scholarly journals Determinants of Utilization of Institutional Delivery Services in East Nepal: A Community-Based Cross- Sectional Study

Med Phoenix ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 6-15
Author(s):  
Bhaskar Ravi Kumar ◽  
Deo Krishna Kumar
Keyword(s):  
Institutional Delivery ◽  
Cross Sectional Study ◽  
Maternal Health Service ◽  
Good Knowledge ◽  
Utilization Rate ◽  
Group Discussions ◽  
Cross Sectional ◽  
Delivery Services ◽  
One Year ◽  
Wealth Rank

Background: In this study, we expected to evaluate the utilization rate of institutional delivery services in Eastern Nepal. We also analyzed the socio-economic factors associated with institutional delivery and assessed the reason for their utilization.Methods: A cross-sectional quantitative study was conducted in Sunsari district of Eastern Nepal. Three hundred and seventy two women, who delivered their baby within period of one year preceding this study, were interviewed through household visit. Focus group discussions (FGDs) were also done to gather qualitative data.Results: We interviewed 368 women. The prevalence of institutional delivery was 55.1%. Logistic regression analyses revealed that women having good knowledge about importance of SBA utilized institutional delivery services more than nine times than women having poor knowledge (AOR=9.02, 95% CI: 2.61-31.09). Similarly, women exposed to media (AOR=6.56, 95% CI: 2.10-21.21), women from advantaged ethnicity (AOR=5.85, 95% CI: 1.78-19.74), women having higher level of autonomy (AOR= 5.93, 95%CI: 1.18- 29.53) and richer women (AOR=3.30, 95% CI: 1.24-8.72) were more likely to have institutional delivery than women unexposed to media, women from relatively disadvantaged ethnicity, women having low level of autonomy and poorer women respectively.Conclusions: Good knowledge on importance of SBA, completion of 4 ANC service, media exposure with maternal health service related massages, relatively advantaged ethnicity, higher rank of women’s autonomy and higher wealth rank were found significantly associated with institutional delivery service utilization. Provisions of community ambulance system can also be helpful to address the transportation problem. Encouraging women to complete their schooling and teaching/encouraging women to have antenatal care frequently are also important to increase institutional delivery services. Med Phoenix. Vol. 3, Issue. 1, 2018, Page: 6-15 

scholarly journals Prevalence and predictors of institutional delivery in Lumjung, Tanahun and Gorkha district of Nepal: a community-based cross-sectional study

2021 ◽  
Vol 8 (10) ◽  
pp. 4700
Author(s):  
Gayatri Khanal ◽  
Niki Shrestha ◽  
Govinda Dhungana ◽  
Suneel Priyani
Keyword(s):  
Maternal Mortality ◽  
Institutional Delivery ◽  
Multiple Logistic Regression Analysis ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Utilization Rate ◽  
Sectional Study ◽  
Cross Sectional ◽  
Live Births ◽  
Age At Marriage

Background: The Maternal mortality rate (MMR) in Nepal had dropped from 444 per 1, 00,000 live births in 2005 to 239 per 1, 00,000 live births in 2016. However, the MMR of Nepal is still highest in the South Asian countries except Afghanistan. Although maternal mortality has declined noticeably in Nepal, there still persists a low proportion of institutional deliveries. The aim of the study was to assess the factors influencing the utilization rate of institutional delivery.Methods: A cross-sectional study was conducted in selected village development committee of Lamjung, Tanahun and Gorkha district using semi-structured interview schedule. A random sample of 1410 married women who gave birth in the last two years were included in the study. Multiple logistic regression analysis was carried out to identify the factors associated with institutional delivery.  Results: The prevalence of institutional delivery in three districts was 73.1%, highest in Lamjung (78.8%) and lowest in Gorkha (67.8%).  Employed women (aoR=1.7, CI=1.05-2.80), seeking antenatal check-up (aoR=5.8, CI=3.00-11.16), secondary (SLC) or above education (aoR= 3.3, CI=1.93-5.54), more than 20 years of age at marriage (aoR=1.5, CI=1.02-2.04), Kshetri by cast (aoR=1.7, CI=1.11-2.64) were statistically significant and associated with an increased rate of institutional delivery.Conclusions: Occupation, education, antenatal check-up, age at marriage, and ethnicity/cast are major factors for determining institutional delivery. The concerned authorities have to consider the predictors of institutional delivery in formulating the policy and plan for implementing safe motherhood delivery.

scholarly journals A cross-sectional study on utilization of maternal health services and its determinants among rural population of district Sitapur, Uttar Pradesh

2021 ◽  
Vol 8 (8) ◽  
pp. 3999
Author(s):  
Arslan Neyaz ◽  
Jaideep K. Chaubey ◽  
Malik S. Ahmed ◽  
Virendra Kumar ◽  
Kripashankar Nayak
Keyword(s):  
Maternal Health ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Institutional Delivery ◽  
Maternal Health Services ◽  
Cross Sectional Study ◽  
Maternal Health Service ◽  
Sectional Study ◽  
Cross Sectional

Background: In India, despite substantial improvements in maternal health over the last decade or so, still condition is even poor in rural areas. As per National health policy 2017, target is to reduce MMR to 100 by 2020 and sustaining antenatal coverage at 100%, institutional delivery 80% and skilled attendance of birth 100% by 2025.The study is conducted with the objective to assess the pattern of maternal health service utilization and to identify the factors affecting it.Methods: A community based cross-sectional study was conducted at field practice area of Rural Health Training Centre, Hind Institute Of Medical Sciences, Sitapur with a sample of 208 women selected using systematic random sampling. SPSS Statistics 20.0 was used for data entry and calculation of statistical tests.Results: ANC utilization was found to be 70.7% whereas minimum recommended ANC visits were 50%. Only 54.8% deliveries were found to be institutional whereas 59.1% women received at least one postnatal check-up in our study. Most common reason for not utilizing ANC, Institutional delivery and PNC services was found to be tradition, availability of trained person and no need respectively. A highly significant association was found between maternal health service utilization and woman’s education, partner’s education, partner’s occupation, birth order and standard of living index (p<0.05).Conclusions: This study established that educating the population, empowering women, promoting maternal health service utilization in multipara’s and improving the socio-economic status of the family would yield greater results in increasing the use of maternal health services. 

scholarly journals Access to institutional delivery services and its associated factors among mothers in Jimma Zone, Southwest Ethiopia: a cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Qaro Qanche Kayrite ◽  
Waju Beyene Salgedo ◽  
Tesfaye Dagne Weldemarium ◽  
Shimeles Ololo Sinkie ◽  
Dejene Melese Handalo ◽  
...  
Keyword(s):  
Institutional Delivery ◽  
Household Wealth ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Four Dimensions ◽  
Factors Associated ◽  
Geographic Accessibility ◽  
Perceived Availability ◽  
Delivery Services

Abstract Background Poor access to institutional delivery services has been known as a significant contributory factor to adverse maternal as well as newborn outcomes. Previous studies measured access in terms of utilization while it has different dimensions (geographic accessibility, availability, affordability, and acceptability) that requires to be measured separately. Therefore, this study was conducted to assess the four dimensions of access and factors associated with each of these dimensions. Methods Community-based cross-sectional study design was used, employing both quantitative and qualitative methods. A simple random sampling technique was used to select 605 mothers who had given birth in the last 6 months preceding the study. Multi-variable binary logistic regression was used to select factors associated with the four dimensions of access by using AOR with 95% CI. Ethical approval was secured from Jimma University Institutional Review Board. Results Five hundred and ninety-three mothers involved in this study, resulting in a response rate of 98%. Four hundred five (68%), 273(46%), 279(47%), and 273(46%) had geographic, perceived availability, affordability, and acceptability access to institutional delivery services, respectively. Antenatal care [AOR = 3.74(1.56, 8.98)], occupation of mother [AOR = 5.10(1.63, 15.88)], and residence [AOR = 1.93(1.13, 3.29)] were independently associated with geographic accessibility. Household graduation [AOR = 1.46(1.03, 2.06)], residence [AOR = 1.74(1.17, 2.59)], and ANC [AOR = 3.80(1.38, 10.50)] were independently associated with perceived availability. Moreover, wealth quintile [AOR = 11.60(6.02, 22.35)], ANC [AOR = 3.48(1.36, 9.61)], and occupation of husband [AOR = 3.63(1.51, 8.74)] were independently associated with affordability. Lastly, mother’s education [AOR = 2.69(1.42, 5.09)], residence [AOR = 2.60(1.66, 4.08)], and household graduation [AOR = 3.12(2.16, 4.50)] were independently associated with acceptability of institutional delivery services. Conclusions Moderate proportions of mothers have geographic accessibility to institutional delivery services, but access to the other three dimensions was low. ANC visits of 4 or above, occupation of husband, urban residence, graduation of mother’s household as a model family, higher wealth quintiles, and maternal educational level significantly affect access to institutional delivery services. Thus, it was recommended that concerned bodies should give due attention to ANC services, female education, training of model families, and enhancement of household wealth through job creation opportunities to increase access to institutional delivery services.

scholarly journals Mothers’ Misconceptions about Hepatitis B Disease and Hepatitis B Vaccine

2019 ◽  
pp. 1-10
Author(s):  
Huynh Giao ◽  
Pham Le An ◽  
Bui Quang Vinh ◽  
Tran Thien Thuan ◽  
Nguyen Quang Vinh ◽  
...  
Keyword(s):  
Hepatitis B ◽  
Educational Interventions ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Ho Chi Minh City ◽  
Hepatitis B Vaccination ◽  
Group Discussions ◽  
Cross Sectional ◽  
One Year ◽  
Expanded Program On Immunization

Introduction: Hepatitis B vaccination has resulted in dramatic reductions in the prevalence of Hepatitis B Virus (HBV) infection among children since its introduction into infant immunization schedules. However, 45% of Vietnamese mothers did not have their infants immunized at birth in 2013-2014. Aim: To assess mothers’ misconceptions about HBV and HBV vaccinations, as well as barriers to mothers getting their children vaccinated. Study Design: A qualitative cross-sectional study was conducted from April to October 2015 in Ho Chi Minh City, Vietnam among mothers of children under one year of age. This study consisted of one-on-one interviews and focus group discussions (FGDs) designed to collect information on the mothers’ perceptions about HBV and decisions to immunize their child. Methodology: Thirty-five mothers of children under one year of age who were completely or incompletely immunized at the Pediatric Number 2 Hospital in Ho Chi Minh City, Vietnam participated in the study. Eligible mothers were identified and recruited by nurses in the Hospital’s vaccination clinic for 10 in-depth interviews and 5 FGDs comprised of 5 mothers each. Results: With regards to HBV transmission, 25.7%, 22.9% and 34.3% of mothers believed that HBV could be transmitted genetically, through sharing food, or from an unclean environment, respectively. Over half of the mothers (51.4%) were unaware that HBV could be transmitted during childbirth and 34.3% of mothers believed that vaccines which were purchased were more effective than free vaccines from the Expanded Program on Immunization (EPI). Conclusion: Public educational interventions should be conducted to clear up the misconceptions identified in this study and to reassure parents that the free vaccines offered through the EPI are of the same quality as the vaccines that are purchased in the private clinics at public hospitals.

Computed Tomography Angiography (CTA) Evaluation of Spontaneous Subarachnoid Hemorrhage

2020 ◽  
Vol 6 (2) ◽  
pp. 78-81
Author(s):  
Md Tauhidul Islam Chowdhury ◽  
Mohammad Shah Jahirul Hoque Chowdhury ◽  
Mohammad Sadekur Rahman Sarkar ◽  
KM Ahasan Ahmed ◽  
Md Nazmul Kabir ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Subarachnoid Hemorrhage ◽  
Computed Tomography Angiography ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Multiple Aneurysm ◽  
Traumatic Subarachnoid Hemorrhage ◽  
One Year ◽  
Spontaneous Subarachnoid Hemorrhage

Background: In evaluation of non-traumatic subarachnoid hemorrhage CT angiography (CTA) has 97-98% sensitivity and near 100% specificity. Objective: This study was conducted to evaluate the CTA findings of CT positive non traumatic subarachnoid hemorrhage. Methodology: This is an observational cross sectional study performed in Neurology department of National Institute of Neurosciences and Hospital, Dhaka over one year period (January 2019 to December 2019). Total 87 CT positive subarachnoid hemorrhage cases were purposively included in this study. All CT positive patients underwent CTA of Cerebral vessels for further evaluation. The angiography were evaluated by competent neuro-radiologists blinded about the study. Result: Among 87 patients, 40.2% were male and 59.8% were female. The average age was 53.33±11.1 years. Among the studied patient the source of bleeding was found 78.16% aneurysmal and 21.84% non-aneurysmal. 85.30% patients had single aneurysm and 14.70% had multiple aneurysm. The highest number of patient had Acom aneurysm (41.17%) followed by MCA (22.05%), ICA (13.23%), ACA (7.35%) and vertebral artery (1.14%) in order of frequency. Among the multiple aneurysm group most of the patients had combination of Acom, MCA and ICA aneurysm. Conclusion: From this study, we can conclude that CTA can be used as the primary diagnostic tool in evaluation of spontaneous SAH. Journal of National Institute of Neurosciences Bangladesh, 2020;6(2): 78-81

Role of Fibrinolytic Therapy in Empyema Thoracis – A Hospital Based one year Cross Sectional Study

2012 ◽  
Vol 2 (2) ◽  
pp. 345-350
Author(s):  
Dr. Girish.L Dandagi ◽  
◽  
Venkat kalyana kumar. P ◽  
Dr. Dr.Isaac Mathew ◽  
Dr. Dr.G S Gaude Dr. Dr.G S Gaude
Keyword(s):  
Cross Sectional Study ◽  
Fibrinolytic Therapy ◽  
Empyema Thoracis ◽  
Sectional Study ◽  
Cross Sectional ◽  
One Year
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