Knowledge of Birth Preparedness and Complication Readiness and Associated Factors among Health Care Providers in Benin City, Edo State

2016 ◽  
Vol 3 (5) ◽  
2018 ◽  
Vol 7 (2) ◽  
pp. 107-117
Author(s):  
Tapas Mazumder ◽  
Ahmed Ehsanur Rahman ◽  
Emdadul Hoque ◽  
Md. Al Mahmud ◽  
Md. Abu Bakkar Siddique ◽  
...  

Background: In Bangladesh, women and newborns continue to face elevated risks around the time of pregnancy, birth and postpartum. Applying a people-centered approach to maternal and newborn (MNH) services is a priority in such contexts to increase appropriate use of services and improve the health of women and newborns. In 2009, Enfants du Monde and PARI Development Trust began supporting the Ministry of Health at local level to implement birth preparedness and complication readiness (BPCR) for improving MNH in Netrokona district, Bangladesh. Objective: To assess the contribution of the BPCR intervention in advancing people-centered MNH care in Netrokona district, Bangladesh. Methods:We conducted 15 in-depth interviews (IDIs), one focus group discussion (FGD) and four group discussions with different stakeholders. In addition, a household survey was conducted with 725 women (intervention n=444, control n=281) and 317 of their husbands (intervention n=178, control n=139) at baseline and with 737 women (intervention n=442, control n=295) and 732 husbands at endline.Results: The BPCR intervention was co-designed through a consultative process with national and local stakeholders, ensuring the reflection of local context. Training health care providers to improve their counseling skills allowed them to apply effective BPCR counseling during ANC visits and be responsive to women’s situations and individual needs. In addition, discussion on BPCR in households and courtyard meetings provoked families’ and communities’ engagement in MNH. Consequently. there was significant increase across most indicators related to BPCR practice among women and husbands’ involvement between baseline and endline.Discussion: The BPCR intervention was successful in advancing people-centered MNH care by empowering women and increasing the engagement of men, families and communities in MNH care. Our study findings are coherent with the findings of studies conducted in similar settings. Conclusions: Carefully co-designed BPCR interventions should be further expanded within Bangladesh and beyond in order to advance people-centered care and progress toward the Sustainable Development Goals (SDGs).  


2020 ◽  
Author(s):  
Fikirte Woldeselassie Woldeyohannes ◽  
LM Modiba

Abstract Background: Providing antenatal care health education is one of the elements that promote the health of women by preventing pregnancy-related issues and assisting pregnant women to apprehend delivery preparedness and complications readiness plan. However, healthcare providers offer underprovided and too little information to women. Moreover, assessment of health care provider’s health education interventions in antenatal care services has not yet been studied in Ethiopia. The aim of this study was to explore and describe perceptions and experiences of pregnant women and health care providers’ health education during antenatal care.Methods: A Qualitative phenomenological research design was used to explore the awareness and experience of pregnant women and health care providers of antenatal health education at deliberately selected health centers. Focused group discussions and key informant interviews were used to gather data using an interview guide from pregnant women and health care providers working at antenatal care from June 20-30, 2018 respectively.Results: The qualitative findings have shown that the provision of antenatal care health education is insufficient. Especially there is health care provider misunderstand birth preparedness and complication readiness health education. Factors such as time, work overload, and personal perceptions of health care professionals, women's duty at home, and a growing number of clients influence the delivery of antenatal care health education.Conclusions: In general antenatal care, health education provided by health professionals during antenatal care was inadequate and affected by various factors. Therefore, the researcher of this study recommends that policy makers and programmers to develop a strategy to strengthen health education in the antenatal care service that will contribute to health education is critical in the prevention of maternal mortality and morbidity related to pregnancy danger signs awareness problem.


2015 ◽  
Vol 5 (2) ◽  
pp. 68-73
Author(s):  
Janet Perkins ◽  
Cecilia Capello ◽  
Aminata Bargo ◽  
Carlo Santarelli

Community participation in decision-making within the health sector is an essential component in advancing efforts toward primary health care (PHC). Since 2006, Enfants du Monde, a Swiss non-governmental organization (NGO), in collaboration with the local NGO Fondation pour le Développement Communautaire/Burkina Faso (FDC/BF), has been supporting the Ministry of Health (MoH) to include communities in decision-making related to maternal and newborn health (MNH) services. Notably, participatory community assessments (PCA) are conducted to provide a platform for community members to discuss MNH needs and be involved in the decision-making within the health sector. During the PCAs, participants identify and prioritize needs and propose solutions to improve MNH, solutions which are then integrated in the annual district health action plan. Integrated interventions include: promotion of birth preparedness and complication readiness; training health care providers in counselling skills; building awareness of men on MNH issues and their capacity to support women; and strengthening community bodies to manage obstetrical and neonatal complications. The inclusion of these interventions has contributed to the advancement of PHC in three regions in Burkina Faso.     


2019 ◽  
Author(s):  
Tigist Demssew Adane ◽  
Birhan Gebresillassie Gebregiorgis ◽  
Elda Mekonnen Nigussie ◽  
Abate Dargie Wubetu

Abstract Background These days, engaging at sufficient regular physical activity strongly recommended for good health and physical functioning. Physical activity can increase the self-confidence of the health professionals and they would become fit for daily activities with patients. Knowing the level of physical activity can help health care professionals to plan for physical activity programs. This study aimed to measure the level of physical activity and associated factors among adult health professionals at Tirunesh Beijing general hospital.Objective The aim of this study was to assess the level of physical activity and associated factors among health care workers in Ethiopia, 2019.Methods Institution based cross-sectional study conducted level of physical activity and associated factors among health care workers in Ethiopia, 2019. Two hundred nighty seven adult health professionals were participated, which was a 97.4% response rate. The global physical activity questionnaire used to measure the level of physical activity. Descriptive statistics and binary logistic regression analyses was done to affirm the variables characteristics. A predictor variable with a p-value of less than 0.2 exported to multivariate analysis. During multivariate analysis, statistical significance declared at a p-value of < 0.05.Results In general, the majority of the study participants, 89.2% (95% CI: 85.9-92.6) were achieved recommended levels of physical activity. Regarding the intensity of the physical activity, the overall mean time score was 518.4 mints per week or 2352.6 MET/week. For moderate-intensity physical activity, 83.5% of the study participants were physically active, (≥150 minutes/week). In the case of vigorous activity, about 32.7% of the study participants were physically active and engaged in vigorous physical activity (≥75 minutes /week). The study participants, who had self-motivation for physical activity, had a BMI of less than 25 kg/m2 and aged < 40 years were physically active.Conclusions Health care providers’ habit of physical activity improved as compared with the previous studies. However, the current level of physical activity of health professionals is not adequate. Health care providers’ age, body mass index and self-motivation attribute to physical activity. The level of physical activity can increase by enhancing staff motivation towards physical activity.


PLoS ONE ◽  
2020 ◽  
Vol 15 (8) ◽  
pp. e0238415 ◽  
Author(s):  
Belayneh Ayanaw Kassie ◽  
Aynishet Adane ◽  
Yared Tadesse Tilahun ◽  
Eskeziaw Abebe Kassahun ◽  
Amare Simegn Ayele ◽  
...  

2012 ◽  
Vol 6 (4) ◽  
pp. 342-348 ◽  
Author(s):  
Gavin J. Putzer ◽  
Mirka Koro-Ljungberg ◽  
R. Paul Duncan

ABSTRACTObjective: Disaster preparedness has become a health policy priority for the United States in the aftermath of the anthrax attacks, 9/11, and other calamities. It is important for rural health care professionals to be prepared for a bioterrorist attack or other public health emergency. We sought to determine the barriers impeding rural physicians from being prepared for a human-induced disaster such as a bioterrorist attack.Methods: This study employed a qualitative methodology using key informant interviews followed by grounded theory methods for data analysis. Semistructured interviews were conducted with 6 physicians in the state of Florida from federally designated rural areas.Results: The interview participants articulated primary barriers and the associated factors contributing to these barriers that may affect rural physician preparedness for human-induced emergencies. Rural physicians identified 3 primary barriers: accessibility to health care, communication between physicians and patients, and rural infrastructure and resources. Each of these barriers included associated factors and influences. For instance, according to our participants, access to care was affected by a lack of health insurance, a lack of finances for health services, and transportation difficulties.Conclusions: Existing rural organizational infrastructure and resources are insufficient to meet current health needs owing to a number of factors including the paucity of health care providers, particularly medical specialists, and the associated patient-level barriers. These barriers presumably would be exacerbated in the advent of a human-induced public health emergency. Thus, strategically implemented health policies are needed to mitigate the barriers identified in this study.(Disaster Med Public Health Preparedness. 2012;6:342–348)


2021 ◽  
Author(s):  
Alemneh Mengie ◽  
Gemmechu Hasen ◽  
Sultan Suleman

Abstract Background In Ethiopia, despite the frequent reports that demonstrate the use of herbal medicine for treatment of many ailments, there is no finding that describes the prevalence and associated factors with prehospital use of herbal medicine. Therefore, the present study was aimed to assess the prevalence of the prehospital use of herbal medicine and associated factors as well as safety concern in the South western Ethiopia. Methodology: A Hospital based cross-sectional study design was employed among patients admitted to Medical wards in Jimma Medical Center (JMC) (n=217) from June to September, 2021. The pre-tested questionnaire was used for data collection. Moreover, literatures were reviewed to identity the potential toxicity and/or drug interactions (if any,) associated with the herbal medicine used before admission by patients. The Statistical Package for Social Science (SPSS) version 21.0 (Chicago, SPSS Inc.) was used for data analysis. The results were summarized using descriptive statistics. The bivariate logistic regression was used to check the association between the outcomes and independent variables. Then, multivariate logistic regression was employed for independent variables possessing p-value of less than 0.05 to identify the strength of association between variables at 5% level of significance. Results The current study revealed that about 34% of respondents revealed the prehospital use of herbal medicine. The majority respondents (78.7%) did not discuss with their health care providers about prehospital use of herbal medicine. The factors like age (AOR: 0.281, 95% CI: 0.115, 0.683), educational level (AOR: 2.672, 95% CI: 1.101, 6.485) and insurance coverage (AOR: 2.082, 95% CI: 1.083, 4.004) were significantly associated with prehospital use of herbal medicine. Moreover, ‘Dammakese’ (Ocimum gratissimum L), ‘Tenadam’ (Ruta chalepensis L), ‘Makkanisa’ (Croton macrostachyus), ‘Jinjibli’ (Zingiber officinale), ‘Barzaafi Adii’ (Eucalyptus globulus Labill), ‘Qabarichoo’ (Echinops kebericho, Mesfin) and ‘Papaya’ (Carica papaya L) were the most commonly used herbs before admission to hospital. From published literatures review we revealed that the Zingiber officinale, Carica papaya L, Eucalyptus globulus Labill and Ruta chalepensis L possess the potential interaction with many conventional medicines as well as toxic effects. Conclusions The present study revealed that the prehospital use of herbal medicine was relatively high in which majority of patients did not disclose to the health care providers. Its use was significantly associated with age, educational level and insurance coverage. In addition, some of herbs used are associated with safety issues. Therefore, health care providers should thoroughly discuss with their patients regarding the prehospital use of herbal medicine.


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