scholarly journals Cross sectional study of knowledge and awareness among MCH beneficiaries about antenatal and infant care in rural Tamil Nadu, India

2015 ◽  
Vol 7 (1) ◽  
pp. 59-65 ◽  
Author(s):  
Elayarani Elavarasan ◽  
Manasi S. Padhyegurjar ◽  
Shekhar B. Padhyegurjar
Keyword(s):  
Health Services ◽  
Antenatal Care ◽  
Rural Health ◽  
Health Centre ◽  
Infant Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Rural Health Centre ◽  
New Born

Aims and Objective: Mother and child together form the majority of the population in developing countries. Though they have maximum number of health services attributed to them, morbidity and mortality rates for antenatal women and children are very high. Lack of comprehensionof preventive services is one of the important reasons for this. This study was planned with the aim of assessing the knowledge and awareness levels among pregnant women about antenatal care and regarding various aspects of new born and infant care among mothers of under three.Materials and Methods:This is a community based cross- sectional study involving beneficiaries attending the Rural Health Centre of a teaching Medical College, in Tamil Nadu.Results: Awareness about routine antenatal care, danger signs of pregnancy and preparation for emergency labour were observed to be poor among antenatal women. Knowledge about new born care, infant feeding practices, immunization, newborn and childhood illnesses were all found inadequate among mothers of under three. All the aspects were better in antenatal women who were educated, could read Tamil, and belonged to joint family. But these factors had no effect of mothers of under three. Health workers and family members were the major source of information for both the groups.Conclusion: Knowledge is observed to be poor, inspite of all the participants being beneficiaries of Rural Health Centre and the majority of them being educated up to secondary standard. Efficient use of existing health services, giving health education sessions with precise messages will help to increase awareness.Asian Journal of Medical Sciences Vol.7(1) 2015 59-65

scholarly journals Association between male involvement during antenatal care and use of maternal health services in Mwanza City, Northwestern Tanzania: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036211
Author(s):  
Clara C Natai ◽  
Neema Gervas ◽  
Frybert M Sikira ◽  
Beatrice J Leyaro ◽  
Juma Mfanga ◽  
...  
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Male Involvement ◽  
Maternal Health Services ◽  
Cross Sectional Study ◽  
Growth Monitoring ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mwanza City

BackgroundMale involvement in antenatal care (ANC) is among interventions to improve maternal health. Globally male involvement in ANC is low and varies in low-income and middle-income countries including Tanzania where most maternal deaths occur. In Sub-Sahara, men are chief decision makers and highly influence maternal health. In Tanzania information is limited regarding influence of male involvement during ANC on utilisation of maternal health services.ObjectivesTo determine the effect of male involvement during ANC on use of maternal health services in Mwanza, Tanzania.DesignA cross-sectional study conducted from June to July 2019.SettingThis study was conducted at seven randomly selected health facilities providing reproductive, maternal and child health (RCH) services in Mwanza City.ParticipantsIncluded 430 postpartum women who delivered 1 year prior to the study and attending for RCH services (growth monitoring, vaccination, postpartum care).Outcome measures4 or more ANC visits, skilled birth attendant (SBA) use during childbirth and postnatal care (PNC) utilisation 48 hours after delivery.MethodsInterviews and observation of the women’s ANC card were used to collect data. Data was entered, cleaned and analysed by SPSS.ResultsThe mean age of participants was 25.7 years. Of 430 women, 54.4% reported their partners attended ANC at least once, 69.7% reported they attended for four or more ANC visits during last pregnancy, 95% used SBAs during childbirth and 9.2% attended PNC within 48 hours after delivery. Male involvement during ANC was significantly associated with four or more ANC visits (Crude Odds Ratio (COR): 1.90; 95% CI: 1.08–3.35) but not with SBA use or PNC utilisation.ConclusionMale involvement in ANC is still low in Mwanza, as 46% of the partners had not attended with partners at ANC. Alternative strategies are needed to improve participation. Studies among men are required to explore the barriers of participation in overall RCH services.

scholarly journals Distance as a barrier to obstetric care among indigenous women in Panama: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e034763
Author(s):  
Paloma Acevedo ◽  
Sebastian Martinez ◽  
Leonardo Pinzon ◽  
Emmanuelle Sanchez-Monin ◽  
Solis Winters
Keyword(s):  
Prenatal Care ◽  
Health Services ◽  
Health Centre ◽  
Obstetric Care ◽  
Cross Sectional Study ◽  
Indigenous Women ◽  
Sectional Study ◽  
Cross Sectional ◽  
Percentage Points ◽  
Care Utilisation

ObjectivesWe assess the relationship between distance to a woman’s assigned health clinic and obstetric care utilisation.DesignWe employ a cross-sectional study design using baseline data from the evaluation of a conditional cash transfer programme to promote greater utilisation of maternal and infant health services. Data were collected between December 2016 and January 2017.SettingThe study is conducted in Ngäbe Buglé, the largest of Panama’s three indigenous territories, where maternal mortality is three times the national average.ParticipantsWe analyse a representative sample of 1336 indigenous women with a birth in the 12 months prior to the survey.Primary and secondary outcome measuresPrimary outcomes include obstetric care utilisation measures for prenatal, childbirth and postpartum events. Secondary outcomes include reasons for not receiving prenatal care, alarming symptoms, child weight at birth and stillbirths or miscarriages.ResultsCompared with women in closest geographic proximity to a health centre (top quintile, Q1), women who lived farthest from a health centre (bottom quintile, Q5) had significantly lower obstetric care utilisation outcomes for critical prenatal, childbirth and postpartum events. Mothers in Q5 were 36 percentage points less likely to have had at least one prenatal care appointment in a hospital, health centre or clinic compared with mothers in Q1 (p<0.01), and 52 percentage points less likely to attend an institutional first appointment (p<0.01). The gap in institutional delivery and postnatal care between mothers in Q1 and Q5 was about 35 percentage points (p<0.01). All utilisation outcomes were negatively correlated with distance, and differences in obstetric care utilisation persisted even when controlling for household wealth, maternal age and maternal education.ConclusionDistance is an important barrier to obstetric care utilisation, with women in more distant locations suffering significantly lower use of prenatal, childbirth and postpartum care compared with women in closer vicinity to a health establishment. Expanding the supply of healthcare and implementing demand side incentives to promote the use of health services in remote communities are relevant policies to reduce disparities in obstetric care utilisation.Trial registration numberAEA Registry (RCT ID AEARCTR-0001751).

scholarly journals Knowledge, Attitude, and Associated Factors towards Colostrum Feeding among Antenatal Care Attendant Mothers in Gununo Health Centre, Wolaita Zone, Ethiopia 2019: Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Addisu Yeshambel Wassie ◽  
Natnael Atnafu Gebeyehu ◽  
Kelemu Abebe Gelaw
Keyword(s):  
Multivariate Analysis ◽  
Antenatal Care ◽  
Health Center ◽  
Associated Factors ◽  
Health Centre ◽  
Negative Attitude ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Colostrum Feeding

Background. The role of colostrum in promoting the growth and development of the newborn as well as fighting infections is widely acknowledged. In Ethiopia, there are differences in cultures in the acceptability of colostrum and the prevalence of colostrum feeding. Although breastfeeding is a common practice in Ethiopia, there is a difference in the awareness and attitude of pregnant mothers regarding colostrum feeding. Objectives. To assess knowledge, attitude, and associated factors towards colostrum feeding among antenatal care attendant mothers in Gununo Health Center, South Ethiopia, 2019. Methods. Facility-based cross-sectional study design was conducted among 342 ANC (antenatal care) attendant mothers in Gununo Health Center from April to May 2019. Data was collected by using structured interviewer questionnaires and the subjects were selected through systematic random sampling. Data template was prepared by Epi data-manger version 4.2 and SPSS version 23 was used for analysis. Bivariate and multivariate analysis with 95% CI was employed. Variables found to have a p-value < 0.2 in the binary logistic regression were entered into multivariate analysis and strength of association was declared at p-value < 0.05. Results. Among the study participants 226 (66.1%) were knowledgeable and 39 (11.4%) were not knowledgeable on colostrum feeding. From the respondents, 239 (69.9%) had a positive attitude and the rest 103 (30.1%) mothers had a negative attitude towards colostrum feeding. Respondents who had more than four children (AOR = 1.21, 95% CI [1.31, 2.47], ANC visit (four times and above) (AOR=2.8, 95% CI [2.23, 4.49]), and counseled about colostrum feeding (AOR = 2.29, 95% CI [2.34, 3.74]), were some variables that significantly associated with knowledge of colostrum feeding. Those who had been counseled about breastfeeding (AOR = 1.16, 95% CI [1.59–3.96]), ANC visit (AOR = 11.32, 95% CI [1.14, 112.64]), and multiparas (AOR = 5.68, 95% CI [1.57, 20.53]) were some variables that significantly associated with attitude. Conclusion and Recommendation. Even though the mothers’ knowledge and attitude seem higher than from previously conducted articles in Ethiopia, still gaps were seen clearly on colostrum feeding in the area. It is recommended to set strategies to promote colostrum feeding.

scholarly journals UNDERSTANDING REGARDING ANTIBIOTIC RESISTANCE AMONG HEALTH CARE PROFESSIONALS IN GOVERNMENT SECTOR OF TEHSIL GUJAR KHAN

2020 ◽  
Vol 9 (3) ◽  
pp. 144-148
Author(s):  
Saadia Basharat ◽  
Ramesh Kumar ◽  
Mudassar Mushtaq ◽  
Muhammad Mohsin
Keyword(s):  
Health Care ◽  
Antibiotic Resistance ◽  
Rural Health ◽  
Health Care Professionals ◽  
Health Centre ◽  
Cross Sectional Study ◽  
Antibiotics Resistance ◽  
Cross Sectional ◽  
Effective Prevention ◽  
Rural Health Centre

Background: Antibiotic resistance is found to be a continuous threat to effective prevention and treatment of infections and it is a common problem the world facing these days. The severity of problem has increased especially in developing countries with lack of understanding. The objective of the study was to assess the Knowledge, Attitude and Practices of antibiotic resistance among different types of health care professionals working in governmental sector of Punjab, Pakistan. Methods: A Cross sectional study was conducted by distributing questionnaire with 136 healthcare professionals working in Tehsil Head Quarter Hospital Gujar Khan, Rural Health Centre Qazian, Rural Health Centre Mandra and Rural Health Centre Daultala. Ethical approval was granted by the Institutional Review Board of Health Services Academy Islamabad. Questions were of true or false type in knowledge section. A Likert scale was used to assess of participants regarding use of antibiotics and its resistance developed among the patients. The responses of this scale ranged "from strongly agreed to strongly disagree, from always to never" and Practices were measured by different factors and drivers. Results: The total number of participants was 136, out of which there were (35%) males and 88 (65%) females. 80 respondents were from THQ Hospital Gujar khan and 56 participants were from three RHCs. It was found in the study that majority 79% (n=107) respondents were demanding by themselves to prescribe them antibiotics. It was found that more than half or 60% (n=81) people strongly agreed that antibiotic resistance is one of the biggest issue worldwide that needs to be addressed. The overall knowledge was found to be good but there were attitude and practice problems. Conclusion: The findings of this study indicate a diverse level of understanding of antibiotics resistance among different health care professionals. Therefore, serious concerns and efforts are still needed to develop, education and trainings to implement strategies to minimize the future risks of antibiotic resistance.

scholarly journals A cross sectional study to assess knowledge attitude and practices of type 2 diabetes mellitus in urban and rural population of Maharashtra

2019 ◽  
Vol 6 (12) ◽  
pp. 5262
Author(s):  
Swati T. Dahake ◽  
Uzma A. Shaikh
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Rural Health ◽  
Rural Population ◽  
Health Centre ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Complications Of Diabetes

Background: Prevalence of type 2 diabetes is increasing globally, more so in developing countries like India due to rapid urbanization. As India ranks first in diabetes prevalence and will continue to do so in 2025, we must prevent the disease by various measures. Therefore, prevention is important aspects. The aim of the study was to assess the knowledge, attitude and practices of patients having type 2 diabetes mellitus.Methods: A cross sectional study was done in the urban and rural health centre among 100 diabetes patients in each. Data were collected regarding their knowledge, attitude and practices about diabetes and associated risk factors. Data was analyzed by SPSS 20 version.Results: Mean age of the study respondents were 50.45 and 52.50 years in urban and rural health centers respectively. We found that most patients are having good knowledge about diabetes mellitus in urban health centre while rural population had low knowledge. Both groups had most subjects with low level of education and low income groups. Very low percent of people know about the complications of diabetes mellitus in both the groups.Conclusions: This study showed that there was good knowledge, attitude and practice in urban and very poor knowledge, attitude and practices in rural about the diabetes which needs to be increased. Life style modification is needed for reducing the complications of diabetes mellitus. 

scholarly journals Determinants of childhood vaccination in Nagaland, India: a cross-sectional study with multilevel modelling

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e045070
Author(s):  
Young Eun Kim
Keyword(s):  
Antenatal Care ◽  
Vaccination Coverage ◽  
Health Centre ◽  
Cross Sectional Study ◽  
Small Sample ◽  
Childhood Vaccination ◽  
Local Health ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health Centres

ObjectivesChildhood vaccination coverage in Nagaland has lagged almost all states in India for more than two decades. This study aims to find drivers and barriers of childhood vaccination in Nagaland from the perspective of demand, supply and local health governance.DesignA cross-sectional study was designed using a survey conducted by the Directorate of Health and Family in 2015.SettingHouseholds, community-based health centres and health committees were surveyed.Participants285 children aged under 2 years with vaccination cards and data on households, health centres and health committees were included.OutcomesVariables indicating whether a child received each of bacillus calmette–guérin (BCG), diphtheria-tetanus-pertussis (DTP3), oral polio (OPV3) and measles vaccination and all of them were outcome variables. Associated factors were identified using multilevel logistic regressions.ResultsAntenatal care at least three times was significantly associated with BCG, DTP3, OPV3 and full vaccination with adjusted ORs ranging from 2.4 (95% CI 1.1 to 5.1) to 3.3 (1.1 to 9.9). The availability of bus to health centre was slightly significant for BCG and OPV3 with the adjusted ORs of 2.0 (0.9 to 4.5) and 2.1 (0.9 to 4.8), respectively. Health committees’ budget provision to health centres was significant for OPV3 and full vaccination with the respective adjusted ORs of 15.7 (1.0 to 234.1) and 15.9 (1.2 to 214.7), the wide 95% CIs of which were driven by a small sample size. Health committees’ review of expenditure of health centres was significant for measles and full vaccination with the adjusted ORs of 4.0 (1.4 to 11.4) and 5.2 (1.4 to 19.4), respectively.ConclusionThis study suggests that enhancing the utilisation of antenatal care and providing reliable transportation between villages and health centres are required to improve childhood vaccination coverage. Also, the significant association of budget administration of health committees suggests that supporting local health committees for effective financial management is important.

scholarly journals EVALUATE OF THE PREVALENCE AND SEVERITY OF SYMPTOMS OF TEMPOROMANDIBULAR JOINT DYSFUNCTION (TMJD).

2020 ◽  
Vol 27 (06) ◽  
pp. 1157-1164
Author(s):  
Safia Khatoon ◽  
Sarang Suresh ◽  
Muhammad Ilyas ◽  
Priya Rani ◽  
Maimuna Khokhar ◽  
...  
Keyword(s):  
Rural Health ◽  
Health Centre ◽  
Cross Sectional Study ◽  
Subjective Response ◽  
Age Group ◽  
Dental Clinic ◽  
Stiff Neck ◽  
Cross Sectional ◽  
Rural Health Centre ◽  
Index Of Severity

Objectives: The objective of this study is to evaluate the prevalence and severity of TMJD and distribution of associated symptoms with respect to gender and age among the patients visiting Dental Clinic of a Rural Health Centre (RHC). Study Design: Descriptive cross-sectional study. Setting: Dental Clinic of Rural Health Centre (RHC) Nasirabad, District Kambar Shadadkot, Sindh, Pakistan. Period: December 2018 to May 2019. Material & Method: The study sample comprises of total 132 patients meeting the inclusion and exclusion criteria. Fonseca’s questionnaire and Fonseca’s Anamnestic Index are employed to assess the subjective response and severity of TMJD symptoms respectively vis-a-vis age and gender of patients. Data collected from patients is entered in SPSS ® version 16.0 for statistical analysis. Results: The results are arranged and statistically evaluated. Overall 43% answered positive to questions with respect to symptoms. Majority of patients reported positive for neck pain or stiff neck (15%) and muscular fatigue while chewing (15%). 50 % of patients suffering from TMJD symptoms belong to Age Group 1 (15 – 35 years). 94.3 % female patients suffer from some degree of TMJD. Based on Fonseca’s Anamnestic Index of severity, 65.9% of patients have Mild TMJD symptoms, 18.9% with Moderate severity and 1.5% with severe symptoms of TMJD. Conclusion: This study concludes that TMJD are more common in females with age group of 15 – 35 years of age. The most prevalent symptom is muscular pain / tiredness of jaws during chewing and stiffness of neck. In this study sample, majority of patients suffer from Mild TMJD symptoms.

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