scholarly journals Piecing the evidences: Barriers to utilization of Antenatal Care Services by Currently Married Women in Rural Uttarakhand- A community-based study

2020 ◽  
Vol 32 (1) ◽  
pp. 114-119
Author(s):  
Ruchi Juyal ◽  
Jayanti Semwal ◽  
Sunil Dutt Kandpal ◽  
Ashok Kumar Srivastava ◽  
Deep Shikha ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Rural Areas ◽  
Economic Status ◽  
Married Women ◽  
Chi Square ◽  
Services Utilization ◽  
Care Services ◽  
Chi Square Test ◽  
Area Of Concern

Background: High maternal mortality has always been an area of concern in developing countries. Availability and availment of adequate antenatal care play a significant role in reduction of maternal deaths. Aim & Objective: To know the extent of antenatal care (ANC) services utilization by the currently married women of rural Uttarakhand during their last pregnancy, to find the barriers for utilization of ANC services and correlate the socio-demographic variables with the non-utilization of ANC services. Methods and Material: This correlational study was conducted in rural areas of 3 randomly selected districts in Uttarakhand. Multistage stratified and simple random samplings were used for area selection and PPS technique was used to recruit the participants. Overall, 637 currently married women (CMW) who delivered in last 5 years prior to survey, were interviewed by trained social workers. Chi-square test was used to ascertain association between variables and regression analysis was done to adjust for confounding associations. Results: Overall 496 (77.9%) women availed one or more ANC services during their last pregnancy, but the complete package was availed by only 210 (33%) of the CMW. Majority of the women who did not avail any ANC services were older, illiterate, labourer, spouse of labourer/ unemployed person and belonged to lower socio-economic status. Unawareness was the most commonly cited reason for not availing ANC services followed by financial issues and unfelt need. Conclusions: Women in Uttarakhand are pliant to ANC services, but there is a need to create demand for it by increasing awareness and improving the quality of ANC services.

scholarly journals HUBUNGAN ANTARA KUALITAS BIDAN DALAM PELAYANAN ANTENATAL CARE TERHADAP PERSEPSI IBU HAMIL

2020 ◽  
Vol 10 (1) ◽  
pp. 36-40
Author(s):  
Citra Hadi Kurniati
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Care Services ◽  
Chi Square Test ◽  
Parametric Statistics ◽  
Sectional Analysis

Midwives play an important role in the process of health care, especially antenatal care services (ANC). The quality of midwife services determines the success of the service process. The perception of pregnant women when they come for a pregnancy is related to their availability to return to Antenatal Care examination. This study aims to determine the quality of midwives in ANC services on the perception of pregnant women. This type of research uses observational analytic research, where researchers are directed to explain a situation or situation. The time approach used is cross sectional. Analysis was conducted to test the quality of midwives in providing ANC services to the perception of pregnant women. Analysis of the data in research with ordinal and scale variables is non-parametric statistics. Hypothesis testing using the Chi Square Test. The results showed that there was no relationship between the quality of midwives on perceptions of pregnant women with a p value of valeu> 0.05 with an X × count of 0.325. The conclusion of this study is that there is no relationship between the quality of midwives in providing ANC services to the perception of pregnant women

Poor quality of antenatal care services—Is lack of competence and support the reason? An observational and interview study in rural areas of Lao PDR

Midwifery ◽  
2013 ◽  
Vol 29 (3) ◽  
pp. 195-202 ◽  
Author(s):  
Chanthanom Manithip ◽  
Kerstin Edin ◽  
Amphoy Sihavong ◽  
Rolf Wahlström ◽  
Hans Wessel
Keyword(s):  
Antenatal Care ◽  
Rural Areas ◽  
Lao Pdr ◽  
Poor Quality ◽  
Interview Study ◽  
Care Services

scholarly journals The Correlation of Maternal Factors and The Quality of Antenatal Care Services With Low Birth Weight Babies In Health Facilities Level I

2018 ◽  
Vol 3 (1) ◽  
pp. 103
Author(s):  
Wira Meiriza ◽  
Aladin Aladin ◽  
Edison Edison
Keyword(s):  
Birth Weight ◽  
Maternal Health ◽  
Nutritional Status ◽  
Antenatal Care ◽  
Maternal Age ◽  
Economic Status ◽  
Maternal Factors ◽  
Care Services ◽  
Low Birth Weight Babies

Infant Mortality Rate in West Sumatra still increased from 96 cases in 2015 becomes 111 cases in 2016. One of the contributors to this was the case of Low Birth Weight Babies (LBWB), wich is birth weight < 2500 grams. Causative factors of LBWB are derived from maternal factors because it is related to fetal growth, starting from the moment of conception until the baby is born. Maternal health is very influential towards the growth and development of the fetus. In addition, Antenatal Care is also require to monitor maternal health. Antenatal service care quality can detect the occurrence of risk in pregnancy. This study aims to determine the relationship of maternal factors based on maternal age, parity, distance of pregnancy, complications of pregnancy, economic status, nutritional status, anemia status, antenatal care implementation and the quality of antenatal care services with LBWB incidence on health facilities level 1 in Padang City.This study used a comparative cross-sectional design totalling 72 respondents consisting of a group of mothers who gave birth to babies with birth weight < 2500 grams and ≥ 2500 grams using consecutive sampling technique. Then conducted interviews and observations by using questionnaires as well as data processing were carried out using SPSS. The results showed there was a correlation between pregnancy complications (p = 0.033), anemia status (p = 0.016) and the implementation of antenatal care (p = 0.000) with the incidence of LBWB, while the unrelated were maternal age (p = 0.405), parity (p = 1,000), pregnancy distance (p = 1,000), economic status (p = 0.637), nutritional status (p = 0.326), and quality of antenatal care services (p = 0.812).The conclusion of this study is that there is no correlation between the quality of antenatal care services and the incidence of LBWB, and the implementation of antenatal care is the dominant factor related with the incidence of LBWB in Padang City.

scholarly journals Assessment of gadgets addiction and its impact on health among undergraduates

2018 ◽  
Vol 5 (8) ◽  
pp. 3624 ◽  
Author(s):  
Aravind K. Kumar ◽  
Mayur S. Sherkhane
Keyword(s):  
Work Performance ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Social Infrastructure ◽  
Chi Square ◽  
Cross Sectional ◽  
Professional Performance ◽  
Chi Square Test ◽  
Area Of Concern ◽  
High Level

Background: Technology has made our youth the most vulnerable group among today’s population, because of their accessibility and addiction to newer gadgets, which are cheap and easily available. Society has always been worrying about the term ‘Drug Addiction’ of our youth but ‘Gadget Addiction’ is a more critical area of concern in the present era and is a threat to the social infrastructure in the future. Addiction is an irrepressible urge which is accompanied by loss of control leading to lower emotional intelligence indirectly deteriorating the academic and professional performance as well as hampering their family life leading to life threatening problems in future.Methods: Cross sectional study was done among 200 undergraduates using predesigned and pretested questionnaire. Gadget dependency was analysed using 5-point Likert-scale. Descriptive statistics and chi-square test was used for analysing the data collected.Results: 71% belonged to 21-24 years age group. 73.5% were males and 43.5% belonged to class I socio-economic status and 70% had normal BMI. 72.5% of subjects had first gadget at 16-20 years and 90.5% were using smart-phones as a common gadget, of them, 50.2% were using for more than 7 hours a day. 61% had difficulty in day to day work performance. Females were more prone compared to males (p=0.008).Conclusions: High level of dependency was present with gadget addiction. Health action to be taken in form of counselling about the pros and cons in the early phase can prevent future complications. 

scholarly journals Statistical Analysis of Factors Affecting Utilization of Antenatal Care in Nepal

2012 ◽  
Vol 12 ◽  
pp. 268-275 ◽  
Author(s):  
Gauri Shrestha ◽  
Ganga Shrestha
Keyword(s):  
Health Services ◽  
Antenatal Care ◽  
Rural Areas ◽  
Economic Status ◽  
Data File ◽  
Maternal Health Services ◽  
Chi Square ◽  
Factors Affecting ◽  
Explanatory Variables ◽  
Care Health

Antenatal care provides an entry point for pregnant women to the health care system. This study investigates factors associated with the use of maternal health services as number of antenatal care visits. For analyzing the use of antenatal care health services system in Nepal, data were extracted from individual recods of a data file of NDHS 2006. The unit of analysis for this study is Ever Married Woman (EMW) who had at least one live birth in the five years preceding the survey. The sample of study consisted of 4182 EMW. The simple cross tabulation and chi square tests were used for examining the bivariate relationship and multinomial logit (MNL) model was selected for establishing linkage between number of antenatal care visits and several explanatory variables. Estimation of the parameter of this MNL models done by what is known as iteratively weighted leastsquare (IRWLS), which was identical to the algorithm of Fisher scoring and leads to maximize likelihood estimates. The results were interpreted in terms of odd ratios. The result of this study showed that women with low education level, those residing in rural areas and those with low socio-economic status were less likely to use number of ANC visits.DOI: http://dx.doi.org/10.3126/njst.v12i0.6512 Nepal Journal of Science and Technology 12 (2010) 268-275 

scholarly journals Predictors of skilled birth attendance among married women in Cameroon: further analysis of 2018 Cameroon Demographic and Health Survey

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Sanni Yaya ◽  
Betregiorgis Zegeye ◽  
Bright Opoku Ahinkorah ◽  
Abdul-Aziz Seidu ◽  
Edward Kwabena Ameyaw ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Maternal Education ◽  
Economic Status ◽  
Healthcare Services ◽  
Skilled Birth Attendance ◽  
Married Women ◽  
Maternal Healthcare ◽  
Maternal Deaths ◽  
Services Utilization ◽  
Birth Attendance

Abstract Background In Cameroon, maternal deaths remain high. The high maternal deaths in the country have been attributed to the low utilization of maternal healthcare services, including skilled birth attendance. This study examined the predictors of skilled birth services utilization among married women in Cameroon. Methods Data from the 2018 Cameroon Demographic and Health Survey was analyzed on 7881 married women of reproductive age (15–49 years). Both bivariate and multivariable logistic regression analyses were carried out to determine the predictors of skilled childbirth services. The results were presented with crude odds ratio (cOR) and adjusted odds ratio (aOR) and 95% confidence interval (CI). Results The coverage of skilled birth attendance among married women of reproductive age in Cameroon was 66.2%. After adjusting for potential confounders, media exposure (aOR = 1.46, 95% CI: 1.11–1.91), higher decision making (aOR = 1.88, 95% CI: 1.36–2.59), maternal education (aOR = 2.38, 95% CI; 1.65–3.42), place of residence (aOR = 0.50, 95% CI; 0.33–0.74), religion (aOR = 0.55, 95% CI; 0.35–0.87), economic status (aOR = 5.16, 95% CI; 2.58–10.30), wife beating attitude (aOR = 1.32, 95% CI; 1.05–1.65), parity (aOR = 0.62, 95% CI; 0.41–0.93) and skilled antenatal care (aOR = 14.46, 95% CI; 10.01–20.89) were found to be significant predictors of skilled birth attendance. Conclusions This study demonstrates that social, economic, regional, and cultural factors can act as barriers to skilled childbirth services utilization in Cameroon. Interventions that target women empowerment, antenatal care awareness and strengthening are needed, especially among the rural poor, to reduce barriers to care seeking. Maternal healthcare services utilization interventions and policies in Cameroon need to focus on specific equity gaps that relate to socio-economic status, maternal education, and the economic empowerment of women. Such policies and interventions should also aim at reducing geographical barriers to access to maternal healthcare services, including skilled birth attendance. Due to the presence of inequities in the use of skilled birth attendance services, programs aimed at social protection and empowerment of economically disadvantaged women are necessary for the achievement of the post-2015 targets and the Sustainable Development Goals. Plain English Summary Globally, Cameroon is one of the countries with high maternal deaths. Low utilization of maternal healthcare services, including skilled birth attendance have been found to account for the high maternal deaths in the country. This study sought to examine the factors associated with skilled childbirth services utilization among married women in Cameroon. Using data from the 2018 Cameroon Demographic and Health Survey, we found that the coverage of skilled birth attendance among married women of reproductive age in Cameroon is high. Factors such as higher decision-making power, higher maternal education, place of residence, religion, higher economic status, wife beating attitude, parity and skilled antenatal care were found to be the significant predictors of skilled birth attendance. This study has shown that socio-economic, regional and cultural factors account for the utilization of skilled childbirth services utilization in Cameroon. Interventions aimed at enhancing the utilization of skilled childbirth services in Cameroon should target women empowerment, antenatal care awareness creation and sensitization, especially among the rural poor, to reduce barriers to care seeking. Maternal healthcare services utilization interventions and policies in Cameroon need to focus on specific equity gaps that relate to socio-economic status, maternal education, and the economic empowerment of women.

scholarly journals Hubungan Status Akreditasi Puskesmas dengan Capaian Program Antenatal Care

2020 ◽  
Vol 30 (3) ◽  
Author(s):  
Agus Dwi Harso ◽  
Hadjar Siswantoro ◽  
Armaji Kamaludi Syarif
Keyword(s):  
Antenatal Care ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
A Value ◽  
Significant Difference ◽  
Chi Square Test ◽  
The Government ◽  
The Relationship

Abstract One of the government’s efforts to reduce MMR, which is still high, is the implementation of the Antenatal Care (ANC) program at the primary health center (PHC). Besides, the government also accredits PHC to improve the quality of health services starting in 2015, so it is hoped that ANC achievements will increase. This study aims to determine the relationship between accreditation status and ANC achievements in PHC. The study design was cross-sectional with a sample of 103 accredited PHC. The distribution of PHC samples is seen based on the 2013 Public Health Development Index (IPKM) categorized as low, medium, and high. Analysis of the relationship between accreditation status and the K4 achievement program used the chi-square test. The results of this study indicate that the majority of the PHC in the sample are distributed in areas with a high and medium IPKM areas. The relationship between accreditation status and K4 achievement showed a value of p = 0.034. The logistic regression results showed that when compared with primary - complete accredited PHC, basic PHC had OR = 0.224 (95% CI: 0.064 - 0.786) with p = 0.020 to the proportion of K4 achievements. Meanwhile, the middle PHC had OR = 0.517 (95% CI: 0.146 - 1.828) with a p-value = 0.306. This study concludes that the accreditation status of PHC is related to the proportion of K4 achievements. The proportion of K4 achievements increases with the increase in the level of PHC accreditation. A basic accredited PHC has a chance to achieve K4 by 0.224, lower than a primary – complete accredited PHC. There was no significant difference between middle accredited PHC with primary - complete PHC for the proportion of K4 achievement Abstrak Salah satu upaya pemerintah menurunkan AKI yang masih tinggi adalah dengan pelaksanaan program Antenatal Care (ANC) di puskesmas. Selain itu, pemerintah juga melakukan akreditasi puskesmas untuk meningkatkan mutu pelayanan kesehatan yang dimulai tahun 2015, sehingga diharapkan capaian ANC meningkat. Penelitian ini bertujuan untuk mengetahui hubungan status akreditasi terhadap capaian ANC di puskesmas. Desain penelitian ini adalah crosssectional dengan sampel penelitian sebanyak 103 puskesmas terakreditasi. Sebaran sampel puskesmas dilihat berdasarkan Indeks Pembangunan Kesehatan Masyarakat (IPKM) tahun 2013 dengan dikategorikan sebagai IPKM rendah, sedang, dan tinggi. Analisis hubungan status akreditasi dengan program capaian K4 digunakan uji chi-square. Hasil dari penelitian ini menunjukkan mayoritas puskesmas yang menjadi sampel terdistribusi pada wilayah dengan IPKM tinggi dan sedang. Hasil analisis chi-square hubungan antara status akreditasi dengan ketercapaian K4 menunjukkan nilai p=0,034. Hasil regresi logistik menunjukkan bahwa jika dibandingkan dengan puskesmas terakreditasi utama-paripurna, puskesmas terkareditasi dasar mempunyai OR = 0,224 (95%CI: 0,064 - 0,786) dengan nilai p = 0,020 terhadap proporsi capaian K4. Sedangkan puskesmas terkareditasi madya mempunyai OR = 0,517 (95% CI: 0,146 - 1,828) dengan nilai p = 0,306. Kesimpulan penelitian ini adalah status akreditasi puskesmas berhubungan dengan proporsi capaian K4. Proporsi capaian K4 meningkat seiring meningkatnya satus akreditasi puskesmas. Puskesmas terakreditasi dasar mempunyai peluang untuk tercapaianya K4 sebesar 0,224 lebih rendah dibandingkan puskesmas terakreditasi utama - paripurna. Tidak ada perbedaan yang signifikan antara puskesmas terakreditasi madya dengan puskesmas terakreditasi utama-paripurna terhadap proporsi capaian K4.

scholarly journals Demographic and Socio-economic Factors Affecting Antenatal Care Services Utilization in Nepal

2018 ◽  
Vol 24 (1-2) ◽  
pp. 71-87
Author(s):  
Sunil Kumar Acharya
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Economic Status ◽  
Economic Factors ◽  
Data Set ◽  
Factors Affecting ◽  
Services Utilization ◽  
Care Services ◽  
Seeking Behavior ◽  
The Government

In Nepal, Antenatal care (ANC) services seeking behavior has improved since the 1990s. More pregnant women are seeking the services now than ever. Still a relatively high percentage does not seek even a onetime ANC care and the percentage of women who seek 4 or more ANC care from a skilled service provider is still low. Research in developing countries shows that various demographic, social and economic factors influence the utilization of ANC services and the number of times the care is sought by pregnant women. This paper examines the likelihood of utilization of ANC services 4 or more times in relation to women’s demographic, social and economic status in Nepal. The 2011 Nepal Demographic and Health Survey (NDHS) data set has been utilized by applying bivariate logistics regression analysis technique to examine the effects of these variables in 4 or more ANC use in Nepal. The analysis findings show large variations and gaps in the utilization of ANC care based on demographic, social and economic status of women. Against this finding, the study recommends implementation of appropriate policy and program measures by the government and other agencies to address the existing variations and gaps in ANC services utilization among different sub-groups of women in Nepal. Further research studies focusing on the existing barriers in ANC services utilization need to be conducted in Nepal especially among the women who are disadvantaged and marginalized.  The Journal of Development and Administrative Studies (JODAS)Vol. 24 (1-2), pp. 71-87

FAKTOR-FAKTOR YANG MEMPENGARUHI KINERJA BIDAN PADA PELAYANAN ANTENATAL CARE DI PUSKESMAS SEKOTA PALEMBANG TAHUN 2014

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Wargustini Wargustini
Keyword(s):  
Antenatal Care ◽  
Cross Sectional Study ◽  
P Value ◽  
Test Results ◽  
Chi Square ◽  
Cross Sectional ◽  
Care Services ◽  
Chi Square Test ◽  
Performance Results ◽  
The Relationship

ABSTRACK  This study aimed to determine the knowledge, motivation, leadership, incentives / rewards, and education with the performance of midwives in Antenatal Care Services (ANC) at health centers in the country Palembang, this study uses observational analytic study design "cross sectional" with 48 midwives sample using the formula, by conducting interviews and questionnaires. There are 15 respondents have less knowledge has an 31.25% lower performance. Results obtained by chi-square test p-value = 0.04 (p <0.05) and Rφ = 0.288 means that there is a connection with the performance of midwife knowledge, the closeness of the relationship is low, motivation midwives obtained value ρ = 0.017 and Rφ = 0.466 means that there is a relationship the performance of average -midwife with the relationship, clinic leaders leadership values obtained ρ = 0.00 and Rφ = 0.28  means that there is a relationship with the midwives' work closeness of the relationship is low. Chi-square test results obtained by the value of the incentive factor ρ = 0.019 = 0.328 declared value Rφ no relationship with the midwives' work closeness of the relationship is average. Factors education obtained ρ = 0.021 and the value of Rφ = 0.041 means that there is a relationship with the midwives' work closeness of the relationship being. Four chief centers are expected to consider factors - factors related to the performance of midwives that knowledge, motivation, leadership, incentives, and education.         ABSTRAK Penelitian ini bertujuan untuk mengetahui faktor pengetahuan, motivasi kerja, kepemimpinan, insentif / imbalan, dan  pendidikan yang berhubungan dengan kinerja bidan pada pelayanan Antenatal Care ( ANC ) di Puskesmas Sekota Palembang, penelitian ini menggunakan penelitian observasi analitik dengan rancangan “cross sectional study” dengan jumlah sampel 48 bidan dengan menggunakan rumus, dengan melakukan wawancara dan kuesioner. Terdapat 15 responden memiliki pengetahuan kurang 31,25 % memilki kinerja rendah. Hasil uji chi-square diperoleh nilai p=0,04 ( p< 0,05) dan Rφ = 0,289 berarti ada hubungan pengetahuan dengan kinerja bidan, dengan keeratan hubungan rendah, motivasi bidan diperoleh nilai ρ=0,017 dan Rφ=0,466 berarti ada hubungan dengan kinerja bidan dengan keeratan hubungan sedang, kepemimpinan pemimpin puskesmas diperoleh nilai ρ=0,00 dan Rφ = 0,28 berarti ada hubungan dengan kinerja bidan dengan keeratan hubungan rendah. Hasil uji chi-square faktor insentif diperoleh nilai ρ = 0,019 nilai Rφ = 0,328 menyatakan ada hubungan dengan kinerja bidan dengan keeratan hubungan rendah. Faktor pendidikan diperoleh nilai ρ = 0,021 dan Rφ = 0,41 berarti ada hubungan dengan kinerja bidan dengan keeratan hubungan sedang. Diharapkan keempat kepala puskesmas memperhatikan faktor – faktor yang berhubungan dengan kinerja bidan yaitu pengetahuan, motivasi kerja, kepemimpinan, insentif, dan pendidikan.        

scholarly journals OPTIONS OF LONG-TERM CONTRACEPTIVE METHODS IN MARRIED WOMEN IN SOUTH SULAWESI (ANALYSIS OF IDHS 2017)

2021 ◽  
Vol 10 (2) ◽  
pp. 191
Author(s):  
Rahmawati Azis ◽  
Akmal Mahmud ◽  
Syahmida Syahbuddin Arsyad
Keyword(s):  
Side Effects ◽  
Descriptive Analysis ◽  
Married Women ◽  
Contraceptive Methods ◽  
Chi Square ◽  
South Sulawesi ◽  
Contraception Use ◽  
Chi Square Test

The long-term contraceptive method is an effective method for preventing pregnancies. However, users of long-term contraceptive methods are considerably lower compared to those of non-long-term contraceptive methods in South Sulawesi. The research objective was to examine the determinants of choosing long-term contraceptive methods in South Sulawesi. This study used data from the 2017 Indonesia Demographic and Health Survey by analyzing 583 married women who were using contraception in South Sulawesi. A descriptive analysis was employed to estimate the prevalence of long-term contraceptive methods. Meanwhile, the Chi-square test and logistic regression analysis were used to identify the determinants of choosing long-term contraceptive methods. The results from the descriptive analysis showed about 18.9% of the sampled married women were long-term contraception users, among those were implant users (10.2%). More married women with higher education and more parity chose to use it. The better the knowledge about the type of contraception, the greater the chance to use long-term contraceptive methods. Women who were told about side effects, sources of government services, and free fees were significantly influenced to use long-term contraception. Women who received staff visits and visited health facilities were less likely to choose the long-term methods. This implies that contact with field oMKJPlong-term contraceptive methodslong-term contraceptive methodsfficers has not been able to motivate prospective acceptors to use . Improved education and knowledge, especially about types of contraception and side effects, are needed to increase women’s long-term contraception use alongside. The quality of services at free/subsidized costs also needs to be improved, and training should be given for capacity building, especially in communication skills, to family planning field officers.

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