scholarly journals Malaria Prevalence and Associated Factors among Pregnant Women Attending their First Antenatal Care in Kole and Kyenjojo Districts in Uganda

2021 ◽  
Vol 9 (4) ◽  
pp. 200-210
Author(s):  
James Ssekitooleko
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Associated Factors ◽  
Intermittent Preventive Treatment ◽  
Malaria Prevalence ◽  
Negative Consequences ◽  
Insecticide Treated Nets ◽  
Early Screening ◽  
Cross Sectional ◽  
Effective Prevention

Malaria during pregnancy has negative consequences to both the mother and fetus. In 2019, there were an estimated 33million pregnancies globally, of which 35% were exposed to malaria in Africa. To avert the consequences, the Uganda Ministry of Health is implementing approaches for effective prevention with intermittent preventive treatment, use Insecticide-Treated Nets (ITN), prompt diagnosis, and treatment through antenatal care (ANC). This study was conducted to determine the prevalence of malaria and associated factors among pregnant women attending their first ANC visit in Kole and Kyenjojo Districts in Uganda. A cross-sectional study design was conducted among 760 randomly selected pregnant women. Quantitative data was collected using a structured questionnaire to gather participants’ demographic, obstetric, coverage, and use of malaria preventive methods and laboratory results on malaria, anaemia, and HIV. Data was analyzed using STATA 15. Chi-square, odds ratio, and logistic regression were used to test for associations. The overall prevalence of malaria was 11.1%, varying from 6.8% in Kyenjojo to 15.3% in Kole District. Most cases were caused by P. falciparum. Factors associated with malaria were age of mother (aOR: 0.44, 95% CI: 0.21-0.88), residence in Kyenjojo (aOR: 0.48, 95% CI: 0.26-0.88), multiparity (aOR: 0.38, 95% CI: 0.16-0.91), anaemia (aOR: 2.12, 95% CI: 1.12-4.00) and ITN non-use (aOR: 6.17, 95% CI: 2.76-13.86). Malaria prevalence was low and varied between districts. Age, gravidity, gestational age, and ITN use had a significant association with malaria. Therefore, early screening and identification of mothers at most risk of complications during pregnancy is needed, plus improving ANC.

scholarly journals Prevalence and Associated Factors of Anemia among Pregnant Women Receiving Antenatal Care (ANC) at Fatima Hospital in Jashore, Bangladesh: A Cross-Sectional Study

2019 ◽  
Vol 10 (09) ◽  
pp. 1056-1071 ◽  
Author(s):  
Suzon Ahmed ◽  
Md. Abdullah Al Mamun ◽  
Niaz Mahmud ◽  
Nisat Farzana ◽  
Mosammat Sadia Akther Sathi ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Malaria-Associated Factors among Pregnant Women in Guinea

2019 ◽  
Vol 2019 ◽  
pp. 1-9
Author(s):  
Almamy Amara Touré ◽  
Abdoulaye Doumbouya ◽  
Abdourahamane Diallo ◽  
Gaspard Loua ◽  
Abdourahim Cissé ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Associated Factors ◽  
Placental Malaria ◽  
Community Support ◽  
Classification And Regression Tree ◽  
Health Concern ◽  
Insecticide Treated Nets ◽  
Cross Sectional Survey ◽  
District Hospitals

Introduction. Malaria is the leading cause of consultation in Guinea health facilities. During pregnancy, it remains a major health concern causing considerable risks for mother, fetus, and newborn. However, little is known about the epidemiology of malaria among pregnant women in Guinea. We aimed to provide information on malaria-associated factors in parturients. Methods. It was a cross-sectional survey in two regional hospitals and two district hospitals. 1000 parturients and their newborns were surveyed. All patients were interviewed, and thick and thin blood smears were examined. To determine the predictive factors of malaria in parturients, the Classification and Regression Tree (CART) was first performed by using peripheral and placental malaria as dependent variables and sociodemographic and antenatal characteristics as independent variables; then, explanatory profile variables or clusters from these trees were included in the logistic regression models. Results. We found 157 (15.8%) and 148 (14.8%) cases of peripheral and placental malaria, respectively. The regular use of long-lasting insecticide-treated nets (LLINs) before delivery was 53.8%, and only 35.5% used sulfadoxine-pyrimethamine doses ≥3. Factors significantly associated with malaria were as follows: women from Forécariah and Guéckédou who did not regularly use LLINs and accomplished less than four antenatal care visits (ANC <4) and primigravid and paucigravid women who did not regularly use LLINs. Similarly, the odds of having malaria infection were significantly higher among women who had not regularly used LLINs and among primigravid and paucigravid women who had regularly used LLINs compared to multigravida women who had regularly used LLINs. Conclusion. This study showed that pregnant women remain particularly vulnerable to malaria; therefore, strengthening antenatal care visit strategies by emphasizing on promoting the use of LLINs and sulfadoxine-pyrimethamine, sexual education about early pregnancies, and family or community support during first pregnancies might be helpful.

scholarly journals Utilization and Associated Factors of Insecticide Treated Bed Net among Pregnant Women Attending Antenatal Clinic of Addis Zemen Hospital, North-Western Ethiopia: An Institutional Based Study

2018 ◽  
Vol 2018 ◽  
pp. 1-9
Author(s):  
Azeb Ewinetu Yitayew ◽  
Habtamu Demelash Enyew ◽  
Yitayal Ayalew Goshu
Keyword(s):  
Pregnant Women ◽  
Associated Factors ◽  
Sampling Technique ◽  
Educational Status ◽  
Antenatal Clinic ◽  
Bed Net ◽  
Insecticide Treated Nets ◽  
Cross Sectional ◽  
Control Approach ◽  
Pregnant Mothers

Introduction. Insecticide treated bed net (ITN) is one type of cost-effective vector control approach for the prevention of malaria. It has to be treated with insecticide and needs ongoing treatment with chemicals. Malaria infcetion during pregnancy is a amajor health problem in Ethiopia. Little is known about the utilization of ITN by pregnant women in the study area. This study was aimed to assess utilization and associated factors of insecticide-treated nets among pregnant women in Adis Zemen Hospital. Methods. This hospital based cross-sectional study was conducted in Adis Zemen from May 1 to 30, 2018, among 226 pregnant mothers. After obtaining informed consent, data were collected using a pretested structured questionnaire via face to face interview. To reach the study unit, a systematic random sampling technique was used. The collected data were entered, cleaned, checked using Epi data version 3.1, and finally analyzed using SPSS version 20. Binary and multivariable logistic regressions were computed to identify significantly associated variables at 95% confidence interval. Result. A total of 226 pregnant mothers attending antenatal clinics participated in making the response rate 100%. Among a total 226 subjects, 160(70.8%) of mothers had good utilization of insecticide bet net. Mothers who had an educational status of college and above were 2.8 times more likely to utilize insecticide-treated bed net than mothers who could not read and write (AOR; 2. 8: CI; 1.9, 6.5). Mothers whose age was >30 were 70% times less likely utilized insecticide-treated bed net than mothers whose age was 30 and less (AOR;.3: CI;.2,.6). Conclusion and Recommendation. Utilization of insecticide-treated bed net by pregnant women is low in the study area. The participants’ age, educational status, household monthly income, and husband educational status were significantly associated with utilization of insecticide-treated bed net. Different stakeholders shall give a special attention to awareness creation on advantageous of insecticide bed net.

scholarly journals Prevalence of Antenatal Depression and Associated Factors among Pregnant Women Attending Antenatal Care at Dubti Hospital: A Case of Pastoralist Region in Northeast Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Yihalem Abebe Belay ◽  
Nurilign Abebe Moges ◽  
Fetuma Feyera Hiksa ◽  
Kassahun Ketema Arado ◽  
Misgan Legesse Liben
Keyword(s):  
Social Support ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Marital Conflict ◽  
Associated Factors ◽  
Unplanned Pregnancy ◽  
Antenatal Depression ◽  
Cross Sectional ◽  
Pregnancy Planning ◽  
Northeast Ethiopia

Background. Globally, depression affects an estimated 10 % to 20% of women during pregnancy. There is limited evidence on antenatal depression in Northeast Ethiopia. This study aimed to assess prevalence of antenatal depression and associated factors among Dubti Hospital Antenatal care attendants. Methods. Institution based cross-sectional study was conducted among 363 Antenatal care attendants at Dubti Hospital from March 07 to May 07, 2016. Beck’s Depression Inventory tool was used to collect data. Data were entered into Epi-Data 3.1 and analyzed using SPSS 20. Bivariable and multivariable logistic regression analyses were fitted. Variables having p value < 0.05 were considered as statistically significant. Results. A total of 357 pregnant women were interviewed. The prevalence of antenatal depression was 17.9% [95% CI (14.0, 22.0%). Pregnancy planning [AOR: 0.04; 95% CI (0.014, 0.114), social support [AOR: 0.21; 95% CI (0.07, 0.66), and marital conflict [AOR: 6.45; 95% CI (2.1, 17.9)] were significantly associated with antenatal depression. Conclusions. Nearly one in five pregnant women had depression. Marital conflict, pregnancy planning, and social support were significant predictors of antenatal depression. Dubti Hospital should strengthen its effort on prevention of unplanned pregnancy. Healthcare workers in antenatal care unit have to deal with marital conflict and social support as part of their routine investigation to avoid complications through early detection of antenatal depression.

scholarly journals Timing of first antenatal care contact, its associated factors and state-level analysis in Nigeria: a cross-sectional assessment of compliance with the WHO guidelines

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e047835
Author(s):  
Adeniyi Francis Fagbamigbe ◽  
Olugbenga Olaseinde ◽  
Omon Stellamaris Fagbamigbe
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Associated Factors ◽  
Healthcare Utilisation ◽  
First Trimester ◽  
Household Wealth ◽  
Secondary Outcome ◽  
Outcome Variable ◽  
Who Guidelines ◽  
Cross Sectional

ObjectivesTo assess the compliance of WHO guidelines on the timeliness of antenatal care (ANC) initiation in Nigeria and its associated factors and to provide subcountry analysis of disparities in the timing of the first ANC in Nigeria.DesignCross-sectional.SettingNationally representative data of most recent pregnancies between 2013 and 2018 in Nigeria.ParticipantsWomen with pregnancies within 5 years before the study.Primary and secondary outcome measuresThe outcome variable was the trimesters of the first ANC contact. Data were analysed using descriptive statistics, bivariable and multivariable multinomial logistic regression at 5% significance level.ResultsOf all the 21 785 respondents, 75% had at least one ANC contact during their most recent pregnancies within the five years preceding the data collection. Among which 24% and 63% started in the first and second trimester, respectively. The proportion who started ANC in the first trimester was highest in Benue (44.5%), Lagos (41.4%) and Nasarawa (39.3%) and lowest in Zamfara (7.6%), Kano (7.4%) and Sokoto (4.8%). Respondents aged 40–49 years were 65% (adjusted relative risk ratio (aRRR: 1.65, 95 % CI: 1.10 to 2.45) more likely to initiate ANC during the first trimester of pregnancy relative to those aged 15–19 years. Although insignificant, women who participate in their healthcare utilisation were 4% (aRRR: 1.04, 95 % CI: 0.90 to 1.20) times more likely to have early initiation of ANC. Other significant factors were respondents’ and spousal educational attainment, household wealth quintiles, region of residence, ethnicity, religion and birth order.ConclusionsOnly a quarter of pregnant women, initiated ANC contact during the first trimester with wider disparities across the states in Nigeria and across the background characteristics of the pregnant women. There are needs to enhance women’s autonomy in healthcare utilisation. Concerted efforts on awareness creation and empowerment for women by all stakeholders in maternal and child healthcare are antidotes for early ANC contact initiation.

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