scholarly journals Seroprevalence of Toxoplasmosis Among Pregnant Women Attending Antenatal Care in Asmara, Eritrea: Preliminary Report

Author(s):  
Asmerom Seyoum Tecle ◽  
Albadawi Abdelbagi Talha ◽  
Khalid Abdelsamea Mohamedahmed ◽  
Adam Dawoud Abakar

Introduction: The majority of human infections with Toxoplasmagondii produce no symptoms, but in congenitally infected children can cause devastating effects including blindness, brain damage, or miscarriage. Transmission to the fetus occurs predominantly in women who acquire their primary infection during gestation. The study aimed to assess the seroprevalence of toxoplasmosis among pregnant women attending antenatal care (ANC) in different areas of Asmara, Eritrea, and to identify possible risk factors associated with toxoplasmosis among pregnant women attending the ANC centers. Methods: In this cross-sectional laboratory-based study, the data were collected from 210 pregnant women in four health facilities. Voluntary sampling technique and a structured questionnaire were used to collect the associated data and socio-demographic information. Cobas e411 Analyzer was used to test the blood serum for immunoglobulin G (IgG) and Immunoglobulin M (IgM) antibodies. Epi-Info version 7.0 was used for data entry and SPSS version 20.0 was used for data analysis. Results: Of the 210 samples, 112 (53.6%) samples were seropositive and 97 (46.4%) samples were seronegative for T. gondii specific IgG antibody. Furthermore, 2.9% (6) of the samples were seropositive and 97.1% (203) of the samples were seronegative for T. gondii-specific IgM antibodies. Conclusion: The seroprevalence was considerably high, 53.6% for IgG antibody and 2.9% for IgM antibody, which require attention in order to implement preventive control measures, screening tests, and health education.

2021 ◽  
Author(s):  
Asmerom Seyoum Tecle ◽  
Albadawi Abdelbagi Talha ◽  
Khalid Abdelsamea Mohamedahmed ◽  
Adam Dawoud Abakar

Abstract Background The majority of human infections with Toxoplasma produce no symptoms, but in congenitally infected children can cause devastating effects including eye blindness, brain damage, or miscarriage. Transmission to the fetus occurs predominantly in women who acquire their primary infection during gestation. Objective The study aimed to determine the seroprevalence of T. gondii among pregnant women attending Antenatal Care (ANC) in different sites of Asmara, Eritrea, and to identify possible risk factors associated with Toxoplasma infection among pregnant women attending the antenatal center. Methods The study has followed a cross-sectional laboratory-based survey. The data were collected from 210 pregnant women in four health facilities. Voluntary sampling technique and a structured questionnaire were used to collect associate factors and socio-demographic information. Cobas e411 clinical chemistry Analyzers was used to test the blood serum for IgG and IgM antibodies. Epi-Info (V 7.0) was used for data entry and SPSS (V 20.0) was used for data analysis. Results From the 210 samples, 53.6% (112) samples were seropositive and 46.4% (97) samples were seronegative for toxoplasma specific IgG antibody. Furthermore, 2.9% (6) samples were seropositive and 97.1% (203) samples were seronegative for toxoplasma-specific IgM antibodies. Conclusion The seroprevalence was considerably high, 53.6% IgG antibody and 2.9% IgM antibody which requests attention, in order to introduce preventive control measures, screening tests, and health education.


2021 ◽  
Author(s):  
Ayman Al-Dahshan ◽  
Mohamad Chehab ◽  
Nagah Selim

Abstract Background: Although the internet can be a source of reassurance and clarification for expectant women, it ‎could cause concerns or feelings of worry when reading about pregnancy-related ‎information. The current research sought to assess the feelings of worry and perceived reliability towards online pregnancy-related information and the associated factors among expectant women attending antenatal clinics at primary healthcare centers in Qatar.Methods: A cross-sectional study design was employed. The participants were recruited through a systematic random sampling technique. ‎A self-administered questionnaire was used to collect data from the participants. Descriptive and analytic statistics were used when appropriate‎.Results: A total of 327 expecting women completed the questionnaire. Most participants were aged between 26-34 years (74.1%), held a college/university degree (76.4%), and multigravidas (73.1%). About one-third of the women ‎(31.2‎%) reported feeling worried due to something they read online. The participants coped with these feelings by consulting their antenatal care provider at the next appointment (51.0%) or by talking with relatives and friends (47.0%). Furthermore, most women (79.2%) considered online pregnancy-related information to be reliable or highly reliable. Holding a college/university degree, primigravidae, and having no children were factors significantly associated with a high perception of reliability of online health information.Conclusion: Although online pregnancy information caused feelings of worry for some pregnant ‎women, most women perceived such information to be reliable. Thus, antenatal care providers should be equipped to guide pregnant women on how to access high-quality web-based information.


2019 ◽  
Vol 19 (3) ◽  
pp. 661
Author(s):  
Desi Andriani ◽  
Husna Yetti ◽  
Roza Sriyanti

Antenatal care or antenatal care is a planned program that is observation, education and medical treatment for pregnant women, to obtain a safe and satisfying pregnancy and childbirth process. The indicator used to assess the access of pregnant women to antenatal care is K1 direction (first visit) is the contact of pregnant women to health workers and K4 (perspective visit) is 4 or more times contact with health workers. From the data of the Padang City Health Office, it was found that the Air Tawar Puskesmas with this low level was caused by various factors. The purpose of this study was to determine factors related to the use of antenatal services. This type of research is a quantitative study with cross sectional study design with 110 respondents of third trimester pregnant women with purposive sampling technique. Data analysis was performed univariate, bivariate with Chi squre test. From the research results obtained from the five factors studied, it was found that the factors related to the use of antenatal services in freshwater health centers were access or distance with pvalue 0.009 = OR 21.676), service availability factors with a p value of 0.001 = OR 9.293, the role factor midwives with a p value of 0.001 = OR 12.302, while the family income factor, disease complaints obtained results have nothing to do with the use of antenatal services. The author's suggestion is that there is a need for good coordination with the Independent Practice Midwife (BPM), revitalize puskesmas to more strategic places and improve better facilities, improve accessibility that can be minimized, strive to reach pregnant women, especially for accessibility that is less affordable.


2018 ◽  
Vol 21 (1) ◽  
pp. 15-21
Author(s):  
Sendy Ayu Mitra Uktutias ◽  
Niniek Lely Pratiwi ◽  
Windhu Purnomo

Basic Health Research Results (Riskesdas) conducted by the Ministry of Health shows that the coverage of K4 during the last 3 years in 2010–2013 is the year 2010 by 86.85% and the year 2013 of 87.48%. The lack of utilization of ANC by pregnant women is associated with many factors, one of which is the lack of awareness of pregnant women about the importance of pregnancy care. The purpose of this study analyzed the influence of awareness of the situation of pregnant women with the frequency of antenatal visits. The research method was analytic observational with cross sectional  study design. The study sample was 38 pregnant women who lived in the working are at waru public health center’s. The sampling technique using simple random sampling. Data collection using primary data by questionnaire and secondary data with the instrument KIA book. Data were processed and analyzed by using frequency distribution and inferential analyze of linier regression with a significance level of 5% (p = 0.05). The results of linear regression analysis in pregnant women showed significant value of β 0.684 (β > 0.500), that the awareness of the situation had an effect on the frequency of antenatal care. A good situation awareness is a necessary process to influence the decision to act, it is a pregnancy test and can be seen the frequency of antenatal care of a pregnant woman. This conclusion Waru public health center’s is a health clinic located in the highlands. Still less maximal antenatal care visits because of the support and access to antenatal care. It is suggested to raise awareness of pregnant women situation through family involvement, husband as reinforcement factor in support of improvement of antenatal care examination.


2019 ◽  
Vol 10 (2) ◽  
pp. 111-118
Author(s):  
Serawati Dewi ◽  
Yuni Romalita ◽  
Yusriani Yusriani ◽  
Muhammad Khidri Alwi

Latar belakang: Angka Kematian Ibu (AKI) merupakan salah satu indikator pembangunan kesehatan di Indonesia. Upaya percepatan penurunan AKI dapat dilakukan dengan menjamin agar setiap ibu mampu mengakses pelayanan kesehatan ibu hamil yang berkualitas. Apabila antenatal care dimanfaatkan dengan baik maka kesehatan ibu dapat terpantau secara berkesinambungan dari masa kehamilan sampai dengan persalinan. Metode: Desain penelitian adalah kuantitatif dengan rancangan cross sectional study. Populasi pada penelitian ini adalah semua ibu yang memiliki bayi usia 0-11 bulan di Kabupaten Gowa sebanyak 122 orang. Sampel sebanyak 93 orang diambil dengan menggunakan teknik accidental sampling, besar sampel ditentukan dengan menggunakan rumus Slovin Hasil: Persepsi ibu hamil terhadap peran petugas kesehatan dalam pelayanan antenatal berdasarkan pengorbanan moneter tidak menunjukkan korelasi. Ibu hamil yang memiliki persepsi pengorbanan moneter kecil dan mengatakan peran petugas kesehatan kurang dalam pelayanan antenatal sebanyak 90,0%. Ibu hamil yang memiliki persepsi pengorbanan moneter sangat kecil dan mengatakan peran petugas kesehatan kurang sebanyak 83.1%. Sedangkan persepsi pengorbanan waktu menunjukkan adanya korelasi dengan peran petugas kesehatan dalam pelayanan antenatal. Ibu hamil yang memiliki persepsi pengorbanan waktu besar dan mengatakan peran petugas kesehatan kurang dalam pelayanan antenatal sebanyak 100%. Ibu hamil yang memiliki persepsi pengorbanan moneter besar dan mengatakan peran petugas kesehatan kurang dalam pelayanan antenatal sebanyak 90.2%. Kesimpulan: Persepsi ibu hamil terhadap peran petugas kesehatan dalam pelayanan antenatal berdasarkan pengorbanan moneter tidak menunjukkan korelasi sedangkan berdasarkan pengorbanan waktu menunjukkan ada korelasi. Perlu meningkatkan kecepatan proses pelayanan pemeriksaan kehamilan pada ibu hamil oleh tenaga kesehatan. Kata kunci: Pelayanan antenatal, Ibu Hamil, Pengorbanan, Waktu, Moneter   Abstract Background: Maternal Mortality Rate (MMR) is one indicator of health development in Indonesia. Efforts to accelerate the reduction of MMR can be done by ensuring that every mother is able to access quality maternal health services. If antenatal care is utilized properly, maternal health can be monitored continuously from pregnancy to delivery. Methods: The study design was quantitative with a cross sectional study design. The population in this study were all pregnant women who had a gestational age of 7 to 9 months in Gowa Regency as many as 122 people. A sample of 93 people was taken using accidental sampling technique, the sample size was determined using the Slovin formula. Results: Perception of pregnant women towards the role of health workers in antenatal care based on monetary sacrifice did not show a correlation. Pregnant women who have a perception of small monetary sacrifice and say the role of health workers is lacking in antenatal care are 90.0%. Pregnant women who have a perception of monetary sacrifice are very small and say the role of health workers is less as much as 83.1%. While the perception of sacrifice of time shows a correlation with the role of health workers in antenatal care. Pregnant women who have the perception of sacrifice of big time and say the role of health workers lacking in antenatal care as much as 100%. Pregnant women who have a perception of great monetary sacrifice and say the role of health workers is lacking in antenatal care are 90.2%. Conclusion: Perception of pregnant women towards the role of health workers in antenatal care based on monetary sacrifice does not show correlation while based on time sacrifice shows there is correlation. Need to increase the speed of the process of pregnancy examination services for pregnant women by health workers. Keywords: Antenatal care, Pregnant Women, Sacrifice, Time, Monetary


2018 ◽  
Vol 10 (1) ◽  
pp. 339-342
Author(s):  
Nadia Begum ◽  
Nasreen Begum ◽  
Sk. Akbar Hossain ◽  
AFM Ashik Imran ◽  
Mst Laizuman Nahar

Background : Antenatal care (ANC) is an important determinant of high maternal mortality rate and one of the basic components of maternal care on which the life of mothers and newborn babies depend. Objective : To study the Antenatal care practice among pregnant women in a selected rural area. Methodology : This descriptive cross-sectional study was conducted among pregnant women in a selected rural area from July 2016 to December 2016. Total sample was 121. Purposive sampling technique was followed. Data collection was done by face to face interview by using pretested structured questionnaire. Data was analyzed by SPSS version 17.0. Results : A total of 121 women were interviewed. Sixty nine (57.02%) pregnant women were registered for ANC. Among them 47(68.11%) of respondents completed more than 4ANC visits. For the current pregnancy 56(46.28%) preferred Upazila Health Complex (UHC) and home delivery was preferred by 34(28.09%) respondents. Among the respondent age group 25-30 yrs were 61(50.41%) and educated upto primary level were 59(48.76%). Monthly income between 5000-10000 taka was among 48(39.66%) respondents. Most of their husbands (52.06%) were educated up to primary level and 25.61 % of them were garments worker and 23.96 % were day laborers. Conclusion : ANC practice was not satisfactory. Only half of the pregnant women attended for ANC and completed minimum four visits. Nearly half of the pregnant women preferred UHC. Educated women from lower economic status were found to attend for ANC. Northern International Medical College Journal Vol.10(1) Jul 2018: 339-342


2018 ◽  
Vol 8 (2) ◽  
pp. 65
Author(s):  
Ni Wayan Sukma Adnyani ◽  
Ni Made Rai Widiastuti ◽  
Ketut Novia Arini

<p><strong>Abstract: <em>Characteristics and Implementation of PMTCT in The Initial Visit Of Antenatal Care By Independent Practice Midwife (BPM) In Denpasar City</em></strong><strong><em>.</em></strong> Based on data from the Bali Provincial Health Office (2014), the number of pregnant women who were willing to take the PMTCT test was 5,029 (42.91%) of the national target achievement of 78% of pregnant women who were tested for HIV. Independent Practice Midwives (BPM) as maternal and child health services that offer and provide PPIA services during ANC visits. This study seeks to determine description of the implementation of PMTCT by midwife practice independent. This research is a descriptive study using a cross-sectional approach. The sample selection used a total sampling technique in which 73 BPM met the inclusion criteria. The results of this study showed 60.3% of midwives with education <span style="text-decoration: underline;">&lt;</span> D3 Midwifery, 60.3% of midwives were in the age range &gt; 40 - 60 years, and most of them were 74% midwives carried out PMTCT services in accordance with the provisions that were offered the initial visit and a small portion of 26% of midwives did not carry out PMTCT services according to the provisions, but referred patients to PMTCT on the next visit when the nausea and vomiting had disappeared. Thus, supervision from policy makers from the Ministry of Health and Community Health Centers (Puskesmas) is very important in conducting a review of the implementation of PPIA regularly to increase the scope of PPIA in BPM.</p><p><strong><em>Key words : </em></strong><em>Pregnancy,PMTCT, </em><em>Independent Practice Midwives</em><em></em></p><p><strong>Abstrak : Karakteristik dan Gambaran Pelaksanaan PPIA pada Kunjungan Awal Antenatal Care oleh Bidan Praktek Mandiri (BPM) Di Kota Denpasar</strong><strong>. </strong>Berdasarkan data Dinas Kesehatan Provinsi Bali (2014), jumlah wanita hamil yang bersedia melakukan tes PMTCT adalah 5.029 (42,91%) dari pencapaian target nasional yaitu 78% dari wanita hamil yang dites HIV. Bidan Praktek Mandiri (BPM)  sebagai tempat pelayanan kesehatan Ibu dan Anak yang menawarkan dan memberikan pelayanan PPIA dalam kunjungan ANC. Penelitian ini berusaha untuk mengetahui gambaran pelaksanaan PPIA oleh BPM Penelitian ini merupakan penelitian deskriptif dengan menggunakan pendekatan <em>cross-sectional</em>. Pemilihan sampel menggunakan teknik total sampling di mana 73 BPM memenuhi kriteria inklusi. Hasil penelitian ini menunjukkan sebanyak 60,3% dengan pendididkan <span style="text-decoration: underline;">&lt;</span> D3 Kebidanan, 60,3% dalam rentang umur &gt; 40 – 60 tahun, dan sebagian besar yaitu 74% bidan melaksanakan pelayanan PPIA sesuai dengan ketentuan yaitu ditawarkan pemeriksaan pada kunjungan awal dan sebagian kecil yaitu 26% bidan belum melaksanakan pelayanan PPIA sesuai ketentuan, melainkan merujuk pasien untuk PPIA pada di kunjungan berikutnya saat mual muntah sudah hilang. Dengan demikian, pengawasan dari pembuat kebijakan dari Departemen Kesehatan dan Pusat Kesehatan Masyarakat (Puskesmas) sangat penting dalam melakukan tinjauan mengenai pelaksanaan PPIA secara teratur untuk meningkatkan ruang lingkup PPIA di BPM.<strong></strong></p><p><strong>Kata kunci</strong>: Kehamilan, PPIA, Bidan Praktek Mandiri,</p><p><strong> </strong></p>


2014 ◽  
Vol 13 (2) ◽  
pp. 28-31
Author(s):  
S. M. Azmol Hossain ◽  
Md Monoarul Haque ◽  
Md Rijwan Bhuiyan ◽  
Nantu Bikash Tripura ◽  
Jakir Hossain Bhuiyan ◽  
...  

Objective: This cross sectional descriptive study was conducted to explore awareness level of pregnant women regarding pregnancy and safe delivery in selected rural area.Methodology: This community based cross sectional descriptive study was carried out at Ullapara Upazila, Sirajgonj District among 120 pregnant women in a rural community. Non probability sampling technique and pretested semistructured questionnaire was used to collect data. Results: Majority of the respondents (65 %) were between 20-34 years of age group. Most of the respondents were housewives (85%). Majority (65%) of the respondents received antenatal care, and among them only 5% respondents received complete antenatal care and 25% received postnatal care. Majority (75%) of the respondents had not received postnatal care (PNC). Majority (85 %) of the respondent planning their delivery in the home and 15% respondent planning their delivery in the delivery center. About 50% of the respondents got information regarding pregnancy and delivery care through health workers. Besides 35% of respondents got information through doctor. Moreover 50% participants knew about the obligatory indications and 50% did not. Sixty percent participants did not know follow-up regarding PNC. Only 25% received PNC. Besides 60% participants did not know about warning sign during delivery while 40% faced complications during their last delivery. About 55% participants did not have knowledge regarding baby care. Moreover 55% participants did not take contraceptive method after their delivery. Conclusion & Recommendation: Attention should be given to improve education level and employment status of the people, as well as supply of all of the necessary equipment and EOC should also be incorporated. Regular awareness program may have to be conducted; Government and non-government organizations should be integrated more in pregnancy issue and post-delivery care. Development and strengthen behavioral change of communications and activities in order to create awareness about pregnant women are also important indeed.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i2.21059


2020 ◽  
Vol 9 (2) ◽  
pp. 123
Author(s):  
Umi Khasanah

Integrated Antenatal Care is a comprehensive and quality antenatal service for all pregnant women provided by trained and professional medical personnel. Providing quality services and services needed by pregnant women will make the perception of pregnant women about Antenatal Care services better. The purpose of this study was to analyze the relationship of education of pregnant women to the perception of service quality at Antenatal Care service visits in the Surakarta Region Health Center. This quantitative research method uses a cross-sectional approach with an accidental sampling technique in sampling so that as many as 108 respondents obtained then the data analysis uses chi-square. The results of this study most of the highly educated pregnant women expressed a good perception about the quality of Antenatal Care Services in the Surakarta Region Health Center. The conclusion of the study is that there is a relationship between the level of education of pregnant women with the perception of service quality at Antenatal Care visits with a p-value of 0.027. The p-value is smaller than 0.05 (0.027 <0.05). Improving the level of education in the community needs to be done so that pregnant women are more understanding and critical about services provided during Antenatal Care visits.


2018 ◽  
Vol 3 (01) ◽  
pp. 23
Author(s):  
Endah Nurmahmudah ◽  
Hj. Heni Hendarsah

Rapid development of global worldwide has been happening on technology, information, science and health technology including reproduction health have impacted on a very tight competition in Health Sector. Recently, the society has required quality of service, safety, comfortable and reasonable price. That is why a midwife is requested to be ready and able to respond quickly and anticipate modernization and satisfy the customers. This research aims to figure out the correlation of the quality of antenatal care (ANC) treatment and the level of clients’ satisfaction at BPM Hj. Elsye Agustin in Tasikmalaya. Data sampling technique has applied total sampling with cross sectional approach method. And data collection is primary data. Primary data is the data taken directly from the respondents which has been done by the researcher itself. Based on the result of the research, the quality of ANC treatment at BPM Hj. Elsye Agustin is good (66.3%), it explains that ANC treatment has oriented to the pregnancy needs. Pregnant women who have received pregnancy treatment at BPM Hj. Elsye Agustin are satisfied (71.4%) indicating that the expectation of pregnant women to get a satisfied treatment has been fulfilled. The correlation of the quality of ANC treatment and the clients satisfaction at BPM Hj. Elsye Agustin has identified p-value of 0.000 indicating that the clients/pregnant women are satisfied with ANC treament.Keywords: quality, antenatal care treatment, customers‟satisfaction


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