scholarly journals RELATIONSHIP BETWEEN THE DELAY IN MAKING A TIMELY DECISION TO SEEK MEDICAL ASSISTANCE AND PERINATAL MORTALITY IN LURAMBI AND BUTERE SUB-COUNTIES, KAKAMEGA COUNTY, KENYA

2021 ◽  
Vol 6 (1) ◽  
pp. 23-43
Author(s):  
Catherine Simiyu ◽  
Mary Kipmerewo ◽  
John Arudo
Keyword(s):  
Social Support ◽  
Perinatal Mortality ◽  
Support System ◽  
Maternal Education ◽  
Continuum Of Care ◽  
Care Practice ◽  
Medical Assistance ◽  
Social Support System ◽  
Maternal And Newborn ◽  
The Continuum

Purpose: To determine the relationship between the delays in making a timely decision to seek medical assistance and perinatal mortality in Lurambi and Butere sub-counties, Kakamega County, Kenya. Methodology: A community based retrospective cross-sectional research design was adopted using mixed methods for data collection. A total of 520 respondents were randomly selected from 40 out 830 villages of Lurambi and Butere sub-counties using multistage cluster sampling. The respondents were interviewed from November 2017 to March 2018. Data entry and analysis was done using SPSS Version 21 software. Descriptive and inferential statistical analyses were used. Bivariate and multivariate logistic regressions were applied and adjusted odds ratio was used to determine the strength of association. A p-value of ≤ 0.05 was considered as statistically significant. Findings: Education level (p<0.02) and employment status (p<0.03) of mothers influenced perinatal mortality. Wrong action taken during an experience of antenatal complication (AOR= 0.6; 95% CI: 0.1 – 0.9; p = 0.03), emergency unpreparedness (AOR=0.1; 95%CI: 0.04-0.42; p=0.0007) and, lack of recognition of newborn danger signs (AOR=01; 95%CI: 01-0.4; p<0.0001) were significantly associated with perinatal mortality. Birth preparedness and complication readiness during pregnancy and childbirth, based on the study findings reduce delay in obtaining care. Strengthening maternal education and social support system along the continuum of care during pregnancy, delivery and post-natal periods is paramount to ensure newborn survival. Unique Contribution to Theory, Practice, and Policy: Unique factors are that apart from medical interventions, strengthening maternal education and social support system along the continuum of care during pregnancy, delivery and post-natal periods is paramount to ensure newborn survival in Lurambi and Butere sub counties. Interventions to promote informed decisions regarding maternal and newborn care with a strong social support system are critical. These results contribute to maternal and newborn health care practice and policy change that if implemented could result in a reduction of perinatal mortalities.

Case Management and Social Support System for Families in Distress: A Social Work Response

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
W akar Amin
Keyword(s):  
Social Support ◽  
Human Rights ◽  
Social Work ◽  
Case Management ◽  
Social Environment ◽  
Support System ◽  
Armed Conflict ◽  
The Social ◽  
Social Support System ◽  
The Disappeared

History is witness to the fact that warring factions in any armed conflict often commit several human rights violations like murder, rape, torture etc., and the act of disappearance of person is one among them. While the persons who are subjected to disappearance are the primary victims, the families they leave behind are the secondary victims. The situation makes families of the disappeared person suffer great anguish when their loved ones go disappeared. The phenomenon produces anguish, fear and unspeakable sorrow for thousands of families. Appreciating the importance of social work professionals in helping families deal effective with their life situations the present paper aims to provide a case for social work interventional techniques of Social Support System (SSS) and Case Management to modify and make the social environment conducive for the families to live a normal life.

scholarly journals Association of Household Socioeconomic Status, Neighborhood Support System and Adherence to Dietary Recommendation among Persons with T2DM, a Facility-based Cross-sectional Study in Ghana

2020 ◽  
Author(s):  
Be-Ikuu Doglikuu ◽  
Abubakari Abdulai ◽  
Mehdi Yaseri ◽  
Elham Shakibazadeh ◽  
Abolghassem Djazayery ◽  
...  
Keyword(s):  
Social Support ◽  
Socioeconomic Status ◽  
Support System ◽  
Outcome Variable ◽  
P Value ◽  
Cross Sectional ◽  
Dietary Recommendation ◽  
Modifiable Factors ◽  
Social Support System ◽  
Household Socioeconomic Status

Abstract Background: Dietary recommendation help persons with diabetes adopt healthy eating habits to achieve optimal glycemic control. Socioeconomic-status and neighborhood support system could influence adherence to dietary recommendation. The purpose of our study is to assess the association of household-socioeconomic status and neighborhood-support system with adherence to dietary recommendation among persons with type 2 diabetes mellitus (T2DM). Methods: Facility-based cross-sectional-survey was conducted among 530 individuals with T2DM in Brong Ahafo region, Ghana. Six hospitals were randomly selected and persons with T2DM consecutively recruited from the selected hospitals into the study. Structured-questionnaires were used to collect socio-demographic variables. Adherence to dietary recommendation was the outcome -variable, and was assessed using perceived dietary adherence questionnaire. Results: Age (years) (P-value=0.01), place of residence (P-value =0.01), educational level (P-value =0.01) and occupation (P-value =0.01) were significantly correlated with socioeconomic status (P-value 0.01). Age (years) regression coefficient (β) -0.089, 95%CI (-0.12, -0.001), Being married β0.103, 95%CI (0.002, 0.02), moderate and low-social support system β 0.309, 95%CI(0.17, 0.38) and β-0.192, 95%CI(-0.26, -0.06) respectively, and high-socioeconomic status β 0.197, 95%CI(0.06, 0.25) were significantly associated with adherence to dietary recommendation.Conclusion: We found that social-support system and socioeconomic-status could be associated with adherence to dietary recommendation. Therefore, health workers should consider that patients’ social support system and socioeconomic status could be modifiable factors for optimum adherence.

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