scholarly journals Factors associated with institutional delivery among the rural women in Bangladesh

Mediscope ◽  
2016 ◽  
Vol 3 (2) ◽  
pp. 18-25 ◽  
Author(s):  
Akkur Chandra Das ◽  
Manaj Kumar Biswas
Keyword(s):  
Health Care Access ◽  
Rural Women ◽  
Family Income ◽  
Institutional Delivery ◽  
Final Analysis ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Maternal Characteristics ◽  
The Government

Maternal mortality and morbidity rates in Bangladesh along with poor health care access are still high. The aim of this study was to identify associated factors with institutional delivery among rural women in Bangladesh. The cross sectional study conducted among the rural women aged 15-49 years old in seven sub-districts of Bhola district, Bangladesh. The study sample size was 250 rural women who were purposively selected. Hazards Model Analysis, namely univariate (Model 1) and multivariate (Model 2) binary logistic regression analyses, was performed in the final analysis. Employing the hazards analysis, the study had identified that the maternal characteristics such as mother’s education, age, and media exposure were more important covariates associated in explaining institutional delivery (Model 1). Education of mother, exposure of media, and family income were strongly and positively associated with the risk of termination of institutional delivery in the both Model 1 and Model 2. Mothers with higher education have a positive significant effect on the termination of institutional delivery, when compared with women of education below secondary. The findings of the present study are likely to the government and policy makers to take appropriate measures to decrease delivery complexities and mortalities by increasing institutional delivery facility where the facility is lacking.Mediscope Vol. 3, No. 2: July 2016, Pages 18-25

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

The Financial Cost Incurred by Families of Children on Long-Term Dialysis

2018 ◽  
Vol 38 (1) ◽  
pp. 14-17 ◽  
Author(s):  
Abdulafeez Bello ◽  
Beauty Sangweni ◽  
Abdullah Mudi ◽  
Tholang Khumalo ◽  
Glenda Moonsamy ◽  
...  
Keyword(s):  
Family Income ◽  
Financial Burden ◽  
Index Patient ◽  
Cross Sectional Study ◽  
Transport Cost ◽  
Financial Cost ◽  
Cross Sectional ◽  
Total Family Income ◽  
The Government ◽  
Social Grant

Background Costs of dialysis reported in countries where dialysis is government-funded are often those incurred by the state, and only a few take into account the financial burden to the family of the index patient. This study investigated the financial cost implication to families of pediatric patients on maintenance dialysis and how aid provided by the government alleviates their financial burden. Methods This descriptive cross-sectional study recruited 24 children on peritoneal dialysis (PD) and hemodialysis (HD), and a structured questionnaire was administered to the parents/caregivers of these patients to obtain information on their family size, total family income, cost of transportation, employment status of attending caregiver, and number of work days missed due to hospital visits. Results Complete data were available for 19 patients (7 on PD and 12 on HD). The mean age was 14 ± 6 years, and there were 11 males and 8 females. The average monthly income of the families recruited was 2,946 ZAR (261 USD). This amount included the contribution of a monthly state-provided social grant of 1,300 ZAR (115 USD) in 16/19 subjects. The average monthly expenditure of the HD and PD groups made up 27.1% and 4.9% of their average income. Conclusion Transport cost for our patients on dialysis significantly impacts on the overall family income, especially for patients on HD, and, without government aid, the families of our patients would have far less money available for their daily needs.

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 Immunization Visit Delay in Children Aged 0-24 Months During The Covid-19 Pandemic in Greater Jakarta

2021 ◽  
Vol 1 (1) ◽  
pp. 429-436
Author(s):  
Istianah Surury ◽  
Siti Riptifah Tri Handari
Keyword(s):  
Family Income ◽  
Research Process ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Observational Method ◽  
Cross Sectional ◽  
Immunization Service ◽  
Care Facilities ◽  
The Government ◽  
Vaccine Availability

The COVID-19 pandemic since the beginning of 2020 has had a significant impact on other essential health services. One of them is the immunization service. Jakarta, Depok, Tangerang, and Bekasi, or Greater Jakarta is the epicenter of the spread of COVID-19 in Indonesia. This study aimed to find the distribution of immunization delay in women with children aged 0-24 months and its reasons in Greater Jakarta. This study used an observational method with a cross-sectional study design. The research process was carried out for six months, from June to November 2020, and 274 samples were collected through online google forms. The study found the proportion of mothers who delayed their children's immunization was 48,9%. The most common reasons are fear of being infected with COVID-19, health facilities not providing immunizations for children, limited vaccine availability, and declining family income during the pandemic. The government should increase the promotion of primary immunization to the community and ensure the availability, safety, and implementation of health protocols in health care facilities.

scholarly journals A study to assess receipt and utilization of janani suraksha yojana cash incentive among mothers in urban slums of Raipur city, Chhattisgarh, India

2019 ◽  
Vol 7 (12) ◽  
pp. 4768
Author(s):  
Divya Sahu ◽  
Shanta P. Khes Beck ◽  
G. P. Soni ◽  
Abha Ekka ◽  
Srishti Dixit ◽  
...  
Keyword(s):  
Health Facility ◽  
Institutional Delivery ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Cross Sectional ◽  
Janani Suraksha Yojana ◽  
Private Health Facility ◽  
Cash Incentive ◽  
The Government

Background: Janani Suraksha Yojana (JSY) replaces the National Maternity Benefit Scheme. It was launched by the Government of India in April 2005. The aim was to reduce maternal and neonatal mortality by increasing institutional delivery by providing cash incentive to the beneficiaries as well as the link worker ASHA. Objectives of this study was to assess receipt of Janani Suraksha Yojana (JSY) cash incentive and to assess fields of utilization of Janani Suraksha Yojana (JSY) cash incentive.Methods: A Community based cross-sectional study was conducted among 384 mothers delivered within last one year in urban slum of Raipur city. Study centre was department of community medicine, Pt. J.N.M. medical college Raipur, Chhattisgarh. A pre-designed and pre-tested questionnaire was used to interview the study subjects.Results: Out of total 384 study subject’s cheque of JSY cash incentive was received by 70.83%. All (100%) beneficiaries who received cheque was stipulated amount as per JSY guideline. Reasons for not receiving cheque was no availability of BPL card for those who delivered in accredited private health facility. Other reasons were absconded after delivery, unaware of cash incentive, did not go back to get the cheque when called later, patient shifted to another ward. None of the study subjects who delivered at home received the cash incentive cheque. Realization of cheque was not done by 22.79% of study subjects due to complex procedure to open an account in bank. Cash incentive money was utilized in neonatal care, drugs, food, household activities and some deposited in bank.Conclusions: JSY scheme is definitely functioning well in terms of providing cash incentive cheque of JSY on delivery in Government Health facility. There is need to simplify the procedure to open an account so that beneficiaries can avail cash incentive money. There is need to address the problems to receive cheque in home delivery and accredited Private health facility in addition to motivation for institutional delivery.

scholarly journals Effect of Community-Based Intervention (Pregnant Women’s Conference) on Institutional Delivery in Ethiopia

2021 ◽  
Author(s):  
Melash Belachew Asresie ◽  
Gizachew Worku Dagnew
Keyword(s):  
Random Sampling ◽  
Institutional Delivery ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Danger Signs ◽  
The Government

Institutional delivery is the foundation for diminishing maternal mortality. Evidence showed that community-based behavioral change interventions are increasing institutional delivery in developing countries. By understanding this, the government of Ethiopia launched a community-based intervention called “pregnant women’s conferences” to improve institutional delivery. This study was conducted to assess its effectiveness on institutional delivery among 871 women who gave birth within the last 12 months (435: pregnant women’s conference attendants and 436: pregnant women’s conference non-attendants) in 2017. It was a community-based comparative cross-sectional study and participants were selected using a multistage-simple random sampling technique. A structured interviewer-administered questionnaire was used for data collection. The result showed that institutional delivery among women who attended pregnant women’s conferences was 54.3% (95%CI: 49.9–59.1), higher compared with 39.9% (95%CI: 35.3%- 44.7%) of women who did not attend the conference. Likewise, the level of well-preparedness for birth was higher among women who attended the conference (P = 38.9%, 95%CI: 33.8–43.7), compared with their counterparts (P = 25.7%, 95% CI: 22.2–29.4). Similarly, women’s knowledge of obstetric danger signs was higher among women who attended the conference. Therefore, encouraging pregnant women to attend the conference should be strengthened.

scholarly journals MOTHERS KNOWLEDGE RELATED PREVENTIVE MEASURE OF PNEUMONIA IN SLUM COMMUNITY, KARACHI, PAKISTAN

2018 ◽  
Vol 8 (3) ◽  
pp. 156-159
Author(s):  
Adeel Eliyas ◽  
Badil Das Goil ◽  
Shaheen Sherali ◽  
Imran Khan ◽  
Kamran Khan ◽  
...  
Keyword(s):  
Study Participant ◽  
Preventive Measure ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Number Of Children ◽  
Present Cross Sectional Study ◽  
The Government ◽  
Slum Community

Background: Pneumonia is the leading cause of death of children under five years of age. The considerable number of children having pneumonia has difficulty to reach health services in the appropriate time due to their mother's failure to recognize the seriousness of their infection. Methods: Present cross-sectional study was performed by using a close-ended, adapted questionnaire comprising of 15 closed-ended items. Data was gathered through a convenient sampling method. The calculated sample size was 120 subjects of the female gender. Written consent was taken from each participant before filling of the questionnaire. Data was entered and analyzed in SPSS version 21.00. Results: Out of 120 subjects, 59.2% study participant was illiterate, 51.6% subjects were in the age group of 31 to 41 years. 15.8% of women had fair knowledge whereas 55.5% of women did not have knowledge about pneumonia. And 28.7% of women they did not know what is pneumonia. 60.8 % of respondents were unable to recognize sign and symptoms of pneumonia. Only 19.2% of participants know vaccination of pneumonia should be made essential for children. Conclusion: The study concluded that mother had scanty knowledge of pneumonia its preventive measure, and immunization. The government should also provide awareness through mass media, so that the mortality and morbidity rates can be reduced and many valuable lives can be protected.

scholarly journals Knowledge of prevention of COVID-19 among the general people in Bangladesh: A cross-sectional study in Rajshahi district

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243410
Author(s):  
Md. Masud Rana ◽  
Md. Reazul Karim ◽  
Md. Abdul Wadood ◽  
Md. Mahbubul Kabir ◽  
Md. Mahidul Alam ◽  
...  
Keyword(s):  
Family Income ◽  
Preventive Measures ◽  
Nuclear Family ◽  
Statistical Significance ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Government

Background Until now, no vaccine or effective drug is available for the control, prevention, and treatment of COVID-19. Preventive measures are the only ways to be protected from the disease and knowledge of the people about the preventive measures is a vital matter. Objectives The aim of the study was to assess the knowledge of the general people in Rajshahi district, Bangladesh regarding the COVID-19 preventive measures. Methodology This cross sectional study was conducted from March 10 to April 25, 2020. Data were collected with a semi-structured questionnaire from 436 adult respondents selected by using a mixed sampling technique. Frequency analysis, chi-square test, and logistic regression model were utilized in this study. SPSS (IBM, Version 22) was used for data analysis. 95% confidence interval and p-value = 0.05 were accepted for statistical significance. Results Only 21.6% of the respondents had good knowledge of the COVID-19 preventive measures. The highest 67.2% of them knew that washing hands with soap could prevent the disease, but contrarily, the highest 72.5% did not know that avoidance of touching mouth, nose, and eyes without washing hands was a preventive measure. Only 28.4% and 36.9% of the respondents knew that maintaining physical distancing and avoiding mass gatherings were measures of prevention of COVID-19 respectively. The younger age (≤25 years), low family income (≤15,000 Bangladeshi Taka (BDT), occupation others than business and service, and nuclear family had the lower odds of having no/less knowledge about the preventive measures. Conclusions The knowledge level of the general people regarding prevention of COVID-19 was alarmingly low in Bangladesh. The government of Bangladesh, health policy makers and donor agencies should consider the findings and take immediate steps for improving knowledge of the public about prevention of the disease.

scholarly journals Mantoux tests of children in household contact with adult acid fast bacilli-positive or -negative pulmonary tuberculosis

2017 ◽  
Vol 57 (6) ◽  
pp. 310
Author(s):  
Wardah Wardah ◽  
Ridwan Muktar Daulay ◽  
Emil Azlin ◽  
Wisman Dalimunthe ◽  
Rini Savitri Daulay
Keyword(s):  
Family Income ◽  
Cross Sectional Study ◽  
Household Contact ◽  
Mantoux Test ◽  
Test Results ◽  
Negative Group ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Pulmonary Tb ◽  
Acid Fast Bacilli

Background Tuberculosis (TB) is the leading cause of mortality and morbidity in developing countries. In children, the major source of TB transmission is adults with pulmonary TB who have acid fast bacilli (AFB)-positive sputum. However, tuberculosis infection can also occur in children in household contact with adults who have AFB-negative pulmonary TB.Objective To compare Mantoux test results and induration diameters in children with adult pulmonary TB household contact who were either positive or negative for AFB, and to assess for possible associations between Mantoux test results with age, family income, and house ventilation in both groups.Methods A cross-sectional study was conducted from January to March 2014. Mantoux test was performed in children aged 3 months to 18 years who had household contact with either AFB-positive or -negative adult pulmonary TB patients.Results A total of 106 children were enrolled in the study. All subjects had household contact with adult pulmonary TB patients who were either AFB-positive (54 children) or AFB-negative (52 children). Mean Mantoux test induration diameters were significantly different between groups (10.9 (SD 6.55) mm vs. 6.2 (SD 5.91) mm, respectively; P=0.001). In addition, there was significantly higher risk of positive Mantoux test in children in contact with adult AFB-positive TB patients than in the AFB-negative group (OR 5.66; 95%CI 2.36-13.59; P=0.0001). However, there were no significant differences in positive Mantoux test results in each of the AFB-positive and -negative groups, with regards to age, family income, or house ventilation.Conclusion Mean Mantoux test induration diameter in children who had household contact with AFB-positive adults is significantly larger than that of the AFB-negative group. Positive Mantoux test results in children are associated with AFB-positive adult TB in the household. There is no association between positive Mantoux test results and age, family income, or house ventilation in both groups. 

scholarly journals Institutional delivery and its associated factors: A community based cross-sectional study in Kavre district

2017 ◽  
Vol 6 (1) ◽  
pp. 22-26
Author(s):  
Sushila Shrestha ◽  
Geeta Kamal Shrestha
Keyword(s):  
Institutional Delivery ◽  
Family Members ◽  
Sampling Technique ◽  
Household Survey ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Safe Motherhood ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Government

Background:  Health facility delivery is considered a critical strategy to improve maternal health. The Government of  Nepal is promoting institutional delivery through different incentive programs and the establishment of birthing centers.  The objective of this study was to identify utilization of institutional delivery and its associated factors.Method:  A descriptive cross-sectional study was carried out among the mothers of under five children in Dhungkharka.  Pre-tested questionnaire was administered to 170 mothers between 15-45 years of age group. Household survey was done by using purposive sampling technique and face to face interview technique was used to collect the data from 1st Julyto 30 th December 2014. Data was analyzed using simple descriptive statistic with SPSS version 16. Association with  institutional delivery was assessed by using chi-square test.Results: Among the total participants, 90.0% of them had institutional delivery. The higher proportions of institutional  delivery were found in both literate mothers (p=0.001), and literate husband (p=0.023). The proportion of institutional  delivery among the mothers decided by their relatives (husband, father/mother-in-laws and other family members) for  institutional delivery had higher portion (p=0.048) of  institutional delivery than participants who decide themselves.Conclusion: Utilization of institutional delivery was much higher than national figure. Institutional delivery was associated  with both educational status of mothers and their husband. Decision made by husband, mother in-law, father in-law and other family members were also associated with institutional delivery. So, to increase institutional delivery, family members need to be encouraged for safe motherhood program.Journal of Kathmandu Medical College Vol. 6, No. 1, 2017, page: 22-26

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