scholarly journals FACTORS AFFECTING UTILIZATION OF ANTENATAL CARE AMONG WOMEN ATTENDING PRIVATE SECTOR OUTPATIENT DEPARTMENT

2021 ◽  
Vol 3 (3) ◽  
pp. 59-64
Author(s):  
Zahida Parveen Brohi ◽  
Uzma Parveen Brohi ◽  
Roohi Nigar Ujjan ◽  
Aneela Sadaf
Keyword(s):  
Private Sector ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Family Members ◽  
Outpatient Department ◽  
Factors Affecting ◽  
Factors Influencing ◽  
Study Participants

This study aimed to evaluate the factors influencing women to avail antenatal care among women attending outpatient department (OPD), of private sector hospitals in Hyderabad. This was an interview-based survey conducted during a period of six months (from1stJuly 2019 to 31st December 2019) at OPD of private sector Hospital in Hyderabad. All the pregnant women and their female companions attending the antenatal OPD were included. Those women who regretted being part of the study were excluded. Participants of the study were interviewed regarding the knowledge and factors affecting utilization of antenatal care among women attending OPD as defined in a pre-set questionnaire. All the data was recorded in self-made proforma and analyzed by using SPSS version 20. A total of 500 pregnant women were interviewed regarding awareness of antenatal care. The study participants were grouped according to their age, 3% were 15-20 years of age, 30.9% were 21-30 years of age, 34.5% were 31-40 years of age and 31.5% were more than 41 years of age. Out of those who did not avail antenatal care, 8.5% were not allowed due to family restrictions, 47.3% reported ignorance, 9.7% lived far away from the facility, 24.2% could not afford it and 10.3% had other reasons of not availing antenatal care. The study concluded that the main reason for not utilizing antenatal care was ignorance by the women as well as their family members; affordability was also an important factors in a considerable number of participants.

scholarly journals Exploring COVID-19 Related Factors Influencing Antenatal Care Services Uptake: A Qualitative Study among Women in a Rural Community in Southwest Ethiopia

2021 ◽  
Vol 12 ◽  
pp. 215013272199689
Author(s):  
Shewangizaw Hailemariam ◽  
Wubetu Agegnehu ◽  
Misganaw Derese
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Qualitative Study ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Facility ◽  
Care Service ◽  
Maternal Health Service ◽  
Related Factors ◽  
Factors Influencing

Introduction: Evidences suggest a significant decline in maternal health service uptake following the coronavirus disease 2019 (COVID-19) pandemic in Ethiopia. However, COVID-19 related factors impacting the service uptake are not sufficiently addressed. Hence, the current study was intended to explore COVID-19 related factors influencing antenatal care service uptake in rural Ethiopia. Methods: A community-based qualitative study was conducted from September 25/2020 to November 25/2020 among selected pregnant women residing in rural districts of Bench-Sheko Zone, and healthcare providers working in the local health care facilities. Six focus group discussions and 9 in-depth interviews were made between pregnant women, and health care providers, respectively. Data was collected by health education and behavioral science professionals who also have experience in qualitative data collection procedure. Data were transcribed, translated, and analyzed thematically using Open Code 4.0 software. Result: The study revealed several COVID-19 related factors influencing the uptake of antenatal care service during the pandemic. Health facility related barriers, perceived poor quality of care during the pandemic, government measures against COVID-19, anxiety related to the pandemic, and risk minimization were the identified factors possibly influencing the current antenatal care service uptake among women in rural Bench-Sheko Zone. Conclusion: COVID-19 preventive measures, and health facility related factors and individual factors were responsible for the current decline in antenatal care service uptake. Preserving essential health care service is critical to prevent avoidable losses of maternal and child lives during the pandemic period. Hence, programs and strategies designed to maintain maternal health services particularly, antenatal care service have better take the above determinants into consideration.

scholarly journals Knowledge and Myths about Preeclampsia and Eclampsia and its influence on Antenatal Service Utilization among pregnant women and their male partners  in Mtwara Region-Tanzania: A Cross Sectional Analytical Study.

2020 ◽  
Author(s):  
Aziza Shaibu Machenje ◽  
Stephen M. Kibusi ◽  
Nyasiro Gibore ◽  
Athanase Lilungulu ◽  
Fabiola V. Moshi
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Service Utilization ◽  
Analytical Study ◽  
Care Utilization ◽  
Male Partners ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Adequate Knowledge ◽  
Study Participants

Abstract Background : Pregnancy induced hypertension, including preeclampsia and eclampsia are the major health problem and the main cause of the maternal and perinatal morbidity and mortality in Tanzania. The aim of this study was to assess knowledge and myths about preeclampsia and eclampsia and its influence in Antenatal Clinics (ANC) utilization among pregnant women and their male partiners in Mtwara region. Method : A community based cross-sectional analytical study conducted in Mtwara Region, a random sampling procedure was employed to obtain a sample size of 384 pregnant women and their male partners a total of 768 participants (male=384 and female =384). Interviewer structured questionnaire was used for data collection and Statistical package for social science (SPSS v.20) software was used for data entry and analysis. Descriptive statistics, cross tabulation, Principal component analysis (PCA) was conducted and inferential statistics were used to test association between variables obtained. Results: Among 768 participants, male partners 167(43.5%) and pregnant women 171 (44.5%) had adequate knowledge about preeclampsia and eclampsia. More than a half 396(51.6%) of study respondents had weak myths while 372(48.4%) had strong myths on pre-eclampsia and eclampsia. Furthermore, pregnant women 244 (64%) had adequate antenatal care utilization. Study participants who had adequate knowledge on pre-eclampsia and eclampsia were almost 3 times more likely to utilize antenatal care services (AOR = 2.827; CI = 1.719 – 4.651; p<0.001). Study participants who had weak myth on pre-eclampsia and eclampsia were less likely to have adequate antenatal care attendance (AOR= 0.370; CI= 0.229; p< 0.001) Conclusion : The overall knowledge of preeclampsia and eclampsia was low. Majority of the female had adequate antenatal service utilization. Majority of respondents had weak myths. Government and stakeholders should ensure that community is equipped with knowledge about preeclampsia and eclampsia and the available Myths should be dispelled.

scholarly journals Prevalence and Knowledge of Hepatitis B Virus Infection among Pregnant Women in the Ningo-Prampram District, Ghana

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Precious Kwablah Kwadzokpui ◽  
Elliot Elikplim Akorsu ◽  
Albert Abaka-Yawson ◽  
Solomon Sosu Quarshie ◽  
Stephen Adomako Amankwah ◽  
...  
Keyword(s):  
Hepatitis B Virus ◽  
Virus Infection ◽  
Hepatitis B ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Facility ◽  
Hbv Infection ◽  
Hepatitis B Virus Infection ◽  
B Virus ◽  
Study Participants

Background. Hepatitis B virus (HBV) infection has been suggested to play a role in various adverse birth outcomes. The study determined the prevalence as well as knowledge of hepatitis B virus infection among pregnant women in the Ningo-Prampram District of the Greater Accra Region of Ghana. Materials and Methods. A cross-sectional study using simple random sampling technique was used to recruit 213 pregnant women receiving antenatal care in three different health facilities (Prampram Polyclinic (PPC), Dangme Community Hospital (DCH), and Old Ningo Health Center (ONHC)) in the Ningo-Prampram District of Ghana from November 2018 to January 2019. A semi-structured questionnaire was used to collect data which included participants’ HBsAg test results, sociodemographic and gynaecological characteristics, and their level of knowledge on HBV infection. Knowledge of the participants on HBV infection was classified as either excellent, good, or poor based on their cumulative percentage scores from the questionnaire according to Al Rubaish system of classification. Results. Overall low-intermediate prevalence of HBV infection was 3.3%; however, PPC recorded the highest prevalence of 4.0% while DCH and ONHC recorded 2.82% and 2.50%, respectively. Statistically significant association was observed between HBV infection and the health facility. Majority (77.40%) of the study participants had poor knowledge on HBV infection while only 14 (6.57%) had excellent knowledge on HBV. Regarding excellent knowledge, 8 (11.0%) among the participants were demonstrated by the majority of those who received antenatal care from DCH. Generally, knowledge on HBV and the infection was poor among the study participants. Knowledge on HBV infection was found to be associated with residential status (p=0.006), educational level (p<0.001), occupation (p<0.001), and gestational period (p<0.001). Participant’s knowledge was also significantly associated with the health facility (p=0.027). Conclusion. HBV infection among pregnant women is prevalent in the Ningo-Prampram District even though the prevalence is not very high. The majority of pregnant women in the Ningo-Prampram District inadequate knowledge on HBV infection and it mode of transmission. Intensive public health education on the HBV infection is required in the district to help prevent and manage future transmissions as well as inform the population about the negative side effects of the virus and the need to prevent it by way of vaccination.

Hospital Management: Solution Implemented from Tangible Factor – Resarch at the Outpatient Department of some Public Hospital in Hanoi

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Nguyen Tien Thanh ◽  
Nguyen Dang Minh
Keyword(s):  
Medical Service ◽  
Research Result ◽  
Family Members ◽  
Quality Of Healthcare ◽  
Mean Value ◽  
Public Hospitals ◽  
Outpatient Department ◽  
Factors Affecting ◽  
Result Show

This paper present empirical research result on factors affecting the quality of medical service at the Outpatient Department of some public hospitals in Hanoi. This reserch based on the SERVQUAL model and conduct with 140 patients and 140 patient’s family members who came to these hospitals. The result show that Assurance and Tangible have the most impact to the quality of medical service. We analyze the mean value of the result and see that the Tangible factor has the lowest value and it is the patients and their family members most perceptive factor. Therefore, we focus on analyzing, interpreting and proposing a number of micro and macro solutions to manage the Tangible factor to help improving the quality of healthcare service throughly but sequentially through each step, each zone.

scholarly journals Seroprevalence of hepatitis B virus among pregnant women attending Antenatal care in Dilla University Referral Hospital Gedio Zone, Ethiopia; health facility based cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0249216
Author(s):  
Adugnaw Atnafu Atalay ◽  
Reta Kassa Abebe ◽  
Aberash Eifa Dadhi ◽  
Worku Ketema Bededa
Keyword(s):  
Hepatitis B Virus ◽  
Hepatitis B ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
B Virus ◽  
Study Participants

Introduction A pregnancy that has been complicated with Hepatitis B virus (HBV) infection results in typical management problems for both the mother and the newborn. One of the universal efforts in tackling the impact of chronic HBV is the prevention of mother-to-child transmission during Antenatal care via prompt screening as the majority of chronic infections globally harbored during this period. Rewarding result have been achieved in reducing this problem at this period of life through maternal screening programs and universal vaccination of infants. This study was aimed at assessing the seroprevalence and associated risk factor of HBV among pregnant women attending Antenatal Care (ANC) in Dilla University Referral Hospital (DURH), Southern Ethiopia. Method A facility- based cross- sectional study was conducted from December 01 to May 30, 2017 among pregnant women attending ANC. A total of 236 pregnant women were included in this study. All Pregnant women who were attending antenatal clinic and were volunteer during the study period were included, whereas those women who were unable to communicate due to any problem, and not volunteer to give informed consent were excluded. Volunteer participants were asked to complete a questionnaire and had offered to test for HBsAg infection. The data was analyzed using SPSS version 20 software. Logistic regression was used to determine the association between dependent and independent variables. Results From 215 pregnant women attending ANC, the prevalence of HBsAg by the rapid test was found to be 11 (5.1%). Among the study participants, 91.1% (215) were tested for HIV antibody during the ANC visit, with the positivity rate of 4.5%. The result showed 1.86% of the study participants who were tested for HIV were also positive for HBsAg. Among those factors affecting the transmission of HBV infection, multiple partners and HIV confection have significant association at P-value less than 0.05. Conclusion The Seropositivity of Hepatitis B Virus among Pregnant Women was found to be significant and hence, routine screening of pregnant mother at Antenatal care for this virus, and subsequent management according to the guideline for both the mother and child is recommended.

scholarly journals Developing targeted client communication messages to pregnant women in Bangladesh: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jesmin Pervin ◽  
Bidhan Krishna Sarker ◽  
U. Tin Nu ◽  
Fatema Khatun ◽  
A. M. Quaiyum Rahman ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Text Messages ◽  
Care Utilization ◽  
Behavior Change Techniques ◽  
Lack Of Information ◽  
Antenatal Care Utilization ◽  
Client Communication ◽  
Study Participants

Abstract Background Timely and appropriate evidence-based practices during antenatal care improve maternal and neonatal health. There is a lack of information on how pregnant women and families perceive antenatal care in Bangladesh. The aim of our study was to develop targeted client communication via text messages for increasing antenatal care utilization, as part of an implementation of an electronic registry for maternal and child health. Methods Using a phenomenological approach, we conducted this qualitative study from May to June 2017 in two sub-districts of Chandpur district, Bangladesh. We selected study participants by purposive sampling. A total of 24 in-depth interviews were conducted with pregnant women (n = 10), lactating women (n = 5), husbands (n = 5), and mothers-in-law (n = 4). The Health Belief Model (HBM) was used to guide the data collection. Thematic analysis was carried out manually according to the HBM constructs. We used behavior change techniques to inform the development of targeted client communication based on the thematic results. Results Almost no respondents mentioned antenatal care as a preventive form of care, and only perceived it as necessary if any complications developed during pregnancy. Knowledge of the content of antenatal care (ANC) and pregnancy complications was low. Women reported a variety of reasons for not attending ANC, including the lack of information on the timing of ANC; lack of decision-making power; long-distance to access care; being busy with household chores, and not being satisfied with the treatment by health care providers. Study participants recommended phone calls as their preferred communication strategy when asked to choose between the phone call and text message, but saw text messages as a feasible option. Based on the findings, we developed a library of 43 automatically customizable text messages to increase ANC utilization. Conclusions Pregnant women and family members had limited knowledge about antenatal care and pregnancy complications. Effective health information through text messages could increase awareness of antenatal care among the pregnant women in Bangladesh. This study presents an example of designing targeted client communication to increase antenatal care utilization within formal scientific frameworks, including a taxonomy of behavior change techniques. Trial registration ISRCTN69491836. Registered on December 06, 2018. Retrospectively registered.

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