scholarly journals Knowlegde, Atittude and behaviour of midwifes torwards Emergency Contraception

Author(s):  
Eka R Gunardi ◽  
Leonanta Mahardika Ginting

Abstract Objective: To investigatethe level of knowledge, attitude, and behaviour of midwives to emergency contraception in Indonesia. Methods: This study used a cross-sectional design. Subjects were midwives who worked in the  District CipondohTangerang, Banten, Indonesia until the number of subjects is met at least 100 people. The data were collected by using written questionnaires made by researchers based on previous studies with similar themes. The data obtained will be reported descriptively for categorical variables. The analysis results are presented in the form of sum (n) and percentage (%) (proportion). Results: Of the 100 respondents who answered the questionnaire, 83% of the midwives had a good knowledge of the condition. Good midwife attitude toward EC in public health care and private practices were 84.62% and 85.06%, respectively. Accordingly, the good behaviour shown by midwives in public health care and private practice is 100% and 94.25%. However, from the question qualitatively the level of knowledge, attitude and behaviour of midwives is still classified as less. Conclusion: The level of knowledge, attitude and behaviour of midwives towards emergency contraception is said to be lacking. Training on EC on midwives is still needed for practical use in the community. Keywords: emergency contraception, midwife, unwanted pregnancy, uterine contraception   Abstrak Tujuan:Mengetahui tingkat pengetahuan, sikap, dan perilaku bidan terhadap kondar di Indonesia. Metode:Penelitian ini menggunakan desain potong lintang dengan pengambilan sampel berturut-turut.  Peneliti mengambil semua subjek yaitu bidan yang bekerja di wilayah Kecamatan Cipondoh Kabupaten Tangerang sampai jumlah subjek minimal terpenuhi sebanyak 100orang. Pengambilan data dilakukan dengan menggunakan kuesioner tertulis yang dibuat oleh peneliti berdasarkan penelitian-penelitian terdahulu dengan tema serupa. Data yang diperoleh akan dilaporkan secara deskriptif untuk variable kategorik. Hasil analisis disajikan dalam bentuk jumlah (n) dan persentase (%) (proporsi). Hasil: Dari 100 responden, 83% bidan mempunyai pengetahuan yang baik terhadap kontraspsi darurat. Sikap bidan yang baik terhadap kondar di puskesmas dan di praktik swasta adalah 84,62% dan 85,06%, berturut-turut. Sejalan dengan itu, perilaku yang baik ditunjukkan oleh bidan di puskesmas dan di praktik swasta adalah sebesar 100% dan 94,25%. Namun dari pertanyaan secara kualitatif tingkat pengetahuan , sikap dan prilaku bidan masih tergolong kurang. Kesimpulan:Tingkat pengetahuan, sikap dan perilaku bidan terhadap kontrasepsi darurat dikatakan masih kurang. Masih dibutuhkan pelatihan tentang kondar pada bidan agar penggunaannya efektif di masyarakat. Kata kunci: alat kontrasepsi dalam rahim, bidan,  kehamilan tidak diinginkan, kontrasepsi darurat.

2020 ◽  
pp. 001857872096541
Author(s):  
Ruzmayuddin Mamat ◽  
Siti Asarida Awang ◽  
Siti Azlina Mohd Ariffin ◽  
Zahida Zakaria ◽  
Mastura Hanim Che Zam ◽  
...  

Objective: This study aimed to evaluate knowledge and attitude toward medication error (ME) among pharmacists working in public health care institutions. Methods: A cross-sectional study was conducted among pharmacists working in public health care institutions. Respondents were randomly recruited from 5 hospitals and 25 primary healthcare clinics in the state of Pahang, Malaysia. A set of self-administered questionnaires was used to assess their knowledge and attitude, distributed as a web-based survey. Knowledge and attitude toward ME reporting were assessed using five-point Likert-scale. This study was conducted between May and July 2019. Results: A total of 186 respondents participated in the study. A majority of respondents were female (n = 144). About 90% of the respondents had good score on knowledge on ME. Only 25.4% of the respondents had favorable attitude toward ME reporting. Female pharmacists ( P = .001), more experienced pharmacists ( P = .012) and those working in primary health clinics ( P = .014) were associated with more favorable attitude. Knowledge did not correlate well with attitude toward ME reporting (r = 0.08, P = .29). Conclusion: Despite having good knowledge on ME, the attitude toward ME reporting was still very poor among the pharmacists.


Author(s):  
Rajiv Kumar Gupta ◽  
Bhavna Langer ◽  
Parveen Singh ◽  
Rashmi Kumari ◽  
Najma Akhtar ◽  
...  

Background: Emergency Contraception (EC) is a method of contraception used within 72 hours of unprotected sex to prevent unwanted pregnancy. More than ten years since its use, a study was conducted among health care providers to assess their knowledge, attitudes and perceived barriers towards EC.Methods: The current cross-sectional study was conducted among the health care providers (HCPs) in all the health institutions of Jammu city, one of which included a tertiary care teaching hospital. The HCPs for the purpose of the current study included Medical Officers (MOs), Lady Health Visitors/ Staff Nurses (LHV/ SNs) and pharmacists. A 24 item pre-tested questionnaire was administered to the respondents to gather the relevant information.Results: MOs and LHV/SNs were found to have better knowledge than the pharmacists. Higher proportion of LHV/SNs and pharmacists were willing to learn more about EC (p<0.05). About two-third of MOs and LHV/SNs agreed about shortage of time during clinic schedule to counsel the users about EC (p<0.05).Conclusions: Gaps in the knowledge of the respondents need to be taken care of with continuing in-service trainings along with behaviour change communication. Role of pharmacists as health care provider especially in the context of family welfare services needs to be reassessed.


2020 ◽  
Author(s):  
Elvis Wambiya ◽  
Peter O Otieno ◽  
Martin Kavao Mutua ◽  
Hermann Pythagore Pierre Donfouet ◽  
Shukri F Mohamed

Abstract BackgroundKnowledge of health care utilization is particularly crucial in low-and middle-income countries where inequalities in burden of disease and access to primary health care exist. Inconclusive evidence exists on health-seeking and utilization of health facilities in the informal settlements in Kenya. This study assessed the patterns and predictors of private and public health care utilization in an urban informal settlement in Kenya.MethodsThis cross-sectional study used data from the Lown scholars study conducted between June and July 2018. It was nested within the Nairobi Urban Health and Demographic Surveillance System. Households were selected using simple random sampling and data obtained for all household members who reported having sought care for an illness in the 12 months preceding the study. Data were collected on health-seeking behaviour and explanatory variables (predisposing, enabling, and need) using an adaptation of Andersen’s conceptual framework. Health care utilization patterns by explanatory variables were described using proportions and multinomial logistic regression used to identify the predictors of private or public health care use.ResultsThree hundred and sixty-four members from 300 households sought care for an illness in the 12 months preceding the study. Almost half (47%) of the respondents sought care from private facilities while about 33% and 20% used public and other facilities, respectively. Health care utilization was influenced by enabling and need factors. Health insurance coverage was associated with private health facility use (aOR 3.06; 95% CI 1.48 – 6.31). Satisfaction with the quality of care was associated with lower use of public facilities (aOR 0.31; CI 0.11 – 0.84) while satisfaction with cost of care was associated with higher use of public facilities (aOR 2.09; CI 1.01 – 4.29). Members who reported an acute infection were more likely to use private facilities (aOR 3.07; 95% CI 1.52 – 6.18).ConclusionsHealth care utilization in the urban informal settlements favours private health facility use. As Kenya commits to achieving universal health coverage, interventions to improve health care access in informal and low-resource settlements should be modelled around enabling and need factors, particularly health care financing and quality of health care provision.


2018 ◽  
Vol 18 (3) ◽  
pp. 609-618
Author(s):  
Maria Tatiane Alves da Silva ◽  
Valdecir Barbosa da Silva Júnior ◽  
Jorgiana de Oliveira Mangueira ◽  
Garibaldi Dantas Gurgel Junior ◽  
Eliane Maria Medeiros Leal

Abstract Objective: to describe the distribution of available mammograms in the Sistema Único de Saúde (SUS) (Public Health Care System) and the mammography offering were carried out by this system, throughout the health regions in Pernambuco State, and compared them with the parametric care recommended by the Ministry of Health. Methods: this is a descriptive cross-sectional study that used secondary mammograms data in December 2016 by the Cadastro Nacional de Estabelecimentos de Saúde (National Registy on Health Establishments); and about mammography performed at SUS in 2016 by the Sistema de Informação Ambulatorial (Ambulatory Information System). The parametric care document No. 1.631/2015 was used as a comparability standard in relation to the distribution of the equipment and the mammography offering. Results: Pernambuco State presented approximately the double amount of mammograms and mammography was performed about 46% below the recommended parameter used in this study. All the health regions presented sufficient quantity of mammograms. However, the use of the installed capacity was less than 50% in all the health regions in the state. Conclusions: this study shows the need for a better use of the installed capacity for mammograms in Pernambuco State taken by the insufficient mammography offering and the poor distribution of the equipment in its territory.


2021 ◽  
Author(s):  
Gilbert Ti-enkawol Nachinab ◽  
Mubarick Nungbaso Asumah ◽  
Vida Nyagre Yakong ◽  
Edwina Pwamang ◽  
Cynthia Apawo Awe ◽  
...  

Abstract Introduction: Unwanted pregnancy and unsafe abortion have become serious public health concerns around the world, particularly among female students in both developed and developing countries. The general objective of this study was to investigate the utilization of emergency contraception among final-year female students of a public university in Ghana. Methods A stratified random sample was used to enroll 199 female university students for descriptive cross-sectional research. SPSS version 25 was used to analyze the data. To compare categorical variables, Chi-square analysis was employed, and a p-value of 0.05 was considered statistically significant. Results Majority (88.4%) of the respondents demonstrated sufficient knowledge, and 84.4% had a favorable attitude towards emergency contraceptives (ECs). On the indications for EC; after unprotected sex (65.3%), after a missed period (22.6%), when one is raped (83.4%), unwanted pregnancy (75.9%), and rupture of condoms (88.9%) were identified. The majority (59.3%) of students have used EC, with most of the students (43.7%) using Postinor-2. The overall attitude towards EC and Residence (X2=7.5; p=0.023), Religion (X2=6.2; p=0.042), and marital status (X2=17.1, p=0.001) were statistically significant. There was a significant association between the use of EC and Residence (X2=10.9; p=0.004) and marital status (X2=8.6; p=0.035). Conclusion The findings of this study indicated that students had a high degree of awareness, understanding, and attitude about EC, with a significant number of the respondents likely to utilize it in the future. This may aid in the treatment of female students' sexual and reproductive health issues and prevent dropping out of school as a result of unwanted pregnancy. Also, there is the need to engage opinion leaders to address their concerns to allow for the effective utilization of emergency contraceptives.


2018 ◽  
Vol 10 (2) ◽  
pp. 195-204
Author(s):  
Hermansyah Hermansyah

Public Health Care activities in Bengkulu city were only well implemented in Ratu Agung Public Health Center, Padang Serai Public Health Center, Beringin Raya Public Health Center, and Betungan Public Health Center. Public Health Center is regularly sent statements. There are 8751 households vulnerable in the city of Bengkulu, and 500 families who have fostered (5.71%). The purpose of this research was to determine the factors associated with the implementation of public health care in Bengkulu City. The type of this research was analytic cross-sectional design. The research population were public health care’s nurse managers in 20 public health centers in Bengkulu city, amounting 24 people. Samples were taken with a total sampling technique. Data were collected by using questionnaires and observation guidelines. The data were analyzed using univariate, bivariate analysis using Pearson product moment correlation test and chi-square. The results showed that almost half (45.8%) of respondents stated public health care implementation in public health centers were less category. The bivariate analysis showed that the independent variables associated with the implementation of public health center activities in Bengkulu city were variables of planning (p = 0.025) and control variables (p = 0.014), whereas the variables of training, knowledge, attitude, skill, organization, and mobilization/implementation were not connected. To improve the implementation of public health care activities in public health centers in Bengkulu city, Health Office should requires all public health center leaders implementing the good planning functions and control the human resource of nurse managers.


2021 ◽  
Vol 6 (3) ◽  
pp. 197-200
Author(s):  
Nur Azmi ◽  
Lita Sri Andayani ◽  
R. Kintoko Rochadi

Hypertension is a degenerative disease that greatly affects a person's productivity and quality of life, is a silent killer with the highest prevalence rate in Indonesia. Untreated hypertension will cause complications. This study aims to determine the level of knowledge and cultural background factors on the health maintenance of hypertension patients in Bengkalis Regency in 2021. This type of research is quantitative analytic with a cross sectional design. The total population in this study was 5,938 with a total sample of 101 obtained using purposive sampling. The instrument in this study used a questionnaire used in the form of a google form. The data obtained in this study were analyzed by bivariate analysis. The results showed that there was no correlation between knowledge level factors (p=0.828) and cultural background factors (p=0.001) on health care for hypertension sufferers and the most dominant cultural background factors related to health care for hypertension sufferers (p=0.001). Keywords: Knowledge Level, Cultural Background, Health Care, Hypertension.


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