scholarly journals EDUCATIONAL EMPOWERMENT AND USE OF ANTENATAL SERVICES

2019 ◽  
Vol 10 (4) ◽  
pp. 11-15
Author(s):  
Muhammad Siddique Khan Qadr ◽  
Huda Abbas ◽  
Wajahat Hussain et al.

ABSTRACT:OBJECTIVE: The single most important factor that has long-lasting impact on lives of women is education. The study was conducted to determine the effect of women and partner's education on utilization of antenatal services in the urban slums.STUDY DESIGN AND SUBJECTS: This descriptive cross sectional study was conducted in urban slums of Bahawalpur City from January 2018 to December 2018 after taking ethical approval from hospital ethical committee. Women of reproductive age n=377, between 15 to 49 years, having at least one alive child less than one year of age and irrespective of current pregnancy were included in the study. Out of selected slum area sample was drawn by non-probability consecutive method. The preformed, pretested questionnaire with the help of lady health workers of the areas was used for collection of data. RESULTS: Mean age of the respondents was 28.26 ± 6.03 years. The age distribution showed that 31.1% respondents belonged to 30-34 years age group followed by 29.7% in 25-29 years, 19.1% in 20-24 years. The utilization of antenatal services was poor in 41.1% (n=155), fair in 24.9% (n=94) and good in 34.0% (n=128) women. The utilization of antenatal services was significantly higher in literate group (p <0.001). Regarding husband's educational status the wives of educated husbands had better utilization (p <0.001). The use of antenatal services among wives of uneducated and primary educated husbands was 67.8% and 61.5% respectively. The 52.1% women having graduate and above educational level of husband had good antenatal care use. CONCLUSION: Educational status significantly affect the utilization of antenatal services.

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Mtondera Munthali ◽  
Isabel Kazanga Chiumia ◽  
Chrispin Mandiwa ◽  
Saul Mwale

Abstract Background Preconception care is one of the preventive strategies in maternal and new-born health as recommended by WHO. However, in sub-Saharan Africa there is poor preconception care practices. This study examined knowledge and perceptions of preconception care among health workers and women of reproductive age group in Mzuzu City, Malawi. Methods A descriptive cross-sectional study was conducted using a mixed methods approach. Selection of respondents was done through a multistage and purposive sampling techniques respectively. A total of 253 women of reproductive age from nine townships of Mzuzu City responded to the questionnaire and 20 health workers were interviewed. Results A total of 136 (54%) respondents had heard of preconception care. About 57.7% (n = 146) demonstrated a good level of knowledge of preconception care while 42.3% (n = 107) had poor knowledge. About 72% (n = 105) of those with good of knowledge of preconception care, lacked awareness on possibilities of talking to a health care provider on intentions of getting pregnant. About 74.7% (n = 189) of women had a positive perception towards preconception care. Knowledge of preconception care was a good predictor of positive perception (AOR = 2.5; 95% CI 1.2–5.0), however its predictability was influenced by the academic level attained. Those with secondary (AOR = 10.2; 95% CI 3.2–26.2) and tertiary (AOR = 2.3; 95% CI 1.1–4.9) were more likely to have good knowledge of preconception care than those with primary school education level. About 95% (n = 19) of health workers lacked details about preconception care but they admitted their role in preconception care. Conclusion Preconception care practice among health workers and women of reproductive age in Mzuzu City was low. However there was positive perception towards preconception care in both parties. There is an opportunity in existing platforms for implementation of interventions targeting identified predictors for increased knowledge and uptake of preconception care.


2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Naeela Ansari ◽  
Farha Rizwan

Background:Although all parts of the world have seen a huge increase in contraceptive usage, at least 200 million women still currently lack access to modern contraceptives(Manae-hamaltadabeer). Today about 53.4% eligible couples are still unprotected against conception. Successful fertility control leads to many social and economic advantages for women from educational attainment, personal autonomy to relationship stability and satisfaction. Material and Method:A cross-sectional study was carried out from Jan 2018 to Jan 2019 to analyse the awareness, perceptions and various patterns of contraceptives usage among 1000 women of reproductive age in western Maharashtra. Observation and Result:Data were collected from 1000 women participants. 266 (26.6%) belong to the age group of 25-29 years of age and Mean age of women was 32.78 years with SD + 7.58 yrs. 100% Awareness was observed whilemajority of 622 (62.2%) use contraceptive methods. About 226 (22.6%) preferred Condom.There was a significant association between age 2 2 2 (X =49.37, p=0.0001), educational status (X =439.46, p=0.0001),Socio Economic Status (X =72.1311, P=0.000),family 2 2 Type (X =14.44, p=0.001) and Parity (X =55.79, p=0.00001) with the knowledge scores.There was significant association 2 2 between preference of contraceptive methods scores and the age (X =104.32, p=0.000), Education (X =99.97, p=0.000), SES 2 2 (X =77.953, p=0.000) and parity (X =65.50, p=0.000). Conclusion:Despite 100% awareness and favourable attitude, significant number of reproductive age women did not use contraceptive methods due to various reasons. This study shows the association between socio-demographic variables and family planning acceptance ratio.


2017 ◽  
Vol 13 (2) ◽  
pp. 7-13 ◽  
Author(s):  
Sonai Chaudhuri ◽  
B. K. Rai ◽  
R Giri ◽  
A Yadav ◽  
S Giri

Background: Depomedroxy progesterone (DMPA) is most commonly used contraception among the Nepalese women of reproductive age group. Objective: To study the perceived positive and negative aspects regarding the use of DMPA amongst women presenting to the General Outpatient Department of BPKIHS, Dharan, Nepal.Method: This is a cross sectional descriptive study which is conducted at the general out patient department (GOPD) of the B.P. Koirala Institite of Health Science, Dharan, Nepal for a period of one year where a questionnaire was distributed among 100 female patients and their responses were collected.Result: Most widely used contraceptive method was Depot Medroxy progesterone (69%). The most sought after reason for continued use, was "easy to follow dose" (30%) whereas "difficulty with compliance with other contraception" (26%) remains the next important reason. "Privacy (16%) helped the patients to continue the usage whereas “Easily/only available contraception (5%) made rest of the participants to continue the use of Depot medroxyprogesterone.Conclusion: Depot Medroxy Progesterone Acetate is a highly effective, convenient to use non daily hormonal contraception which is widely accepted in Nepalese women when used after proper counseling by clinicians or other health professionals.Health Renaissance 2015;13(2): 7-13


2021 ◽  
Vol 11 (1) ◽  
pp. 40-46
Author(s):  
Ijeoma Nduka

Background: Postnatal period is as important as pregnancy and childbirth. Half of all postnatal deaths occur during the first week after birth. During postnatal period, the mother’s body undergoes major changes from pregnancy. Therefore, there is need for continuity of care after birth to prevent and manage complications that may arise during postnatal. This study was carried out to determine factors associated with the utilisation of postnatal care services in a rural community in Abia state. Methods: This was a descriptive cross-sectional study conducted from March 2019 to May 2019 among women living in Amuvi community in Arochukwu Local Government Area (LGA)of Abia state.  The study participants were women of reproductive age group (15-49 years) who had at least been pregnant once, carried pregnancy to full maturity and delivered at term. Data was collected using pre-tested semi-structured interviewer-administered questionnaire. Results: Four hundred and sixty-seven (467) women participated in the study. Four hundred and forty-three (95.1%) women attended postnatal visits while 23 (4.7%) did not. Reasons given for attending postnatal care by respondents were; routine check-ups, counselling on family planning, appointment with health workers 54 (11.7%), same day appointment as child’s immunisation, child was sick.  Respondents who were married were 2 times (AOR=2.587, 95% CI:-0.878-0.120) more likely to use postnatal care services than single mothers. Mothers who had an occupation were 2 times (AOR=2.897, 95% CI: 0.051-0.267) more likely to use postnatal care services than those who did not. Husband’s occupation was statistically significant with utilisation of postnatal services. Conclusion:  Utilisation of postpartum care services was high among women in Amuvi community of Abia state. PNC services utilisation were associated with marital status, mother’s occupation and husband’s educational status.


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.


2019 ◽  
Author(s):  
Dieudonne Hakizimana ◽  
Marie Paul Nisingizwe ◽  
Jenae Logan ◽  
Rex Wong

Abstract Background Anemia among Women of Reproductive Age (WRA) continues to be among the major public health problems in many developing countries, including Rwanda, where it increased in prevalence between the 2015 and 2010 Rwanda Demographic and Health Survey (RDHS) reports. A thorough understanding of its risk factors is necessary to design better interventions. However, to the best of our knowledge, no study has been conducted in Rwanda on a nationally representative sample to assess factors associated with anemia among WRA. Accordingly, this study was conducted to address such gap. Methods A quantitative, cross-sectional study was conducted using data from the RDHS 2014-2015 report. The study population consisted of 6680 WRA who were tested for anemia during the survey. Anemia was defined as having a hemoglobin level equal to or below 10.9 g/dl for a pregnant woman, and hemoglobin level equal to or below 11.9 g/dl for a non-pregnant woman. Pearson’s chi-squared test and multiple logistic regression were conducted for bivariate and multivariable analysis, respectively. Results The prevalence of anemia among WRA was 19.2% (95% CI: 18.0 - 20.5). Four factors were found to be associated with lower odds of anemia, including being obese (OR: 0.61, 95% CI: 0.40 - 0.91), being in the rich category (OR: 0.74, 95% CI: 0.63 - 0.87), sleeping under a mosquito net (OR: 0.85, 95% CI: 0.74 - 0.98), and using hormonal contraceptives (OR: 0.61, 95% CI: 0.50 - 0.73). Five factors were associated with higher odds of anemia, including being underweight (OR: 1.39, 95% CI: 1.09 - 1.78), using an intrauterine device (OR: 1.98, 95% CI: 1.05 - 3.75), being separated or widowed (OR: 1.35, 95% CI: 1.09 - 1.67), and living in the Southern province (OR: 1.45, 95% CI: 1.11 - 1.89) or in the Eastern province (OR: 1.41, 95% CI: 1.06 - 1.88). Conclusion Anemia continues to pose public health challenges; novel public health interventions should consider geographic variations in anemia risk, seek to improve women’s economic statuses, and strengthen iron supplementation especially for Intrauterine device users. Additionally, given the association between anemia and malaria, interventions to prevent malaria should be enhanced.


2021 ◽  
Vol 9 (01) ◽  
pp. 74-86
Author(s):  
Sharmila Pokharel ◽  
Ram Krishna Maharjan

Antenatal care is one of the most effective measures to reduce maternal mortality in Lower Middle-income Countries. The study aims to assess the utilization of antenatal care and related factors by breastfeeding mothers in Chitwan district of Nepal. A cross-sectional study was carried out in Bharatpur municipality in April 2020, among all women of the reproductive age group (15-49) who have had a birth child in the last 12 months before the survey date. A census sampling technique was used to select respondents. The vaccination period was two weeks. All the mothers who came to the vaccine center to vaccinate their children were the respondents of this study. The data were collected by using an interview schedule. The collected data were managed using SPSS Version 20. The study found that 84.31 percent of respondents attended more than four antenatal care utilization. The educational level of the respondents and the occupation of their partners were linked to the use of antenatal care. The number of pregnancies, the number of live births, the place of delivery, and the educational level and occupations of the birth attendees were also significantly linked to the use of antenatal care. Community mobilization and intensive use of community health workers are essential factors to improve the use of antenatal care.


2018 ◽  
Vol 25 (02) ◽  
pp. 237-241
Author(s):  
Shabana Rafiq ◽  
Razia Bibi ◽  
Samina Ashraf

Objectives: To determine the frequency of ovarian malignancy in women ofreproductive age presenting with ovarian mass and to determine frequency of factors leadingto ovarian malignancy. Study Design: Cross sectional study. Setting: Department of Obstetrics& Gynaecology, Lady Wallington Hospital, Lahore. Period with Dates: From 05.11.11 to26.06.12. Results: The result of our study reveals majority of the patients between 21-30 yearsi.e. 45.88%(n=39), common age was 24.21+3.76 years, 43.53%(n=37) were nulliparous (inmajority), while frequency of ovarian malignancy in women of reproductive age presenting withovarian mass was recorded in 14.11%(n=12) while frequency of factors leading to ovarianmalignancy was 91.67%(n=11) patients were nulliparous while family history of ovarianmalignancy was in 8.33%(n=1) patients. Conclusions: The frequency of ovarian malignancy ishigher among reproductive age females with increased risk of nulliparity.


Author(s):  
Shivraj More ◽  
Sujatha P. ◽  
Karthiga Karthiga

Background: Menopause is an inevitable milestone in the reproductive life of every woman. The objective is to investigate menopausal knowledge, attitude, symptoms and management among the participants, to identify the differences according to their educational status and to examine correlations of knowledge, attitude and symptoms pertaining to menopause.Methods: This cross-sectional study was conducted for a period of 10 months in postmenopausal women attending a tertiary care center in Pondicherry, India with a structured questionnaire developed on the basis of the objective of the study.Results: 330 postmenopausal women were recruited, and all were aware of their postmenopausal status. Mean age at menopause was 45.91±2.66 years. 54.5% were aware about what menopause was while 5.5% were unaware. 12.1% had proper knowledge about cause of menopause, whereas 3.6% said it is due to god’s decision / turning point. Most prevalent symptoms were tiredness (89.6%) followed by vasomotor symptoms like hot flushes (88.5%) and night sweats (80.3%). Only 2.1% had used HRT for menopausal symptoms.Conclusions: Depth of knowledge is more important when concern is about greater health disrupter which tends to be imperceptible for a long time such as bone health and cardiovascular risk profile. Thus, the government could concentrate on providing health services to women in post reproductive age group also besides women in the reproductive age.


BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e024680 ◽  
Author(s):  
Rajat Das Gupta ◽  
Ibrahim Hossain Sajal ◽  
Mehedi Hasan ◽  
Ipsita Sutradhar ◽  
Mohammad Rifat Haider ◽  
...  

ObjectivesThis study aimed to discern the association between the frequency of television viewing and overweight and obesity among reproductive age women of Myanmar.DesignThis was a cross-sectional study.SettingThis study used Myanmar Demographic and Health Survey (2015–2016) data.ParticipantsTotal of 12 021 women both aged 15–49 years and also not pregnant or did not deliver a child within the 2 months prior to the survey were included.Primary and secondary outcome measuresThe primary outcome was overweight (23.0 kg/m2to <27.5 kg/m2) and obesity (≥27.5 kg/m2), which was measured using the Asian body mass index cut-off. Ordered logistic regression analysis was conducted to find the association between the explanatory and outcome variables. The potential confounders controlled in the multivariable analyses were age, place of residence, region of residence, highest educational status, current employment status, wealth index, parity and number of household members.ResultsThe prevalence of overweight was 26.5% and obesity was 12.2% among the study participants. The odds of being overweight and obese were 20% higher (adjusted OR (AOR) 1.16, 95% CI 1.02 to 1.32; p=0.023) among those who watched television at least once a week compared with those who did not watch television at all. Rural women who watched television at least once a week were 1.2 times more likely to be obese (AOR 1.16, 95% CI 1.01 to 1.34; p=0.040) compared with those who did not watch television at all.ConclusionsFrequent television watching was associated with obesity among rural women of reproductive age in Myanmar.


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