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Khasanah, Umi. "Hubungan pendidikan ibu hamil terhadap persepsi mutu pelayanan pada kunjungan pelayanan antenatal care". Jurnal Kebidanan 9, n.º 2 (31 de agosto de 2020): 123. http://dx.doi.org/10.26714/jk.9.2.2020.123-128.
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Integrated Antenatal Care is a comprehensive and quality antenatal service for all pregnant women provided by trained and professional medical personnel. Providing quality services and services needed by pregnant women will make the perception of pregnant women about Antenatal Care services better. The purpose of this study was to analyze the relationship of education of pregnant women to the perception of service quality at Antenatal Care service visits in the Surakarta Region Health Center. This quantitative research method uses a cross-sectional approach with an accidental sampling technique in sampling so that as many as 108 respondents obtained then the data analysis uses chi-square. The results of this study most of the highly educated pregnant women expressed a good perception about the quality of Antenatal Care Services in the Surakarta Region Health Center. The conclusion of the study is that there is a relationship between the level of education of pregnant women with the perception of service quality at Antenatal Care visits with a p-value of 0.027. The p-value is smaller than 0.05 (0.027 <0.05). Improving the level of education in the community needs to be done so that pregnant women are more understanding and critical about services provided during Antenatal Care visits.
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Asim, Muhammad, Saira Siddiqui, Nazia Malik, Waseem Nawaz y Farman Ali. "ANTENATAL HEALTH CARE;". Professional Medical Journal 24, n.º 04 (6 de abril de 2017): 495–99. http://dx.doi.org/10.29309/tpmj/2017.24.04.1531.
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Background: Prenatal and postnatal health care utilization services areimperative strategy to decrease maternal morbidity and mortality. One in 38 Pakistani womendies from pregnancy related causes as compared to 1 in 230 women in Sri Lanka. Objectives:The objective of the present study is to know about the pattern and trends of utilization ofantenatal and postnatal health care services by mothers in Pakistan. Study design: Descriptivesystematic literature review. Material and methods: The relevant literature was systematicallysearched through different key words related to antenatal and postnatal health care utilizationservices in Pakistan through different online research engines to accomplish this study.Results: Twenty five research articles were included in this review article. It was found thatlast two decades, we cannot achieve the optimum progress towards antenatal and postnatalhealth care utilization services. The problem is much severe in rural areas of across the country,where a number of socio-cultural and program factors hinders women to utilize the basic healthservices. Mother’s education, household income, autonomous at household decision makingand birth order are the significant factors that to utilize the antenatal and postnatal care inPakistan. Conclusion: There should be need to aware the mother about the importance ofprenatal and postnatal visits. In rural areas, government should give some economic incentivefor prenatal and postnatal visits. Furthermore, government should take necessary steps totackle the problem by providing the easy access to the health care facilities.
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Birhanu, Simon, Melake Demena, Yohannes Baye, Assefa Desalew, Bedru Dawud y Gudina Egata. "Pregnant women’s satisfaction with antenatal care services and its associated factors at public health facilities in the Harari region, Eastern Ethiopia". SAGE Open Medicine 8 (enero de 2020): 205031212097348. http://dx.doi.org/10.1177/2050312120973480.
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Background: Antenatal care coverage is very low in low-and middle-income countries, including Ethiopia. Self-reported pregnant women’s satisfaction may be important in identifying the demographic, provider-, and facility-related factors that can be improved to increase antenatal care satisfaction. However, there is a paucity of data on pregnant women’s satisfaction in Ethiopia, particularly in the study setting. Therefore, this study aimed to assess antenatal care service satisfaction and associated factors among pregnant women at public health facilities in the Harari region of eastern Ethiopia. Methods: A health institution–based cross-sectional study was conducted among women who were attending antenatal care clinics in February 2017. All 531 pregnant women were selected using a systematic random sampling method. Data were collected using an interviewer-administered questionnaire, entered into EpiData version 3.1, and analyzed using SPSS version 22.0 software. A logistic regression model was applied to control for confounders. The level of significance was determined at a p-value of less than 0.05. Results: The magnitude of pregnant women’s satisfaction with antenatal care services was 70.3% (95% confidence interval (CI) = 66.4%–74.3%). Receiving antenatal care services from the hospital (adjusted odds ratio (AOR) = 2.44, 95% CI = 1.50–3.98), did not attend formal education (AOR = 2.53, 95% CI = 1.52–4.20) and attended primary education (AOR = 2.17, 95% CI = 1.17–4.04), having a repeated visit to antenatal care (AOR = 4.62, 95% CI = 2.98–7.17), initiating antenatal care services within the first trimester (AOR = 1.74, 95% CI = 1.12–2.71), having no history of stillbirth (AOR = 2.52, 95% CI = 1.37–4.65), and waiting for no more than 30 min in the health facility to get service (AOR = 2.31, 95% CI = 1.28–4.16) were factors associated with pregnant women’s satisfaction with antenatal care services. Conclusion: More than two-thirds of pregnant women were satisfied with the antenatal care service. The type of health facility, education status, number and initiation time of antenatal visit, history of stillbirth, and waiting time to get service were factors associated with pregnant women’s satisfaction with antenatal care services.
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Conrad, Paul, Manuela De Allegri, Arinaitwe Moses, Elin C. Larsson, Florian Neuhann, Olaf Müller y Malabika Sarker. "Antenatal Care Services in Rural Uganda". Qualitative Health Research 22, n.º 5 (9 de enero de 2012): 619–29. http://dx.doi.org/10.1177/1049732311431897.
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John, Olowoporoku Ayodeji y Ajayi Adeola. "Differentials in Utilizations of Antenatal Care Services among Currently Married Women in Urban Southwest and Northwest of Nigeria". Scholedge International Journal of Multidisciplinary & Allied Studies ISSN 2394-336X 3, n.º 9 (26 de noviembre de 2016): 148. http://dx.doi.org/10.19085/journal.sijmas030901.
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<p>The study examines differentials in utilization of antenatal care services among currently married women in urban Southwest and Northwest of Nigeria. Attempt was made to investigate differentials in utilization of antenatal care services among currently married women in both regions. In-depth interviews currently married women in urban Southwest and Northwest. Secondary data were extracted from 2008 Nigeria Demographic and Health Survey (NDHS) dataset. Out of the 33,385 currently married interviewed, the study employed sample of 14,811 comprising 8,202 for Northwest and 6,789 for Southwest. The analyses were done in three stages of univariate, bivariate and multivariate levels. The result showed evidence of higher age of respondents, higher education among currently married in southwest than northwest. The number of children ever born (CEB) among currently married in both regions were four and five respectively. For both regions antenatal care utilization increased with wealth index. The result of the multivariable analysis regarding utilization of antenatal care services, the logistic analysis shows factors such as education, religion and wealth index as the variables influencing utilization of antenatal care service in Northwest while age of respondents, occupation and CEB determined utilization of antenatal care services in Southwest than Northwest. The study concluded that currently married women in Southwest and Northwest showed differentials in utilization of antenatal care services. Currently married women in Southwest exhibiting higher utilization of antenatal care services and lower utilization in Northwest. Religion, education, wealth index, women autonomy, children ever born, distance to health and cost of antenatal care were the most important variables explaining the differentials in utilization of antenatal care services among currently married women in urban Southwest and Northwest in Nigeria.</p>
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Thapa, Meena, S. Yadav y K. Bhujel. "Utilization of Antenatal care services in present pregnancy among the women attending in a Teaching Hospital for delivery". Nepal Journal of Obstetrics and Gynaecology 11, n.º 1 (26 de diciembre de 2016): 26–29. http://dx.doi.org/10.3126/njog.v11i1.16295.
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Aims: To study attendance of antenatal care services during present pregnancy by pregnant women coming for delivery in a teaching hospital of Kathmandu and to analyze the impact of educational status, age group, gravida (number of pregnancy) and occupation of the women on antenatal care service utilization.Methods: Uncomplicated, term pregnant women who came for delivery in labour or for induction of labour or elective cesarean section were interviewed using semi-structured questionnaire.Results: Six hundred and four pregnant women were studied. Antenatal care coverage in studied population was found to be 94.8% with adequate (four) antenatal care visits in 83.4%. Women belonged to 20 to 30 years of age group and higher education status had higher rate of antenatal care attendance where as women who belonged to labor class (daily earner) had significantly lower rate of adequate antenatal care attendance. Number of pregnancy (gravida) of the women did not show association with rate of antenatal care attendance.Conclusions: Over all antenatal care attendance in this study is very high. Women of 20 to 30 years of age and higher education status had positive effect on antenatal care attendance, where as women who were daily earner or labour had higher rate of failure to attend antenatal care visits.
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Pawar, Sunita P., Geeta S. Pardeshi y Shriram Gosavi. "Utilization of Antenatal Care Services in Urban Slums of Nanded City". Journal of Medical Research 5, n.º 2 (26 de mayo de 2019): 69–73. http://dx.doi.org/10.31254/jmr.2019.5207.
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Background: Complications during pregnancy and delivery are well documented and can be prevented and managed effectively especially with adequate antenatal care. Women in urban slums represent a marginalized community and improving health care utilization in this group remains a challenge. Objective: To study existing antenatal care practices and study the factors associated with it among women of reproductive age group in urban slums of Nanded city. Methods: This is a community based cross sectional descriptive study carried out from March 2010 to April 2011 in which 400 women reporting delivery in past two years were selected using Probability Proportionate Sampling. Data on Sociodemographic factors and different components of antennal care were collected using a Semi structured questionnaire. Analysis was done using chi square test. Results: Among the 400 women included in the study, coverage of full Antenatal care (ANC) services was reported by 80 (20%) respondents. While 381 (95%) women were immunized with Tetanus Toxoid, only 98 (25%) women had consumed 100 or more Iron and Folic acid tablets, 315 (79%) women had three or more antenatal check-ups and 213 (53%) had registered themselves in first trimester of pregnancy. There was significant association between full antenatal care and woman’s education, husband’s education and occupation, religion and socio-economic status of family (<0.05). Conclusion: There is a need to improve the utilization of full antenatal care package among women in urban slums with a special focus on early registration and IFA consumption. Sociodemographic variables of reproductive age group women have impact on utilization of antenatal care services. The risk factors identified for low antenatal care service utilization were low educational status of women and their husbands and low socioeconomic status. Special efforts should be made to motivate this group for antenatal care service utilization
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Drigo, Lucia, Masane Luvhengo, Rachel T. Lebese y Lufuno Makhado. "Attitudes of Pregnant Women Towards Antenatal Care Services Provided in Primary Health Care Facilities of Mbombela Municipality, Mpumalanga Province, South Africa". Open Public Health Journal 13, n.º 1 (26 de octubre de 2020): 569–75. http://dx.doi.org/10.2174/1874944502013010569.
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Background: Pregnant woman’s personal experience of antenatal care services can either be positive or negative; however, knowledge and experience appear to be of paramount importance in shaping their attitudes towards any healthcare-related services. This implies that women's experience of antenatal care services may affect their decision for seeking antenatal care in their present pregnancy, which can lead them to delay seeking care. Purpose: This study sought to explore the attitudes of pregnant women towards antenatal care services provided in primary health care facilities of Mbombela Municipality, Mpumalanga Province, South Africa. Methods: A qualitative exploratory descriptive study design was used for this study. Purposive sampling technique was used to sample pregnant women who fail to attend antenatal services as expected. Data were collected through face to face unstructured in-depth interview. A total of eighteen pregnant women participated in the study until data saturation. Data were analysed using Tech’s method of analysis. Results: Results revealed the following theme and sub-themes: Attitudes of pregnant women related to individual perceptions, perceived barriers to utilizing antenatal care services,’ attitudes of healthcare providers, long waiting times in healthcare facilities, lack privacy and confidentiality in healthcare facilities and attitudes of pregnant women related to attendance of antenatal services. Conclusion: Attitudes of pregnant women about antenatal care are shaped by their knowledge and previous encounters with the health care services that they had previously received. It is therefore important to provide women-friendly services. It is recommended that health education regarding the importance of antenatal care services must be given to all women daily in the waiting areas of each primary health care facilities, thus, the healthcare providers should promote the active participation of pregnant women during the health education sessions and provide opportunities to ask questions.
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Ademuyiwa, Iyabo Yewande, Adekunbi Abosede Farotimi y Eunice Abimbola Ojo. "Social support and satisfaction with antenatal care services among pregnant women in Lagos State, Nigeria". African Journal of Midwifery and Women's Health 14, n.º 1 (2 de enero de 2020): 1–10. http://dx.doi.org/10.12968/ajmw.2018.0038.
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Background/Aims Maternal and infant mortality remains a major public health challenge in Nigeria. Provision of cognitive support through effective communication with women about their condition or the care required is a critical determinant of satisfaction with maternal care. Effective antenatal care is important in reducing the maternal mortality rate. This study aimed to assess social support and satisfaction with antenatal care services among pregnant women, to improve antenatal care services and birth outcomes. Methods This study used a survey research design where 1316 questionnaires were completed by pregnant women across six general hospitals in Lagos State, Nigeria. Participants rated their social support when deciding to use antenatal care services and their satisfaction with these services. Regression analysis was used to determine the association between social support and satisfaction with antenatal care services. Results The degree of social support received by pregnant women was very high (average score of 3.51 on a 4-point scale). The level of satisfaction with antenatal care services was also very high (average score of 4.32 on a 5-point scale). Linear regression showed that social support has a significant influence on pregnant women's satisfaction with antenatal care services in Lagos State (r=0.307, P<0.000). Conclusion The degree of social support was a significant determinant of satisfaction with antenatal care services. It is therefore recommended that social support for women to attend these services is encouraged.
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Wau, Herbert y Nidya Razella. "Utilization of Antenatal Care (ANC) Services by Pregnant Women in Binjai City and Factors Affecting". Jurnal Kesehatan Masyarakat 15, n.º 3 (17 de marzo de 2020): 390–98. http://dx.doi.org/10.15294/kemas.v15i3.20613.
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Antenatal care services have an influence on fetal growth or during pregnancy, one effort to reduce maternal mortality due to complications is through the use of antenatal care. Based on data from the Health Profile of Kebun Lada Public Health Center, it is known that the scope of ANC services (K1 and K4) in 2017 is K1 96% AND K4 84%. In 2018 that is K1 82.7% and K4 81%. Where there is a difference in the percentage of coverage of K1 and K4 visits. The research was an analytical survey using Cross Sectional with a sample of 76 people. This research uses chi-square data analysis method with accidental sampling technique to find out the significant influence between, Knowledge, Attitude, ANC Service Facilities, Husband / Family Support and Health Staff Support. This research shows there is influence of Knowledge (p = 0,000), Attitude (p = 0,000), Service Facilities (p = 0,000), Husband / family Support (p = 0,000), Officer Support with (p = 0,001) with Utilization of Antenatal Care Services where p-value <0.05. This study, showed that all factors affect the Antenatal Care service. Health workers, especially midwives, are expected to maintain health education and promotion and motivation on a regular basis about the importance of regular antenatal care.
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Alene, Amelework Getinet, Oladapo O. Olayemi y Yemane Berhane. "Timing and factors associated with early antenatal visits among pregnant women in west Gojjam, northwest Ethiopia". African Journal of Midwifery and Women's Health 15, n.º 2 (2 de abril de 2021): 1–11. http://dx.doi.org/10.12968/ajmw.2020.0023.
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Background Early and appropriate antenatal care practices have the potential to save the lives of mothers and their children, and enable mothers to receive the full range of antenatal care services. However, in developing countries, including Ethiopia, a number of pregnant women do not attend antenatal care in the recommended time period. Therefore, this article assessed the timing and factors associated with early antenatal care visits in west Gojjam, northwest Ethiopia. Methods An institution-based cross-sectional study was conducted among pregnant women attending antenatal care services in west Gojjam. Data on participants' sociodemographic, obostetric and reproductive health information were collected from 820 participants using a structured interviewer-administered pretested questionnaire. Bivariate and multivariate logistic regression analyses were used to identify variables associated with early antenatal care visits. Variables with P<0.05 were considered significant. A visit was considered ‘early’ if a pregnant woman attended their first antenatal care session within the first 12 weeks of gestation. Results Almost a third (31.5%) of mothers started antenatal care early. The mean gestational age at the first visit was 17 weeks (standard deviation±7.7), with a range of 3–36 weeks. In multivariate analysis, it was found that being nulliparous (adjusted odds ratio: 2.3; P=0.013), travel time to the health facility being less than 30 minutes (adjusted odds ratio: 6.1; P<0.001) and living in an urban area (adjusted odds ratio: 2.4; P=0.001) were significantly associated with attending antenatal care early. Conclusions Early first antenatal care attendance was low in the study area. It is important to decentralise the provision of antenatal care services at health posts through an outreach service, by strengthening the mobilisation, screening and early referral system through health extension workers and the women development army. This will allow more women to receive antenatal care from skilled providers.
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Zafar, Ahmed A., John E. Ehiri y Ebere C. Anyanwu. "Use of Antenatal Services in Kampung District, Cambodia". Scientific World JOURNAL 3 (2003): 1081–92. http://dx.doi.org/10.1100/tsw.2003.95.
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This study was conducted to assess factors that influence use of antenatal care services with both quantitative and qualitative designs. Methods used were structured questionnaire interviews and focus group discussions in the Kampung District, Kampot Province in Cambodia with a volunteer sample of 260 postnatal mothers. The outcome measure was factors influencing use of antenatal care services. The results showed that first-time mothers (primigravidas) were more likely to use antenatal services than multiparous mothers (OR = 1.87; p = 0.001). Mothers with some school education used antenatal services more than those with no school education (OR = 2.0; p = 0.01). Mothers engaged in professional occupations by virtue of their higher levels of educational attainment were more likely to use antenatal services than those engaged in agriculture (OR = 2.54; p = 0.001). Use of antenatal care services was higher in the districts whose health centers were supported by a foreign nongovernmental organization as compared to other districts with no such support (OR = 2.44; p = 0.001). Although services were generally inadequate, those that existed were underutilized by the mothers. Major factors influencing use of services include distance, lack of transport, and lack of awareness of the benefits of antenatal care by the mothers, thus resulting in a general notion that antenatal care is only important when problems occur during pregnancy. It is concluded that for remote villages, mobile antenatal clinics should be provided to improve access, and greater emphasis should be placed on health educating the mothers about the potential benefits of antenatal care, with special attention to multiparous mothers and those from the lower socio-economic class, among whom use of antenatal services was lowest.
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Winarso, Septerina Purwandani, Pamungkas Puji Rahayu y Sumiyati Sumiyati. "FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN BIDAN TERHADAP PENERAPAN STANDAR OPERASIONAL PROSEDUR (SOP) PELAYANAN ANTENATAL CARE". Jurnal Sains Kebidanan 1, n.º 1 (26 de noviembre de 2019): 30–38. http://dx.doi.org/10.31983/jsk.v1i1.5441.
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In providing midwifery services, it must be in accordance with established standards, namely referring to all quality requirements of health services and equipment to meet the needs of the community. Midwife compliance with ANC service standards is influenced by several factors. This study aims to find factors related to midwives' compliance with 2019 antenatal care standard operating procedures (SOPs). The type of research used is correlational analytics. The population is all midwives who work in Jatilawang Health Center and Rawalo Health Center. The sample in this study was 44 midwives. The results showed the majority of midwives aged 21-35 years (52.3%), educated in D3 Midwifery (93.2%), had 11-20 years of service (47.7%). 100% ANC service infrastructure complete. There is no relationship between age (p value 0.323), education (p value 1.00), years of service (p value 0.471), and infrastructure and midwife compliance with standard operational procedures (SOP) for antenatal care services. The conclusion of this study there is no relationship between age, education, years of service, and infrastructure with midwife compliance with standard operational procedures (SOP) for antenatal care services.
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Singh, Neelima, Satyendra Nath Ponna, Venkata Prasad Upadrasta, Shankar Reddy Dudala y Renuka Sadasivuni. "Determinants of utilization of antenatal and postnatal care services in Telangana". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, n.º 8 (26 de julio de 2017): 3352. http://dx.doi.org/10.18203/2320-1770.ijrcog20173264.
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Background: Variation exists in utilization of antenatal and postnatal care services in public health facilities of developing countries. Provision of antenatal and postnatal care services is the major function of public health delivery system of India to improve maternal health outcomes. The objective of this study is to estimate the determinants of utilization of antenatal and postnatal care services stratified by geographical region in Telangana.Methods: It is a cross-sectional study of District Level Health and Facility Survey-4 of the state of Telangana. Multistage, stratified, probability proportional to size sample with replacement was used. 3065 women, who delivered after the year 2008, were considered for analysis. Descriptive analysis of components of antenatal and postnatal care services stratified by geographical region was carried out. Binomial logistic regression was carried out to determine association of demographic, system level variables with adequate antenatal care.Results: Study reveals variation exists across four regions of Telangana in utilization of maternal health services. Reception of adequate antenatal care is low in South region (20.6%) and high in East region (31.5%). Pregnant women with secondary education were 66% more likely to receive adequate antenatal care services compared to illiterate.Conclusions: Short term and long-term goals to be adopted and implemented by government to address the demand-supply imbalance such as public health infrastructure and quality of services in underperforming districts of Telangana to increase utilization of maternal health services by training health staff and engaging local communities to seek health care services.
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Tun, Myo, Sauwakon Ratanawijitrasin, Darunee Phukao y Seung Chun Peak. "QUANTITATIVE CROSS SECTIONAL SURVEY OF WOMEN’S BELIEFS AS INFLUENCING FACTORS IN THE UTILIZATION OF ANTENATAL SERVICES IN THREE TOWNSHIPS OF CHIN STATE, MYANMAR". Journal of Health, Medicine and Nursing 6, n.º 1 (8 de febrero de 2021): 40–52. http://dx.doi.org/10.47604/jhmn.1216.
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Purpose: The objective of this study was to determine women’s beliefs as influencing factors in the utilization of antenatal services.
Methodology: The quantitative cross sectional survey was conducted in both rural and urban areas of three townships of Chin State. The multi-stage sampling method was used to recruit 350 women who had given birth within the past year. They were interviewed using structured questionnaires relating to their socio-demographic characteristics, beliefs about the utilization of antenatal services, and the situation of received antenatal care. The X2 values and odd ratio with a 95% of CI were calculated to find out women’s beliefs as influencing factors in the utilization of antenatal services.
Findings: Among the 350 participants, the number who received antenatal care at least one time and four times were 303 (86.6%) and 222 (63.4%) respectively. There were only 98 (28.0%) who received antenatal care in first trimester. The number of women who showed awareness of life threatening risks of pregnancy was 135 (38.6%) whilst positive attitudes towards the effectiveness of antenatal care and accessibility of health care staff were 170 (48.6%) and 63 (18.0%) respectively. Women’s beliefs about the risks of pregnancy, effectiveness of antenatal care and accessibility of health care staff for antenatal care were statistically associated with the situation of receiving antenatal care at least four times and care in the first trimester but not associated with the situation of receiving at least one time.
Unique contribution to theory, practice and policy: Women in Chin State received late first antenatal care and lack of regular follow-up because of their beliefs about the utilization of antenatal services. Effective health education activities are needed to raise awareness about the utilization of antenatal services.
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Zafreen, Farzana, Md Mahbubur Rahman, Latifa Rahman y Md Abdul Wahab. "Awareness about Antenatal Care Services among Rural Pregnant Women". Journal of Armed Forces Medical College, Bangladesh 13, n.º 2 (13 de mayo de 2019): 11–14. http://dx.doi.org/10.3329/jafmc.v13i2.41365.
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Introduction: Antenatal care (ANC) is the care of a pregnant woman required to ensure a healthy pregnancy and safe childbirth. According to the World Health Organization to achieve the full life-saving potential for pregnant women and babies, minimum four ANC visits are essential. Quality and quantity of ANC visit depends on socio-demographic characteristics, knowledge, awareness and attitude of the individual. To get the benefits from ANC services awareness among pregnant women and their family members are very important.
Objective: To evaluate the awareness about ANC service among the pregnant women attending Upazila Health Complex of a rural community.
Materials and Methods: This descriptive cross-sectional study was conducted among the pregnant women attending the outpatient department of Kaligonj Upazila Health Complex, Gazipur, Bangladesh from January to March 2017. Data were collected by face-to-face interview of the respondents using a structured questionnaire. Chi-square (χ2) test was done to see the association among the respondents’ socio-demographic characteristics with awareness about ANC services.
Result: Respondents’ age range was 16-40 years and 61.9% were below 25 years and 71.1% married before 20 years. More than half (66.5%) of the respondents’ found aware about pregnancy danger sign, safe delivery and benefits of ANC service. This study found a significant (p<0.05) association between socio-demographic characteristics and awareness about ANC services of respondents.
Conclusion: Overall knowledge and awareness level on different component and benefits of ANC visit were below the national standard. To improve the community awareness and practice on ANC services community campaign is recommended.
Journal of Armed Forces Medical College Bangladesh Vol.13(2) 2017: 11-14
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Mulondo, Seani Adrinah. "Factors associated with underutilisation of antenatal care services in Limpopo, South Africa". British Journal of Midwifery 28, n.º 11 (2 de noviembre de 2020): 788–95. http://dx.doi.org/10.12968/bjom.2020.28.11.788.
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Background The aim of this study was to explore and describe factors associated with underutilisation of antenatal care services. In South Africa, maternal and child healthcare services are provided free of charge. Despite this, utilisation of antenatal care services remains a major public health challenge. Literature affirms that 96% of pregnant women present at antenatal care services only after 12 weeks of pregnancy, and this is influenced by several factors. Women's attitude plays an integral role. Methods This study used a qualitative, exploratory, descriptive design. Purposive and convenient sampling methods were used to select 10 hospitals and 83 pregnant women, respectively. Ten focus group discussions were conducted to collect data. Trustworthiness was ensured by means of Guba's model and data were analysed, qualitatively, using Tesch's eight steps. Results The majority of the pregnant women (83%) were from rural areas, had unplanned pregnancies, had five pregnancies/children or more, factors that are associated with underutilisation of antenatal care services. Cultural practices and beliefs regarding early presentation to antenatal care services and its effect on pregnancies were also found to be associated with underutilisation. Conclusions Some pregnant women do not consider antenatal care services as essential and choose to present late, despite the knowledge that monitoring of maternal health during pregnancy by midwives could prevent maternal and neonatal morbidity, while improving maternal and neonatal health and wellness. Recommendations include the provision of information and education materials to women, as well as health education, to sensitise and increase women's awareness of the urgency in utilising antenatal care services.
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Kabir, M., Z. Iliyasu, I. S. Abubakar y A. A. Sani. "Determinants of utilization of antenatal care services in Kumbotso village, Northern Nigeria". Tropical Doctor 35, n.º 2 (1 de abril de 2005): 110. http://dx.doi.org/10.1258/0049475054036814.
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Women of childbearing age in a rural community in Kano state were interviewed to ascertain the determinants of utilization of antenatal care services in the village. Of the 200 women studied, 118 (59%) utilized antenatal care services during pregnancy. A majority (86%) of those who attained secondary school education, all of those with post-secondary education and 83% of those whose husbands had post-secondary education utilized antenatal care services.
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Oakley, Ann. "Perspectives of Users of the Services". International Journal of Technology Assessment in Health Care 8, S1 (enero de 1992): 112–22. http://dx.doi.org/10.1017/s0266462300013003.
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AbstractThis article draws on social science evidence concerning the views and experiences of those using the antenatal services. It identifies several important themes in this evidence, including the need to consider pregnancy a normal process, to provide care that is sensitive to individual circumstances and that offers continuity of care throughout the antenatal period, and the obligation on providers to assess scientifically the effectiveness of the care they give.
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Gross, Mechthild, Claire Michelsen, Bernhard Vaske y Sonja Helbig. "Intrapartum Care Working Patterns of Midwives: The Long Road to Models of Care in Germany". Zeitschrift für Geburtshilfe und Neonatologie 222, n.º 02 (16 de enero de 2018): 72–81. http://dx.doi.org/10.1055/s-0043-122888.
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Abstract Introduction Midwifery models of care help to enhance perinatal health outcomes, women's satisfaction, and continuity of care. Despite the ubiquitous presence of certified midwives at births in Germany, no research has investigated the diversity of midwives’ practice patterns. Describing the variety of working patterns through which midwives provide intrapartum care may contribute to improving the organisation of midwifery services. Methods This cross-sectional survey took place in the region of Hannover and Hildesheim, Germany. Midwives attending births and practicing in hospitals and/or out-of-hospital were able to participate. Midwives who did not attend births were excluded. We assessed midwives' scope of services, practice locations, employment patterns, continuity of care, midwife-led births, and midwives' level of agreement with core values of midwifery care. The response rate of the survey was 32.7 % (69/211). Results We found that midwifery care services can be described according to midwives’ employment patterns. The majority of midwives were employed in a hospital to provide intrapartum care (74.2 %, n = 49), and most also independently offered one or more antenatal and/or postpartum service/s. Only 25.8 % (n = 17) of midwives offered their services independently (laborist model of care). Independent midwives attended births in all three possible settings: hospital, free-standing birth centres and home. Significantly more independent midwives than employed midwives offered antenatal care and lactation consulting. Compared to employed midwives, significantly more independent midwives provided antenatal, intrapartum, and postpartum care to the same women, were more likely to know women before labour, and to offer one-to-one care during labour. Discussion The most common practice pattern among surveyed midwives was ‘employment in a hospital’ for provision of intrapartum care with additional postpartum and few antenatal services provided on an independent basis. Midwives who worked solely independently reported more continuity and one-to-one intrapartum care with women. Most midwives did not work in patterns that offered continuity of care or consistently provide one-to-one care. Future research should assess whether women in Germany desire more services similar to caseload midwifery.
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Brahmapurkar, KishorParashramji. "Evaluation of antenatal care services affecting neonatal health". Indian Journal of Community Medicine 42, n.º 3 (2017): 185. http://dx.doi.org/10.4103/ijcm.ijcm_388_16.
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Zarocostas, John. "Progress in antenatal care but more services needed". Lancet 363, n.º 9415 (abril de 2004): 1123. http://dx.doi.org/10.1016/s0140-6736(04)15937-0.
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Bute, Dr Jayashri y Dr S. N. Nagaonkar Dr. S. N. Nagaonkar. "Antenatal Care Services Utilization In Women Delivered at Tertiary Care Level Hospital in Urban Area, Mumbai". International Journal of Scientific Research 3, n.º 1 (1 de junio de 2012): 323–26. http://dx.doi.org/10.15373/22778179/jan2014/109.
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Meiriza, Wira, Aladin Aladin y Edison Edison. "The Correlation of Maternal Factors and The Quality of Antenatal Care Services With Low Birth Weight Babies In Health Facilities Level I". Journal of Midwifery 3, n.º 1 (30 de junio de 2018): 103. http://dx.doi.org/10.25077/jom.1.1.103-114.2018.
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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.
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Seham Othman, Taha Almahbashi y Alabed Ali A. Alabed. "FACTORS AFFECTING UTILIZATION OF ANTENATAL CARE SERVICES IN SANA'A CITY, YEMEN". Malaysian Journal of Public Health Medicine 17, n.º 3 (8 de diciembre de 2017): 1–14. http://dx.doi.org/10.37268/mjphm/vol.17/no.3/art.230.
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Antenatal care is a vital part of primary healthcare that is known to improve maternal and newborn outcomes. The aim of this study was to identify the factors affecting utilization of antenatal care services for women in reproductive age in Yemen. This cross-sectional community-based study was conducted in six districts of Sana’a City, Yemen. Data were collected from 460 mothers who gave birth in the past six months via face-to-face interviews at home between September to December 2010. Only 54% of mothers were found to have made four or more antenatal care visits. Almost two third of participants made their first visit during their first trimester due to presence of health problems and did not follow up when they became healthy during pregnancy. Reasons for not receiving antenatal care services due to absence of health problems, high cost of antenatal care services, long waiting time, and poor staff attitude. Sixty percent of participants were unaware of the danger symptoms of common health problems in pregnancy. The significant factors affecting utilization of antenatal services were mother education, residence place, age at first pregnancy, gravida, parity, occurrence of pregnancy without planning, and number of live children (P<0.05). The factors affecting the number of visits were mother education, place of residence, and husband work were (P<0.05). Future healthcare activities should focus on improving women’s awareness of the importance of antenatal care even in the absence of noticeable health problems and lack of education about the common danger signs and symptoms of pregnancy.
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Adi Galgallo, Dahabo, Zeinab Gura Roka, Waqo G. Boru y James Ransom. "Descriptive analysis of effect of uptake of comprehensive antenatal care services on neonatal mortality, Kenya". African Journal of Midwifery and Women's Health 13, n.º 3 (2 de julio de 2019): 1–5. http://dx.doi.org/10.12968/ajmw.2017.0043.
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Background Antenatal care services help decrease neonatal mortality. Laboratory profiling is a highly recommended part of antenatal care services, but it is often neglected. Aims To explore the importance of comprehensive antenatal care services in reducing neonatal mortality among births at Moyale Sub-County Referral Hospital in Kenya. Methods A retrospective review was conducted of maternity records of all women aged 15 years old or more who gave birth at Moyale Sub-County Referral Hospital between June 2014 and May 2015. Stillbirths were excluded from the analysis. Data were entered into Microsoft Excel and descriptive statistics calculated. A total of 1062 women were included in the study, with mean age of 24 ± 9.1 years. Of these, 11% had no antenatal care visits, 2% were HIV-positive, and all lived within 10 km of Moyale Sub-County Referral Hospital. Findings Children of women who had no antenatal care visits were 2.7 times more likely to die within 28 days of birth compared to children born to women who had 1 antenatal care visit, and 8.5 times more likely to die compared to women who had at least three antenatal care visits. Conclusions Antenatal care profiling helps reduce neonatal mortality by capturing early diagnosis of preventable conditions that affect birth outcomes.
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Maano, Nghitanwa Emma y Shanyengange Tuwilika. N. "Factors associated with the delay in seeking first antenatal care service among pregnant women at Katutura state hospital, Khomas region". International Journal of Medicine 5, n.º 1 (29 de enero de 2017): 37. http://dx.doi.org/10.14419/ijm.v5i1.7152.
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The purpose of this study was to identify the factors associated with the delay in seeking first antenatal care (ANC) service among pregnant women at Katutura state hospital, Khomas region. A qualitative, explorative and descriptive design was used to gain the data from pregnant women started first antenatal care later than twelve weeks of gestation.Data was collected through in-depth interview among pregnant women during their first visit at Katutura state hospital antenatal clinic, Khomas region. The data analysis was done in line with thematic analysis and themes and sub-themes were identified.The study findings concluded that most pregnant women attend their first ANC later than twelve weeks gestation because of work commitment, long distance to health facilities, and lack of knowledge about the important of starting ANC in first trimester of pregnancy.The study recommends the establishment and implementation of a community based health education programs about the antenatal care services in order to create awareness and knowledge in the community about the importance of starting antenatal care services during the first trimester of pregnancy.
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Begum, Nasreen, Mumtaz Rahman, Md Mahbubar Rahman, Shafia Khatun Nayan, Sumsun Nahar Zinia y Sharmin Zaman Khan. "Utilization of antenatal care services in a selected rural area in Bangladesh". Northern International Medical College Journal 6, n.º 1 (1 de mayo de 2015): 25–28. http://dx.doi.org/10.3329/nimcj.v6i1.23157.
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Background : Antenatal care, the care that a woman receives during pregnancy, helps to ensure healthy outcomes for mother and newborns. Utilization of antenatal care services is the basic component of maternal care on which the life of mothers and babies depend.Objectives : To find out the utilization of antenatal care services in a selected rural area in Bangladesh.Methodology : Descriptive cross-sectional study was conducted between January to June 2014 A total 199 married women of reproductive age who had a live baby below 5years of age, were selected purposively from village Islampur in Dhamrai Upzilla under Dhaka district. Data were collected by face to face interview using a pre-tested structured questionnaire.Result : The study revealed that 94.97% utilized ANC services among them 44.72% visited for ANC more than 4 times, 20.10% for 4 times and 30.15% less than 4 times during pregnancy. Health care centre was within walking distance. Most of them were young women aged between 23-27 years (45.72%) and 18-22 years (36.18%). Majority (33.16%) was educated up to secondary level but 83.42% were house wife. Economic status was lower economic group. Half of the respondents (52%) took ANC on their own and permission of husband and 95.97% received special care from their family during pregnancy. For birth planning 86.83% planned health provider to conduct delivery and 71.36% wanted hospital delivery. Majority (97.98%) took birth preparedness during pregnancy and 55% received antenatal care from qualified doctor. About 87% found them available on duty and good behavior was found by 70.90% respondents. Information about danger signs during pregnancy were received by 77.89% of the respondents.Conclusion : Utilization of Antenatal care service was higher in the study area. Most of the mothers had idea about benefit of ANC. Mother's education, family support, behaviour, availability of health care service provider and distance of health centre influence higher utilization. Therefore, to strengthen and intensify the ANC service at all level of health care delivery throughout the country is necessary for sustainability and targeting suboptimum ANC utilization group.Northern International Medical College Journal Vol.6(1) 2014: 25-28
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Stanikzai, Muhammad Haroon, Mohammad Hashim Wafa, Abdul Wahed Wasiq y Hadia Sayam. "Magnitude and Determinants of Antenatal Care Utilization in Kandahar City, Afghanistan". Obstetrics and Gynecology International 2021 (2 de julio de 2021): 1–7. http://dx.doi.org/10.1155/2021/5201682.
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Background. Women’s and children’s health is a crucial public health concern that epitomizes the universal platform for Sustainable Development Goals (SDGs). Appropriate and timely care during pregnancy can improve maternal and child health. Objectives. The present study aimed at determining the magnitude and determinants of antenatal care services’ utilization in Kandahar city. Methods. A community-based cross-sectional study involving 850 women with at least one delivery in the last 2 years was carried out in Kandahar city from January to February 2021. Questionnaires to record information on sociodemographic, reproductive, and antenatal care- (ANC-) related characteristics were administered. Data were analyzed using SPSS 21.00 statistical software. We used descriptive statistics such as frequency and percentages to present the data. Determinants of antenatal care services’ utilization were determined using a multivariable logistic regression model. Results. Among all study participants, 589 (69.3%, 95% confidence interval (CI) = 66.0%–72.4%) of study participants utilized antenatal care services at least once. However, only 22% of the women were utilizing the recommended ≥4 ANC visits. Factors that remained significantly associated with antenatal care services’ utilization in multivariable analysis included women’s educational status (adjusted odds ratio (AOR) = 2.0, 95% CI: 1.0–4.3), pregnancy intention (AOR = 2.1, 95% CI: 1.1–3.4), and place of residence (AOR = 1.7, 95% CI: 1.1–2.6). Conclusion. This study has found high rates (vs. the national level) of antenatal care services’ utilization among women who had at least one delivery in the last 2 years. However, the rate of recommended ≥4 ANC visits was low. Factors determining antenatal care utilization such as educational status of the mother, pregnancy intention, and place of residence hold the key to address the issue of ANC services lower utilization and consequently improve maternal and fetal health.
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Tsegaye, Berhan, Elsabet Shudura, Amanuel Yoseph y Alemu Tamiso. "Predictors of skilled maternal health services utilizations: A case of rural women in Ethiopia". PLOS ONE 16, n.º 2 (19 de febrero de 2021): e0246237. http://dx.doi.org/10.1371/journal.pone.0246237.
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Background Maternal health services are affected by complex factors from one setting to another. Consequently, health planners should prioritize different interventions and design appropriate programs to enhance maternal health services utilization. Results of prior studies are conflicting. Furthermore, only few studies were done from antenatal to postnatal continuum of care in Ethiopia. Objectives This study aimed to assess prevalence and predictors of skilled maternal health services utilization at Dale-Wonsho health and demographic surveillance site of the Hawassa University, South Ethiopia, in 2019. Methods A community based cross sectional study was conducted from January 1–30; 2019. A total of 682 women who gave birth in the last twelve months were selected by using a two stage sampling technique. Data were collected through face to face interview. Data were entered into Epidata version 3.1. Then, they were exported and analyzed by SPSS version 22. Bi-variable logistic regression analysis was done and variables with p-value less than 0.05 were considered as candidate for multivariable logistic regression analysis. Adjusted Odds Ratios (AOR) with 95% CI were computed, and p-value less than 0.01 was computed to determine the level of significance. Result Prevalence of antenatal care, institutional delivery and postnatal care utilizations were 69.1%, 52.1% and 32.7% respectively. Educated women (AOR = 4.72, 95%CI,2.82,7.9), household training (AOR = 8.52,95%CI = 5.5,13.1), middle wealth quantile(AOR = 0.8,95%CI,0.4–0.7), being richest wealth quantile (AOR = 0.16;95%CI = 0.06,0.41) and pregnancy plan (AOR = 3.65,95%CI,1.67–8.0) were factors positively associated with antenatal care utilization. Husband education (AOR = 4.96,95CI,3.08–8.0), and antenatal care (AOR = 5.9; 95%CI,3.87,9.1) were factors associated with institutional delivery. Maternal education (AOR = 2.5,95CI,1.4–4.4), information about postnatal care service utilization (AOR = 3.6,95CI,2.1,6.2) and women autonomy(AOR = 6.1,95CI,3.8,9.7) were positively associated with postnatal care service. Conclusion Prevalence of antenatal care, institutional delivery and postnatal care services were lower than the targeted plan. Policy makers should focus on capacity building of women both economically and academically. So, women should be more autonomous to utilize health services effectively. Moreover, awareness creation among women should be enhanced about maternal health service.
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Karki, Renuka Kumar. "Factors Affecting the Utilization of Antenatal Care Visit in Nepal". Patan Pragya 5, n.º 1 (30 de septiembre de 2019): 113–21. http://dx.doi.org/10.3126/pragya.v5i1.30443.
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The antenatal care is an entry point for maternal and child health care service utilization through which pregnancy risk can be detected and managed and contributes to reducing both the maternal and neonatal mortality. This study is an attempt to identify the factors affecting on the utilization of antenatal care in Nepal. It is based on data of Nepal Demographic and Health Survey (2016) that covered 3,998 currently married women, aged 15-49 years who had a live birth in the 5 years preceding the survey. In this study, ANC visit is dependent variables is defined by women who attend ANC as 4 or more visits and the women who attend ANC as less than 4 times visits. Information on socio-demography characteristics and the utilization of antenatal care (ANC) visits are collected. Findings of this study show that different demographic, socio-economic factors are responsible for the utilization of antenatal care services in Nepal. Despite the need and the efforts made by the government of Nepal through different policies to improve access to antenatal care service, complete ANC utilization has been inadequate.
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Gitonga, Eliphas, Jackim Nyamari, Peterson Warutere y Anthony Wanyoro. "Influence of short message service reminders on utilisation of focused antenatal care among women in rural Kenya: a randomised controlled trial". African Journal of Midwifery and Women's Health 15, n.º 2 (2 de abril de 2021): 1–11. http://dx.doi.org/10.12968/ajmw.2020.0014.
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Background/aims The short message service is a part of mobile health, which is defined as medical and public health practices that are supported by mobile devices, such as mobile phones, personal digital assistants, and other wireless devices. Mobile health has documented positive outcomes on other health services, including focused antenatal care. The focused antenatal care model emphasises quality of care rather than quantity of antenatal visits, and the World Health Organization recommends a minimum of four targeted antenatal visits. This study examines the influence of short message service reminders on utilisation of focused antenatal care in rural Kenya. Methods This was a randomised controlled trial with 118 respondents in each of two study arms, intervention and control, conducted in Tharaka Nithi, Kenya. The study group were pregnant women attending their first antenatal care visit in Tharaka sub-county health facilities. The intervention was three short message service reminders a week before the scheduled visit. Structured questionnaires were used to collect baseline and exit interviews. The chi-square test and logistic regression were used to check associations between uptake of antenatal care and participant characteristics at 5% significance level. Results Three quarters (75%) of the respondents in the intervention group completed the four targeted antenatal visits, whereas only 10% of respondents attended the required four visits in the control group. None of the sociodemographic variables were found to have any association or influence on focused antenatal care attendance. Short message reminders increased the chances of attending the recommended visits by 27 times (P<0.001). Conclusions Short message service reminders have a positive influence on utilisation of focused antenatal care. This research paper recommends that policymakers and health managers use short message service reminders to increase the uptake of focused antenatal care.
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Adigun, Olufemi Timothy, Olugbenga Akinrinoye y Helen Ngozichukwuka Obilor. "Including the Excluded in Antenatal Care: A Systematic Review of Concerns for D/deaf Pregnant Women". Behavioral Sciences 11, n.º 5 (1 de mayo de 2021): 67. http://dx.doi.org/10.3390/bs11050067.
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This paper presents global evidence derived from a systematic review of the literature on the issues of D/deaf pregnant women and antenatal care. A comprehensive search through four bibliographic databases identified a dataset of 10,375 academic papers, from which six papers met the inclusion criteria for in-depth analysis related to D/deaf pregnant women’s use of antenatal care/clinics. Findings from the analysis revealed four major concerns for D/deaf pregnant women who attended antenatal clinics for care. These concerns were communication difficulties, satisfaction with antenatal care services, attendance at antenatal clinics, and associated health outcomes. Based on the identified issues and concerns, it is recommended that pre- and in-service healthcare workers should be trained on how to communicate through sign language with their D/deaf patients. In addition, there is a need to rapidly expand the body of knowledge on the issues concerning antenatal care for D/deaf pregnant women vis-à-vis their relationship with healthcare workers in antenatal facilities.
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Farah, Shayela y Mohoshina Karim. "Determinants of utilization of antenatal care services in rural area of Bangladesh". Bangladesh Medical Journal 44, n.º 2 (5 de abril de 2016): 67–71. http://dx.doi.org/10.3329/bmj.v44i2.27240.
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Appropriate ante-natal care services promote safe motherhood and delivery with improved maternal and neonatal outcome. This population based cross sectional descriptive study was carried out to determine the utilization of antenatal care (ANC) services in a rural community of Bangladesh. Out of the 112 women studied, 63.4% mothers were found to receive antenatal care. Among them one third (32.4%) took it more than 4 occasions, 34(47.8%) pregnant women received antenatal care from government hospitals, 19(27%) from family welfare centre, 6(8.5%) from satellite clinics and around 12(17%) received from private hospitals. Around 71% mothers received ANC service from doctor while 17% mothers received from trained professionals. Seventy four percent mothers received tetanus (TT) injections. Only one fourth (25.3%) mothers had not received it. On an average, 90% mothers received iron tablets during their pregnancy. Regarding have danger signs during pregnancy, it was found that, 58.9% mothers were not aware about the have danger signs and 29.5% respondents knew about all the danger signs. Association between educational status and treatment seeking behaviour for pregnancy complication was found to be statistically significant (p<0.05). However, association between educational status and place of treatment for pregnancy complication was also found significant (p<0.01). Intensive awareness programme, behavioural change interventions and regular pregnancy monitoring may promote antenatal care service utilization in rural Bangladesh.Bangladesh Med J. 2015 May; 44 (2): 67-71
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Ekabua, John, Kufre Ekabua y Charles Njoku. "Proposed Framework for Making Focused Antenatal Care Services Accessible: A Review of the Nigerian Setting". ISRN Obstetrics and Gynecology 2011 (29 de diciembre de 2011): 1–5. http://dx.doi.org/10.5402/2011/253964.
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The aim of this paper is to propose a framework for making antenatal care an effective strategy in reducing the high maternal mortality ratio in Nigeria. On-site visits to five teaching hospitals were carried out between 2006 and 2008 to assess the practice of antenatal care. Group discussions with 200 parturients on their awareness of birth preparedness/complication readiness were conducted, in October, 2008. The findings of this study are discussed in line with the proposed practice of focused antenatal care. The practice of antenatal care in all the hospitals visited was the traditional approach based on earlier European models. Awareness of birth preparedness/complication readiness, by parturients, as a goal-directed intervention during antenatal care was low (21.5%). To reduce maternal deaths through antenatal care, it is critical to link care with detecting and treating causes of maternal mortality by a skilled attendant.
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Adulo, Lema Abate, Sali Suleman Hassen y Asrat Chernet. "Timing of the First Antenatal Care Visit and Associated Risk Factors in Rural Parts of Ethiopia". International Journal of Applied Research on Public Health Management 7, n.º 1 (enero de 2022): 1–12. http://dx.doi.org/10.4018/ijarphm.20220101.oa1.
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Early antenatal care visit promotes early detection and treatment of complications during pregnancy. The aim of this study was to assess the timing of the first antenatal care visit and associated factors in rural parts of Ethiopia. Only 3065 women from 2016 Ethiopian Demographic and Health Survey in rural area were included in this study. The descriptive and binary logistic regression analysis used to identify the determinants associated with the timing of the first antenatal care visit. This study revealed that 31% of women visited the first antenatal care within the first three months. Our study revealed that women education, maternal age, region, media access, women occupation, distance from health facility, wealth index, pregnancy complication and plan for pregnancy had significant effects on timing of the first antenatal care visit early. To initiate pregnant mothers to attend the first ANC visit timely, community-based services like media coverage, education, transportation and giving awareness about the necessity of having antenatal care service early is mandatory.
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Bastola, Pabitra, Dipendra Kumar Yadav y Himlal Gautam. "Quality of antenatal care services in selected health facilities of Kaski district, Nepal". International Journal Of Community Medicine And Public Health 5, n.º 6 (22 de mayo de 2018): 2182. http://dx.doi.org/10.18203/2394-6040.ijcmph20182142.
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Background: Antenatal care service is an evidence based interventions given to the pregnant women. Objective of the study was to assess quality of antenatal care services in selected health facilities of Kaski district, Nepal.Methods: A cross sectional study was conducted in selected health institutions in Kaski district of Nepal during June to November 2017. Two hundred seven participants were selected from health facilities of Kaski district. Structured questionnaires were employed as tool for data collection.Results: This study showed that 50.7 percent respondents waited less than 35 minutes for receiving service. More than half of the total respondents (63.3%) reported that the consultation time provided for them was less than 20 minutes. All respondents reported that weight and blood pressure measurement was undertaken while none of them reported that height was measured. It was found that maximum number of participants (99.0%) were received iron/folate tablets and tetanus vaccination. Similarly, 97.6% of participants reported that they were counselled on nutrition and 96.6% of reported they get counselling on danger signs. In overall, 48.3% of the respondents were satisfied with the services they received and 43% of the respondents received good quality ANC service from different health institutions.Conclusions: In overall satisfaction of antenatal care services was found to be low and more than half of respondent does not received good quality ANC services.
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N., Neeta P., Sameena A. R. B., Suresh C. M., Gangadhar Goud, Bharat ., Saraswati Sajjan y Chetana . "Assessment of utilization of maternal health care services in rural field practice areas of VIMS, Ballari". International Journal Of Community Medicine And Public Health 5, n.º 1 (23 de diciembre de 2017): 170. http://dx.doi.org/10.18203/2394-6040.ijcmph20175777.
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Background: Maternal mortality and morbidity remains high even though national programs exist for improving maternal and child health in India. This could be related to several factors, an important one being non-utilization or delay in seeking care of maternal health-care services, especially amongst the rural poor and urban slum population due to either lack of awareness or access to health-care services. Our study was aimed to know the utilization of maternal health care services during antenatal and post natal period and factors affecting them.Methods: A Community based cross sectional study was carried in the rural field practice areas of VIMS, Ballari (three primary health centres (PHC) Kudithini, Koluru, Kurugodu) among all married women in the age group of 15-45 years who were in the post natal period (less than 2 months) at time of interview. A total 152 women were included in the study by door to door survey, among all the 3 PHC’s. The women absent during the survey were excluded.Results: Only 101 (66.44%) of women utilized antenatal care and 18 (11.8%) utilized post natal care (at least three postnatal visits) from the health care facility. Mothers who were of Muslim religion, <20 years of age, higher education of participant as well as husband, higher occupation status, high SES, less parity had higher odds of utilizing antenatal care. Health education by the health worker regarding post natal services to women ranged from 62.5-90.8%. Mothers of Muslim religion, higher education, higher occupation status, normal vaginal delivery and home delivery had higher odds of utilizing postnatal servicesConclusions: The study shows unacceptably low utilization of postnatal care services. It shows the coverage of postnatal care services is inadequate. This is an important message to health service providers and policy makers to strengthening not only antenatal health services and institutional deliveries but also postnatal care services to reduce maternal and neonatal morbidity and mortality.
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Akter, Shapla, Tarazul Islam, Al Mamun Sarker, Md Shohel Rana y Ashrafi Alim Roki. "An Analysis on the Antenatal Care Service Factors Affecting Pregnant Women in Bangladesh: A Special Review on Private Hospitals". International Journal of Research in Engineering, Science and Management 4, n.º 4 (18 de abril de 2021): 45–50. http://dx.doi.org/10.47607/ijresm.2021.637.
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The rate of maternal mortality of Bangladesh is increasing day by day. Among many reasons early marriage, unplanned impregnation or lack of antenatal care are the major causes of those maternal deaths. Antenatal care is significantly effective for the mother and their newborns during pregnancy period especially from severe bleeding, high blood pressures, infections or complications during delivery. Several researches have conducted in various countries about the antenatal care service factors affecting pregnant women during pregnancy period but have not been organized information collectively. Hence, further research need to accomplish a literature review for finding organized information about the antenatal care service factors affecting pregnant women in Bangladesh. This is a descriptive analysis based on the information extracted from different literature review, primary and secondary data sources by using a specific methodology. The study found that 60.87 percent pregnant women have adequate information about the ANC services and 39.13 percent have partial knowledge about the ANC services. The major outcomes of this special review study might help the respective authorities and interested groups to make plan and improvement existing approaches for application of ANC factors affecting pregnant women in Bangladesh.
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Aboma, Daniel, Gudina Egata y Daniel Ayalew. "Level of Antenatal Care Services Utilization and Associated Factors Among Mothers who have Given Birth in the Past Twelve Months in Gelemso Town, West Hararghe Zone, Oromia National Regional State, East Ethiopia". Journal of Woman's Reproductive Health 2, n.º 3 (18 de agosto de 2020): 11–21. http://dx.doi.org/10.14302/issn.2381-862x.jwrh-20-3444.
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Background In Ethiopia, the levels of maternal and infant morbidity and mortality are among the highest in the world. This is attributed to, among other factors, none use of modern health care services by women. According to the 2011 Ethiopian Demographic Health Survey, more than seven in ten mothers did not receive antenatal care at all. Objectives The objective of this study was to determine level and identify factors influencing maternal antenatal care services utilization among mothers who gave birth in the last twelve months in Gelemso town west Hararghe Oromia, Ethiopia. Methods A community-based cross sectional study design was conducted on 347 study participants in Gelemso town west Hararghe Oromia Ethiopia from July 15, 2017 to August 15, 2017 G.C.A probability to proportional to size sampling technique was used to select the study population in two urban Kebeles. Data were collected using a pre tested structured questionairs. Descriptive results were presented using frequencies, and numerical summary measures. Bivariate analysis was carried out to assess the association between outcome variable and each in dependent variables. Odds ratio with 95% confidence level was estimated to identify factors associated with Antenatal Care (ANC) utilization using multivariable logistic regression. The statistical significance was declared at p- value < 0.05. Result The response rate this study was 98%. The prevalence of antenatal care service utilization was 64.6%. About 146 (42.1%) of the pregnant mother started antenatal care visit during the second trimester of pregnancy and a significant proportion 289(83.3%) had less than the recommended four visits. Educational status (AOR;15.19:CI 95%,6.006,38.417), husband attitude (AOR;1.995:CI 95%,1.016,3.916), marital status(AOR:4.587:CI 95%,1.888,11.146), planned pregnancy (AOR:4.938:CI 95%,2.514,9.702) were major factors associated with antenatal care service utilization. Conclusion Though more than half mother used antenatal care service in the study setting, two in ten of the mothers did not have the minimum number of visits recommended by World Health Organization. Promotion of information, education and communication in the community should be strengthened is to sustain antenatal care service utilization in the community.
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Monica, Laily Prima y Maria Ulfa. "The Correlation of Mothers’ Satisfaction on Antenatal Care Service by Midwife and Motivation to Do Antenatal Care". Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) 8, n.º 2 (12 de agosto de 2021): 161–65. http://dx.doi.org/10.26699/jnk.v8i2.art.p161-165.
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The problem of maternal mortality and morbidity in Indonesia is still become a big problem. In fact, the maternal mortality rate in Indonesia is still the highest in Asean. The factors above are the direct causes of maternal mortality. The causes of this death can be minimized by antenatal care which monitors the condition of the mother's pregnancy regularly to predict the risks that may arise so that preventive measures can be taken. The design used correlational research with a cross-sectional approach. The population in this research was all pregnant women aged 20-35 years who did antenatal care at Polindes Jatinom Kecamatan Kanigoro Kabupaten Blitar as many as 12 pregnant women. The sampling technique used accidental sampling. The sample was some of the pregnant women aged 20-35 years who did antenatal care at the time of the research as many as 12 pregnant women. Results: The result showed 67% was in the category of very satisfied and 75% of pregnant women had high motivation towards antenatal care. There was a correlation between the satisfaction of pregnant women on antenatal care services by midwife and motivation to do antenatal care proven by the results of the Spearman Rank statistical test which showed the value of sig = 0,000. Midwives are expected to maintain and keep the quality of service, especially in providing antenatal care to pregnant women so that the needs of mothers during antenatal care are always satisfied.
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Hailemariam, Shewangizaw, Wubetu Agegnehu y Misganaw Derese. "Exploring COVID-19 Related Factors Influencing Antenatal Care Services Uptake: A Qualitative Study among Women in a Rural Community in Southwest Ethiopia". Journal of Primary Care & Community Health 12 (enero de 2021): 215013272199689. http://dx.doi.org/10.1177/2150132721996892.
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Introduction: Evidences suggest a significant decline in maternal health service uptake following the coronavirus disease 2019 (COVID-19) pandemic in Ethiopia. However, COVID-19 related factors impacting the service uptake are not sufficiently addressed. Hence, the current study was intended to explore COVID-19 related factors influencing antenatal care service uptake in rural Ethiopia. Methods: A community-based qualitative study was conducted from September 25/2020 to November 25/2020 among selected pregnant women residing in rural districts of Bench-Sheko Zone, and healthcare providers working in the local health care facilities. Six focus group discussions and 9 in-depth interviews were made between pregnant women, and health care providers, respectively. Data was collected by health education and behavioral science professionals who also have experience in qualitative data collection procedure. Data were transcribed, translated, and analyzed thematically using Open Code 4.0 software. Result: The study revealed several COVID-19 related factors influencing the uptake of antenatal care service during the pandemic. Health facility related barriers, perceived poor quality of care during the pandemic, government measures against COVID-19, anxiety related to the pandemic, and risk minimization were the identified factors possibly influencing the current antenatal care service uptake among women in rural Bench-Sheko Zone. Conclusion: COVID-19 preventive measures, and health facility related factors and individual factors were responsible for the current decline in antenatal care service uptake. Preserving essential health care service is critical to prevent avoidable losses of maternal and child lives during the pandemic period. Hence, programs and strategies designed to maintain maternal health services particularly, antenatal care service have better take the above determinants into consideration.
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Shrestha, Bidhya. "Mother’s Education and Antenatal Care Visits in Nepal". Tribhuvan University Journal 32, n.º 2 (31 de diciembre de 2018): 153–64. http://dx.doi.org/10.3126/tuj.v32i2.24712.
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The proper use of antenatal care (ANC) visit is the first step to prevent both mother and child health. This is also one of the key components to achieve the Sustainable Development Goals by 2030. The study is an attempt to assess the relation between mother’s education and utilization of ANC services in Nepal. It is completely based on data of national representative 2016 Nepal Demographic and Health Survey that covered 2,746 currently married women, aged 15-49 years who had at least one child in the last three years preceding the survey. Logistic regression was used to analyze the effect of education on the utilization of ANC services. Results showed that a higher level of maternal education increased the chance of utilizing ANC services than those with little or no education. The importance of maternal education continued even when other socioeconomic factors are taken into account. This indicates that mother’s education contribute to increase the use of proper ANC services.
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Katyal, Sonal. "Patterns of Utilization of Maternal Healthcare Services in Haryana, India". Asia Pacific Journal of Health Management 13, n.º 1 (1 de junio de 2018): i31. http://dx.doi.org/10.24083/apjhm.v13i1.29.
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Background: Despite being a relatively smaller state, Haryana’s per capita Gross State Domestic Product (GSDP) is high. The statistical data on the status of women has a different story to share. Objective: This study analyzes the maternal healthcare situation in Haryana to examine the differential in utilization of maternal health care service i.e. antenatal care on the basis of socio economic and socio demographic indicators such as Women’s age at Birth, Birth order, Education, Residence, Religion, Wealth index and Caste. Methodology: The present study uses the third round of the National Family Health Survey (NFHS) data which is similar to the Demographic and Health Surveys (DHS). DHS collects, disseminates national data on health and population in developing countries. Findings: Indicate that economic status, husband’s education and caste have effect on the utilization of antenatal care services. Conclusion: The present study demonstrates several socio economic and demographic factors affecting the utilization of antenatal care services in Haryana. Efforts need to be taken at community and household level to improve utilization. Abbreviations: NFHS- National Family Health Survey; DHS- Demographic and Health Surveys; MDG- Millennium Development Goals; SC/ST-Scheduled caste/Scheduled tribe; WHO-World Health Organization; MOHFW- Ministry of Health and Family Welfare; ANM – Auxiliary Nurse Midwife; VIF – Variance Inflation Factor; OBC- Other Backward Classes; ANC- Antenatal Care; TBA – Trained Birth Attendant
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Ibrahim, Muhammed K., Ezekiel Haruna y Safiyat E. Tanko. "Use of Antenatal Services among Women in Farming Communities in Kogi State". Journal La Lifesci 2, n.º 1 (23 de febrero de 2021): 1–8. http://dx.doi.org/10.37899/journallalifesci.v2i1.295.
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This study examined the use of antenatal services among women in farming communities in Kogi State, Nigeria. A multi-stage sampling technique was employed to collect primary data from 150 randomly selected farmers through the use of structured questionnaire. The data was analysed using descriptive statistics and logit regression model. Analysis of socio-economic variable revealed that majority (73.4%) of the respondents were below the age 40 years, with a mean household size of 6 members. About 94.7% of the respondents used antenatal care services covering an average distance of 4km in getting to nearest health facility. The study also revealed that majority (92.7%) of the respondents were aware of healthcare facilities availability and they mostly got their information from family members and friends. The use of antenatal care services among women was high and majority (95.3%) of the respondents had the knowledge of where antenatal centre is located. Also majority of the respondents visited those centres in their last pregnancy with frequency of visit between 1- 4 times. Previous visits, nearness to ANC centres and formal education positively influence the use of ANC services among women in the study area. High cost of antenatal services and poor level of information were found to be the most significant challenges facing women access to antenatal care services. We recommend that government should subsidize health care services for women in order to improve their affordability.
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Garg, Parul y Divya . "Knowledge, attitude and practice of antenatal care among pregnant women attending antenatal clinic in a tertiary care hospital of Mathura, Uttar Pradesh, India". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, n.º 6 (27 de mayo de 2020): 2269. http://dx.doi.org/10.18203/2320-1770.ijrcog20202072.
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Background: The objective of this study was to assess the knowledge, attitude and practice of antenatal care among pregnant women attending antenatal clinic in a tertiary care hospital and also to identify factors that are associated with non-usage of antenatal care.Methods: The study was conducted on 150 pregnant women attending antenatal clinic in department of obstetrics and gynecology of K. D. Medical College and associated hospital of Mathura from September 2019 to December 2019. After obtaining consent, randomly selected pregnant women were given a pre-designed, structured questionnaire on socio-demographic variables, knowledge, attitude and practice towards antenatal care.Results: In the present study, out of 150 respondents, 62.7% had knowledge and awareness regarding antenatal care. There was inadequate knowledge about frequency of antenatal visits with 59.3% subjects wanting to deliver in the hospital.Conclusions: To improve effective utilization of ANC services, we need to bring behaviour changes, improve communication and quality of service delivery, along with effective monitoring and evaluation. Awareness should be developed in the community about the importance of registration for ANC, educating women about the detection of complications during pregnancy, importance of TT injection, IFA tablets and extra nutrition.
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Birdthistle, Isolde J., Justin Fenty, Martine Collumbien, Charlotte Warren, James Kimani, Charity Ndwiga y Susannah Mayhew. "Integration of HIV and reproductive health services in public sector facilities: analysis of client flow data over time in Kenya". BMJ Global Health 3, n.º 5 (septiembre de 2018): e000867. http://dx.doi.org/10.1136/bmjgh-2018-000867.
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IntroductionIntegration of HIV/AIDS with reproductive health (RH) services can increase the uptake and efficiency of services, but gaps in knowledge remain about the practice of integration, particularly how provision can be expanded and performance enhanced. We assessed the extent and nature of service integration in public sector facilities in four districts in Kenya.MethodsBetween 2009 and 2012, client flow assessments were conducted at six time points in 24 government facilities, purposively selected as intervention or comparison sites. A total of 25 539 visits were tracked: 15 270 in districts where 6 of 12 facilities received an intervention to strengthen HIV service integration with family planning (FP); and 10 266 visits in districts where half the facilities received an HIV-postnatal care intervention in 2009–2010. We tracked the proportion of all visits in which: (1) an HIV service (testing, counselling or treatment) was received together with an RH service (FP counselling or provision, antenatal care, or postnatal care); (2) the client received HIV counselling.ResultsLevels of integrated HIV-RH services and HIV counselling were generally low across facilities and time points. An initial boost in integration was observed in most intervention sites, driven by integration of HIV services with FP counselling and provision, and declined after the first follow-up. Integration at most sites was driven by temporary rises in HIV counselling. The most consistent combination of HIV services was with antenatal care; the least common was with postnatal care.ConclusionsThese client flow data demonstrated a short-term boost in integration, after an initial intervention with FP services providing an opportunity to expand integration. Integration was not sustained over time highlighting the need for ongoing support. There are multiple opportunities for integrating service delivery, particularly within antenatal, FP and HIV counselling services, but a need for sustained systems and health worker support over time.Trial registration numberNCT01694862
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Bangal, Vidyadhar B., Sai K. Borawake, Satyajit P. Gavhane y Kunal H. Aher. "Use of mobile phone for improvement in maternal health: a randomized control trial". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, n.º 12 (23 de noviembre de 2017): 5458. http://dx.doi.org/10.18203/2320-1770.ijrcog20175260.
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Background: The rapid escalation of cellular network coverage and expansion of mobile phone usage has opened up a new way of deploying health services. The mobile app with message facilities help in imparting health education regarding nutrition, iron and folic acid prophylaxis, tetanus toxoid immunization, danger symptoms and signs during pregnancy etc. Present study aimed to improve maternal health and pregnancy outcome by optimum utilization of antenatal, natal and postnatal care services, with the use of mobile phone as a medium of communication between health care provider and community in rural area.Methods: The prospective randomized control study, with two hundred pregnant women each, coming for antenatal visit and having personal mobile phone facility, were randomly allocated to control and intervention group. Control group women received routine antenatal care and advice as per hospital protocol. In addition to routine care and advice, intervention group received mobile phone calls, as reminders about next visit and text messages (SMS) on important aspects of antenatal care at regular intervals. The primary outcome indicators of the study were percentage of pregnant women coming for at least four antenatal visits, percentage of institutional delivery and postnatal check-ups.Results: Women in the intervention group had significantly higher number of antenatal visits, consumption of iron tablets, tetanus toxoid immunization, institutional deliveries and postnatal check-ups as compared to the control group.Conclusions: In the present study, the mobile phone intervention, significantly increased the percentage of women receiving the recommended four antenatal visits and showed a trend towards more women receiving preventive health services. Study gathered good evidence that m-Health tools present an opportunity to influence behaviour change and ensure that women access prevention services, including antenatal, natal and postnatal care. Mobile technology, specifically SMS can be successfully used to extend health information services to pregnant women.
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Shrestha, Gauri. "factors related to utilization of antenatal care in Nepal: A generalized linear approach". Journal of Kathmandu Medical College 2, n.º 2 (18 de junio de 2014): 69–74. http://dx.doi.org/10.3126/jkmc.v2i2.10629.
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Background: Antenatal care provides an entry point for pregnant women to the health care system. Proper utilization of available health services essential for successful implementation of health programmes. Objectives: This study investigates factors associated with the use of maternal health services in terms of number of antenatal care visits. Methods: For analyzing the use of antenatal care health services in Nepal, data was extracted from individual recodes of a data file of Nepal Demographic Health Survey 2006. The unit of analysis for this study was Ever Married Woman (who had at least one live birth in the five years preceding the survey). The sample of study consisted of 4182 Ever Married Woman. The response variable has numbers as its possible outcome therefore generalized Poisson regression model was selected for establishing linkage between number of antenatal care visits and several explanatory variables. Results: The result of this study shows that women with low education level, those residing in rural areas and those with low socio-economic status are less likely to attend antenatal care visits. Conclusion: This study confirms that antenatal care visit is indeed an effective entry point for delivery care. Programmes directed at improving and increasing the accessibility of antenatal care are important to improve maternal health, especially in developing countries like Nepal.DOI: http://dx.doi.org/10.3126/jkmc.v2i2.10629Journal of Kathmandu Medical College, Vol. 2, No. 2, Issue 4, Apr.-Jun., 2013, Page: 69-74
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Gharoro, E. P. y A. A. Igbafe. "Shared antenatal care to increase utilization of maternity services". International Journal of Gynecology & Obstetrics 69, n.º 2 (mayo de 2000): 155–57. http://dx.doi.org/10.1016/s0020-7292(99)00230-1.
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