scholarly journals The Effect of Women’s Differential Access to Messages on Their Adoption of Mobile Health Services and Pregnancy Behavior in Bangladesh: Retrospective Cross-Sectional Study

10.2196/17665 ◽  
2020 ◽  
Vol 8 (7) ◽  
pp. e17665
Author(s):  
Mafruha Alam ◽  
Cathy Banwell ◽  
Kamalini Lokuge
Keyword(s):  
Blood Donors ◽  
Family Members ◽  
Birth Preparedness ◽  
Cross Sectional ◽  
Skilled Delivery ◽  
Danger Signs ◽  
Health Care Practices ◽  
Care Practices ◽  
Short Code ◽  
Differential Access

Background Text or voice messages have been used as a popular method for improving women’s knowledge on birth preparedness and newborn health care practices worldwide. The Aponjon service in Bangladesh provides twice-weekly messages to female subscribers about their pregnancy and newborn care on mobile phones that they own or share with family members. It is important to understand whether women’s singular access to a phone affects their service satisfaction and the adoption of health messages before deploying such interventions in resource-limited settings. Objective This study aims to evaluate the effect of women’s singular and shared access to mobile phone messages on their service utilization and perceived behavioral change around birth preparedness and pregnancy care. Methods In 2014, Aponjon conducted a retrospective cross-sectional survey of 459 female subscribers who received text or voice messages during their pregnancy by themselves (n=253) or with family members (n=206). We performed multivariable regression analyses to investigate the association between pregnant women’s differential access to messages and other socioeconomic factors and outcomes of service satisfaction, ability to recall service short code, ability to identify danger signs of pregnancy, preference for skilled delivery, arrangement of a blood donor for delivery and pregnancy complications, maternal nutrition, use of potable drinking water, and washing hands with soap for hygiene. Results In the multivariable analysis, women who had singular access to messages had higher odds of reporting high satisfaction (odds ratio [OR] 1.72, 95% CI 1.12-2.63; P=.01), recalling the service short code (OR 2.88, 95% CI 1.90-4.36; P<.001), consuming nutritious food 5 times a day (OR 1.58, 95% CI 1.04-2.40; P=.03), and following the instructions of Aponjon on drinking potable water (OR 1.90, 95% CI 1.17-3.09; P=.01) than women who shared access with family members. Women’s differential access to messages did not affect their knowledge of danger signs and preparedness around delivery. Adolescent women and women aged 20-24 years had lower odds of planning safe deliveries than older women (aged≥25 years). Secondary education was statistically significantly associated with women’s ability to recall the short code and pregnancy danger signs, plan safe delivery, and select blood donors for emergencies. Higher family income was associated with women’s satisfaction, recognition of danger signs, and arrangement of blood donors and nutritious diet. Women who received more than 4 antenatal care visits had higher odds of liking the service, preferring skilled delivery, recalling danger signs, and consuming nutritious food. Conclusions The capacity of women to independently access mobile phone messages can improve their adoption of mobile health services and some pregnancy health care practices. A holistic approach and equitable support are required to improve access to resources and knowledge of delivery preparedness among low-literate and younger women in low-income households.

scholarly journals The Effect of Women’s Differential Access to Messages on Their Adoption of Mobile Health Services and Pregnancy Behavior in Bangladesh: Retrospective Cross-Sectional Study (Preprint)

2020 ◽  
Author(s):  
Mafruha Alam ◽  
Cathy Banwell ◽  
Kamalini Lokuge
Keyword(s):  
Blood Donors ◽  
Family Members ◽  
Birth Preparedness ◽  
Cross Sectional ◽  
Skilled Delivery ◽  
Danger Signs ◽  
Health Care Practices ◽  
Care Practices ◽  
Short Code ◽  
Differential Access

BACKGROUND Text or voice messages have been used as a popular method for improving women’s knowledge on birth preparedness and newborn health care practices worldwide. The Aponjon service in Bangladesh provides twice-weekly messages to female subscribers about their pregnancy and newborn care on mobile phones that they own or share with family members. It is important to understand whether women’s singular access to a phone affects their service satisfaction and the adoption of health messages before deploying such interventions in resource-limited settings. OBJECTIVE This study aims to evaluate the effect of women’s singular and shared access to mobile phone messages on their service utilization and perceived behavioral change around birth preparedness and pregnancy care. METHODS In 2014, Aponjon conducted a retrospective cross-sectional survey of 459 female subscribers who received text or voice messages during their pregnancy by themselves (n=253) or with family members (n=206). We performed multivariable regression analyses to investigate the association between pregnant women’s differential access to messages and other socioeconomic factors and outcomes of service satisfaction, ability to recall service short code, ability to identify danger signs of pregnancy, preference for skilled delivery, arrangement of a blood donor for delivery and pregnancy complications, maternal nutrition, use of potable drinking water, and washing hands with soap for hygiene. RESULTS In the multivariable analysis, women who had singular access to messages had higher odds of reporting high satisfaction (odds ratio [OR] 1.72, 95% CI 1.12-2.63; <i>P</i>=.01), recalling the service short code (OR 2.88, 95% CI 1.90-4.36; <i>P</i>&lt;.001), consuming nutritious food 5 times a day (OR 1.58, 95% CI 1.04-2.40; <i>P</i>=.03), and following the instructions of Aponjon on drinking potable water (OR 1.90, 95% CI 1.17-3.09; <i>P</i>=.01) than women who shared access with family members. Women’s differential access to messages did not affect their knowledge of danger signs and preparedness around delivery. Adolescent women and women aged 20-24 years had lower odds of planning safe deliveries than older women (aged≥25 years). Secondary education was statistically significantly associated with women’s ability to recall the short code and pregnancy danger signs, plan safe delivery, and select blood donors for emergencies. Higher family income was associated with women’s satisfaction, recognition of danger signs, and arrangement of blood donors and nutritious diet. Women who received more than 4 antenatal care visits had higher odds of liking the service, preferring skilled delivery, recalling danger signs, and consuming nutritious food. CONCLUSIONS The capacity of women to independently access mobile phone messages can improve their adoption of mobile health services and some pregnancy health care practices. A holistic approach and equitable support are required to improve access to resources and knowledge of delivery preparedness among low-literate and younger women in low-income households.

scholarly journals Profile of blood donors who presented adverse reactions to the donation

2019 ◽  
Vol 72 (1) ◽  
pp. 81-87
Author(s):  
Melissa Orlandi Honório Locks ◽  
Nádia Chiodelli Salum ◽  
Beatriz Steingreber de Barros ◽  
Eliane Matos ◽  
Jane Cristina Anders ◽  
...  
Keyword(s):  
Blood Donors ◽  
Adverse Reactions ◽  
Descriptive Statistics ◽  
High Rate ◽  
Total Blood ◽  
Cross Sectional ◽  
Level Of Education ◽  
Sociodemographic Profile ◽  
Care Practices ◽  
Complete Average

ABSTRACT Objective: identify the adverse reactions presented by blood donors and outline their sociodemographic profile. Method: a quantitative, cross-sectional retrospective study of 780 records of blood donors from a public hemocenter in the southern region of Brazil, from December 2015 to January 2016. For the analysis the descriptive statistics was used. Results: it was identified that throughout 12 months, the total blood donors corresponded to 27,300 people, in which 780 developed at least one reaction. They were characterized by female and recurrent donors, single, with a complete average level of education, ranging from 16 to 30 years, who triggered between 1 and 3 reactions. Mild reactions were more frequent, followed by moderate and severe reactions. Conclusion: There is a high rate of adverse reactions from donors emphasizing the need for changes in hemotherapy care practices.

scholarly journals Community Based Essential New Born Care Practices and Associated Factors among Women in the Rural Community of Awabel District, East Gojjam Zone, Amhara, Ethiopia, 2013

2015 ◽  
Vol 1 (1) ◽  
pp. 17 ◽  
Author(s):  
Teshome Kokebie ◽  
Mekonen Aychiluhm ◽  
Genet Degu Alamneh
Keyword(s):  
Rural Women ◽  
Associated Factors ◽  
Newborn Care ◽  
Educational Status ◽  
Birth Preparedness ◽  
Community Based ◽  
Cross Sectional ◽  
Essential Newborn Care ◽  
New Born ◽  
Care Practices

Background; Essential newborn care is important for the proper development and healthy life of a baby. Although 70% of infant deaths occur during the first month of life, the policy-makers and health professionals in developing countries, until recently, gave little attention for the new born care. But, the principles of essential newborn care are simple, requiring no expensive high technology equipment.Objective: the main aim of this study was to assess level of community based essential new born care practices and associated factors among rural women who gave birth in the last 12 months preceding the survey in Awabel District, Amhara, Ethiopia.Method: A community-based cross-sectional study was conducted in September and October 20013. Data were collected from randomly selected 570 women by interview. The collected data were entered into computer using Epi-Data version3.1 and analyzed using SPSS version 16. Logestic regression was fitted to assess possible associations and the strength of association was measured using odds ratio with 95% CI.Results: the study revealed that the level of Essential New born Care practices was 23.1%. Educational status, (OR=7.02, 95%, CI=2.27,21.74), immediate PNC visit, (OR=3.22,95%CI = 1.18,9.48), advise about Essential New born Care practices during monthly pregnant mothers group meeting (OR=4.77,95%CI=1.11, 19.79) advise about birth preparedness during ANC visits (OR=9.05,95% CI =2.76,29.61) and presence of radio in the household (OR=7.91,95%CI=2.64,23.67) were found to have statistically significant association with essential new born care practices.Conclusion: The study identified low comprehensive practices of essential new born care in the study area. Community oriented promotion of essential new born care practices including women empowerment through education, promotion of suitable IEC materials and emphasizing and providing information and education to all pregnant women is recommended.

Birth preparedness and complication readiness among women attending Immuno-Prophylaxis Centre, Dr. S. C. Government Medical College, Nanded

2019 ◽  
Vol 6 (8) ◽  
pp. 3407
Author(s):  
Venkatramana K. Sonkar ◽  
Ismailali F. Inamdar ◽  
Rambhau D. Gadekar
Keyword(s):  
Blood Donor ◽  
First Trimester ◽  
Cross Sectional Study ◽  
Birth Preparedness ◽  
Government Medical College ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Medical College ◽  
Danger Signs ◽  
Development Goals

Background: As signatory to United Nation’s Sustainable Development Goals, India is striving hard to achieve these goals by end of 2030, especially for goal number 3 with targets related to maternal and child health. Birth-preparedness and complication-readiness (BPCR) is a tool to promote maternal and neonatal survival. This study was conducted to assess the perception and practices of recently delivered women on BPCR with its correlates. Methods: Hospital-based cross-sectional study was conducted at Immuno-prophylaxis centre of Dr. Shankarrao Chavan Government Medical College, Nanded, Maharashtra. Women attending IPC along with their baby within two to four months of delivery for immunization of their babies during the month of March 2014 constituted study subject of this study. After obtaining informed consent, data was obtained on socio-demographic characters like age, caste, religion, education, parity, ANC registration and questions regarding birth preparedness and complications readiness in their last pregnancy. Results: Total 117 women found to be eligible as study subject. Overall BPCR index of the study population was 67.28. Proportion of women who received first antenatal check-up within first trimester, four or more antenatal checkups, saved money for childbirth and had institutional delivery were 87.18%, 86.32%, 51.28% and 100% respectively. Around 23.08% women had knowledge of at least 3 key danger signs of pregnancy while only 19.65% identified blood donor. Awareness regarding danger signs of pregnancy and arrangement for blood donor was found poor in comparison to other indicators in study subject.Conclusion: There is need of increasing awareness regarding BPCR so that perception and practices in the community increased.

scholarly journals Men’s knowledge and involvement on obstetric danger signs, birth preparedness and complication readiness in Burayu town, Oromia region, Ethiopia

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Addisu Gize ◽  
Alemtsehay Eyassu ◽  
Balkachew Nigatu ◽  
Mekonen Eshete ◽  
Nebiyou Wendwessen
Keyword(s):  
Study Participant ◽  
Urban Setting ◽  
Birth Preparedness ◽  
Danger Sign ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Obstetric Danger Signs ◽  
Danger Signs ◽  
Men’S Knowledge ◽  
Men’S Involvement

Abstract Background Men’s involvement in obstetrics care is an important strategy in reducing preventable maternal morbidity and mortality. This is particularly important in developing countries where men often make decision on financial, health and other family issues. Hence, the objective of this study was to assess men’s knowledge and involvement in obstetric danger signs; birth preparedness and complication readiness in Burayu town administration, Oromia, Ethiopia. Methods A community based cross-sectional study was conducted in Burayu town administration, Oromia Region from May 2016 to July 2016. Multistage with systematic random sampling techniques were employed. Bivariate and multivariate logistic regression analyses were performed using SPSS version 20. P-value less than 0.05 were taken as a cutoff point to declare significant association. Result A total of 523 men were involved in the study. The mean and ± SD age of the study participant was 36.6 ± 7 years. Majority of the participants were Orthodox religion followers and, employees of private organization, regarding residency majority were residing in urban setting. Pregnancy related vaginal bleeding was the most familiar danger sign recognized by the study participants which was 342(65.4%). From the total, 441(84.3%) of men were highly involved in preparation of arranging for postpartum cultural food expenses, 345(66.0%) for clean clothes both for the baby and mother; and 71–76% participants were involved in availing transport money for antenatal, delivery and postnatal care. The study revealed that educational status of men, monthly income, knowledge of pregnancy danger sign, delivery and post-delivery care, and knowledge of birth preparedness and complication readiness (BP/CR) were significantly associated with men’s involvement in BP/CR. Conclusion Majority of participants had knowledge on obstetric danger sign. Men showed low interest to donate blood to their wives during antenatal, delivery and postpartum care. There is a need continued awareness creation on danger sings as well as birth preparedness.

scholarly journals Perceptions about Eclampsia, Birth Preparedness, and Complications Readiness among Antenatal Clients Attending a Specialist Hospital in Kano, Nigeria

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Umar Muhammad Lawan ◽  
Idris Usman Takai ◽  
Hamza Ishaq
Keyword(s):  
Multivariate Analysis ◽  
Secondary School ◽  
Health Workers ◽  
Binary Logistic Regression ◽  
School Education ◽  
Birth Preparedness ◽  
Cross Sectional ◽  
Danger Signs ◽  
Secondary School Education ◽  
Cross Sectional Design

Background.Eclampsia is a reliable indicator of poor birth preparedness and complications readiness. We determined perceptions about eclampsia, birth preparedness, and complications readiness among antenatal clients in Kano, Nigeria.Materials and Method.A cross-sectional design was used to study 250 randomly selected antenatal clients. Data was analyzed using SPSS 16.0.Result.The mean age of the respondents was 26.1 ± 6.4 years. The majority perceived that eclampsia is preventable through good ANC (76.4%) and hospital delivery (70.8%). Overall, 66.8% had good perception about eclampsia. Having at least secondary school education and multigravidity were associated with good perception about eclampsia on multivariate analysis. About a third (39.6%) of the mothers was less prepared. On binary logistic regression, good perception about eclampsia and multigravidity were associated with being very prepared for birth. Up to 37.6% were not ready for complications. Half (50.4%) knew at least three danger signs of pregnancy, and 30.0% donated blood or identified suitable blood donor. On multivariate analysis, having at least secondary school education, being very prepared for birth, and multigravidity emerged as the only predictors of the respondents’ readiness for complications.Conclusion and Recommendations.Health workers should emphasize the practicability of birth preparedness and complications readiness during ANC and in the communities, routinely review plans, and support clients meet-up challenging areas. The importance of girl-child education to at least secondary school should be buttressed.

scholarly journals Effect of Attending Pregnant Mothers Conference on Birth Preparedness and Complication Readiness Practice among Recently Delivered Women in Rural Libo Kemkem District, North West, Ethiopia: A Community-Based Comparative Cross-Sectional Study

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Melash Belachew Asresie ◽  
Dereje Berhanu Abitew ◽  
Habtamu Wondiye Bekele ◽  
Tadesse Dagget Tesfaye
Keyword(s):  
Health Facility ◽  
Cross Sectional Study ◽  
Birth Preparedness ◽  
Pregnant Mother ◽  
Danger Sign ◽  
Community Based ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Place Of Delivery ◽  
Danger Signs

Background. Birth preparedness and complication readiness strategies aimed to promote the timely utilization of skilled maternal health care. Pregnant mother conference is viewed as one of the needed interventions to reduce delays, by promoting obstetric danger sign awareness, family support, and decision-making power on a choice of place of delivery and the use of maternal health service. Objective. To compare the effect of attending a pregnant mother conference on birth preparedness and complication readiness practice among recently delivered women. Method. A community-based comparative cross-sectional study was conducted from February 15 to March 26, 2017, among mothers who gave birth in the past 12 months. Multistage simple random sampling method was implemented and 896 participants were contacted through a face-to-face interview. Descriptive, binary, and multiple logistic regression analysis was done. Results. Well-preparedness for birth and its complication among women who attended and did not attend the pregnant mother conference were 38.9% and 25.7%, respectively. Among the mothers who did not attend the conference, those who had four or more antenatal care visits (AOR=6.8, 95%CI 1.6, 29.8) and knew two or more danger signs of pregnancy (AOR=4.7, 95%CI:1.4, 15.6) were more likely being well-prepared for birth and its complication readiness, whereas among mothers who attended the conference, those who knew two or more danger signs of pregnancy (AOR=2.1, 95%CI:1.1, 4.3), those who had discussion with partners/families about place of delivery (AOR=11.4, 95%CI:3.1, 42.2), those who had previous delivery at health facility (AOR=2.4, 95%CI:1.2, 4.8), women who lived within one-hour walk to the nearest health facility (AOR=3.6, 95%CI:1.9, 6.9), and age of women within 19-34 years (AOR=6.8, 95%CI:1.7, 26.6) were significantly associated with birth preparedness and its complication readiness. Conclusion. Birth preparedness and complication readiness practice were higher among pregnant mother conference attendant women as compared to nonattendants. The health facility has to ensure encouraging women to participate in pregnant mother conference, promoting the utilization of antenatal care service, and counselling on obstetric danger sign. Moreover, the concerned bodies should promote interventions targeting the predisposing and reinforcing behavioral factors affecting the practice of birth preparedness and its complication readiness.

scholarly journals Birth preparedness and complication readiness among women of reproductive age in Kenya and Tanzania: a community-based cross-sectional survey

2020 ◽  
Author(s):  
James Orwa ◽  
Samwel Maina Gatimu ◽  
Michaela Mantel ◽  
Stanley Luchters ◽  
Micheal A. Mugerwa ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Reproductive Age ◽  
Birth Preparedness ◽  
Cross Sectional Survey ◽  
Community Based ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Level Of Education ◽  
Factors Associated ◽  
Danger Signs

Abstract Background: Delayed health-seeking continues to contribute to preventable maternal and neonatal deaths in low resource countries. Some of the strategies to avoid the delay include early preparation for the birth and detection of danger signs. We aimed to assess the level of practice and factors associated with birth preparedness and complication readiness (BPCR) in Kenya and Tanzania.Methods: We conducted community-based multi-stage cross-sectional surveys in Kilifi and Kisii counties in Kenya and Mwanza region in Tanzania and included women who delivered two years preceding the survey (2016–2017). A woman who mentioned at least three out of five BPCR components was considered well-prepared. Bivariate and multivariable proportional odds model were used to determine the factors associated with the BPCR. The STROBE guidelines for cross-sectional studies informed the design and reporting of this study.Results: Only 11.4% (59/519) and 7.6% (31/409) of women were well-prepared for birth and its complications in Kenya and Tanzania, respectively, while 39.7% and 30.6% were unprepared, respectively. Level of education (primary: adjusted odds ratio (aOR): 1.59, 95% CI: 1.14–2.20, secondary: aOR: 2.24, 95% CI: 1.39–3.59), delivery within health facility (aOR: 1.63, 95% CI: 1.15–2.29), good knowledge of danger signs during pregnancy (aOR: 1.28, 95% CI: 0.80–2.04), labour and childbirth (aOR: 1.57, 95% CI: 0.93–2.67), postpartum (aOR: 2.69, 95% CI: 1.24–5.79), and antenatal care were associated with BPCR (aOR: 1.42, 95% CI: 1.13–1.78).Conclusion: Overall, most pregnant women were not prepared for birth and its complications in Kilifi, Kisii and Mwanza region. Improving level of education, creating awareness on danger signs during preconception, pregnancy, childbirth, and postpartum period, and encouraging antenatal care and skilled birth care among women and their male partners/families are recommended strategies to promote BPCR practices and contribute to improved pregnancy outcomes in women and newborns.

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