scholarly journals Fatores que influenciam a não adesão ao programa de pré-natal

2017 ◽  
Vol 7 (21) ◽  
pp. 21
Author(s):  
Ivanilde Marques da Silva Rocha ◽  
Vanilda Silva de Souza Barbosa ◽  
Anderson Luiz da Silva Lima
Keyword(s):  
Pregnant Woman ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Care Program ◽  
Access To Health Services ◽  
Extrinsic Factors ◽  
Care Access ◽  
Access To Health ◽  
Practical Research ◽  
Power Of Choice

Este trabalho constitui uma análise dos fatores que influenciam a não adesão de gestantes ao programa de assistência pré-natal. Para tanto, foi realizada uma revisão com abordagem exploratória e descritiva através da base de dados LILACS. Foram selecionadas 22 referências para a discussão em pauta. Os motivos de influência para a não adesão ao pré-natal foram classificados em duas variáveis: fatores inerentes a gestante e fatores extrínsecos, alheios ao poder de escolha da gestante. Fatores como: desigualdades regionais, sociais e econômicas, dificuldade no acesso aos locais de consultas, idade inferior a 20 anos, pouco estudo, ser solteira, multípara, não aceitar a gestação, possuir tradições familiares de descrença ao pré-natal, bem como falta de acolhimento e apoio também são influências negativas para a adesão ao pré-natal. Estratégias para melhor adesão ainda precisam ser desenvolvidas. Sugere-se a realização de pesquisas práticas que colaborem a essa análise temática.Descritores: Cuidado Pré-natal, Acesso aos Serviços de Saúde, Gestantes. Factors that influence non-adherence to the prenatal programAbstract: This paper is an analysis of the factors that influence the non-adherence of pregnant women to the prenatal care program. For that, a review with an exploratory and descriptive approach was performed through the LILACS database. Twenty-two references were selected for the discussion in question. The reasons for non-adherence to prenatal care were classified into two variables: factors inherent to the pregnant woman and extrinsic factors, unrelated to the power of choice of the pregnant woman. Factors such as: regional, social and economic inequalities, difficulty in accessing places of consultation, age under 20 years, little study, being single, multiparous, not accepting gestation, having family traditions of prenatal disbelief, as well as lack and support are also negative influences for prenatal adherence. Strategies for better adherence still need to be developed. It is suggested to carry out practical research that corroborates this thematic analysis.Descriptors: Prenatal Care, Access to Health Services, Pregnant Women. Los factores que influyen en la no adhesión al programa prenatalResumen: Este trabajo constituye un análisis de los factores que influencian la no adhesión de gestantes al programa de asistencia prenatal. Para ello, se realizó una revisión con enfoque exploratorio y descriptivo a través de la base de datos LILACS. Se seleccionaron 22 referencias para la discusión en pauta. Los motivos de influencia para la no adhesión al prenatal fueron clasificados en dos variables: factores inherentes a la gestante y factores extrínsecos, ajenos al poder de elección de la gestante. Factores como: desigualdades regionales, sociales y económicas, dificultad en el acceso a los lugares de consulta, edad inferior a 20 años, poco estudio, ser soltera, multípara, no aceptar la gestación, poseer tradiciones familiares de incredulidad al prenatal, así como falta de acogida y apoyo también son influencias negativas para la adhesión al prenatal. Las estrategias para una mejor adhesión todavía deben desarrollarse. Se sugiere la realización de investigaciones prácticas que corroboren a ese análisis temático.Descriptores: La Atención Prenatal, Accedo a los Servicios de la Salud, Embarazada.

scholarly journals Evaluation of Nepal’s Free Health Care Scheme from Health System Perspective: A Qualitative Analysis

2019 ◽  
Vol 16 (41) ◽  
pp. 372-377
Author(s):  
Shiva Raj Adhikari ◽  
Diksha Sapkota ◽  
Arjun Thapa ◽  
Achyut Raj Pandey
Keyword(s):  
Health Care ◽  
Health Services ◽  
Service Providers ◽  
Care Program ◽  
Natural Setting ◽  
Access To Health Services ◽  
System Perspective ◽  
Geographical Access ◽  
Access To Health ◽  
Free Health Care

Background: Access to high quality medicines is often considered as one of the main obstacle in achieving health for all. With the objective of increasing access to health services of poor segment of population, government of Nepal has implemented free health care program. However, there is strong need for evaluating the performance and coverage of free health Care scheme. In this context, this study aims to provide better understanding on the implementation status of free health care scheme in context of Nepal.Methods: It is a qualitative study conducted in 7 districts of Nepal. Total of 14 focused group discussion were conducted among service providers and service users. All the discussions were carried in neutral and natural setting making sure that each of participants feels free to express their opinion. Focused group discussions were transcribed, translated into English, coded and analyzed manually.Results: Participants shared that free health care has contributed positively in making essential health services reachable, affordable and accessible to all specially benefiting poor segment of population. However, multitude of factors like geographical access, perception of community people towards health services, availability of medicines, laboratory services and human resources come into play determining the utilization of health services. Service providers recommended that there need to be improvements in procurement and supply system for uninterrupted supply of services.Conclusions: Despite having some problems in availability of medicines, human resource and diagnostic services, free health care has improved access to health services specially for poor population. Decentralizing the procurement process can be one promising option to overcome the inappropriate supply of medicines.Keywords: Access to medicine; financial risk; free health care; Nepal; poor.

scholarly journals Barriers to accessing health care services: A qualitative study of migrant construction workers in a Southwestern Indian city

2020 ◽  
Author(s):  
Maija Santalahti ◽  
Kumar Sumit ◽  
Mikko Perkiö
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Access ◽  
Access To Health Care ◽  
Health Care Services ◽  
Construction Workers ◽  
Access To Health Services ◽  
Care Access ◽  
Care Services ◽  
Access To Health

Abstract Background: This study examined access to health care in an occupational context in an urban city of India. Many people migrate from rural areas to cities, often across Indian states, for employment prospects. The purpose of the study is to explore the barriers to accessing health care among a vulnerable group – internal migrants working in the construction sector in Manipal, Karnataka. Understanding the lay workers’ accounts of access to health services can help to comprehend the diversity of factors that hinder access to health care. Methods: Individual semi-structured interviews involving 15 migrant construction workers were conducted. The study applied theory-guided content analysis to investigate access to health services among the construction workers. The adductive analysis combined deductive and inductive approaches with the aim of verifying the existing barrier theory in a vulnerable context and further developing the health care access barrier theory. Results: This study’s result is a revised version of the health care access barriers model, including the dimension of trust. Three known health care access barriers – financial, cognitive and structural, as well as the new barrier (distrust in public health care services), were identified among migrant construction workers in a city context in Karnataka, India. Conclusions: Further qualitative research on vulnerable groups would produce a more comprehensive account of access to health care. The socioeconomic status behind access to health care, as well as distrust in public health services, forms focal challenges for any policymaker hoping to improve health services to match people’s needs.

scholarly journals Recommendations of physical activity and rest in a Colombian prenatal control program

2019 ◽  
Vol 53 ◽  
pp. 41
Author(s):  
Myriam Ruiz-Rodríguez ◽  
Yuri Sánchez-Martínez ◽  
Paula Camila Ramírez-Muñoz ◽  
Diana Marina Camargo-Lemos
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Care Program ◽  
Health Centers ◽  
Sampling Frame ◽  
Factors Associated ◽  
Physical Activity Recommendations ◽  
Activity Recommendations

OBJECTIVE: To determine the frequency of the registry of physical activity and rest recommendations made to pregnant women and to explore their associated factors in a prenatal care program of primary care public institutions in Bucaramanga, Colombia. METHODS: An observational study was conducted. The sampling frame consisted of the medical records of the pregnant women who attended at least one prenatal care program between January 1 and December 31, 2012 (n = 2.932), in 21 primary care health centers. We analyzed sociodemographic variables, prenatal and clinical antecedents, and information related to health personnel and the organization of health centers as possible factors associated with the recommendations of physical activity and rest recorded in the clinical history. Logistic regression models were applied to explore associations with α = 0.10. RESULTS: There was a frequency of 26.1% of PA recommendations and 3.6% of rest recommendation on record, issued by nutrition (97.3%) and medical (86.7%) professionals, respectively. The factors associated with the registration of physical activity recommendations were: being nulliparous pregnant (OR = 1.7), attending more than four Prenatal Care Attention Programs (OR = 2.2), having high or medium obstetric risk in the first prenatal care program (OR = 0.6), and being attended in the western (OR = 0.5) and eastern (OR = 0.2) administrative areas health centers. CONCLUSIONS: The low frequency of physical activity recommendations found in the records makes it necessary to reinforce the management strategies of health centers and strengthen the monitoring and accompaniment to comply with the care protocols. In addition, it is necessary to train health teams on the benefits of physical activity and their proper prescription, considering the multiple benefits derived from their practice on the maternal-fetal health.

scholarly journals Child Health in the Peruvian Amazon: Prevalence and Factors Associated with Referred Morbidity and Health Care Access in the City of Iñapari

2015 ◽  
Vol 2015 ◽  
pp. 1-11
Author(s):  
Maria Gabriela Silva Guimarães ◽  
Athos Muniz Braña ◽  
Humberto Oliart-Guzmán ◽  
Fernando Luiz Cunha Castelo Branco ◽  
Breno Matos Delfino ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Access ◽  
Respiratory Symptoms ◽  
Respiratory Infections ◽  
Access To Health Services ◽  
Care Access ◽  
Poor Access ◽  
Access To Health ◽  
The City

Introduction. Children under 5 years of age are more susceptible to developing morbidities such as diarrhea, respiratory infections, anemia, and malnutrition. The objective of the study is to evaluate the prevalence of reported morbidities in this age group in the city of Iñapari (Peru) and the access to health services in this municipality.Methods. Data collection using interviews that assessed socioeconomic and demographic conditions, child morbidity, and access to health services was performed in 2011. Statistical analysis was performed using SPSS 13.0.Results. Regarding morbidities that occurred during lifetime, 39.8% reported previous anemia and intestinal parasite infection. About 53.7% of the children reported any type of morbidities in the last 15 days before interview, being most frequent respiratory symptoms (38.9%), diarrhea (23,4%), and fever (23,1%). Only 63.1% of those reporting recent morbidities sought health care. These morbidities were associated with precarious sanitation and lack of infrastructure, the presence of other comorbidities, and poor access to health services.Conclusion. The main referred morbidities in Amazonian Peruvian children were diarrhea, respiratory symptoms, anemia, and vomiting. Incentives and improvements in the health and sanitation conditions would be important measures to improve the quality of life of the Amazonian child population.

scholarly journals IDENTIFYING THE PERINATAL EDUCATION OFFERED TO PREGNANT WOMEN BY THE NURSING TEAM

2021 ◽  
Keyword(s):  
Pregnant Woman ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Learning Experience ◽  
Well Being ◽  
Specific Approach ◽  
Knowing That ◽  
The Family ◽  
Nursing Team ◽  
Health And Well Being

Perinatal education aims to prepare women through scientific based evidence information about their options, providing knowledge that allows them to make conscious choices that favor the improvement in health and well-being of the mother and baby. Knowing that in the female universe, one of the most important phases in the life of some women is motherhood. This study aims to identify perinatal education actions performed by pregnant women by the nursing team during prenatal care, avoiding possible complications. This is an integrative literature review, using documents already prepared by other authors, including scientific articles and documents published on an electronic basis, addressing the theme of perinatal education offered to pregnant women by the nursing team. The results presented without a doubt demonstrate that pregnancy is always marked by different, objective and subjective aspects, for each woman. For many, being a mother can change their plans and transform their lives. Thus, for the pregnancy to proceed safely, prenatal care is necessary and essential. It concluded, therefore, that the nurse is a professional qualified to monitor pregnancies. In this context, prenatal care is a process of monitoring the pregnant woman, serving as a learning experience for the woman and the family. In addition, during this period, abnormalities can be detected with the mother and the child. During nursing consultations, guidelines for favorable measures should be provided for a specific approach to the specific needs of pregnant women with whom nurses interact in health units during prenatal consultations.

scholarly journals Exploring predictive frameworks for malaria in Burundi

2021 ◽  
Author(s):  
Lionel Divin Mfisimana ◽  
Emile Nibayisabe ◽  
Kingsley Badu ◽  
David Niyukuri
Keyword(s):  
Neural Network ◽  
Pregnant Women ◽  
Generalized Linear Model ◽  
Intervention Programs ◽  
Health Concern ◽  
Access To Health Services ◽  
Access To Health ◽  
Women And Children ◽  
Source Of Information ◽  
Children Under 5

Abstract Malaria is a major public health concern in Burundi. The infection has been increasing in the last decade despite efforts to increase access to health services, and the deployment of several intervention programs. The use of different data sources can help to build predictive models of malaria cases in different sub-populations. We built predictive frameworks using generalized linear model (GLM), and artificial neural network to predict malaria cases in four sub-populations (pregnant women and children under 5 years, pregnant women, children between 0 and 11 months, children between 12 and 59 months), and the overall general population. The results showed that almost half malaria infections are observed in pregnant women and children under 5 years, but children between 12 and 59 months carry the highest burden. Neural network model performed better in predicting total cases compared to GLM. But the latter provided information on the e ect of predictors, which is an important source of information to mainstream target interventions. Early prediction of cases can provide timely information needed to be proactive for intervention strategies, and it can help to mitigate the epidemics and reduce its impact on populations and the economy.

scholarly journals Program for Prevention of a Considerable Number of Premature Births

2008 ◽  
Vol 2 (2) ◽  
pp. 48-56 ◽  
Author(s):  
Erich Saling ◽  
Monika Dräger
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Low Birthweight ◽  
Self Care ◽  
Preventive Measure ◽  
Care Program ◽  
The Self ◽  
Premature Births ◽  
Prematurity Rate ◽  
Very Low Birthweight Infants

Abstract Objective Prevention of prematurity by a prematurity-preventionprogram, including “Self-Care”-measures for the pregnant women. Introduction Prevention of early prematurity (< 32 gest.w.) and of very low birthweight infants (< 1500 g) is one of the most urgent tasks of perinatal medicine. Particularly ascending genital infection is the most important avoidable cause of early prematurity. For the prevention of these infections the “protective lactobacillus system” plays a crucial role. Bacterial vaginosis and/or ascending genital infection start mostly with a disturbance of this vaginal milieu–which we consider as a “precursor”. Our program is based on an anamnestic assessment of prematurity risk, the early detection of warning signs (including screening for preinfection respectively infection signs by regular measurement of the vaginal pH) and, if necessary, the appropriate therapeutic measures. The program includes “Self-Care”-measures by the women themselves (preferably for all pregnant women) and additional special measures for women at risk, for example, the ETCO for women with recurrent premature births. Design and method The Self-Care—measures for pregnant women are an additional measure to regular prenatal care. In our own study, we had 1120 multiparae and we compared the outcome of the pregnancy with self-care activities with the outcome of the immediate previous pregnancy. Our program was then used in the entire state of Thuringia (Germany). In the second half of the year 2000, the Self- Care Program was employed and the statistically evaluated results for the entire state were compared with those from the first half of 2000 without the program (in each half-year there have been more than 8.000 births). After that, several German health insurance companies used our prenatal-care self-examination program in a pilot project to their pregnant members. The early total cervix occlusion (ETCO) is a preventive measure particularly for cases with two or more late abortions (> 12 + 0 gw) or early premature births (< 32 + 0 gw) in the patient's history with either infection as cause for these events or when no other cause has been found, but when for instance premature rupture of membranes occurred. The Total Cervix Occlusion creates a complete barrier against ascending infections within the cervical canal (as opposed to the cerclage). Results With regards to the Self-Care—measures: In all studies the rate of premature births could be considerably reduced. Most interesting are the results of the prematures at particularly high risk. In our collective, the rate of very low birthweight infants (< 1500 g) could be reduced from 7.8% in the immediate previous pregnancy to 1.3%. In Thuringia, the rate of infants born < 32 + 0 gw was reduced from 1.36 to 0.94% respectively in infants < 1000 g from 0.61 to 0.38%. After the campaign in Thuringia had been finished, the prematurity rates monitored in 2002 were again as high as before. The first evaluation of a health insurance company in the German state North-Rhine-Westfalia (NRW) shows that the insured patients had a prematurity rate of 7% compared with the overall prematurity rate in NRW of 9.6%. After an ETCO the rate of surviving infants was about 80% in our own population (as opposed to 17% in the pregnancies before the ETCO in the same group). Similar good results have been obtained by other clinicians. With ETCO in multiple pregnancies Schulze (2008) was able to achieve a prematurity rate of only 17% as against a rate of 29% in cases without ETCO. Conclusion The Self-Care Program for pregnant women proved to be a very efficient method for the prevention of prematurity and should be recommended to every pregnant woman. In cases where this is not possible, at least doctors and midwives should measure the vaginalpH at each prenatal care examination. The Early Total Cervix Occlusion is an effective preventive measure for women with recurrent late abortions or prematures births and it seems to be also a good measure to prevent premature births in multiple pregnancies. More research in this area is necessary.

scholarly journals Prevalence of rectovaginal colonization by group B Streptococcus in pregnant women seen at prenatal care program of a health organization

2019 ◽  
Vol 18 ◽  
Author(s):  
Nilson Abrão Szylit ◽  
Fernanda Lima Malburg ◽  
Carla de Azevedo Piccinato ◽  
Lais Assenheimer de Paula Ferreira ◽  
Sérgio Podgaec ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Group B Streptococcus ◽  
Care Program ◽  
Group B ◽  
Health Organization

scholarly journals Prevalence of rectovaginal colonization by group B Streptococcus in pregnant women seen at prenatal care program of a health organization

2019 ◽  
Vol 18 ◽  
Author(s):  
Nilson Abrão Szylit ◽  
Fernanda Lima Malburg ◽  
Carla de Azevedo Piccinato ◽  
Lais Assenheimer de Paula Ferreira ◽  
Sérgio Podgaec ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Group B Streptococcus ◽  
Care Program ◽  
Group B ◽  
Health Organization

scholarly journals A Multi-causal Model for Chronic Malnutrition and Anemia in a Population of Rural Coastal Children in Ecuador

2019 ◽  
Vol 24 (4) ◽  
pp. 472-482
Author(s):  
María F. Rivadeneira ◽  
Ana L. Moncayo ◽  
Betzabé Tello ◽  
Ana L. Torres ◽  
Gladys J. Buitrón ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Family Income ◽  
Causal Model ◽  
Prevalence Ratio ◽  
Access To Health Services ◽  
Chronic Malnutrition ◽  
Access To Health ◽  
Care Practices ◽  
Independent Association ◽  
Children Under 5

Abstract Objectives Chronic malnutrition and anemia are prevalent in developing countries. This research aimed to determine the prevalence of chronic malnutrition and anemia and their associated factors in children under five using a multi-causal model in a rural community in the coast of Ecuador. Methods The study included 314 children under 5 years old who were residents of San Isidro, Ecuador. Indicators of chronic malnutrition and anemia were identified. Mothers/caregivers were surveyed on socio-economic and environmental conditions, feeding and care practices, access to health services and biological characteristics. Bivariate and multivariable Poisson regression were performed. Results The prevalence was 12.42% (n = 39) for chronic malnutrition and 16.98% (n = 54) for anemia. There was a significant and independent association between chronic malnutrition and family income less than $80 USD per month (Prevalence Ratio [PR] = 2.74, 95% CI 1.04, 7.20), maternal height less than 150 cm (PR 3.00, 95% CI 1.69, 5.32) and residence in a household with more than 4 children (PR 3.05, 95% CI 1.48, 6.29). Anemia was 2.57 times higher (95% CI 1.17, 5.65) in children with more than two episodes of diarrhea in the last 6 months. Prenatal care (5 to 8 visits) provided a protective effect for anemia (PR 0.48, 95% CI 0.27, 0.89). Conclusions for Practice Findings support the need for comprehensive interventions targeted toward chronic malnutrition and anemia in children from rural coastal communities. Improvement of socioeconomic conditions, family planning, prenatal care and reduction of diarrheal diseases should be prioritized.

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