scholarly journals Satisfaction with focused and risk approach antenatal care services among pregnant women attending primary health care centers in Erbil city

2019 ◽  
Vol 5 (6) ◽  
2019 ◽  
Vol 5 (6) ◽  

Objectives: Client satisfaction is essential for further improvement of the quality of health care. This study aimed to assess the satisfaction with focused and risk approach antenatal care services among pregnant women in Erbil city of Iraq. Methods: This cross-sectional study was conducted at two primary health care centers in Erbil city, one provides focused antenatal care services and the other provides risk approach antenatal care services. A convenience sample of 300 pregnant women (150 pregnant women from each center) participated in the study. An especially designed questionnaire was used for data collection. Results: Around 61% of women attending focused antenatal care were very satisfied with care while only 12 % of women attending risk approach standard antenatal care were very satisfied with antenatal care (P <0.001). The perceived causes of dissatisfaction included crowding in the clinic in the morning, unfavorable waiting area and unavailability of daily sonar exam. A significantly higher proportion (P<0.001) of the high level of satisfaction (78%) was reported among women attending focused antenatal care than risk approach standard antenatal care (38%). Conclusion: Women attending focused antenatal care were highly satisfied with services provided to them while those attending risk approach standard antenatal care were less satisfied with services. Further improvement of focused antenatal care services in Erbil is required.


2020 ◽  
Vol 13 (1) ◽  
pp. 569-575
Author(s):  
Lucia Drigo ◽  
Masane Luvhengo ◽  
Rachel T. Lebese ◽  
Lufuno Makhado

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.


2018 ◽  
Vol 60 (1) ◽  
pp. 43-46
Author(s):  
Shayma S. Ali ◽  
Ban A. Ridha Salman

Background: Hepatitis B is a potentially life-threatening liver infection which is caused by the hepatitis B virus. Universal testing of hepatitis B virus of pregnant women already occurs in many parts of the world, but still suboptimal in resource-limited settings.Objectives: To find the seroprevalence of hepatitis B s antigen in pregnant women visiting primary health care centers in Baghdad Al-Jadeda health sector that belongs to Baghdad Al-Rusafa health directorate and to determine the effect of some social and obstetrical factors in the infected women.Patients and Methods: A retrospective cross-sectional study carried on 6975 records of pregnant women visited primary health care centers from 1st of January 2016 to 30th of June 2017, whose blood samples were tested at the time of visits for hepatitis B s antigen in the reference laboratory and confirmation tests were established in the central public health laboratory in Baghdad for positive cases and included in their records. The effect of certain sociodemographic and obstetrical factors was also assessed in the study.Results:Of total number of 6975 pregnant women records, hepatitis B s antigen was positive for 11, two were excluded to avoid duplication of data and the final number of infected pregnant women was 9 with prevalence rate of 0.13%. No important findings from their antenatal records regarding effect of certain sociodemographic and obstetrical factors were found except that husband of the majority of cases (55.6%) were HBs Ag negative and no information available about rest of the cases (44.4%).Conclusion: There was a low prevalence of hepatitis B among studied pregnant women. We also concluded that source of infection to these women was mainly parenteral rather than sexual.     الانتشار المصلي للمستضد S لإلتهاب الكبد الفايروسي البائي في النساء الحوامل المراجعات لمراكز الرعاية الصحية الأولية في قطاع بغداد الجديدة في مدينة بغداد د.شيماء سلمان علي د.بان عبد الرضا سلمان     خلفية البحث: التهاب الكبد الفابروسي البائي هو مرض خطير يهدد الحياة و يسببه فيروس التهاب الكبد نوع باء .عالميا يجري فحص النساء الحوامل لمعرفة الأصابة بهذا الفايروس في أجزاء كثيرة من العالم، ولكن ما زال دون المستوى الأمثل في المناطق المحدودة الموارد. الأهداف: للبحث عن معدل الانتشار المصلي للمستضدs  لإلتهاب الكبد البائي في النساء الحوامل اللاتي يراجعن مراكز الرعاية الصحية الأولية في قطاع بغداد الجديدة الذي ينتمي إلى دائرة صحة بغداد الرصافة وتحديد أثر بعض العوامل الاجتماعية وعوامل الولادة في النساء المصابات. المواد والطرق: تم إجراء دراسة مستعرضة بأثر رجعي على سجلات 6975 للنساء الحوامل المراجعات لمراكز الرعاية الصحية الأولية من الأول من كانون الثاني 2016 إلى ال 30 من حزيران عام 2017، في وقت الزيارة عينات الدم من هذه النساءالحوامل خضعت لفحص  مستضد s لفيروس الكبد البائي في المختبر المرجعي التابع لقطاع بغداد الجديدة للرعاية الصحية الاولية و تم تأكيد الاختبار في مختبر الصحة العامة المركزي في بغداد للحالات الايجابية و دونت في هذه السجلات. كذلك تم تقييم أثر بعض العوامل الاجتماعية الديمغرافية وعوامل الولادة من سجلات فحص النساء الحوامل في المراكز الصحية. النتائج: من مجموع  سجل6975 إمرأة حامل, مستضد التهاب الكبد البائي نوع s كانت إيجابية لأحدعشرأمرأة وتم استبعاد سجلات اثنتين لتلافي التكرار بذكر النتائج وكان العدد النهائي للحوامل المصابات تسعة مع معدل انتشار 0.13 % . لم يتم العثور على نتائج هامة فيما يتعلق بتأثير بعض العوامل الاجتماعية الديمغرافية وعوامل الولادة عدا أن أزواج معظم الحالات (55.6%) كان مستضد s سلبي لهم ولا تتوفر أية معلومات حول أزواج بقية الحالات (44.4%). الاستنتاج: هناك انخفاض معدل انتشار التهاب الكبد البائي بين النساء الحوامل ضمن الدراسة كما تم الأستنتاج أن مصدر العدوى في هؤلاء النساء لم يكن جنسيا .                                                                                                                                الكلمات الرئيسية: فيروس التهاب الكبد B، مستضد s لإلتهاب الكبد باء ، النساء الحوامل.                                                                                                                   


2022 ◽  
Vol 63 (4) ◽  
pp. 138-144
Author(s):  
Lamia D. Bahaa Al Deen ◽  
Abeer Abdulkareem Fadhel

Background: Satisfied caregivers are more likely to return for further care and to recommend the primary health care center services to others. Satisfied caregivers usually are compliant with the medical provider advice and the recommended treatment plan. Compliance will eventually lead to better health outcomes. Method: A cross-sectional study with an analytic element was conducted during the period from the beginning of July to the end of September 2020. A convenient sample was collected from six primary health care centers in Al-Karkh side of Baghdad city where caregivers who attend those centers with their children for under-five health care services were interviewed using a structured questionnaire.Objective: To measure the caregivers’ satisfaction toward under-five health care services at primary health care centers in Baghdad Al-Karkh and their association with certain socio-demographic characteristics. Results: A total of 500 caregivers were interviewed during the study period, the overall satisfaction was (64%). Caregivers were satisfied with primary health care centers cleanliness (77.8%), while they were highly dissatisfied with the communication with the nurses (78.8%), with the waiting time for a routine visit (74.6%), with nurses’ antiseptic methods (59.2%), and with the availability and adequacy of their children’s vaccines (65.4%). Conclusions: The level of satisfaction of caregivers with under-five health care services provided at primary health care centers was relatively low. The study revealed that the less educated and older caregivers showed a significant higher level of satisfaction.


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