Perceived determinants of home delivery following antenatal care in general hospital Ikara, Ikara Local Government Area, Kaduna State

Background: Clients’ satisfaction with the quality of care in an antenatal clinic is the extent to which the health care system meets the clients’ expectations, aims and choices. Objective: To assess the clients’ knowledge and satisfaction with antenatal care (ANC) services in Primary Health Centres in Ikenne Local Government Area of Ogun State, Nigeria. Methods: This descriptive cross-sectional study was conducted among 380 registered pregnant women who were selected using a multistage sampling method. The data were collected using a structured interviewer-administered questionnaire, constructed from a review of the Safe Motherhood Needs Assessment package and other available literature on antenatal care. Results: The mean age of the respondents was 27.8±5.5 years. The majority were married (91.6%). Health education was the leading ANC activity recognized by 98.7% of the respondents. Knowledge was poor as only 46.1% had good knowledge of at least 50% of total knowledge score. Overall, satisfaction with the services was good as the majority (96.8%) of the respondents were satisfied with the services. Marital status, number of antenatal visits and level of education were statistically significantly associated with the level of satisfaction (p < 0.001, 0.02 and 0.007 respectively). Conclusion: Though the knowledge of ANC was poor, overall satisfaction level was good. Programmes that improve maternal knowledge about ANC should be emphasized in PHCs.

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Assessment of anaemia in pregnant women attending antenatal Care in medical facilities within Ekwulobia, Aguata local government area, Anambra state Nigeria

10.35841/food-science.1.3.26-31 ◽

2018 ◽

Vol 01 (03) ◽

Author(s):

Oguizu AD ◽

Orjiekwe OA

Keyword(s):

Local Government ◽

Antenatal Care ◽

Pregnant Women ◽

Local Government Area ◽

Anambra State ◽

Medical Facilities

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Bacteriuria among Pregnant Women Attended on Antenatal Care Clinics in Karu Local Government Area, Nasarawa State

South Asian Journal of Research in Microbiology ◽

10.9734/sajrm/2019/v5i230125 ◽

2019 ◽

pp. 1-11

Author(s):

P. Alexander ◽

M. M. Manyi ◽

T. T. Mbagwu

Keyword(s):

Local Government ◽

Antenatal Care ◽

Pregnant Women ◽

Asymptomatic Bacteriuria ◽

Local Government Area ◽

Personal Hygiene ◽

Gram Positive ◽

Bacterial Colony ◽

High Prevalence ◽

Susceptibility Rate

Aims: This study is aimed at studying the prevalence of bacteriuria among pregnant women attending antenatal care clinics in Karu Local Government Area of Nasarawa State, Nigeria. Study Design: A cross-sectional studies of the prevalence of bacteriuria among pregnant women at antenatal care clinics in Karu, Nasarawa State, Nigeria Place and Duration of Study: Antenatal care clinics in Karu Local Government Area of Nasarawa State were enrolled in the study which lasted for four months between October 2017 to January 2018. Methodology: Four hundred and fifty (450) midstream urine specimens were collected in sterile disposable urine containers and transported to microbiology laboratory of Bingham university Karu for analysis. A structured questionnaire was administered to all participant whose informed consent was sort and samples collected. Samples collected were analysed using microscopy, morphological characteristics of inoculum on Maconkay, blood agar and cystine lactose electrolyte deficient agar (CLED) and biochemical characteristics of the grown colony. Antimicrobial Susceptibility Testing: From a pure culture of an identified bacterium, a loopful bacterial colony were transferred to a tube containing 5 ml of normal saline and mixed gently until it formed a homogenous suspension. The turbidity of the suspension was then adjusted to the density of mcfarland 0.5 to standardize the inoculum size. A sterile cotton swab was then dipped into the suspension and the excess was removed by gentle rotation of the swab against the surface of the tube. The swab was then used to distribute the bacteria evenly over the entire surface of Mueller-Hinton agar (oxoid). The inoculated plates were left at room temperature to dry for 3-5 minutes. Thereafter sterile needles were used to aseptically place an antibiotic disc on the surface of the inoculated plate. 30 ug sumetrolin (SXT), 30 ug chloramphenicol (CH), 10 ug sparfloxacin (SP), 10 ug ciprofloxacin (CPX), 30 ug amoxicillin (AM), 30 ug augmentin (AU), 10 ug gentamicin (CN), 30 ug pefloxacin (PEF), 10 ug ofloxacin (OFX) and 30 ug streptomycin (S) were used for gram-negative bacteria isolates while 10 ug pefloxacin (PEF), 10 ug gentamicin (CN), 30 ug ampicillin-oxacillin (APX), 20 ug cefuroxine (Z), 30 ug amoxicillin (AM), 25 ug ceftriaxone (R), 10 ug ciprofloxacin, 30 ug streptomycin (S), 30 ug sumetrolin (SXT) and 10 ug of erythromycin (E) were used for gram-positive bacteria isolates. The plates were then incubated at 37ºC for 24 hours. diameters of the zone of inhibition around the discs were measured and the isolates were classified as sensitive, intermediate and resistant according to the standardized table supplied by CLSI (2014). Results: The results obtained showed that 285 (63.33%) of the pregnant women had bacteriuria. Out of this, there were 77.93% cases of asymptomatic and 22.03% symptomatic bacteriuria respectively. The bacteria isolated were Escherichia coli (25.42%), coagulase-negative Staphylococcus (20.34%), Klebsiella spp (13.56%), Streptococcus spp (16.94%.), Staphylococcus aureus (10.17%), P. aeruginosa (8.47%) and Proteus mirabilis (5.08%). Gram-negativee bacteria isolated were most susceptible to 25 ug of Augmentin with susceptibility rate of 77.4% followed by 10 ug of gentamicin with 70.9% and 10 ug of Pefloxacin with 61.3% while Gram-positive isolates were most susceptible to 20 ug of Cefuroxine with 60.7% susceptibility rate followed closely by 57.1% susceptibility to both 10 ug Gentamicin and 30 ug Amoxicillin and 53.6% to 10 ug of Erythromycin. The age bracket 26-35 years had the highest prevalence of bacteriuria, (83.3%). women in their third trimesters were most infected with the prevalence rate of 91.39%. statistical analysis revealed significant differences (p<0.05) between bacteriuria and age, gestational age and occupation. Conclusion: This study recorded a significantly high prevalence of bacteriuria in the study area among the participant. This high prevalence calls for concern due to the possible effect of bacteriuria on the fetus. also having a significant percentage of this prevalence being asymptomatic (i.e 77.93%), there is, therefore, need to educate the women on personal hygiene and also need for treatment. also noting the increasing rate of resistance to the commonly administered antibiotics, thus the need to embark on massive enlightenment campaign with prevention-focused messages. also, the treatment of asymptomatic bacteriuria among pregnant women needs to be made a priority to prevent birth complications.

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SOCIO- DEMOGRAPHIC DATA AND EXTENT OF UTIILIZATION ANTENATAL CARE SERVICES AMONG WOMEN IN COMMUNITIES IN ABI LOCAL GOVERNMENT AREA, CROSS RIVER STATE NIGERIA

Innovare Journal of Medical Sciences ◽

10.22159/ijms.2020.v8i1.35930 ◽

2019 ◽

pp. 12-14

Author(s):

EZE AJI

Keyword(s):

Local Government ◽

Antenatal Care ◽

Research Question ◽

Demographic Data ◽

Local Government Area ◽

Reproductive Age ◽

World Health ◽

Cross River ◽

Cross River State ◽

Care Services

Socio–Demographic Data is a sensitive indicator used nationally and internationally to measure and compare the health and development status of the population. Access to care and early neonatal death rate are associated in maternal health around the time of delivery. Therefore, clinical antenatal care service before labor are important tool to identify the gaps/strength in this regards. The study was carried out to examine the extent of antenatalcare service utilization by women in riverine communities of Abi Local Government Area of Cross River State. To achieve the objective of the study three (3) research question were formulated and tested at .05 alpha level of significance. A random sampling of 800 women of reproductive age were selected from seven (7) communities in Abi Local Government Area of Cross River State formed the sample of the study. The data collected were analyzed using mean scores and independent t- test analysis for the research question raised. The result of the findings from research question 1 revealed that healthcare provider’s attitude influences the attitude of antenatal services by women. In research question 2 the findings indicated that location of health facilities affect utilization of antenatal care. Findings from research 3 revealed that maternal religion influence the utilization of Antenatal care services. Findings from hypothesis 4 revealed thatmarital status significantly influence the utilization of antenatal care by women. Above all, the study recommended among others that Government should update it’s official guidelines for antenatal care according to new standard promoted by World Health Organization. Also, improved transport and telecommunication facilities at health centers where such care is provided should be enhanced to strengthen accessibility of antenatal care.

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Capture-recapture Techniques in Estimating the HIV/Hepatitis Prevalence in Gboko, Benue State Nigeria

NIGERIAN ANNALS OF PURE AND APPLIED SCIENCES ◽

10.46912/napas.206 ◽

2020 ◽

Vol 3 (3b) ◽

pp. 175-183

Author(s):

TS Iorhen ◽

D Jibasen

Keyword(s):

Local Government ◽

General Hospital ◽

Local Government Area ◽

Control Measures ◽

Data Collection And Analysis ◽

Capture Recapture ◽

Data Source ◽

Log Linear ◽

Number Of Individuals ◽

Total Coverage

Capture-Recapture technique is used to estimate the number of individuals in a population. This study aimed at estimating the number of HIV/Hepatitis co-infection individuals in Gboko Local Government Area of Benue state, in order to plan or create more awareness of HIV/Hepatitis and to take control measures and prevention. The data were sourced from three data sources namely; General Hospital Gboko, Myom Hospital Gboko and NKST Hospital Mkar. The records showed that, between year 2015-2018, 1,205 HIV/Hepatitis patients registered in Gboko Local Government Area, 662 (54.94%) were identified in General Hospital (GH), 357 (29.63%) in Myom Hospital (MH) and 186 (15.44%) in Nongo Kristu u ser u Sha Tar (NKST) Hospital. Matching the records revealed that, 62 HIV/Hepatitis co-infection individuals or patients were captured by the three data source all together; 31(50%) were captured in General Hospital and Myom Hospital, 15(24.19%) in General Hospital and NKST Hospital, 5(8.07%) in Myom and NKST Hospitals and 11(17.74%) in General Hospital, Myom and NKST Hospitals. The three (3) health facilities were treated as 3 source capture-recapture (C-R) data to estimate the population size of HIV/Hepatitis co-infection in the study Area. The data was analyzed using record linkage/matching and log-linear model techniques, also R statistical package software was used to run the data. The results show that, the model that best fit the data is model (4) with interaction GH+MH+NKST+NKST*GH+NKST*MH with the estimated HIV/Hepatitis co-infected patients at 7182 with a 95% confidence interval of, 5348-10128. The total coverage stood at 16% , this implies that only 16% of the HIV/Hepatitis infected persons are recorded in the study area. Thus expanded data collection and analysis is recommended.

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Assessment of Nutritional Status of Pregnant Women Attending Antenatal Care Cen-ters in Odo-Otin Local Government Area of Osun State, Nigeria

Pan African Journal of Life Sciences ◽

10.36108/pajols/9102/30(0110) ◽

2019 ◽

Vol 3 (1) ◽

pp. 115-122

Author(s):

Adedayo Adeogun ◽

Caroline Adeoti

Keyword(s):

Local Government ◽

Nutritional Status ◽

Antenatal Care ◽

Pregnant Women ◽

National Development ◽

Well Being ◽

Local Government Area ◽

Civil Servants ◽

Cross Sectional ◽

Good Nutrition

Background: Good nutrition is a prerequisite for the national development of countries and for the well-being of every individual. Although problems related to poor nutrition affect the entire population, women and children are especially vulnerable because of their physiological and socio-economic characteristic. Pregnancy places extra nutritional demands on women and this may affect the development of the foetus and its health later in life. The nutritional demands however does not necessarily translate to increase in the amount of food to be consumed but certain nutrients such as protein, iron, folate, zinc and iodine are required in higher proportions to prevent anaemia and abortion. The general objective of this study was to assess the nutritional status of pregnant women aged 15-49 years that were attending antenatal care (ANC) at Primary Healthcare Centres, Odo-Otin Local Govern-ment Area, Osun State, Nigeria. Methods: This was a cross-sectional descriptive study of 400 pregnant women attending ANC at Primary Health Care Centres in Odo-Otin Local Government Area of Osun State over a period of four weeks. Their anthropometric and bio-chemical data were determined. Their bio-data and dietary investigation were obtained using a question-naire. Analysis was done using Statistical Package for Social Sciences (SPSS) version 20 and P was drawn at 0.05. Results: One hundred and thirty two (33.3%) of the participants were malnourished with their mid-upper arm circumference (MUAC) less than 23cm. Anaemia was found in 127(31.8%) of participants and of this proportion, civil servants were more commonly affected 54 (42.5%). Of the 90 participants that were civil servants, 46.5% were under-weight and they were the most malnourished while farmers had the least proportion (15.8%) of underweight participants (P=0.001). More than half (51.8%) of those who earned less than N10,000.00 were under-weight compared with 8.3% of those who earned more than N50,000.00 (P=0.001). One hundred and eight (94.7%) of those who skipped meals were under-weight compared to 6.3% of those who do not (P=0.001). Hence, 82.7% of those who skipped meals were anaemic as compared to17.3% of those who do not (P=0.001). Conclusion: The prevalence of malnutrition among pregnant women in Odo-Otin Local Government Area of Osun State, Nigeria was moderately low. However, it is worth noting that pregnant women who were Civil Servants were more malnourished .

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