Indigenous Healing Practices and Self-Medication amongst Pregnant Women in Cape Town, South Africa

2002 ◽  
Vol 6 (2) ◽  
pp. 79 ◽  
Author(s):  
Naeemah Abrahams ◽  
Rachel Jewkes ◽  
Zodumo Mvo
Keyword(s):  
South Africa ◽  
Pregnant Women ◽  
Cape Town ◽  
Self Medication ◽  
Indigenous Healing

Antibiotic use in pregnancy: knowledge, attitudes and practices among pregnant women in Cape Town, South Africa

2019 ◽  
Author(s):  
Andre N H Bulabula ◽  
Angela Dramowski ◽  
Shaheen Mehtar
Keyword(s):  
South Africa ◽  
Pregnant Women ◽  
Household Income ◽  
Cape Town ◽  
Antibiotic Use ◽  
Self Medication ◽  
Monthly Household Income ◽  
Attitudes And Practices ◽  
The Mean ◽  
Knowledge Attitudes And Practices

Abstract Objectives To establish the knowledge, attitudes and practices (KAP) regarding antibiotic use and self-medication among pregnant women. Methods We conducted a KAP survey of 301 pregnant women hospitalized at a tertiary hospital obstetric service in Cape Town, South Africa in November and December 2017, using an interviewer-administered 12 item questionnaire. We stratified analysis of attitudes and practices by participants’ mean knowledge score (K-score) group (<6 versus ≥6 out of 7 questions). Multivariate models were built to identify independent predictors of antibiotic self-medication and K-score. Results The mean age of pregnant women was 29 (SD 6.1) years, 44/247 (17.8%) were nulliparous, 69/247 (27.9%) were HIV-infected, 228/247 (92.3%) had completed secondary school and 78/247 (31.6%) reported a monthly household income in the lowest category of ≤50–100 US dollars (USD). The mean K-score was 6.1 (SD 1.02) out of 7 questions. Sixteen percent of the cohort reported antibiotic self-medication, with higher rates among pregnant women with K-score <6 [18/48 (37.5%) versus 32/253 (12.6%); P < 0.001]. The monthly household income category of >500 USD (the highest category) was the only predictor of antibiotic self-medication behaviour [adjusted OR = 6.4 (95% CI 1.2–35.2), P = 0.03]. Conclusions Higher antibiotic knowledge scores are associated with lower rates of antibiotic self-medication, whereas higher household income is correlated with increasing self-medication behaviours. Education of pregnant women regarding the potential dangers of antibiotic self-medication and stricter enforcement of existing South African antibiotic prescribing and dispensing regulations are needed.

scholarly journals HIV Disclosure Among Pregnant Women Initiating ART in Cape Town, South Africa: Qualitative Perspectives During the Pregnancy and Postpartum Periods

2018 ◽  
Vol 22 (12) ◽  
pp. 3945-3956 ◽  
Author(s):  
Melissa H. Watt ◽  
Elizabeth T. Knippler ◽  
Brandon A. Knettel ◽  
Kathleen J. Sikkema ◽  
Nonceba Ciya ◽  
...  
Keyword(s):  
South Africa ◽  
Pregnant Women ◽  
Cape Town ◽  
Hiv Disclosure ◽  
Pregnancy And Postpartum

Burden of tuberculosis in HIV-positive pregnant women in Cape Town, South Africa

2018 ◽  
Vol 22 (7) ◽  
pp. 760-765 ◽  
Author(s):  
J. Odayar ◽  
M. X. Rangaka ◽  
A. Zerbe ◽  
G. Petro ◽  
J. A. McIntyre ◽  
...  
Keyword(s):  
South Africa ◽  
Pregnant Women ◽  
Cape Town ◽  
Hiv Positive

scholarly journals Depression, alcohol use, and stigma in younger versus older HIV-infected pregnant women initiating antiretroviral therapy in Cape Town, South Africa

2016 ◽  
Vol 20 (1) ◽  
pp. 149-159 ◽  
Author(s):  
Marcia Wong ◽  
Landon Myer ◽  
Allison Zerbe ◽  
Tamsin Phillips ◽  
Greg Petro ◽  
...  
Keyword(s):  
South Africa ◽  
Antiretroviral Therapy ◽  
Alcohol Use ◽  
Pregnant Women ◽  
Cape Town

scholarly journals Domestic violence, food insecurity and mental health of pregnant women in the COVID-19 lockdown in Cape Town, South Africa

2020 ◽  
Author(s):  
Zulfa Abrahams ◽  
Sonet Boisits ◽  
Marguerite Schneider ◽  
Martin Prince ◽  
Crick Lund
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
South Africa ◽  
Psychological Distress ◽  
Food Insecurity ◽  
Pregnant Women ◽  
Poisson Regression ◽  
Common Mental Disorders ◽  
Cape Town ◽  
Perinatal Women

Abstract Introduction Common mental disorders (CMD) such as depression and anxiety are associated with low household income, food insecurity and intimate partner violence in perinatal women. The national COVID-19 lockdown in South Africa resulted in increased levels of poverty and food insecurity. We aimed to explore the relationship between CMDs, food insecurity and experiences of violence among pregnant women during the COVID-19 lockdown.Methods Perinatal women, attending 14 healthcare facilities in Cape Town, were enrolled in the study during baseline data collection before the COVID-19 lockdown. During the lockdown period, fieldworkers telephonically contacted the perinatal women who were enrolled in the study and had provided contact details. The following data was collected from those who consented to the study: socio-demographic information, mental health assessment, food insecurity status and experiences of abuse. Poisson regression was used to model the associations of a number of risk factors with the occurrence of CMDs.Results Of the 2149 women enrolled in the ASSET study, 885 consented to the telephonic interviews. We found that 12.5% of women had probable CMDs and 43% were severely food insecure. Psychological distress increased significantly during the lockdown period, compared to before the COVID-19 outbreak. The strength of the association between key risk factors measured during the lockdown and psychological distress increased during the COVID-19 lockdown. Using multivariate Poisson regression modelling, we showed that the risk of CMDs was almost three times more likely in women who were severely food insecure or who experienced psychological or sexual abuse. Conclusions This study provides evidence of the effect of the COVID-19 lockdown on the mental health status of perinatal women living in low resource settings in Cape Town, and highlights how a crisis such as the COVID-19 lockdown amplifies the psycho-social risk factors associated with CMDs in perinatal women.

Acceptability and challenges of rapid ART initiation among pregnant women in a pilot programme, Cape Town, South Africa

AIDS Care ◽  
2013 ◽  
Vol 26 (6) ◽  
pp. 736-741 ◽  
Author(s):  
Samantha Black ◽  
Rose Zulliger ◽  
Rebecca Marcus ◽  
Daniella Mark ◽  
Landon Myer ◽  
...  
Keyword(s):  
South Africa ◽  
Pregnant Women ◽  
Cape Town ◽  
Pilot Programme ◽  
Art Initiation

scholarly journals Correlates of Lifetime Trauma Exposure Among Pregnant Women from Cape Town, South Africa

2015 ◽  
Vol 13 (3) ◽  
pp. 307-321 ◽  
Author(s):  
Bronwyn Myers ◽  
Hendrée E. Jones ◽  
Irene A. Doherty ◽  
Tracy L. Kline ◽  
Mary E. Key ◽  
...  
Keyword(s):  
South Africa ◽  
Pregnant Women ◽  
Trauma Exposure ◽  
Cape Town ◽  
Lifetime Trauma
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