2% of facilities; the minimum laboratory equipment needed was present in 49.6% of facilities; and 76% of facilities had trained laboratory personnel who could provide basic antenatal care laboratory test services. The average stockout rate on the date of the visit was 29.6%; stockouts during the past thirty days was 32%; and the mean number of days that the available stocks last was for 93 days. The average availability of basic antenatal care laboratory test services in health facilities was 84% with infrastructure (p=0.018) and equipment (p=0.000) being the significant predictors of service availability. The satisfaction rate for overall laboratory test services provided in the health facilities was 83.2%. Conclusions: Readiness of health facilities to deliver basic antenatal care laboratory test services in terms of infrastructure, documents, equipment, reagents, and human resource was low but the client satisfaction rate was within an acceptable range. The gaps in infrastructure, documents, medical equipment, reagents, and human resource of facilities need to be addressed to ensure better laboratory test services.

scholarly journals Exclusive breastfeeding practice and its associated factors among mothers with infants aged less than six months in Nono, Western Ethiopia: A cross-sectional study

2021 ◽  
Author(s):  
Gerba Fufa ◽  
Tesfaye Solomon ◽  
Teka Girma
Keyword(s):  
Antenatal Care ◽  
Exclusive Breastfeeding ◽  
Associated Factors ◽  
Service Providers ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Breastfeeding Practice

Abstract Background Exclusive breastfeeding is the best and cost effective intervention to prevent childhood morbidities and mortalities in developing countries. But there was no evidence in the study area regarding the practice of exclusive breastfeeding and its associated factors. Therefore, this study was aimed to assess exclusive breastfeeding practice and its associated factors in a rural district, Western part of Ethiopia. Methods A community-based cross-sectional study was conducted from August 15–30, 2020 among 565 mothers who have an infant less than six months in Nono District. Study participants were selected using random sampling. Data on infant breastfeeding practice were collected by trained interviewers by using a structured questionnaire. Multivariable logistic regression analysis was used to determine factors associated with exclusive breastfeeding. Statistical significance was declared at P < 0.05 at 95% confidence interval. Results A total of 565 participants were participated in this study, giving a 95.9% response rate. The prevalence of exclusive breastfeeding practice was 70.8%. Age of Mothers (AOR = 2.67, 95%CI = 1.79, 4.60), attended antenatal care during the recent pregnancy (AOR = 2.31, 95%CI = 1.31,4.71), attended delivery in health facilities (AOR = 1.34, 95%CI = 1.21,2.11), having information about exclusive breastfeeding (AOR = 2.34, 95%CI = 1.13,4.76) and knowing the importance of exclusive breastfeeding (AOR = 1.46, 95% CI = 1.12, 3.73) were associated factors with exclusively breastfeeding. Conclusions The prevalence of exclusive breastfeeding among infants less than six months in the Nono district was 70.8%. Factors associated with exclusive breastfeeding were the age of mothers, antenatal care service utilization, place of birth, mothers' information about breastfeeding, and knowledge of mothers about the importance of exclusive breastfeeding. Therefore, it is recommended that awareness should be continuously raised and pregnant women should be encouraged to attend health facilities for antenatal care and delivery by health service providers hence improving exclusive breastfeeding.

scholarly journals Client Factors Affect Provider Adherence to Guidelines during First Antenatal Care in Public Health Facilities, Ethiopia: A Multi-Center Cross-Sectional Study

2020 ◽  
Vol 30 (6) ◽  
Author(s):  
Tewodros Seyoum ◽  
Mekuriaw Alemayehu ◽  
Kyllike Christensson ◽  
Helena Lindgren
Keyword(s):  
Public Health ◽  
Antenatal Care ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public Health Facilities ◽  
Care Guidelines ◽  
Provider Adherence

BACKGROUND፡ Timely entry to an antenatal care with a healthcare provider who follows a set of national guidelines is assumed to ensure higher levels of client satisfaction. It is also expected to improve perinatal outcomes. Little is known about the level of adherence of Ethiopian providers to these guidelines. Therefore, this study aims to assess the proportion of clients who received complete (100%) provider adherence to antenatal care guidelines at the first visit and client associated factors in Gondar Town.METHODS: A cross-sectional study of 834 study participants was conducted in public health facilities of Gondar Town in Ethiopia. An 18 point checklist was used to observe provider adherence to the first antenatal care visit guidelines. Descriptive statistics and multivariable binary logistic regression model were done by using STATA 14 software.RESULT: The proportion of clients who received the complete provider’s adherence to the first antenatal care guideline was 32.25% (95% CI: 29.1-35.5). The mean adherence score was 16.78%. Women who had prior history of pregnancy and/or birthrelated complications (AOR = 1.58; 95%CI: 1.04-2.04) and late antenatal care booking at gestational week 16 or greater (AOR =1.45; 95%CI: 1.03-2.03) were significantly associated with clients receiving complete providers’ adherence to the first antenatal guideline.CONCLUSIONS: We found the level of adherence to national antenatal care guidelines during first visit as surprisingly low. When considering to upgrade the guidelines to the actual WHO guideline of eight visits, we recommend that refresher training be provided regularly to help staff understand the importance of following the guidelines as closely as possible. Perhaps, we need to learn more from the health care providers themselves about their reasons for not following the guidelines.

scholarly journals Quality of antenatal care services in selected health facilities of Kaski district, Nepal

2018 ◽  
Vol 5 (6) ◽  
pp. 2182 ◽  
Author(s):  
Pabitra Bastola ◽  
Dipendra Kumar Yadav ◽  
Himlal Gautam
Keyword(s):  
Antenatal Care ◽  
Care Service ◽  
Blood Pressure Measurement ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Cross Sectional ◽  
Danger Signs ◽  
Care Services ◽  
Assess Quality

Background: Antenatal care service is an evidence based interventions given to the pregnant women. Objective of the study was to assess quality of antenatal care services in selected health facilities of Kaski district, Nepal.Methods: A cross sectional study was conducted in selected health institutions in Kaski district of Nepal during June to November 2017. Two hundred seven participants were selected from health facilities of Kaski district. Structured questionnaires were employed as tool for data collection.Results: This study showed that 50.7 percent respondents waited less than 35 minutes for receiving service. More than half of the total respondents (63.3%) reported that the consultation time provided for them was less than 20 minutes. All respondents reported that weight and blood pressure measurement was undertaken while none of them reported that height was measured. It was found that maximum number of participants (99.0%) were received iron/folate tablets and tetanus vaccination. Similarly, 97.6% of participants reported that they were counselled on nutrition and 96.6% of reported they get counselling on danger signs. In overall, 48.3% of the respondents were satisfied with the services they received and 43% of the respondents received good quality ANC service from different health institutions.Conclusions: In overall satisfaction of antenatal care services was found to be low and more than half of respondent does not received good quality ANC services.

scholarly journals Dietary Vitamin A intakes among Pregnant Women Attending Antenatal Care in Health Facilities: As a connotation for the progress of Vitamin A Deficiency in Dessie Town, North East Ethiopia: A cross-sectional Study

2019 ◽  
Author(s):  
Zenebech Koricho ◽  
tefera Chane Mekonnen ◽  
Gudina Egata Atomssa ◽  
Sisay Eshete Tadesse
Keyword(s):  
Vitamin A ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Vitamin A Deficiency ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Dietary Vitamin ◽  
High Fertility ◽  
Sectional Study ◽  
Cross Sectional

Abstract Vitamin A plays an important role in vision, cellular differentiation, embryonic development, reproduction, growth, and the immune system. Women who live in developing countries face a risk of undernutrition during pregnancy due to poverty, poor diet quality and quantity, and high fertility rate. This poor dietary problem could reflect women’s high risk of vitamin A deficiency. The major aim of this study was to determine the adequacy of vitamin A among pregnant women following antenatal care in health facilities of Dessie Town, Ethiopia, January 2017. Health facility-based cross-sectional study was conducted among 390 women that attended antenatal care in Dessie Town. The food groups from FAO based on 24 hour dietary recall was used to measure dietary intake Vitamin A and dietary diversity of women. Adequacy of vitamin A was determined from nutrient adequacy ratio after obtaining reports of nutrient intake from food composition table version III and IV in terms of B carotene and retinol equivalent respectively, based on the estimated average requirement recommendation of vitamin A, 370 RE/day for pregnant women. Multivariable Logistic regression analysis was done to identify associated factors of vitamin A adequacy.

scholarly journals Hepatitis B virus infection and its associated factors among medical waste collectors at public health facilities in eastern Ethiopia: a facility-based cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Degu Abate Mengiste ◽  
Abebe Tolera Dirbsa ◽  
Behailu Hawulte Ayele ◽  
Tewodros Tesfa Hailegiyorgis
Keyword(s):  
Hepatitis B Virus ◽  
Hepatitis B ◽  
Cross Sectional Study ◽  
Medical Waste ◽  
Health Facilities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
B Virus ◽  
History Of

Abstract Background The risk of hepatitis B virus infection among medical waste handlers who undergo collection, transportation, and disposal of medical wastes in the health institutions is higher due to frequent exposure to contaminated blood and other body fluids. There is limited evidence on the seroprevalence of hepatitis B among medical waste handlers in eastern Ethiopia. The study was aimed at studying the seroprevalence of Hepatitis B Virus and associated risk factors among medical waste collectors at health facilities of eastern Ethiopia. Methods A facility-based cross-sectional study was conducted among randomly selected medical waste collectors from public health facilities in eastern Ethiopia from March to June 2018. A pre-tested and well-structured questionnaire was used to collect data on socio-demographic characteristics and hepatitis B infection risk factors. A2.5ml venous blood was also collected, centrifuged and the serum was analyzed for hepatitis B surface antigen using the instant hepatitis B surface antigen kit. Descriptive summary measures were done. Chi-square and Fisher exact tests were used to assess the risk of association. Multivariate logistic regression was conducted with 95% CI and all value at P-value < 0.05 was declared statistically significant. Results From a total of 260 (97.38%) medical waste collectors participated, HBV was detected in 53 (20.4%) of the participants [95%CI; 15.8, 25.6]. No significant differences were observed in the detection rates of HBV with respect to socio-demographic characteristics. In both bivariate and multivariable logistic regression analysis, being unvaccinated (AOR = 6.35; 95%CI = [2.53–15.96], P = 0.001), history of blood transfusion (receiving) (AOR; 3.54; 95%CI; [1.02–12.24], P = 0.046), history of tattooing (AOR = 2.86; 95%CI = [1.12–7.27], p = 0.03), and history of multiple sexual partner (AOR = 10.28; 95%CI = [4.16–25.38], P = 0.001) remained statistically significantly associated with HBsAg positivity. Conclusion This cross-sectional study identified that HBV infection is high among medical waste collectors in eastern Ethiopia. Immunization and on job health promotion and disease prevention measures should be considered in order to control the risk of HBV infection among medical waste collectors in eastern Ethiopia.

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