scholarly journals Effect of Community-Based Intervention (Pregnant Women’s Conference) on Institutional Delivery in Ethiopia

2021 ◽  
Author(s):  
Melash Belachew Asresie ◽  
Gizachew Worku Dagnew

Institutional delivery is the foundation for diminishing maternal mortality. Evidence showed that community-based behavioral change interventions are increasing institutional delivery in developing countries. By understanding this, the government of Ethiopia launched a community-based intervention called “pregnant women’s conferences” to improve institutional delivery. This study was conducted to assess its effectiveness on institutional delivery among 871 women who gave birth within the last 12 months (435: pregnant women’s conference attendants and 436: pregnant women’s conference non-attendants) in 2017. It was a community-based comparative cross-sectional study and participants were selected using a multistage-simple random sampling technique. A structured interviewer-administered questionnaire was used for data collection. The result showed that institutional delivery among women who attended pregnant women’s conferences was 54.3% (95%CI: 49.9–59.1), higher compared with 39.9% (95%CI: 35.3%- 44.7%) of women who did not attend the conference. Likewise, the level of well-preparedness for birth was higher among women who attended the conference (P = 38.9%, 95%CI: 33.8–43.7), compared with their counterparts (P = 25.7%, 95% CI: 22.2–29.4). Similarly, women’s knowledge of obstetric danger signs was higher among women who attended the conference. Therefore, encouraging pregnant women to attend the conference should be strengthened.

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Melash Belachew Asresie ◽  
Gizachew Worku Dagnew

Abstract Background Institutional delivery is the cornerstone reducing maternal mortality. Community-based behavioral change interventions are increasing institutional delivery in developing countries. Yet, there is a dearth of information on the effect of attending pregnant women’s conferences in improving institutional delivery in Ethiopian. Therefore, this study was aimed to assess the effect of attending pregnant women’s conference on institutional delivery, Northwest Ethiopia. Methods Community-based comparative cross-sectional study was conducted in 2017 among 871 women who gave birth within the last 12 months (435: pregnant women’s conference attendants and 436: pregnant women’s conference non-attendants). Participants were selected by using a multistage-simple random sampling technique and a structured interviewer-administered questionnaire was used for data collection. Both descriptive and logistic regression analyses were performed using SPSS V.23. A P-value less than or equal to 0.05 at 95% confidence interval was set to test statistical significance. Results Institutional delivery among women who attended pregnant women’s conferences was 54.3%, higher compared with 39.9% of women who didn’t attend the conference. Likewise, the level of well-preparedness for birth was higher among women who attended the conference (38.9%) compared with their counterparts (25.7%). Being knowledgeable on childbirth (AOR = 1.7, 95%CI: 1.2, 2.8) and postpartum danger signs (AOR = 14.0, 95%CI: 4.6, 40.0), and discussed with partners/families about the place of birth (AOR = 7.7, 95%CI: 3.6, 16.4) were more likely to institutional delivery among women who attended pregnant women’s conference. Whereas, among women who didn’t attend the pregnant women’s conference, being knowledgeable about pregnancy danger signs (AOR = 3.6, 95%CI: 1.6, 8.1) were more likely to institutional delivery. In addition, the nearest health facility within 1 h of walking and well-preparedness for birth and its complication were found positively associated with institutional delivery in both groups. Conclusion Institutional delivery was low in both groups compared to the national plan, but was higher among women who attended the conference. Similarly, women’s knowledge of obstetric danger signs and preparation for birth and its complication was higher among women who attended the conference. Therefore, encouraging women to attend the pregnant women’s conference and discuss with their families about the place of delivery should be strengthened.


2017 ◽  
Vol 6 (1) ◽  
pp. 22-26
Author(s):  
Sushila Shrestha ◽  
Geeta Kamal Shrestha

Background:  Health facility delivery is considered a critical strategy to improve maternal health. The Government of  Nepal is promoting institutional delivery through different incentive programs and the establishment of birthing centers.  The objective of this study was to identify utilization of institutional delivery and its associated factors.Method:  A descriptive cross-sectional study was carried out among the mothers of under five children in Dhungkharka.  Pre-tested questionnaire was administered to 170 mothers between 15-45 years of age group. Household survey was done by using purposive sampling technique and face to face interview technique was used to collect the data from 1st Julyto 30 th December 2014. Data was analyzed using simple descriptive statistic with SPSS version 16. Association with  institutional delivery was assessed by using chi-square test.Results: Among the total participants, 90.0% of them had institutional delivery. The higher proportions of institutional  delivery were found in both literate mothers (p=0.001), and literate husband (p=0.023). The proportion of institutional  delivery among the mothers decided by their relatives (husband, father/mother-in-laws and other family members) for  institutional delivery had higher portion (p=0.048) of  institutional delivery than participants who decide themselves.Conclusion: Utilization of institutional delivery was much higher than national figure. Institutional delivery was associated  with both educational status of mothers and their husband. Decision made by husband, mother in-law, father in-law and other family members were also associated with institutional delivery. So, to increase institutional delivery, family members need to be encouraged for safe motherhood program.Journal of Kathmandu Medical College Vol. 6, No. 1, 2017, page: 22-26


2019 ◽  
Author(s):  
Berhanu Elfu Feleke ◽  
Teferi Elfu Feleke ◽  
Fantahun Biadglegne

Abstract Background Each year, more than 13.7 million people became an active case of tuberculosis and more than 1.5 million cases of TB patient will die. The association between TB and malnutrition is bi-directional, TB leads the patient to malnutrition, and malnutrition increases the risk of developing active TB by 6 to 10 times. Improving the nutrition of individual greatly reduces tuberculosis. The aims of this study were to assess the nutritional status and determinants of underweight among TB patients.Methods A comparative cross-sectional study design was implemented. The sample size was calculated using 95% CI, 90% power, the prevalence of malnutrition in TB patients 50%, TB patients to TB free resident ratio of 3, the design effect of 2 and a 5% non-response rate. Systematic random sampling was used to select TB patients and simple random sampling technique was used to select TB free residents. The data were collected from July 2015- May 2018. The data were collected by interviewing the patient, measuring anthropometric indicators and collecting the stool and blood samples. The data were entered into the computer using Epi-info software and analyzed using SPSS software. Descriptive statistics were used to find the proportion of malnutrition. Binary logistic regression was used to identify the determinants of malnutrition.Results A total of 5045 study participants (1681 TB patients and 3364 TB free residents) were included giving for the response rate of 93.1%. The prevalence of underweight among TB patients was 57.17% (95% CI: 54.80%, -59.54%) and 88.52% of TB patients were anemic. The prevalence of malnutrition (underweight) among TB free residents was 23.37% (95% CI: 21.93-24.80). The nutritional status of TB patients was determined by site of infection AOR: 0.68 [0.49-0.94], sex of the patient AOR: 0.39 [0.25-0.56], residence AOR: 3.84 [2.74-5.54], intestinal parasite infection AOR: 7 [5.2-9.95], problematic alcohol use AOR: 1.52 [1.17-2.13].Conclusion High proportions of TB patients were malnourished. TB patients were highly susceptible to malnutrition and even a very distal reason for malnutrition in the community became a proximal cause for TB patients.


2019 ◽  
Author(s):  
Berhanu Elfu Feleke ◽  
Teferi Elfu Feleke ◽  
Fantahun Biadglegne

Abstract Background Each year, more than 13.7 million people became an active case of tuberculosis and more than 1.5 million cases of TB patient will die. The association between TB and malnutrition is bi-directional, TB leads the patient to malnutrition, and malnutrition increases the risk of developing active TB by 6 to 10 times. Improving the nutrition of individual greatly reduces tuberculosis. The aims of this study were to assess the nutritional status and determinants of underweight among TB patients.Methods A comparative cross-sectional study design was implemented. The sample size was calculated using 95% CI, 90% power, the prevalence of malnutrition in TB patients 50%, TB patients to TB free resident ratio of 3, the design effect of 2 and a 5% non-response rate. Systematic random sampling was used to select TB patients and simple random sampling technique was used to select TB free residents. The data were collected from July 2015- May 2018. The data were collected by interviewing the patient, measuring anthropometric indicators and collecting the stool and blood samples. The data were entered into the computer using Epi-info software and analyzed using SPSS software. Descriptive statistics were used to find the proportion of malnutrition. Binary logistic regression was used to identify the determinants of malnutrition.Results A total of 5045 study participants (1681 TB patients and 3364 TB free residents) were included giving for the response rate of 93.1%. The prevalence of underweight among TB patients was 57.17% (95% CI: 54.80%, -59.54%) and 88.52% of TB patients were anemic. The prevalence of malnutrition (underweight) among TB free residents was 23.37% (95% CI: 21.93-24.80). The nutritional status of TB patients was determined by site of infection AOR: 0.68 [0.49-0.94], sex of the patient AOR: 0.39 [0.25-0.56], residence AOR: 3.84 [2.74-5.54], intestinal parasite infection AOR: 7 [5.2-9.95], problematic alcohol use AOR: 1.52 [1.17-2.13].Conclusion High proportions of TB patients were malnourished. TB patients were highly susceptible to malnutrition and even a very distal reason for malnutrition in the community became a proximal cause for TB patients.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Berhanu Elfu Feleke ◽  
Teferi Elfu Feleke ◽  
Fantahun Biadglegne

Abstract Background Each year, more than 13.7 million people became an active case of tuberculosis and more than 1.5 million cases of TB patient will die. The association between TB and malnutrition is bi-directional, TB leads the patient to malnutrition, and malnutrition increases the risk of developing active TB by 6 to 10 times. Improving the nutrition of individual greatly reduces tuberculosis. The aims of this study were to assess the nutritional status and determinants of underweight among TB patients. Methods A comparative cross-sectional study design was implemented. The sample size was calculated using 95% CI, 90% power, the prevalence of malnutrition in TB patients 50%, TB patients to TB free resident ratio of 3, the design effect of 2 and a 5% non-response rate. Systematic random sampling was used to select TB patients and simple random sampling technique was used to select TB free residents. The data were collected from July 2015–May 2018. The data were collected by interviewing the patient, measuring anthropometric indicators and collecting the stool and blood samples. The data were entered into the computer using Epi-info software and analyzed using SPSS software. Descriptive statistics were used to find the proportion of malnutrition. Binary logistic regression was used to identify the determinants of malnutrition. Results A total of 5045 study participants (1681 TB patients and 3364 TB free residents) were included giving for the response rate of 93.1%. The prevalence of underweight among TB patients was 57.17% (95% CI: 54.80, − 59.54%) and 88.52% of TB patients were anemic. The prevalence of malnutrition (underweight) among TB free residents was 23.37% (95% CI: 21.93–24.80). The nutritional status of TB patients was determined by site of infection AOR: 0.68 [0.49–0.94], sex of the patient AOR: 0.39 [0.25–0.56], residence AOR: 3.84 [2.74–5.54], intestinal parasite infection AOR: 7 [5.2–9.95], problematic alcohol use AOR: 1.52 [1.17–2.13]. Conclusion High proportions of TB patients were malnourished. TB patients were highly susceptible to malnutrition and even a very distal reason for malnutrition in the community became a proximal cause for TB patients.


2017 ◽  
Vol 6 (3) ◽  
pp. 141
Author(s):  
Erni Susana Normate ◽  
Marselinus Laga Nur ◽  
Sarci Magdalena Toy

Abstrak Teman sebaya dan citra tubuh merupakan faktor yang dapat menyebabkan remaja putri merasa kelebihan berat badan dan merasa tidak puas terhadap bentuk tubuhnya. Remaja tersebut akan menerapkan perilaku makan yang tidak sehat yang akhirnya berdampak pada status gizi yang buruk. Tujuan penelitian ini adalah untuk menganalisis hubungan teman sebaya, citra tubuh dan pola konsumsi dengan status gizi remaja putri SMAN 1 Kupang. Metode penelitian yang digunakan adalah survei analitik dengan rancangan cross sectional study. Populasi penelitian adalah seluruh siswi yang ada di SMAN 1 Kupang dan sampel penelitian sebesar 88 responden yang diperoleh dengan teknik simple random sampling. Hasil penelitian menunjukkan bahwa variabel yang mempunyai hubungan dengan status gizi remaja putri yaitu teman sebaya sedangkan variabel yang tidak mempunyai hubungan yaitu citra tubuh dan pola konsumsi. Upaya peningkatkan pengetahuan remaja tentang diet yang benar sangat diperlukan agar tidak mudah terpengaruh oleh teman sebaya dan melakukan diet yang salah.   Abstract Peers and body image are factors that caused adolescents to feel overweight and dissatisfied toward her body shape. Then adolescents will ted to eat unhealthy food that results in a low nutritional status. The aim of this study was to analyze the relationship of peer, body image, and consumption pattern with nutritional status of adolescents at SMAN 1 Kupang. Research method used was analytical survey with cross sectional study design. The population of this study was all students in SMAN 1 Kupang and sample of this study was 88 respondents selected by using simple random sampling technique. Peers   were significantly related to nutritional status of adolescents. While the variables that had no relationship were body image and consumption pattern. The efforts to increase knowledge about proper diet is necessary for adolescents so that they could not easily affected by peers and have wrong diet.


2018 ◽  
Vol 7 (09) ◽  
pp. 73-90
Author(s):  
Suriani Tahir ◽  
Ny. Daswati

Preeclampsia and eclampsia are a collection of symptoms that occur in pregnant women, maternity and in the puerperium consisting of triad proteinuri, hypertension, and edema, sometimes accompanied by convulsions to coma. The mother showed no signs of previous vascular or hypertensive disorders The aim of this research is to know the correlation between risk factor to preeclampsia event.The type of research used is descriptive analytic research with cross sectional study approach. This research was conducted in RSUD Syekh Yusuf Gowa Year 2014-2015, research time June 2016 until May 2017, sample in this research is all pregnant women who have preeclampsia and recorded in status of mother in medical record Syech Yusuf Gowa Hospital Year 2014-2015. Sampling technique is simple random sampling and analysis used is univariate and bivariate analysis.Conclusion: There is no significant relationship between maternal age and DM disease with risk of preeclampsia. There is a significant relationship between gravidity, gestational age, type of preeclampsia pregnancy. Keywords : Preeclampsia, Hypertension, Pregnant Mother


2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Gustiva Sari ◽  
Gustina Lubis ◽  
Edison Edison

AbstrakStatus gizi yang buruk merupakan salah satu penyebab kematian pada anak. Jumlah anak dengan status gizi kurang dari tahun 2011 ke tahun 2012 di wilayah kerja Puskesmas Nanggalo mengalami peningkatan. Tujuan penelitian ini adalah menentukan hubungan pola makan dengan status gizi pada anak usia 3-5 tahun di wilayah kerja Puskesmas Nanggalo. Desain penelitian ini adalah cross sectional study dengan pola makan sebagai variabel independen dan status gizi sebagai variabel dependen. Populasi penelitian ini adalah semua anak usia 3-5 tahun yang berdomisili di wilayah kerja Puskesmas Nanggalo. Pengambilan subjek menggunakan teknik simple random sampling yang dibuat secara proporsional. Analisis data menggunakan uji Fisher. Hasil penelitian yang didapatkan 68% anak dengan pola makan yang baik mempunyai status gizi normal, dan 11% anak dengan pola makan tidak baik mengalami kekurusan. Hasil uji statistik menunjukkan pola makan mempunyai hubungan dengan status gizi (p=0,000). Dapat disimpulkan bahwa terdapat hubungan yang antara pola makan dengan status gizi. Penerapan pola makan yang baik pada anak maka status gizi anak akan menjadi baik.Kata kunci: pola makan, status gizi, anak usia 3-5 tahun AbstractMalnutrition is one of the cause of childhood deaths. The year of 2011 until 2012, the cases of children with malnutrition in area of Nanggalo Health Center was increased. The objective of this study was to determine the correlation  diet on nutritional status in children aged 3-5 years old in area of Nanggalo Health Center. This research used cross-sectional study, the diet as the independent variable and nutritional status as the dependent variable. The population was all of children aged 3-5 years in area of Nanggalo Health Center. Subjects was taken by using simple random sampling technique with proportionally. The data analysis was Fisher test. The results of the study found 68% of children with a good diet have normal nutritional status, and 11% of children with a bad diet have a stunting. The Statistic results showed that diet has a relationship on nutritional status (p = 0.000). Keywords: diet, nutritional status, children aged 3-5 year old


2019 ◽  
Author(s):  
Berhanu Elfu Feleke ◽  
Teferi Elfu Feleke ◽  
Fantahun Biadglegne

Abstract Background Each year, more than 13.7 million people became an active case of tuberculosis and more than 1.5 million cases of TB patient will die. The association between TB and malnutrition is bi-directional, TB leads the patient to malnutrition, and malnutrition increases the risk of developing active TB by 6 to 10 times. Improving the nutrition of individual greatly reduces tuberculosis. The aims of this study were to assess the nutritional status and determinants of underweight among TB patients.Methods A comparative cross-sectional study design was implemented. The sample size was calculated using 95% CI, 90% power, the prevalence of malnutrition in TB patients 50%, TB patients to TB free resident ratio of 3, the design effect of 2 and a 5% non-response rate. Systematic random sampling was used to select TB patients and simple random sampling technique was used to select TB free residents. The data were collected from July 2015- May 2018. The data were collected by interviewing the patient, measuring anthropometric indicators and collecting the stool and blood samples. The data were entered into the computer using Epi-info software and analyzed using SPSS software. Descriptive statistics were used to find the proportion of malnutrition. Binary logistic regression was used to identify the determinants of malnutrition.Results A total of 5045 study participants (1681 TB patients and 3364 TB free residents) were included giving for the response rate of 93.1%. The prevalence of underweight among TB patients was 57.17% (95% CI: 54.80%, -59.54%) and 88.52% of TB patients were anemic. The prevalence of malnutrition (underweight) among TB free residents was 23.37% (95% CI: 21.93-24.80). The nutritional status of TB patients was determined by site of infection AOR: 0.68 [0.49-0.94], sex of the patient AOR: 0.39 [0.25-0.56], residence AOR: 3.84 [2.74-5.54], intestinal parasite infection AOR: 7 [5.2-9.95], problematic alcohol use AOR: 1.52 [1.17-2.13].Conclusion High proportions of TB patients were malnourished. TB patients were highly susceptible to malnutrition and even a very distal reason for malnutrition in the community became a proximal cause for TB patients.


Author(s):  
Indra Agussamad ◽  
Maya Sari

Perawat merupakan petugas kesehatan dengan presentasi terbesar dan memegang peranan penting dalam pemberian pelayanan kesehatan.WHO (2013) mencatat, dari 39,47 juta petugas kesehatan di seluruh dunia, 66,7%-nya adalah perawat. Di Indonesia, perawat juga merupakan bagian terbesar dari tenaga kesehatan yang bertugas di rumah sakit yaitu sekitar 47,08% dan paling banyak berinteraksi dengan pasien. Penelitian ini bersifat analitik dengan desain cross sectional study dengan jumlah sampel 72 perawat dengan menggunakan teknik simple random sampling,dan penelitian ini secara univariat dan bivariat dengan Chy-Square yang disajikan dalam bentuk tabel. Hasil menunjukkan bahwa terdapat adanya hubungan yang signifikan antara pengetahuan, pengawasan, motivasi, sikap dan ketersediaan alat terhadap kepatuhan perawat rawat inap dalam menggunakan alat pelindung diri dengan(p-value< 0,05).


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