scholarly journals Socio Demographic Determinants of Delivery Practice in Rural Women of Bangladesh

2013 ◽  
Vol 1 (2) ◽  
pp. 42-45 ◽  
Author(s):  
Meherunnessa Begum ◽  
Khondoker Bulbul Sarwar ◽  
Nasreen Akther ◽  
Rokshana Sabnom ◽  
Asma Begum ◽  
...  
Keyword(s):  
Maternal Health ◽  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
At Home

Background: Every year, world wide, 200 million women become pregnant. The development of urban areas allowed women to receive more care and treatment. However, in rural areas such measures are not available to every woman. Data on delivery practice of rural woman may help the social and public health planners and decision makers to minimize and prevent maternal mortality and morbidity ensuring safe motherhood.Objective: The aim of the study was to observe the delivery practice of rural women of Bangladesh. Materials and method: A cross-sectional study was conducted and data were collected from Dhamrai upazila, Dhaka, Bangladesh in April 2008. Total 159 women of reproductive age group at least having one child were selected purposively to elicit information on various demographic, socioeconomic, cultural and selected programmatic variables including maternal health care and delivery practices. Results: Among the respondents about 55% were literate. Majority (80%) of the respondents delivered at home and most of the them (71%) felt that home delivery was comfortable where as about 29% of the respondents were compelled to deliver at home due to family decision and financial constraint. Among the deliveries about 82% occurred normally and 18.2% were by cesarean section. A considerable percentage of deliveries (49%) were attended by traditional birth attendants. Blade was used for cutting umbilical cord in majority of the cases (74%) who delivered at home. Most of the respondents (90%) took ante natal check up and about 74% were vaccinated by tetanus toxoid. Conclusion: The results of the study suggest that a lot of work is still to do for the policy makers and health planners to target, plan, develop and deliver maternal health services to the rural women of Bangladesh. DOI: http://dx.doi.org/10.3329/dmcj.v1i2.15917 Delta Med Col J. Jul 2013;1(2):42-45

scholarly journals Comparative Study of Intrathecal Low Dose Bupivacaine and Fentanyl Versus Conventional Dose of Hyperbaric Bupivacaine for Cesarean Section

2018 ◽  
Vol 9 (1) ◽  
pp. 57-62
Author(s):  
Muhammad Sazzad Hossain ◽  
Md Sirajul Islam ◽  
Sharmin Abbasi
Keyword(s):  
Rural Women ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Personal Hygiene ◽  
Antenatal Visit ◽  
Hyperbaric Bupivacaine ◽  
Obstructed Labor ◽  
Cross Sectional ◽  
Mortality And Morbidity

Background: Pregnancy and childbirth related complications are the leading causes of maternal mortality and morbidity in Bangladesh. An estimate shows that about 28,000 mothers die in each year in Bangladesh due to obstetric complications. The aim of this study was to find out the birth practice among rural women in Bangladesh.Material and Methods: This descriptive cross sectional study was carried out among 1220 respondents by purposive sampling technique from July 2016 to June 2017 in different Private Hospital, Dhaka. Data were collected by a structured questionnaire duly pretested through face to face interview. Data were analyzed manually and by using computer.Results: Then study revealed that majority of the respondents 80% were Muslims by religion and about 26% respondents were found within the age 25-29 years with mean age 31±7.59 years. Most of them 86% were literate and only 14% were found illiterate. Among the respondents 75% were Housewives and 11%, 9%, 1% and 4% were involved in Service, Business, Agriculture and others occupation respectively. Moreover, 78% respondents monthly income were less than TK 3000. About 43% & 16% respondents were found to have 2 & 3 children respectively. In this study, about 73% received antenatal visit and among them 57% received 1 to 3 antenatal visits and 74% received TT immunizations. It was found that 69%, 54% and 59% received antenatal advices on healthy diet, personal hygiene, drug use respectively. Home delivery and Hospital delivery practice were found among 44% & 56% respondents respectively. The reasons for home delivery like Feeling comfortable, Family decision and Financial problem were found in 60%, 26% & 42% respondents respectively. The most common complications during last delivery were obstructed labor, found among 39% respondents.Conclusion: Still now women prefer home delivery. Major reasons for home delivery were Feeling comfortable, Family decisions and Financial problems. Delivery conduction by qualified doctors were found only among 47% women. Efforts needed to increase maternal health related knowledge and awareness towards birth practice to facilitate decision in minimizing complications and mortality.Anwer Khan Modern Medical College Journal Vol. 9, No. 1: Jan 2018, P 57-62

scholarly journals Study to access the socio-demographic determinants and the reasons for preference of place of delivery in rural women of Paithan, Aurangabad (Maharashtra)

2017 ◽  
Vol 4 (8) ◽  
pp. 2875 ◽  
Author(s):  
Bina M. Kuril ◽  
Sandeep B. Pund ◽  
Mohan K. Doibale ◽  
Rajendra T. Ankushe ◽  
Purushottam Kumar ◽  
...  
Keyword(s):  
Rural Health ◽  
Rural Women ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Place Of Delivery ◽  
Mortality And Morbidity ◽  
Institutional Deliveries ◽  
Education Of Women

Background: Maternal health reflects the overall effectiveness of the health system of any country. One strategy for reducing maternal mortality and morbidity is ensuring that every baby is delivered in an institution. Government of India has launched various health schemes under the umbrella of National Rural Health Mission (NRHM) to promote institutional deliveries. Thus this study was conducted to study the socio-demographic determinants of place of delivery and the reasons for preference of place of delivery by rural women.Methods: A community based cross-sectional study was conducted in the field practice area of rural health training center (RHTC), Paithan, Dist. Aurangabad during the period of 1st October 2015 to 31st March 2016. All the villages under two sub-centers of one PHC under the RHTC were selected for the study. All women above 18 years of age who delivered at least once between 1st January 2001 to 31st December 2015, were interviewed for their place of delivery and their socio-demographic profile.Results: It was observed that 564 (80.46%) women were delivered in a hospital, of which 313 (44.65%) and 251 (35.81) were delivered in private and government institutions respectively, while 137 (19.54%) respondent women were delivered at home. Education of women, occupation of women, type of Family, education of husband, occupation of husband, parity, distance of hospital from the residence and women’s age at marriage were the socio-demographic factors found to be significantly associated with place of delivery by the bivariate analysis. Reasons observed for home delivery were related to lack of knowledge about government healthcare facilities, about need for institutional delivery and inability to reach hospital on time.Conclusions: The proportion of home deliveries in 2001-15 was 13.08% as against 35.80% of government institutional deliveries and 44.65% of private institutional deliveries. Education of women, education and occupation of husband were found to be significantly associated with place of delivery by multivariate analysis.

scholarly journals Exploring the constraints regarding maternal health in reproductive age among the rural women in Bangladesh

Mediscope ◽  
2016 ◽  
Vol 3 (2) ◽  
pp. 1-10
Author(s):  
Akkur Chandra Das
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Health Care Services ◽  
Reproductive Age ◽  
Early Marriage ◽  
Care Services ◽  
Health Related

The study evaluated the constraints of maternal health in reproductive age in the rural Bangladesh. The study used qualitative approach to gather information where individual in-depth interviews adopted for data collection among women aged 15-49 years old. The overall study revealed that rural women faced many maternal health related complications and problems in their reproductive age such as hemorrhage, sepsis, hypertensive diseases of pregnancy, obstructed labour and complications of abortion, etc. Maternal health situation still in rural areas was not developed in comparison to the situation of urban areas of Bangladesh and there was not available women’s health care accesses for their emergency; low education level, low per capita income, many family members, early marriage and pregnancy, number of pregnancies, poor nutrition and lack of family support status resulted in low status of maternal and child health in the rural areas of Bangladesh. Adequate measures should be taken for providing proper health care services in rural areas of Bangladesh for better maternal health status.Mediscope Vol. 3, No. 2: July 2016, Pages 1-10

scholarly journals Role of Pharmacist in Addressing the Adverse Drug Reactions and Improving the Knowledge of Patients Regarding Their Drug Therapy at Government Civil Hospital Khairpur, Sindh, Pakistan

2021 ◽  
pp. 104-110
Author(s):  
Zuheeb Ahmed ◽  
Marvi Metlo ◽  
Sajid Ali ◽  
Shahzad Ali ◽  
Hetesh Kumar ◽  
...  
Keyword(s):  
Side Effects ◽  
Adverse Drug Reactions ◽  
Rural Areas ◽  
Urban Areas ◽  
Cross Sectional Study ◽  
Drug Reactions ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Short Period ◽  
Before And After

Adverse Drug Reactions are among the major problems that cause mortality and morbidity in patients worldwide. In this study, Adverse Drug Reactions with common medicines were addressed, and the knowledge of pharmacist for prescribed medicine was also evaluated before and after educating the patients by pharmacist. The duration of this study was one year from October 2016 to October 2017. A descriptive cross-sectional study was designed and completed on 150 patients admitted to the hospital's medical ward. Patients whose ages were between 18-60 years, either male or female, who reported chronic diseases and took medication for a long time were selected for the study. Children or patients having < 18 years and taking medicine for a short period were excluded from this study. Selected patients were evaluated, and results were collected. Finally, the collected data was analysed with the 21st version of IBM’s Statistical Package for Service Solutions (SPSS v23). Of 150 selected patients, 61% were male, and 39% were female. Most patients were from the 18-30 age group, i.e., 28%. 60% of the patients hail from rural areas, and 40% from an urban areas. Of the 150 patient studied, 36.7% were illiterate, and only 4.7% of patients were above intermediate. Most of the patients were working in different government and private sectors. 8% of those taking the combination of Amoxicillin+Omeprazole+Salbutamol reported side-effects, whereas minimum side effects (2.0%) with Cholorothiazide+Atenolol+ Paracetamol. Reported adverse drug reactions (ADRs) in patients were Headache (14.9%), nausea (13.8%), vomiting (10.3%), abdominal pain (12.6%), constipation (8.0%), diarrhea (10.3%), skin rashes (5.7%), loss of appetite (4.6%), dizziness (6.9%), tiredness (6.9%) and confusion (5.7%). The knowledge of patients regarding therapy was compared before and after counseling that shows increased awareness in patients after counseling the patients. Before counseling average knowledge of patients was 27.5% that increased to 50.3% after counseling. After analyzing the results, it is concluded that pharmacist counseling and providing education to patients can significantly decrease the ADRs and increase the compliance of drugs that will ultimately enhance patients' quality of life. It was recommended that the hospital should appoint the pharmacist, especially a clinical pharmacist, and Hospital administration should arrange the programs for the awareness of patients on appropriate uses of drugs and their side effects.

scholarly journals A study of awareness on cervical cancer and prevalence of pathological leucorrhoea among women in rural Chennai

2018 ◽  
Vol 5 (5) ◽  
pp. 2118
Author(s):  
R. Tamilarasi ◽  
Latha Maheshwari ◽  
Raghul Siddharth ◽  
Sanjeev .
Keyword(s):  
Cervical Cancer ◽  
Rural Women ◽  
Rural Areas ◽  
Tamil Nadu ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
The Public ◽  
Inadequate Knowledge ◽  
Women In India

Background: Cancers are the leading cause of mortality and morbidity due to non-communicable diseases second only to diabetes. Cervical cancer is the second most important cancer in women. In India nearly 75,000 women die of cervical cancer every year. In Tamil Nadu, cervical cancer is the second most common cancer to affect women especially in the rural areas. Aims of the study were to study about the level of awareness on cervical cancer and prevalence of pathological leucorrhoea among women residing in rural Chennai.Methods: This cross sectional study was carried out among randomly selected 295 females aged 15 years and above residing at Alamadhi village and nearby villages in Chennai from March 2016 to September 2016. Pre-tested semi-structured questionnaire was used to collect data.Results: Among the participants most of the women (55.6%) were belonged to 15-30 years age group. Of all the participants involved in the study about 66.8% (197/295) had No awareness on cervical cancer and among the rest, 27.6% (27/98) had good knowledge and 72.4% (71/98) had inadequate knowledge on cervical cancer. Prevalence of Pathological leucorrhoea is 27.5%.Conclusions: Though cervical cancer is the leading cancer among women, our study shows a large percentage of rural women are completely ignorant about this disease which when detected in early stages is completely curable. Hence, extensive health education to the public is needed to improve their knowledge with an emphasis on the fact that periodic screening is the new standard in prevention of cervical cancer.

scholarly journals Accidents in Children under 5 Years in Yazd Province, Iran

2019 ◽  
Author(s):  
Ali Dehghani ◽  
Sadegh Kazemi ◽  
Samaneh Mirzaei ◽  
Mohammad Reza Sadeghian
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Age Groups ◽  
Epidemiological Data ◽  
Cross Sectional Study ◽  
Study Data ◽  
Chi Square ◽  
Cross Sectional ◽  
Children Under 5 ◽  
At Home

Introduction:Accidents are one of the most important causes of injury and death across the world, including Iran. The epidemiological data play a key role in taking effective strategic decisions for their prevention and control. This study was conducted to determine the Frequency of different types of accidents in children aged under 5 years living in Yazd province, Iran. Methods: In this cross-sectional study, data on 2489 children under 5 years referred to hospitals in Yazd province were collected from March, 2015 to March, 2016, using the accidents registration forms and the related software. Chi-square test was incorporated to analyze the results using SPSS version 19. Results: The frequency of accidents in boys was 1460 (58.7%) and in girls 1029 (41.3%). Accidents occurred most frequently in April-May (n: 245, 9.8%) and the winter (n: 693, 27.8%). 93.3% of accidents occurred in the urban areas, 4.4% in the rural areas and 2.3% in outside the city and the villages. The total  number of accidents at home was 1743 (70%) and in the alleys and on the streets 495 (19%), the most frequent accident was falling (n: 743, 29.9%), followed by burns (n: 543, 21.8%) and  trauma (n: 495, 19.9%). The difference in the type of accident between different age groups was significant (P< 0.001). Conclusion: The comparatively higher frequency of falling, burn, trauma, as well as the accidents at home and in the winter indicate parents’ insufficient attention to home safety standards and their lack of adequate information about protection of children under5 years against the most common accidents of this age group. Planning for and intervention in these areas might help in reducing the accidents.

scholarly journals Interaction between sex and rurality on the prevalence of diabetes in Guyana: a nationally representative study

2020 ◽  
Vol 8 (1) ◽  
pp. e001349
Author(s):  
Calvin Ke ◽  
Shamdeo Persaud ◽  
Kavita Singh ◽  
Brian Ostrow ◽  
Gerald Lebovic ◽  
...  
Keyword(s):  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Fasting Blood Glucose ◽  
Cross Sectional Study ◽  
Diabetes Prevalence ◽  
Cross Sectional ◽  
Glucose Testing ◽  
Representative Study ◽  
Nationally Representative

IntroductionDiabetes prevalence has never been measured in Guyana. We conducted a nationally representative cross-sectional study to estimate the prevalence of diabetes and pre-diabetes, and the association between sex and diabetes.Research design and methodsIn 2016, the Ministry of Public Health led Guyana’s first national STEPS survey among adults aged 18–69 years. Half of the participants were randomly selected for hemoglobin A1c and fasting blood glucose testing. We estimated the prevalence of diabetes and pre-diabetes and measured the association between sex and diabetes prevalence using logistic regression to compute adjusted ORs.ResultsWe included 805 adults (511 women, 294 men, mean age 41.8 (SD 14.4) years). The national prevalence of diabetes was 18.1% (95% CI: 15.4% to 20.8%), with higher rates among women (21.4%, 95% CI: 18.0% to 24.7%) than men (15.1%, 95% CI: 10.9% to 19.3%). Sex-specific diabetes prevalence varied significantly across urban and rural areas (p=0.002 for interaction). In rural areas, diabetes was twice as common among women (24.1%, 95% CI: 20.1% to 28.2%) compared with men (11.8%, 95% CI: 7.7% to 15.9%). After adjusting for prespecified covariates, rural women had double the odds of diabetes compared with rural men (OR 2.1, 95% CI: 1.20 to 3.82). This prevalence pattern was reversed in urban areas (diabetes prevalence, women: 13.9%, 95% CI: 8.7% to 19.0%; men: 22.0%, 95% CI: 12.9% to 31.1%), with urban women having half the odds of diabetes compared with urban men (OR 0.4, 95% CI: 0.20 to 0.99). We estimated that nearly one-third of women and over a quarter of men had diabetes or pre-diabetes.ConclusionsThe burden of diabetes in Guyana is considerably higher than previously estimated, with an unexpectedly high prevalence among women—particularly in rural areas.

scholarly journals The association between voucher scheme and maternal healthcare services among the rural women in Bangladesh: a cross sectional study

2018 ◽  
Vol 17 (4) ◽  
pp. 545-555
Author(s):  
Akkur Chandra Das ◽  
Manik Nag
Keyword(s):  
Maternal Health ◽  
Rural Women ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Transport Cost ◽  
Voucher Scheme ◽  
Maternal Healthcare ◽  
Cross Sectional ◽  
Delivery Services

Background: Maternal health voucher scheme, providing financial support to poor women, is popularly known as subsidies in maternity care services including antenatal, delivery and postnatal care and also economic barriers while seeking treatment from qualified service providers. The aim of this study is to evaluate the association of voucher scheme on receiving maternal healthcare services among the rural women in Bangladesh.Methods: This is a cross sectional study where total sample size was (n=500) rural women who were selected by using convenience sampling method. Among them, 250 women were voucher scheme receivers and other 250 women were non-voucher scheme receivers. A structured questionnaire was adopted for data collection between November and December 2015. In the final analysis, cross tabular analysis and logistic regression model were used, and adjusted odds ratios (ORs) were reported.Results: The study found a strong relation between voucher scheme and maternal healthcare services among the rural women in Bangladesh where majority (88.4%) voucher scheme receivers received information or treatment of Reproductive Tract Infections (RTIs) and Sexually Transmitted Infections (STIs) while non-voucher scheme receivers received only 10%. Most of the respondents (93%) voucher scheme receivers received at least 3 times of antenatal care visit; but only 28% received non-voucher scheme receivers at least 3 times of antenatal care visit. Voucher scheme receivers received 17.127 times more likelihood to receive skilled birth attendance and 25.344 times more likelihood to receive institutional delivery services and positively significant (5 percent) compared to those who did not receive maternal heath voucher scheme. Moreover, 92.4% voucher receivers received transport cost and 73.2%, received safe home delivery services while 22.8% non-voucher scheme receivers received transport cost and only 20.4% received safe home delivery services. Majority (94%) voucher scheme receivers received long time birth control services while only 19.2% non-voucher scheme receivers received long time birth control services.Conclusion: Women who did not receive maternal health voucher scheme found the status of lower antenatal, delivery and postnatal care services receiving trends compared to the women who received the maternal health voucher scheme. It is recommended an effective monitoring system and necessary interventions getting overall developed health status in Bangladesh.Bangladesh Journal of Medical Science Vol.17(4) 2018 p.545-555

scholarly journals Trends in the socioeconomic patterning of overweight/obesity in India: a repeated cross-sectional study using nationally representative data

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e023935 ◽  
Author(s):  
Shammi Luhar ◽  
Poppy Alice Carson Mallinson ◽  
Lynda Clarke ◽  
Sanjay Kinra
Keyword(s):  
Higher Education ◽  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Cross Sectional Study ◽  
Obesity Prevalence ◽  
Sectional Study ◽  
Cross Sectional ◽  
Men And Women ◽  
Nationally Representative

ObjectivesWe aimed to examine trends in prevalence of overweight/obesity among adults in India by socioeconomic position (SEP) between 1998 and 2016.DesignRepeated cross-sectional study using nationally representative data from India collected in 1998/1999, 2005/2006 and 2015/2016. Multilevel regressions were used to assess trends in prevalence of overweight/obesity by SEP.Setting26, 29 and 36 Indian states or union territories, in 1998/99, 2005/2006 and 2015/2016, respectively.Participants628 795 ever-married women aged 15–49 years and 93 618 men aged 15–54 years.Primary outcome measureOverweight/obesity defined by body mass index >24.99 kg/m2.ResultsBetween 1998 and 2016, overweight/obesity prevalence increased among men and women in both urban and rural areas. In all periods, overweight/obesity prevalence was consistently highest among higher SEP individuals. In urban areas, overweight/obesity prevalence increased considerably over the study period among lower SEP adults. For instance, between 1998 and 2016, overweight/obesity prevalence increased from approximately 15%–32% among urban women with no education. Whereas the prevalence among urban men with higher education increased from 26% to 34% between 2005 and 2016, we did not observe any notable changes among high SEP urban women between 1998 and 2016. In rural areas, more similar increases in overweight/obesity prevalence were found among all individuals across the study period, irrespective of SEP. Among rural women with higher education, overweight/obesity increased from 16% to 25% between 1998 and 2016, while the prevalence among rural women with no education increased from 4% to 14%.ConclusionsWe identified some convergence of overweight/obesity prevalence across SEP in urban areas among both men and women, with fewer signs of convergence across SEP groups in rural areas. Efforts are therefore needed to slow the increasing trend of overweight/obesity among all Indians, as we found evidence suggesting it may no longer be considered a ‘diseases of affluence’.

scholarly journals Birth Practices Among the Rural Women: Facts & Reasons

2018 ◽  
Vol 9 (1) ◽  
pp. 5-9
Author(s):  
Md Mahfuzar Rahman ◽  
Md Atiqur Rahman ◽  
Farnaz Mehrin ◽  
Abu Kawser ◽  
Anwar Hossain Tushar
Keyword(s):  
Rural Women ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Personal Hygiene ◽  
Antenatal Visit ◽  
Obstructed Labor ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Pregnancy And Childbirth

Background: Pregnancy and childbirth related complications are the leading causes of maternal mortality and morbidity in Bangladesh. An estimate shows that about 28,000 mothers die in each year in Bangladesh due to obstetric complications. The aim of this study was to find out the birth practice among rural women in Bangladesh.Material and Methods: This descriptive cross sectional study was carried out among 1220 respondents by purposive sampling technique from 2nd to 4th January, 2017 in different villages of Dhamrai Upazila, Dhaka. Data were collected by a structured questionnaire duly pretested through face to face interview. Data were analyzed manually and by using computer.Results: Then study revealed that majority of the respondents 80% were Muslims by religion and about 26% respondents were found within the age 25-29 years with mean age 31±7.59 years. Most of them 86% were literate and only 14% were found illiterate. Among the respondents 75% were Housewives and 11%, 9%, 1% and 4% were involved in Service, Business, Agriculture and others occupation respectively. Moreover, 78% respondents monthly income were less than TK 3000. About 43% & 16% respondents were found to have 2 & 3 children respectively. In this study, about 73% received antenatal visit and among them 57% received 1 to 3 antenatal visits and 74% received TT immunizations. It was found that 69%, 54% and 59% received antenatal advices on healthy diet, personal hygiene, drug use respectively. Home delivery and Hospital delivery practice were found among 44% & 56% respondents respectively. The reasons for home delivery like Feeling comfortable, Family decision and Financial problem were found in 60%, 26% & 42% respondents respectively. The most common complications during last delivery were obstructed labor, found among 39% respondents.Conclusion: Still now women prefer home delivery. Major reasons for home delivery were Feeling comfortable, Family decisions and Financial problems. Delivery conduction by qualified doctors were found only among 47% women. Efforts needed to increase maternal health related knowledge and awareness towards birth practice to facilitate decision in minimizing complications and mortality.Anwer Khan Modern Medical College Journal Vol. 9, No. 1: Jan 2018, P 5-9

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