scholarly journals Women’s Experience of Disrespect and Abuse during Institutional Delivery in Biratnagar, Nepal

2021 ◽  
Vol 18 (18) ◽  
pp. 9612
Author(s):  
Narayani Paudel Ghimire ◽  
Sunil Kumar Joshi ◽  
Pranab Dahal ◽  
Katarina Swahnberg
Keyword(s):  
Institutional Delivery ◽  
Cross Sectional Study ◽  
Study Data ◽  
Normal Vaginal Delivery ◽  
Disrespect And Abuse ◽  
Care Providers ◽  
Cross Sectional ◽  
Face To Face ◽  
Women's Experience ◽  
Living Children

Worldwide, a large number of women experience disrespectful and abusive behavior from care providers during childbirth. This violates the rights of women to attain respectful care. This study aimed to find out the women’s experience of disrespect and abuse during institutional delivery. A cross-sectional study was conducted in two hospitals of Morang district situated in eastern Nepal. Two hundred eighteen women from a public hospital and 109 women from a private hospital (N = 327) with normal vaginal delivery were selected purposively for this study. Data were collected through face-to-face interviews using a structured questionnaire based on the Disrespectful and Abusive Scale by Bowser and Hill. All women had experienced at least one type of disrespect and/or abuse during labor and delivery, most common being non-consented care (100%), non-dignified care (72%), and non-confidential care (66.6%), respectively. Discriminatory care and physical abuse were experienced by 32.33% and 13.23%, respectively. Ethnicity, religion, place of delivery, and numbers of living children were the main predictors of reporting disrespect and abuse. Overall, the occurrence of disrespect and abuse during institutional delivery was found to be very high.

Knowledge and Practices Regarding Early Colostrum Feeding Among Mothers in Erbil Governorate: a Comparative Study

2021 ◽  
Author(s):  
Madiha M Abas ◽  
Shukir Saleem Hasan
Keyword(s):  
Statistical Difference ◽  
Cross Sectional Study ◽  
Normal Vaginal Delivery ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Face To Face ◽  
Colostrum Feeding ◽  
Spss Software ◽  
Data Frequency

Abstract Background and objectives: Colostrum is the first breastfeed which is a product by the mother. it has containing high amounts and concentrations of nutrients and antibodies. Methods: A comparative, cross-sectional study was conducted in different areas in Erbil Governorate. During the period started on 2nd Jan. to the end of May. 2019. Non- probability of 400 mothers who delivered their baby by normal vaginal delivery in the hospitals were recruited. A special tool was constructed by researchers, a direct face-to-face interview was adapted. Data were collected and interpreted to the computer. A special SPSS software version 23 was used for analyzing the data, frequency, chi-square, and two tailed t-test statistical analysis was applied for the study.Results: Incorrect knowledge among Erbil city and Koy-Sanjaq city was observed, with better information among Shaqlawa mothers. Poor practices of colostrum feeding among all mothers, and found a statistically significant association between mother’s knowledge, and relay to an association between mothers’ practices. Statistically significant differences were found between Erbil city and Koy-Sanjaq city; between Shaqlawa city and Koy-Sanjaq city concerning mothers’ practices respectively, with non-statistically differences between Erbil and Shaqlawa mothers, also non-statistically significant differences between mothers’ practices in Erbil and Shaqlawa city. There are statistically differences between mothers in Erbil, Koy-Sanjaq, and between Erbil and Shaqlawa with no statistical difference between Koy-Sanjaq and Shaqlawa mothers regarding knowledge. Conclusions: The mothers in Shaqlawa city had better knowledge and all three districts were having poor practices regarding colostrum feeding.

scholarly journals Study of magnitude and socio-demographic factors associated with anaemia among children of a school for mentally challenged in Ahmednagar, Maharashtra

2018 ◽  
Vol 5 (7) ◽  
pp. 3141
Author(s):  
Pritish K. Raut ◽  
Shubhada S. Avachat ◽  
Sachin Gupta ◽  
Rutuja D. Pundkar
Keyword(s):  
Nutritional Status ◽  
Cross Sectional Study ◽  
Study Data ◽  
Care Providers ◽  
Feeding Problems ◽  
Chi Square ◽  
Cross Sectional ◽  
Under Nutrition ◽  
Chi Square Test ◽  
Socio Demographic Factors

Background: Anaemia is one of the important silent morbidity in childhood that affects the development of a child. Disabled children are more vulnerable for nutritional problems like under-nutrition or anaemia due to inadequate nutrient intake either due to feeding problems or poor feeding knowledge among care providers. However there are very few studies regarding nutritional problems of intellectually disabled. The aims of the study were to assess the nutritional status and magnitude of anaemia among mentally challenged children and to study the socio-demographic variables associated with anaemia among them.Methods: A Cross sectional study was conducted in a Day School for mentally challenged in Ahmednagar. All 45 children (Day scholars) were enrolled in the study. Data collection was done using a predesigned proforma for detail history. Anthropometric measurements and Body mass index were used for assessment of nutritional status. Haemoglobin estimation was done by using Sahali's Haemoglobinometer. The details of socioeconomic status and intelligence quotient (I.Q.) were taken from the official records of the school. Percentages, proportions and Chi square test were used for Statistical Analysis.Results: The mean age was 12.5 years, mean IQ was 37.8. More than half of the children were undernourished (64% had BMI<18.5). Mean Haemoglobin was 10.3 and 33 (73%) children were suffering from mild to moderate anaemia. Significant association was observed between degree of mental retardation and anaemia.Conclusions: Majority of mentally challenged children in our study were suffering from under nutrition and anaemia.

Disrespect and Abuse During Facility‐Based Childbirth in North Showa Zone, Ethiopia

2020 ◽  
Author(s):  
Yohannes Mehretie Adinew ◽  
Helen Hall ◽  
Amy Marshall ◽  
Janet Kelly
Keyword(s):  
Maternity Care ◽  
Positive Association ◽  
Cross Sectional Study ◽  
Public Health Facility ◽  
Respectful Maternity Care ◽  
P Value ◽  
Disrespect And Abuse ◽  
Structural Factors ◽  
Care Providers ◽  
Cross Sectional

Abstract Background: Respectful maternity care is a fundamental human right, and an important component of quality maternity care that every childbearing woman should receive. Disrespect and abuse during childbirth is not only a violation of a women’s rights, it is associated with a reduction in the number of women accessing professional maternity services and increases the risk of maternal mortality. This study investigated women’s experience of disrespect and abuse during facility-based childbirth in Ethiopia. Methods: A cross-sectional study was conducted with 435 randomly selected women who had given birth at public health facility within the previous twelve months in North showa zone of Ethiopia. A structured, researcher administered questionnaire was used with data collected using digital, tablet-based tools. Participants’ experiences were measured using the seven categories and verification criteria of disrespect and abuse identified by White Ribbon Alliance. Multivariable logistic regression was used to identify the association between experience of disrespect and abuse and interpersonal and structural factors at p-value < 0.05 and OR values with 95% confidence interval. Results: All participants reported at least one form of disrespect and abuse during childbirth. Types of disrespect and abuse experienced by participants were; physical abuse 435(100%), non-consented care 423(97.2%), non-confidential care 288 (66.2%), abandonment/ neglect (34.7%), non-dignified care 126(29%), discriminatory care 99(22.8%) and detention 24(5.5%). Hospital birth [AOR: 3.04, 95% CI: 1.75, 5.27], rural residence [AOR: 1.44, 95% CI: 0.76, 2.71], monthly household income less than 1,644 Birr (USD 57) [AOR: 2.26, 95% CI: 1.20, 4.26], being attended by female providers [AOR: 1.74, 95% CI: 1.06, 2.86] and midwifery nurses [AOR: 2.23, 95% CI: 1.13, 4.39] showed positive association with experience of disrespect and abuse. Conclusion: The level of disrespect and abuse is high and its drivers and enablers include both structural and interpersonal factors. Expanding the size and skill mix of professionals in the preferred facilities (hospitals), and sensitizing care providers and health managers regarding the magnitude and consequences of D&A are strategies that could possibly promote more dignified and respectful maternity care.

scholarly journals Illness Seeking Behavior and Self-Medication Practice Among Medical Students: A Cross Sectional Study

2019 ◽  
Vol 6 (1) ◽  
pp. 15-18
Author(s):  
Nighat Musa ◽  
Yasir Mehmood ◽  
Asghar Khan
Keyword(s):  
Medical Students ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Study Data ◽  
Illness Behavior ◽  
Self Medication ◽  
Cross Sectional ◽  
Face To Face ◽  
Medical College ◽  
Seeking Behavior

OBJECTIVES: To determine the illness seeking behavior and self-medication among students of private medical college in Peshawar.METHODOLOGY:This study was a cross sectional descriptive study. It was conducted from September till December 2018. Study setting was a private medical college of Peshawar. A total of 250 students were recruited after taking well informed consent. Sampling technique was stratified sampling, from every academic year proportional number of students was selected for the study. Pilot study to check feasibility of questionnaire was done on 10% sample size. Data was collected from students by face-to-face interviews. Data was entered and analyzed in SPSS version 21. RESULTS:The study data regarding illness-seeking behaviors among medical students showed that 162 (64.8%) out of 250 practiced self-medication. The common illness was fever, headache and sore throat. Students used pain-killers and antibiotics without getting consultation. CONCLUSION:Self-medication is common among medical students of all five professional years in medical college of Gandhara University Peshawar. Regarding illness seeking behaviors most of the students preferred self-medication as most of the time medicines are available without prescription in the medical stores. However, still some percentage of students prefers to consult doctors or pharmacist before taking any medicine for their illness.KEYWORDS: Illness, Behavior, Self-Medication, Medical Students, Headache

Prevalence and Associated Factors of Disrespectful and Abusive Care During Childbirth Among Women who Gave Birth in Health Facilities in Hawassa city, Southern Ethiopia. A Cross - Sectional Study

2020 ◽  
Author(s):  
Bethel Tagesse ◽  
Alemu Tamiso ◽  
Kaleb Mayisso ◽  
Andualem Zenebe
Keyword(s):  
Health Facility ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Public Hospitals ◽  
Southern Ethiopia ◽  
Disrespect And Abuse ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background: There is growing evidence that shows phenomena of disrespect and abuse (D&A) occurs globally even though the degree and severity is different across countries. The problem is getting attention in recent years especially in developing countries like Ethiopia. However, there is a paucity of studies assessing the magnitude of disrespect and abuse. This study was undertaken to determine the prevalence and associated factors of disrespectful and abusive care during childbirth in health facilities of Hawassa city, Southern Ethiopia.Methodology: A facility-based cross-sectional study was conducted in Hawassa city from February 8 - April 27, 2018. A total of 577 mothers from both public and private health facilities were randomly selected. Domains of D&A that were assessed were; physical abuse, verbal abuse, stigma and discrimination, failure to meet professional standards of care and poor rapport between women and providers. Multivariable binary logitmodel was used to examine the relationship between exposure and outcome variables. Adjusted odds ratio (AOR) with 95% confidence intervals (CI) is used for summarizing the findings of the analysis.Result: The mean age of the respondents was 26.8 (SD± 4.4) years. Overall 46.9% [95% CI: (42.8-51)] reported experiencing three or more forms of disrespect and abusive care during childbirth in health facilities. In the logit model; the adjusted odds of D&A among births in public health facility is 12.9 times higher than birth those in private facilities [AOR=12.94 (95% CI: 5.87, 28.50)],mothers who had total delivery four and above had 4.7 times increased odds of encountering D&A [AOR=4.67 95% CI: 1.69, 12.89)].In contrast to mothers who had spontaneous vaginal delivery mothers who had instrumental delivery had 2.6 times increased chance of encountering D&A [AOR =2.63 (95% CI: 1.05, 6.59)].Conclusion: The prevalence of disrespect and abusive care in Hawassa health facilities during labor and delivery is high. Factors associated with D&A include the type of health facility, mode of delivery and parity. Therefore, national health strategies and policies should focus on combating D&A during maternal care. It is also recommended to give intensive training focusing on respectful maternity care especially in public hospitals by involving more female health care providers.

Community Pharmacist Preferences in Transition of Care Communications

2018 ◽  
Vol 32 (5) ◽  
pp. 524-528 ◽  
Author(s):  
Mackenzie A. Dolan ◽  
Chelsea P. Renfro ◽  
Stefanie P. Ferreri ◽  
Betsy B. Shilliday ◽  
Timothy J. Ives ◽  
...  
Keyword(s):  
Community Pharmacy ◽  
Health Care Providers ◽  
Community Pharmacist ◽  
Community Pharmacists ◽  
Cross Sectional Study ◽  
Study Data ◽  
Future Research ◽  
Transition Of Care ◽  
Care Providers ◽  
Cross Sectional

Objective: To determine community pharmacist preferences in transition of care (TOC) communications. Methods: In this cross-sectional study, data were gathered via electronic survey of community pharmacists regarding their preferences for TOC communications. The survey was distributed via email by the North Carolina Board of Pharmacy. Results were analyzed using descriptive statistics. Results: Survey responses were received from 343 community pharmacists (response rate = 6.1%). Responders most commonly worked in an independent, single store (29.2%, n = 100) or national chain (29.2%, n = 100) pharmacy setting. Preferred method for a TOC communication was via electronic health record (63.0%, n = 184). Preferred TOC communication content are mentioned as follows: active (93.2%, n = 274) and discontinued (86.4%, n = 254) medications and reason for hospitalization (85.0%, n = 250). The top 3 self-identified barriers to utilizing a TOC communication: lack of care coordination with community pharmacy (35.0%, n = 14), lack of support from other health-care providers (22.5%, n = 9), and absence of compensation for providing the service (17.5%, n = 7). When asked if TOC communications were available, 97.5% (n = 278) indicated it would be useful. Conclusion: Community pharmacists acknowledged a need for TOC communications and shared their preferences in the content and method of communication. Future research is warranted to implement TOC communications between a health system and community pharmacy.

scholarly journals Parturients Perception of Care Providers Attitude Towards Women During Labour And Delivery In Southwest Cameroon

2021 ◽  
Author(s):  
Clovis Achassi Tankeng ◽  
Gregory Halle-Ekane ◽  
Alfred Awa Mokom ◽  
Yannick Lechedem Ngunyi ◽  
André Gaetan Simo Wambo ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Disrespect And Abuse ◽  
Care Providers ◽  
Cross Sectional ◽  
Disrespectful Care ◽  
Chi Squared ◽  
Bivariate Logistic Regression ◽  
Perception Of Care ◽  
Regional Hospitals ◽  
Fundal Pressure

Abstract Background: The period of labour and childbirth for women is a delicate moment and predisposes them to disrespectful care which has been reported in many countries. In Cameroon, data which could help in formulating policies to modify these attitudes is rare.Objectives: To assess parturients’ perception on the respect and disrespect of women by care providers as well as determining the prevalence, types and predisposing factors of physical and verbal abuse during labour and delivery, in the Buea and Limbe Regional hospitals, Cameroon. Methods: It was a hospital based cross-sectional study carried out in Buea and Limbe Regional hospitals from February 15th to April 20th 2021. It involved parturients aged between 15 and 45 in their first eight weeks post-delivery. Data was collected using a structured questionnaire, and the collected data was entered into and analyzed with SPSS version 25. Dependent variables were dichotomized and a bivariate logistic regression model was fitted to obtain the determinants of mistreatments during labour and delivery, while Chi-squared test was used to establish association between socio-demographic characteristics and care categories. A P-value <0.05 was considered statistically significant. Results: We sampled 274 parturients aged between 15 and 42 (mean=26.69yrs and SD= + 5.34). Sixty-nine (25.18%) of the respondents reported at least a physical and/or verbal mistreatment. The most common physical and verbal mistreatments were abdominal fundal pressure to facilitate expulsion and scolding. Muslims were more likely to report insult. Parturients perceived both respectful and disrespectful forms of care.Conclusion: Disrespectful care during labour and delivery may not be uncommon in our country as suggested by the findings in this study. There is need for development of interventions to address the drivers of disrespect and abuse which will encourage clients’ future facility utilization. More studies are needed in other areas of the country to support this evidence.

scholarly journals The Changes in Fear of Childbirth in Pregnancy During and Before the COVID-19 Pandemic

2021 ◽  
Author(s):  
Cenk Soysal ◽  
Özlem Erten ◽  
Mehmet Murat Işıkalan ◽  
İsmail Bıyık ◽  
Yasemin Taşçı ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
Study Data ◽  
Education Level ◽  
Fear Of Childbirth ◽  
Cross Sectional ◽  
Face To Face ◽  
Significant Difference ◽  
Education Levels ◽  
Training And Research

Abstract Background: We aimed to compare the changes experienced by pregnant women before and during the pandemic regarding fear of childbirth andhow much they were affected by factors such as age, education level, and planned delivery type.Materials and Methods: This cross-sectional study comparedthe pre-pandemic pregnant group (July 2019 and December 2019) and the pandemic group (November 2020 and May 2021) of patients atKütahya Health Sciences University Evliya Çelebi Training and Research Hospital. A total of 696 pregnant womenin their second trimesterwere included in the study. All of them were literate andvoluntarily agreed to participate in the study. Data were collected with the Wijma Delivery Expectancy/Experience Questionnaire (WDEQ-A), and the outpatient doctor asked the questions face-to-face.Results: The mean age of the pregnant women participating in the study was 31.6±6.8 years. While the total Wijma score was 62.1±25.1 in the pre-pandemic group, it was 61.3±26.4 in the pandemic group, and there was no significant difference between the two groups (p=0.738).While 25.7% (n=179) of all participants had a normal fear of childbirth, 22% (n=153) had a mild fear of childbirth, 27% (n=188) had a moderate fear of childbirth, and 25.3% (n=176) had a severe fear of childbirth (Wijma score of 85 and above). When the pre-pandemic and the pandemic period were compared, the fear of childbirth wasunchanged in pregnant women at all education levels (p=0.079, p=0.957, p=0.626, p=0.539, p=0.202).Conclusion: When the pre-pandemic and pandemic periods are compared, it is seen that the fear of childbirth didnot change within each education level. Informing pregnant women about the effects of COVID-19 during the pandemic period may be effective in reducing fear of childbirth and reducing the numberof cesarean sections due to fear of birth.

scholarly journals Content of Antenatal Education and Modalities of Delivery among Nurses in Oyo State, Nigeria

2021 ◽  
Vol 3 (2) ◽  
pp. 185-191
Author(s):  
Margaret O. Akinwaare ◽  
Arinade O. Oyebode ◽  
Victoria B. Brown ◽  
Abiodun A. Ogunniran ◽  
Khadijat K. Adeleye
Keyword(s):  
Mode Of Delivery ◽  
Antenatal Clinic ◽  
Cross Sectional Study ◽  
Birth Preparedness ◽  
Care Providers ◽  
Cross Sectional ◽  
Antenatal Education ◽  
Face To Face ◽  
Materials Used ◽  
Balanced Information

Background: There is no structured content and modalities for the delivery of antenatal education in Nigerian healthcare institutions. Hence, the lack of knowledge on salient issues that are pivotal to survival of mothers and their babies among childbearing women. This study assessed the contents and mode of delivery of antenatal education from the perspective of care providers. Methods: A descriptive cross-sectional study design was adopted using structured questionnaire developed by the researchers for data collection. One hundred and ten nurses were recruited across various healthcare institutions in Oyo state, Nigeria to participate in the study. Results: The mean age of the nurses is 39.7 with standard deviation of 10.1. About half (43.6%) of them have first degree in Nursing, while one-third (31.8%) are at the lower cadre of Nursing (Nursing officer II). The most common five topics taught by the nurses as reported are; hygiene (98.2%), diet (84.6%), immunization (31.8%), birth preparedness (31.8%), and breastfeeding (28.2%). The most common mode of delivery is face-to-face teaching (98.2%) while e-teaching is least employed (20.9%). Pictures (87.3%) and posters (79.1%) are the most common materials used for teaching while majority (72.7%) provide fliers as teaching materials to their clients. Majority (98.2%) of the nurses’ state that they provide antenatal education to serve as learning forum for their clients, however, very few (17.3%) stated that they provide antenatal education to keep their clients busy while waiting for doctor’s consultation. Conclusion: There is no structured content for antenatal education being offered to pregnant women during antenatal clinic. However, every pregnant woman attending antenatal clinic will benefit from balanced information that will enhance positive pregnancy outcome from her care provider. Hence the need for structured content and modalities of delivery of antenatal education in Nigeria.

scholarly journals Assessing the Knowledge of Nurses Regarding Hypertension Management Who are Working in National Institute of Cardiovascular Diseases and Hospital in Bangladesh

2016 ◽  
Vol 10 (3) ◽  
pp. 2116-2122
Author(s):  
Chowdhury Urmi Rahman ◽  
Fatema Tuj Johara ◽  
S M Ferdous Hossain
Keyword(s):  
Cardiovascular Diseases ◽  
Health Care Providers ◽  
Significant Proportion ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Learning Session ◽  
Cross Sectional ◽  
Face To Face ◽  
Training Opportunities ◽  
Nurses Knowledge

Hypertension is a chronic disease, which progresses silently and leads to many complications affecting major body organs. Hypertensive patient’s awareness may be developed on the various aspects regarding disease and self-caremanagement through the health care providers. Nurses knowledge regarding hypertension plays an important role in the ability to the management of hypertension Patients [Kaur et al., 2007]. This descriptive type of cross-sectional study was conducted to assess the Nurses knowledge regarding hypertension in National Institute of Cardiovascular Diseases, (NICVD), Sher-E-Bangla Nagar, Dhaka, Bangladesh. Sample size was selected 60 nurses through purposive sampling technique. Data were collected by using the self-administer questionnaire through maintaining face to face interview of the respondents. Data analysis procedure was done by using statistical approaches. Analyzing demographic information, it has found, most of the nurses are from older age group with majority of them belong to secondary level education, significant proportion of them have done diploma in nursing. In terms of awareness, largest number of respondents has very good knowledge on concept of hypertension. They have also fairly known about management and prevention ofhypertension. However, they have limitation in knowing causes and symptom of hypertension. In addition, they have quite poor knowledge how to control hypertension. From this study, it is concluded that, hospital management require instigating different training opportunities and learning session so that nurses would have improve their knowledge.

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