ICT Uptake as a Determinant of Antenatal Care Utilization in Uganda

2021 ◽  
Vol 10 (1) ◽  
pp. 11-32
Author(s):  
Hasifah Kasujja Namatovu ◽  
Tonny J. Oyana
Keyword(s):  
Antenatal Care ◽  
Information And Communication Technologies ◽  
Study Data ◽  
Control Measures ◽  
Care Utilization ◽  
Chi Square ◽  
Cross Sectional ◽  
Antenatal Care Utilization ◽  
Information And Communication ◽  
Cross Sectional Design

Few studies have investigated information and communication technologies (ICTs) as determinants of ANC utilization, yet ICTs in health can improve patient outcome, tackle health systems challenges, and improve client-to-provider relationship. A cross-sectional design using both quantitative and qualitative data collection approaches was used to ascertain whether ICT uptake can determine ANC utilization. Women aged 18-50 years who were pregnant had given birth two years preceding the survey and who had at least a primary school education participated in this study. Data was analyzed using Pearson's Chi-square and descriptive discriminant analysis. Results from this study suggest an association between ICT uptake and ANC utilization (χ2 = 19.3, ρ <0.001) and a statistically significant relationship between the discriminant function and the grouping variable at p=.012 (Wilks's ᴧ = .822; χ2 = 28.62 (14df), p&lt;0.05, valid n = 164). Control measures and interventions should be geared towards integrating ICTs in women's routine antenatal care practices.

scholarly journals Women’s Decision-Making Autonomy and ICT Utilization on Access to Antenatal Care Services: Survey Results From Jinja and Kampala Cities, Uganda

2019 ◽  
Author(s):  
Hasifah K. Namatovu ◽  
Tonny J. Oyana ◽  
Jude T. Lubega
Keyword(s):  
Decision Making ◽  
Antenatal Care ◽  
Strong Association ◽  
Control Measures ◽  
Chi Square ◽  
Cross Sectional ◽  
Care Services ◽  
Ict Adoption ◽  
Expectant Mothers ◽  
Cross Sectional Design

AbstractThere is growing evidence in Uganda that the non-attendance of antenatal care is largely influenced by the lack of decision-making autonomy, inadequate information and poor services offered in health facilities. Although previous studies have examined barriers and facilitators of antenatal care, a few of them have investigated the extent of decision making autonomy and ICT adoption among expectant mothers. A cross sectional design through focus group discussions and survey questionnaires was used to collect data. Three hundred and twenty households were randomly sampled in Kampala and Jinja districts. The Chi-square tests (χ2) for independence to analyze group differences among women’s socio-demographic characteristics and decision-making autonomy was used. Inclusion criteria included respondents aged 18 and 50 years, completion of primary school education, expectant mothers and mothers who gave birth two years prior to the study. A hundred and sixty-four respondents participated in this survey. About 59.5% of women lacked decision making autonomy. Midwives (37.6%) and village health teams (35%) were a major source of antenatal care information, and 49.5% of expectant mothers lacked ANC information. Ninety percent (90%) of mothers did not use any form of ICT’s to enhance their decisions yet 79% possessed mobile phones. We observed a strong association between antenatal care decision-making autonomy and women with higher education (χ2 = 8.63, ρ = 0.035), married (χ2 = 4.1, ρ = 0.043) and mature (36–50) (χ2 = 8.81, ρ = 0.032). The main findings in this study suggest that ICT adoption and decision making autonomy among expectant mothers is still low and less appreciated. Control measures and interventions should be geared towards empowering women to influence their decisions.

scholarly journals Hubungan Antara Kualitas & Kuantitas Riwayat Kunjungan Antenatal Care (ANC) Dengan Stunting Pada Balita Usia 24-59 Bulan Di Kecamatan Pujon Kabupaten Malang

2020 ◽  
Vol 4 (3) ◽  
pp. 100-111
Author(s):  
Vita Camelia ◽  
Keyword(s):  
Antenatal Care ◽  
P Value ◽  
Growth Disorders ◽  
Height Measurement ◽  
Chi Square ◽  
Cross Sectional ◽  
Standard Curve ◽  
Chi Square Test ◽  
History Of ◽  
Cross Sectional Design

Stunting is a children growth problem that occurs a result of chronic malnutrition in the first 1000 days of life. The indicator of stunting is using the height measurement according to age HFA (Height for Age) under -2 SD based on the WHO growth standard curve according to sex. The impacts of stunting are the occurrence of growth disorders, barriers to development and the risk of metabolic disorders in adulthood. One of the risk factors for stunting is history of quality and quantity Antenatal Care (ANC). This study aimed to determine the relationship between quality and quantity history of ANC visits and stunting in toddlers aged 24-59 years in Pujon District Malang Regency. The method used in this research was observational analytic by using cross-sectional design. The population of this study was all mothers who have children aged 24-59 months that were conducted in January 2020. Ninety eight respondents taken by purposive sampling as the sample of the research. The data was obtained by filling out questionnaires and KIA books, then analyzed with chi-square test (α = 0.05). The results showed that there was a significant relationship in quality (p-value = 0.004) and quantity (p-value = 0.003) toward stunting.

scholarly journals A study on demographic and obstetric profile, its relation with present antenatal practices and prevalence of anaemia in pregnant women attending tertiary care hospital

2021 ◽  
Vol 8 (5) ◽  
pp. 2233
Author(s):  
Nitin A. Lodha
Keyword(s):  
Maternal Health ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Maternal Health Services ◽  
Study Data ◽  
Care Hospital ◽  
Chi Square ◽  
Cross Sectional

Background: Antenatal care is the care of a woman during pregnancy. The primary aim of antenatal care is to achieve at the end of pregnancy a healthy mother and a healthy baby. To improve maternal health, barriers which limit access to quality maternal health services must be identified and addressed at all levels of health system. Objectives were to determine demographic and obstetric factors affecting utilization of ANC service and prevalence of anaemia among pregnant women.Methods: This is cross-sectional descriptive study carried out in tertiary care hospital, using structured questionnaire, interviews were conducted with married pregnant women age between 18-45 years, who visited ANC clinic. Total 170 pregnant women visited hospital during a period was included in study. Data was analysed using MS excel and Epi info. Chi –square test was applied.Results: Maximum number of study subjects (42.9%) from age 23-27 years. 66.5% were Hindu, 56.5% study subjects from joint family. 14.7% were illiterate. 45.3% were primigravida, 54.7% were multigravida. 71.1% study subjects were from third trimester of pregnancy. 94.7% were taken at least one dose of Tetanus Toxoids. Iron folic acid tablets were taken by 87.6%. Prevalence of anaemia was 55.8%.Conclusions: Majority of pregnant women came for antenatal check-up, but regularity was not seen in most of cases. The presence study has brought out no significant socio-cultural barrier like women’s literacy, socio economic class and parity of women affecting the utilization of services.

scholarly journals The Correlation Between Safety Climate With Unsafe Act In Apartment Building Construction Workers Pt. Multikon 2020

2021 ◽  
Vol 4 (2) ◽  
pp. 122
Author(s):  
Rahmah Amalina
Keyword(s):  
Safety Climate ◽  
Study Data ◽  
Bivariate Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Safety Communication ◽  
Work Accident ◽  
Work Accidents ◽  
Cross Sectional Design ◽  
Safety Priority

Construction is one of the highest industries in contributing to work accident rates. Unsafe act is the cause of 73% of work accidents. One way to prevent unsafe act is through safe behavior implemented by management and workers themselves. This study aims to determine the correlation between the safety climate with unsafe act. This research uses quantitative analytic methods with cross sectional design study. Data was analyzed using chi-square with a sample of 88 people selected by purposive sampling method. The results showed that the proportion of respondents who frequently perform unsafe acts was 33%. In bivariate analysis showed there were a relevant relationship between the dimensions of management safety empowerment (OR 2.455; 95% CI 1.06-5.87), worker’s safety priority and risk non-acceptance (OR 2.679; 95% CI 1.05- 6,83) and the dimensions of safety communication, learning and trust in co-worker’s safety competence (OR 2,500; 95% CI 1.05-5.91) with unsafe act. Workers who have a good perception of a safety climate rarely take unsafe actions.

scholarly journals Integrated antenatal care reduce childbirth anxiety among primigravida women

2019 ◽  
Vol 2 (1) ◽  
pp. 33-39
Author(s):  
Nena Riski Hariyati ◽  
Abkar Raden ◽  
Retno Mawarti ◽  
Mula Tarigan
Keyword(s):  
Antenatal Care ◽  
Health Centre ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Public Health Centre ◽  
Psychological Conditions ◽  
Analysis Technique ◽  
Cross Sectional Design

Pregnant women’s anxiety, if not well-treated, may influence both the physical and psychological conditions of mother and fetus. This study aimed to analyze the correlation between integrated antenatal services and anxiety on facing facing childbirth among primigravida women. This was an observational analytic study used Cross Sectional design. The sample in this study was 55 primigravida women in their third trimester, whom were selected by using a total sampling technique. The study was conducted in a Public Health Centre within Yogyakarta Province. The analysis employed bivariate analysis technique with Chi-Square. The results showed that non-integrated antenatal care had correlation with anxiety about facing labor with p=0.033 and OR=5.417, which explained that non integrated antenatal care significantly increases anxiety among primigravida women. Therefore there is a need tailored services which could improve the quality of Integrated Antenatal Care to reduce pregnant women’s anxiety on facing childbirth.

scholarly journals STANDAR KUANTITAS ANTENATAL CARE DAN SOSIAL BUDAYA DENGAN RISIKO ANEMIA PADA KEHAMILAN

2021 ◽  
Vol 12 (1) ◽  
pp. 51-63
Author(s):  
Mitra Mitra ◽  
Novita Yanti ◽  
Nurlisis Nurlisis ◽  
Oktavia Dewi ◽  
Hastuti Marllina
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Health Workers ◽  
Economic Status ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Anemia During Pregnancy ◽  
Cross Sectional Design ◽  
Iron Folic Acid

Abstract   Background: There was an increase of anemia in pregnant women and maternal death due to obstetric hemorrhage with hemoglobin (Hb) levels during pregnancy <10 gr/dl in Indragiri Hilir District, Riau Province. Objective: This study aimed to analyze the association between standard of antenatal care (ANC) and socio-cultural factors and the risk of anemia during pregnancy. Methods: A cross-sectional design was used in this study. This study included 172 pregnant women in the 2nd and 3rd trimesters from the Sungai Piring Public Health Center's working area. Data of Hb level of pregnant women was obtained from the maternal register and the MCH book. Data on the quantity of ANC, socio-cultural, adherence to iron-folic acid tablet consumption, and characteristics of pregnant women were collected through questionnaire interviews. Bivariate and multivariate analyses were conducted by using chi-square test and multiple logistic regressions respectively. Results: As many as 71.5% of pregnant women experienced anemia. Anemia in pregnant women was significantly associated with standard of ANC quantity, sociocultural status, and economic status (p<0.05). Inadequate ANC, poor socio-cultural, and low economic status increased the risk of anemia in pregnant women by 6.6 times, 11.4 times, and 3 times respectively. Conclusion: Standard of ANC quantity, socio-cultural, and economic status were dominant factors for anemia in pregnancy. Home visits or counseling through messaging applications can be carried out by health workers for pregnant mothers who do not attend ANC visits.   Keywords: Anemia, antenatal care, pregnancy, socio-culture   Abstrak   Latar belakang: Terjadi peningkatan kasus anemia ibu hamil dan adanya kasus kematian ibu akibat perdarahan dengan kadar haemoglobin (Hb) darah saat hamil di bawah 10gr/dl di Kabupaten Indragiri Hilir Provinsi Riau. Tujuan: Menganalisis hubungan antara standar antenatal care (ANC) dan sosial budaya dengan risiko anemia pada kehamilan. Metode: Studi ini menggunakan desain cross sectional. Sampel studi yaitu 172 ibu hamil trimester dua dan tiga di wilayah kerja Puskesmas Sungai Piring. Data kadar hemoglobin (Hb) darah ibu hamil diperoleh dari register ibu dan Buku KIA. Data kuantitas ANC, sosial budaya, kepatuhan konsumsi tablet tambah darah, dan karakteristik ibu hamil dikumpulkan melalui wawancara kuesioner. Analisis bivariat dilakukan dengan uji chi square dan multivariat dengan uji regresi logistik ganda. Hasil: Sebanyak 71,5% ibu hamil mengalamani anemia. Kuantitas ANC, sosial budaya, dan status ekonomi berhubungan signifikan dengan anemia pada ibu hamil (p<0,05). Ibu hamil dengan kuantitas ANC tidak sesuai standar, sosial budaya tidak baik, dan status ekonomi rendah berpeluang berturut-turut sebesar 6,6 kali, 11,4 kali, dan 3 kali untuk mengalami anemia. Kesimpulan: Standar kuantitas ANC, sosial budaya, dan status ekonomi merupakan variabel yang dominan terhadap anemia pada kehamilan. Kunjungan rumah atau konseling melalui aplikasi perpesanan dapat dilakukan oleh petugas kesehatan bagi ibu yang tidak melakukan ANC.   Kata kunci: Anemia, antenatal care, kehamilan, sosial budaya

scholarly journals Hubungan Antenatal Care terhadap Kejadian Stunting pada Balita Usia 0-24 Bulan di Wilayah Kerja Puskesmas Seberang Padang Tahun 2019

2021 ◽  
Vol 1 (3) ◽  
pp. 246-253
Author(s):  
Nurul Ramadhini ◽  
Delmi Sulastri ◽  
Dolly Irfandi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Antenatal Care ◽  
Random Sampling ◽  
Simple Random Sampling ◽  
Chi Square ◽  
Cross Sectional ◽  
Primary Health ◽  
Chi Square Test ◽  
Cross Sectional Design

Latar Belakang. Stunting atau disebut juga dengan kerdil adalah keadaan dimana tinggi badan anak tidak sesuai dengan usianya dikarenakan kekurangan asupan gizi pada saat didalam kandungan dan awal kehidupan. Salah satu faktor yang mempengaruhi terjadinya stunting pada anak adalah riwayat antenatal care ibu selama hamil. Objektif. Mengetahui hubungan antenatal care terhadap kejadian stunting pada balita berusia 0 – 24 bulan di wilayah kerja Puskesmas Seberang Padang tahun 2019. Metode. Penelitian ini merupakan penelitian analitik observasional dengan desain cross sectional pada 79 anak usia 0-24 bulan di wilayah kerja Puskesmas Seberang Padang yang dipilih melalui simple random sampling. Analisis data dilakukan dengan uji chi square. Hasil. Penelitian dilakukan dengan wawancara dan observasi buku KIA serta hasil pengukuran panjang badan anak menggunakan infantometer. Prevalensi stunting (13,9%), sebagian besar ibu memiliki kunjungan antenatal care lengkap (19,4%) dan mendapatkan kualitas antenatal care yang baik (15,8%). Nilai signifikansi kunjungan antenatal care 0,325 dan kualitas antenatal care 0,720. Simpulan. Antenatal care tidak berhubungan secara signifikan dengan kejadian stunting karena p>0,05. Kata kunci : pemeriksaan rutin selama hamil, kerdil, puskesmas, balita 0-24 bulan.   Background. Stunting or also called dwarf is a condition where the height of the child does not match his age due to lack of nutritional intake at the time during pregnancies and early life. One of the factors that influence stunting in children is a history of maternal antenatal care during pregnancy. Objective. To determine the relationship of antenatal care to the incidence of stunting in infants aged 0-24 months in the working area of ​​ Seberang Padang Primary Health Center Care in 2019. Methods. This research was an observational analytic study with cross sectional design in 79 children aged 0-24 months in the working area of ​​Seberang Padang Primary Health Care which was selected through simple random sampling. Data analysis was performed with the chi square test. Results. The research was conducted by interviews and observations of maternal and child health books and the results of measurements of children's body length using an infantometer. The prevalence of stunting (13.9%), most mothers have complete antenatal care visits (19.4%) and get good quality antenatal care (15.8%). The significance value of antenatal care visits is 0.325 and the quality of antenatal care is 0.720. Conclusion. Antenatal care is not significantly related to the incidence of stunting because of p>0.05. Keywords : antenatal care, stunting, primary health care, toddlers 0-24 month.  

scholarly journals Pelayanan antenatal care dalam pengelolaan anemia berhubungan dengan kepatuhan ibu hamil minum tablet besi

2011 ◽  
Vol 8 (1) ◽  
pp. 7 ◽  
Author(s):  
Subarda Subarda ◽  
Mohammad Hakimi ◽  
Siti Helmyati
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Iron Supplementation ◽  
Literature Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Anemia Management ◽  
Chi Square Test ◽  
Logistic Regressions ◽  
Cross Sectional Design

Background: The prevalence of pregnant women with anemia is still one of nutrition problems in Indonesia. The main cause of this case is low iron supplementation compliance as the effect of lack of antenatal care (ANC) services and lack promotion of anemia prevention and iron tablet benefit.Objective: The study was aimed to know the relationship between ANC services in anemia management with iron supplementation compliance of pregnant women.Method: The study was observational with cross sectional design. Subjects were 202 pregnant women in the II–III trimester period in Asahan District. Sampling interpretation was randomly performed by choosing 3 sub-districts with K4 ≥ 85% and ≤ 85% coverage. Data collection was carried out by interview based on structured questionnaire and KIA literature study while validity of iron supplementation compliance using stool test. Data analyzed using chi-square and logistic regressions test.Results: The result showed that 41.1% of pregnant women were complied. Based on chi-square test, there were four significant variables related to pregnant women’s compliance namely ANC services (ratio prevalence 1.82; CI95%: 1.22-2.70), anemia assessment (ratio prevalence 1.79; CI95%: 1.22-2.64), nutrition consultation (ratio prevalence 1.41; CI95%: 1.12-1.76) and knowledge (ratio prevalence 1.42; CI95%: 1.12-1.79). Meanwhile logistic regressions test showed that the most influencing variable was ANC services (OR 3.125) after controlling knowledge variable.Conclusion: There were positive relationship between ANC services, anemia assessment, and nutrition consultation with iron supplementation compliance.

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