scholarly journals INFLUENCE OF ACCESS DETERMINANTS ON SELF-REFERRALS AMONG PREGNANT WOMEN SEEKING DELIVERY SERVICE IN COAST GENERAL REFERRAL AND TEACHING HOSPITAL MOMBASA, KENYA

2021 ◽  
Vol 6 (1) ◽  
pp. 1-9
Author(s):  
Elizabeth Kivuva ◽  
Kezia Njoroge ◽  
Wanja Tenambergen

Purpose: The purpose of this study was to establish influence of access determinants on self-referrals among pregnant women seeking delivery service in Coast General Referral and Teaching Hospital (CGTRH). Methodology: The study adopted a descriptive cross-sectional research. The study target population was all pregnant women seeking delivery services in coast general teaching and referral hospital at the maternity unit. Therefore, 6,420 formed the study population as it is from this sampling frame that a sample of mothers was obtained. A sample of 376 pregnant women was obtained. Systematic random sampling was used to select the pregnant women to be included in the sample. Data was collected using a structured questionnaire. The data collected were cleaned and coded, quantified and analyzed quantitatively. Quantitative data were analyzed using IBM SPSS where descriptive and inferential statistics were used to capture the data in order to understand the pattern and nature of relationships. Univariate analysis was done using descriptive statistics (frequencies and percentages,) in order to summarize the data, and the results were presented using charts, graph and tables. Results: The findings revealed a significant relationship between the operating hours of CGTRH and self-referrals to the facility. The results indicated that pregnant women who indicated the 24 hours operating nature of CGTRH as their reason for seeking services at the facility were 2 times more likely to make self-referrals compared to those who disagreed that they sought services at the facility because the facility is open 24 hours in a day. A multivariable logistic regression analysis at a significance level of 0.05 further indicated that the operating hours of CGTRH had a significant influence on self-referrals pregnant women seeking delivery services at the facility. Unique contribution to theory, practice and policy: The study recommended that The Mombasa county department of health should find ways of ensuring that primary health facilities in the county are open for 24 hours in a day to attract more pregnant women seeking delivery services at the facilities and thus minimize the number of pregnant women seeking delivery services directly from the Coast General Teaching and Referral Hospital.

2021 ◽  
Vol 6 (2) ◽  
pp. 13-22
Author(s):  
Elizabeth Kivuva ◽  
Kezia Njoroge ◽  
Wanja Tenambergen

Purpose: The purpose of this study was to establish the influence of individual determinants on self-referrals among pregnant women seeking delivery services in CGTRH Materials and Methods: The study adopted a descriptive cross-sectional research. The study target population was all pregnant women seeking delivery services in coast general teaching and referral hospital at the maternity unit. Therefore, 6,420 formed the study population as it is from this sampling frame that a sample of mothers was obtained. A sample of 376 pregnant women was obtained. Systematic random sampling was used to select the pregnant women to be included in the sample. Data was collected using a structured questionnaire. The data collected were cleaned and coded, quantified and analyzed quantitatively. Quantitative data were analyzed using IBM SPSS where descriptive and inferential statistics were used to capture the data in order to understand the pattern and nature of relationships. Univariate analysis was done using descriptive statistics (frequencies and percentages,) in order to summarize the data, and the results were presented using charts, graph and tables. Results: The findings indicated a significant relationship between education status and self-referrals whereby, the more educated the pregnant women were the more likely they were to make self-referrals at the referral facility. In particular, pregnant women with tertiary level of education were 4.2 times more likely to make self-referrals compared to those with no education. Further analysis using multivariable logistic regression at a significance level of 0.05 established that there was a significant difference between pregnant women with no education and those with tertiary education, with the latter being 4.4 times more likely to make self-referrals compared to the former. Unique contribution to theory, practice and policy: The study recommends that hospitals ought to enhance their CRM policies so as to deliver quality services that satisfy Information technology infrastructure can revolutionize healthcare with the right policy choices. IT can foster new human connectivity thresholds and is a powerful tool of global convergence through the cross-border provision of services and can as well provide new opportunities for the production of knowledge and skills.


2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Febriyeni Febriyeni

<pre>Chronic Energy Deficiency is a situation where the nutritional status someone is on the Less Good Condition. Among the 22 health centers in the district of Lima Puluh Kota, CED highest coverage at the health center are Banja Laweh Namely Case 17 (16.50%) of 103 pregnant mothers. Preliminary Survey of 10 pregnant women at health centers Banja Laweh, note 4 people (40%) of them suffered CED. Based on the findings of interviews stating Not pregnant women know the importance of the size upper arm circumference on Against her pregnancy, in addition to pregnant women consume no food Diversified, because lust Eating Less and Economics not sufficient. Objectives for review determine factors related to the occurrence of Chronic energy deficiency on pregnant women. Methods descriptive analytic with cross sectional approach. Data collection is done on Date in January-February 2017. CASE is a whole population of pregnant women in the region are working Health Center Banja Laweh Year 2017, amounted to 55 people, with sampling total sampling. Operating data analysis using univariate and bivariate statistical test Chi Square. Results of univariate analysis 87,3% of respondents experienced Genesis not CED, (60,0%) High Knowledge, (56,4%) Economy High, and 61,8% of Eating Well. Bivariate analysis known Relationship of Knowledge (p = 0.013 and OR = 12,000, Economics (p = 0.035 and OR = 10,000), and Diet (p = 0.019 and OR = 13,200) with the Genesis CED pregnant women. Can be concluded that the factors related to the occurrence of CED pregnant women is Science, Economics and the Diet. Expected to conduct monitoring of the health center and Supervision of pregnant women at risk Against The Genesis CED, so the negative impact of the CED can be addressed early on.</pre>


Author(s):  
Leny Leny

ABSTRACT Prenatal care is health care by health personnel to care the pregnant according to standards. Worlrd Health Organization (WHO) estimates more than 500.000 women die during pregnancy or childbirth. Maternal mortality in Indonesia is 307 per 100,000 live births. The quantity of pregnant women’s visit in Kabupaten Banyuasin in 2009 of 89.1%. The purpose of this study to determine the relationship between education and occupation with prenatal care at Puskesmas Mariana  Kecamatan Banyuasin I Kabupaten Banyuasin in 2011. This study uses analytic approach survey by Cross Sectional methods, the population are 1.946 pregnant women and the samples as many as 332 people. The results of univariate analysis study of pregnant women who are higher education as much as 45.2%, and  low maternal education as much as 54.8%. In pregnant women who work of 43.4%, and pregnant women who do not work for 56.6%. From the results of bivariate analysis and Chi-Square statistical tests found a significant association between education of pregnant women with prenatal care with P Value = 0.000, and there was a significant association between occupation of pregnant women with prenatal care with P Value = 0.000. Can be concluded that there is a relationship between education and occupation of pregnant women with prenatal care. Expected to health workers to provide counseling on the importance of prenatal care in pregnant women and expected future studies may explore again the factors associated with prenatal care with the different variables.   ABSTRAK Pemeriksaan kehamilan adalah pelayanan kesehatan oleh tenaga kesehatan untuk memeriksakan ibu hamil sesuai standar. World Health Organization (WHO) memperkirakan lebih dari 500.000 ibu pertahunnya meninggal saat hamil atau bersalin. AKI di Indonesia 307 per 100.000 kelahiran hidup. Jumlah kunjungan ibu hamil di Kabupaten Banyuasin tahun 2009 sebesar 89,1%. Tujuan penelitian ini untuk mengetahui hubungan antara pendidikan dan pekerjaan dengan pemeriksaan kehamilan di Puskesmas Mariana Kecamatan Banyuasin I Kabupaten Banyuasin tahun  2011. Penelitian ini menggunakan metode survey analitik dengan pendekatan Cross Sectional, populasi ibu hamil dengan jumlah 1.946 orang dan jumlah sampel sebanyak 332 orang. Hasil penelitian Analisa Univariat adalah ibu hamil yang pendidikan tinggi sebanyak 45,2%, dan pendidikan rendah ibu hamil sebanyak 54,8%. Pada variabel pekerjaan ibu hamil yang bekerja sebesar 43,4%, dan ibu hamil yang tidak bekerja sebesar 56,6%. Dari hasil analisa bivariat dan uji statistik Chi-Square  didapatkan hubungan yang bermakna antara pendidikan ibu hamil dengan pemeriksaan kehamilan dengan  P Value = 0,000, dan ada hubungan yang bermakna antara pekerjaan ibu hamil dengan pemeriksaan kehamilan dengan P Value = 0,000. Dapat disimpulkan bahwa ada hubungan antara pendidikan dan pekerjaan ibu hamil dengan pemeriksaan kehamilan. Diharapkan kepada petugas kesehatan agar dapat memberikan penyuluhan tentang pentingnya pemeriksaan pada ibu hamil dan diharapkan penelitian yang akan datang dapat menggali lagi faktor-faktor yang berhubungan dengan pemeriksaan kehamilan dengan variabel yang berbeda.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Sintayehu Wolka ◽  
Sahilu Assegid ◽  
Temesgen Tantu ◽  
Muluken Gunta ◽  
Bereket Duko

Background. Assessing maternal satisfaction on delivery service has significant public health importance to measure the quality of maternal and child care services in a country. Therefore, the objective of this study was to further investigate the determinants of maternal satisfaction on delivery service provided at the Woliata Sodo University Teaching and Referral Hospital, Ethiopia. Methods. An institutionally based cross-sectional study was employed at the Wolaita Sodo University Hospital, Ethiopia. All mothers who gave birth between March and May 2018 were included in the study. Data were collected through using a pretested and structured interviewer-administered questionnaire. Both bivariate and multivariable logistic regression analyses were performed. A P value of <0.05 was used to declare statistical significance. Result. A total of 398 delivered mothers were included in the study. The rate of maternal satisfaction on existing delivery care was found to be 67.3%. Being less educated (AOR=5.06, [2.22-11.53]), primigravida (AOR=3.59, [1.17-11.04]), planned and wanted pregnancy (AOR=2.74, [1.21-6.18]), having antenatal care follow-up for current pregnancy (AOR=4.48, [2.04-9.83]), ever used family planning service (AOR=3.83, [1.95-67.52]), labor duration of less than 6 hours (AOR=5.96, [2.61-13.57]), and spontaneous vaginal delivery (AOR=2.82, [1.07-7.42]) were factors significantly associated with maternal satisfaction. Conclusion. In this study setting, maternal satisfaction was lower compared to other studies. Unreserved effort should be considered for future interventions.


2015 ◽  
Vol 23 (4) ◽  
pp. 595-602 ◽  
Author(s):  
Jordânia Lumênia Tavares ◽  
Elizabeth Barichello ◽  
Ana Lúcia De Mattia ◽  
Maria Helena Barbosa

AbstractObjective: to determine whether there is an association between knowledge of the nursing professionals about blood transfusion and the variables related to the professional aspects.Method: this is an observational, cross-sectional and quantitative study, carried out at a large general teaching hospital. The sample consisted of 209 nursing professionals, obtained by simple random sampling. For data collection, a checklist was used. In the univariate analysis, descriptive statistics and central trend and dispersion measures were used. In the bivariate analysis, Student's t-Test, analysis of variance and Pearson's correlation were used. To determine the predictors, multiple linear regression was applied. The Institutional Review Board (Opinion number 2434) approved the study.Results: the overall average knowledge score was 52.66%; in the Pre-transfusion Step, it corresponded to 53.38%; in the Transfusion Step 51.25% and, in the Post-transfusion Step, 62.68%. The factors related to knowledge were professional category and received training and/or guidance to accomplish the transfusion process (p<0.01).Conclusion: this study showed the influence of training and guidance on the knowledge and provided a diagnosis to identify the professionals' difficulties regarding the transfusion process.


2017 ◽  
Vol 12 (2) ◽  
pp. 277-285
Author(s):  
Erna Kusumawati ◽  
Setiyowati Rahardjo ◽  
Colti Sistiarani

The community nutrition improvement with main focus on pregnant women and children up to the age of 2 years old need to be done by a cooperation across sectors. Multilevel promotion is a comprehensive intervention and modify the determinant factors. We used multilevel promotion with MATCH (Multilevel Approach to Community Health) to modify determinant factors in various levels i.e. mother, family, community, and policy that related to nutritional status of children. This research was conducted in Banyumas and Kembaran II Community Health Center working area because the nutritional problems in this area were complex, such as low exclusive breastfeeding coverage, low birth weight, and underweight children problems. This study used a quantitative analytic design with cross sectional approach. The population used for this research were pregnant women, toddlers mother, and their family. The number of sample in this research was 100 people of each population. The data was analyzed by univariate analysis to determine the intervention model of children nutrition improvement in mothers level. The effectiveness of intervention model was tested by bivariate analysis using dependent t-test. The result of this research were formulated into nutrition improvement model for mother and children through facility identification, approach, media, and information needed. There was a significant difference in knowledge of mother before and after intervention.


2020 ◽  
Vol 5 (4) ◽  
pp. 15
Author(s):  
Anna Saretin Lekenit ◽  
Ruth G. Gatere ◽  
Agnes K. Mutinda

Purpose of the study: This study therefore assessed barriers of nursing process implementation by Narok County Referral Hospital nurses. Methodology: A descriptive cross sectional study design was used to collect data from 102 randomly sampled nurses in NCRH. The study instruments used were self-administered questionnaires and key informant interview. SPSS version 20.0 was used to analyze quantitative data and sample characteristics were analyzed using mean and median. Themes were used to analyze qualitative data and narratively presented. Association between the study variables was calculated using chi square at 95% level of significance while statistical significance of results obtained was calculated using p values of 0.05. Data analysis was presented using tables and graphs. Approval was sought from relevant authorities. Results: The study results revealed that female participants were the majority at (70.6%). Most participants (71.6%) had attained diploma level of education and among them, 92.2% had received training in nursing process. Majority 95 (93.2%) were observed not to implement nursing process and of those who implemented, only 1 (1%) correctly outlined all the steps, a sign of poor nursing process implementation. NP implementation was of statistical significance with age of nurses as 18 out of 29 of younger nurses aged 21-30 years were found to actively practice it (p =0.001, work experience (p = 0.001), training (p > 0.05): institutional factors (p = 0.001). Unique contribution to theory, practice and policy: Nursing process mainstreaming interventions such as regular staff refresher courses and mentorship On NP in the hospitals, availability of relevant resources: human resource and supplies can highly mitigate these barriers.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Sauvant-Rochat ◽  
L Bernard ◽  
M Pelissier ◽  
C Marie ◽  
D Lémery ◽  
...  

Abstract Background During pregnancy, reducing exposure to chemicals is obvious to many pregnant women (PW), and also perinatal health professionals (PHP), but few of them are aware that these substances are present in everyday products (cleaning products, DIY products, gardening products, personal health care products, cosmetics, food plastic wrappers etc.). AIM This study aimed to estimate the perception of risks related to chemicals by PW, and also to describe the advice provided by PHP to PW. Methods A cross-sectional survey was performed among French PW. Interviewers, using a standardized questionnaire, collected data anonymously. Data focused on socio-demographic and occupational characteristics, perception of environmental risks, identification of chemicals by PW, and preventive advices performed by PHP. Statistical analysis (univariate analysis - logistic regression) were done with Modalisa® 8.0 software (Kynos, Paris). Results 300 PW (29.5 +/- 5 years old) were included. They report a relatively high level of sensitivity to environmental issues (SE Score = 6.3 ± 1.7, on a Likert 0-10 scale). When asked about the level of risk associated with 15 environmental risks, pregnant women placed exposure to chemicals in only twelfth position. Two thirds of PW were interested by the composition of everyday products, and looked at the ingredients mentioned on the labels, but most of them declared that the information present on the labels were not comprehensible. An interest for organic products was noted. These behaviors were related to the age, socio-occupational status, perception of environmental risks. For most of PW, the main sources of information on chemicals were the Internet and medias. Only 5% PW identified PHP as potential interlocutors on this topic. Conclusions For most PW, everyday products were not identified as health risk products. To date, it is important to strengthen the information provided to PW by PHP on the risks linked o chemicals during pregnancy. Key messages Exposures to chemicals present in everyday products (DIY, cleaning products, cosmetics, food plastic wrappers etc.) are not well identified by pregnant women and by perinatal health professionals. Exposure to chemicals must be reduced during pregnancy and health promotion messages must integrate this advice to promote healthy behaviors.


2021 ◽  
Author(s):  
Henry Sembatya ◽  
Justine Namuli ◽  
Judith Ajeani ◽  
Sam Ononge

Abstract Background: Psychological distress (PD) among pregnant women has a bearing both on the mother and the outcome of the pregnancy and is thus a public health problem. It is a precursor for other severe mental health conditions that include anxiety, depression, bipolar disorder and so if screened and diagnosed early it can prevent progress to severe mental illness. PD has however not been screened among pregnant women and thus no available data in Uganda. The objective of this study was to determine the prevalence and factors associated with PD among pregnant women at Kawempe hospital Uganda.Methods: A cross sectional study was conducted among 530 pregnant women attending antenatal care at Kawempe hospital Uganda. The SRQ-20 tool was used to screen for PD and data on socio-demographic and clinical factors was collected using a. socio-demographic questionnaire and medical records respectively. Descriptive statistics were applied to determine the prevalence of PD and multivariable logistic regression analysis was used to assess for factors associated with PD among pregnant women.Results: The prevalence of PD was 19.1% , while having a fair/bad relationship with the spouse (P-value =0.007), a low monthly income (p-value = 0.013), and having less than two meals a day (P-value =0.022). were independently associated with PDConclusion: Approximately one in five pregnant women receiving ANC at Kawempe hospital has PD. This study therefore supports the need for integration of mental health assessment into the antenatal care package of women at Kawempe hospital and Uganda at large


2021 ◽  
Vol 1 (4) ◽  
pp. 483-491
Author(s):  
Fonda Octarianingsih Shariff ◽  
Asri Mutiara Putri ◽  
Octa Reni Setiawati ◽  
Mutiara Ayu Putri Anjela Pratiwi

ABSTRACT: DESCRIPTION OF PREGNANT WOMEN KNOWLEDGE LEVEL AGAINST COVID-19 IN RSUD TALANG UBI, PENUKAL ABAB LEMATANG ILIR REGENCY- SOUTH SUMATERA. Introduction: Coronavirus Disease (Covid-19) is a large group of viruses that cause mild to severe symptoms. In December 2019 the first cases were reported in Wuhan, Hubei, China. Until now, the Covid-19 cases in Indonesia have always been increasing every day. Purpose: Research objectives to determine pregnant women's level of knowledge concerning Covid-19 in RSUD Talang Ubi, Penukal Abab Lematang Ilir Regency-South Sumatra. Method: The research design used was descriptive, cross-sectional methods. Technic of sampling used was the total sampling method by using univariate analysis. Result: The results showed that pregnant women's level of knowledge about Covid-19 in RSUD Talang Ubi was 67 respondents (60.9%) in the good category, 37 respondents (33.6%) insufficient category, and 6 respondents (5,5%) in the low category.Conclusion: Good knowledge can help the government in efforts to break the chain of the spread of Covid-19. Therefore, it is expected that the government can provide more information about Covid-19. Keywords: Knowledge level, Pregnant Women, Covid-19  INTISARI: GAMBARAN TINGKAT PENGETAHUAN IBU HAMIL TERHADAP COVID-19 DI RSUD TALANG UBI KABUPATEN PALI PROVINSI SUMATERA SELATAN.Latar Belakang: Coronavirus Disease (Covid-19) adalah sekelompok besar virus yang mengakibatkan gejala ringan hingga parah. Pada Desember 2019 kasus pertama dilaporkan di Wuhan, Hubei, China. Hingga saat ini kasus Covid-19 di Indonesia selalu terjadi peningkatan setiap harinya.Tujuan: Tujuan Penelitian untuk mengetahui tingkat pengetahuan ibu hamil terhadap Covid-19 di RSUD Talang Ubi Kabupaten Pali Provinsi Sumatera Selatan.Metode Penelitian: Desain Penelitian yang digunakan yaitu deskriptif dengan metode cross-sectional. Teknik pengambilan sampel dengan metode Total Sampling. Menggunakan analisis univariat.Hasil: Hasil penelitian menunjukkan tingkat pengetahuan ibu hamil tentang Covid-19 di RSUD Talang Ubi pada kategori baik sebanyak 67 responden (60,9%), kategori cukup 37 responden (33,6%), dan kategori kurang sebanyak 6 responden(5,5%).Kesimpulan: Pengetahuan yang baik dapat membantu pemerintah dalam upaya memutus rantai penyebaran Covid-19. Maka diharapkan pemerintah dapat lebih dalam memberikan informasi tentang Covid-19. Kata kunci : Tingkat pengetahuan, Ibu Hamil, Covid-19


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