scholarly journals INFLUENCE OF INDIVIDUAL DETERMINANTS ON SELF-REFERRALS AMONG PREGNANT WOMEN SEEKING DELIVERY SERVICES IN COAST GENERAL REFERRAL AND TEACHING HOSPITAL MOMBASA, KENYA (CGTRH)

2021 ◽  
Vol 6 (2) ◽  
pp. 13-22
Author(s):  
Elizabeth Kivuva ◽  
Kezia Njoroge ◽  
Wanja Tenambergen

Purpose: The purpose of this study was to establish the influence of individual determinants on self-referrals among pregnant women seeking delivery services in CGTRH Materials and Methods: The study adopted a descriptive cross-sectional research. The study target population was all pregnant women seeking delivery services in coast general teaching and referral hospital at the maternity unit. Therefore, 6,420 formed the study population as it is from this sampling frame that a sample of mothers was obtained. A sample of 376 pregnant women was obtained. Systematic random sampling was used to select the pregnant women to be included in the sample. Data was collected using a structured questionnaire. The data collected were cleaned and coded, quantified and analyzed quantitatively. Quantitative data were analyzed using IBM SPSS where descriptive and inferential statistics were used to capture the data in order to understand the pattern and nature of relationships. Univariate analysis was done using descriptive statistics (frequencies and percentages,) in order to summarize the data, and the results were presented using charts, graph and tables. Results: The findings indicated a significant relationship between education status and self-referrals whereby, the more educated the pregnant women were the more likely they were to make self-referrals at the referral facility. In particular, pregnant women with tertiary level of education were 4.2 times more likely to make self-referrals compared to those with no education. Further analysis using multivariable logistic regression at a significance level of 0.05 established that there was a significant difference between pregnant women with no education and those with tertiary education, with the latter being 4.4 times more likely to make self-referrals compared to the former. Unique contribution to theory, practice and policy: The study recommends that hospitals ought to enhance their CRM policies so as to deliver quality services that satisfy Information technology infrastructure can revolutionize healthcare with the right policy choices. IT can foster new human connectivity thresholds and is a powerful tool of global convergence through the cross-border provision of services and can as well provide new opportunities for the production of knowledge and skills.

2021 ◽  
Vol 6 (1) ◽  
pp. 1-9
Author(s):  
Elizabeth Kivuva ◽  
Kezia Njoroge ◽  
Wanja Tenambergen

Purpose: The purpose of this study was to establish influence of access determinants on self-referrals among pregnant women seeking delivery service in Coast General Referral and Teaching Hospital (CGTRH). Methodology: The study adopted a descriptive cross-sectional research. The study target population was all pregnant women seeking delivery services in coast general teaching and referral hospital at the maternity unit. Therefore, 6,420 formed the study population as it is from this sampling frame that a sample of mothers was obtained. A sample of 376 pregnant women was obtained. Systematic random sampling was used to select the pregnant women to be included in the sample. Data was collected using a structured questionnaire. The data collected were cleaned and coded, quantified and analyzed quantitatively. Quantitative data were analyzed using IBM SPSS where descriptive and inferential statistics were used to capture the data in order to understand the pattern and nature of relationships. Univariate analysis was done using descriptive statistics (frequencies and percentages,) in order to summarize the data, and the results were presented using charts, graph and tables. Results: The findings revealed a significant relationship between the operating hours of CGTRH and self-referrals to the facility. The results indicated that pregnant women who indicated the 24 hours operating nature of CGTRH as their reason for seeking services at the facility were 2 times more likely to make self-referrals compared to those who disagreed that they sought services at the facility because the facility is open 24 hours in a day. A multivariable logistic regression analysis at a significance level of 0.05 further indicated that the operating hours of CGTRH had a significant influence on self-referrals pregnant women seeking delivery services at the facility. Unique contribution to theory, practice and policy: The study recommended that The Mombasa county department of health should find ways of ensuring that primary health facilities in the county are open for 24 hours in a day to attract more pregnant women seeking delivery services at the facilities and thus minimize the number of pregnant women seeking delivery services directly from the Coast General Teaching and Referral Hospital.


2017 ◽  
Vol 12 (2) ◽  
pp. 277-285
Author(s):  
Erna Kusumawati ◽  
Setiyowati Rahardjo ◽  
Colti Sistiarani

The community nutrition improvement with main focus on pregnant women and children up to the age of 2 years old need to be done by a cooperation across sectors. Multilevel promotion is a comprehensive intervention and modify the determinant factors. We used multilevel promotion with MATCH (Multilevel Approach to Community Health) to modify determinant factors in various levels i.e. mother, family, community, and policy that related to nutritional status of children. This research was conducted in Banyumas and Kembaran II Community Health Center working area because the nutritional problems in this area were complex, such as low exclusive breastfeeding coverage, low birth weight, and underweight children problems. This study used a quantitative analytic design with cross sectional approach. The population used for this research were pregnant women, toddlers mother, and their family. The number of sample in this research was 100 people of each population. The data was analyzed by univariate analysis to determine the intervention model of children nutrition improvement in mothers level. The effectiveness of intervention model was tested by bivariate analysis using dependent t-test. The result of this research were formulated into nutrition improvement model for mother and children through facility identification, approach, media, and information needed. There was a significant difference in knowledge of mother before and after intervention.


2020 ◽  
Vol 6 (1) ◽  
pp. 70-76
Author(s):  
Rika Armalini ◽  
Prasetyaningsih Prasetyaningsih

Nausea, vomiting in pregnancy is physiological that occurs in the first trimester, which starts 6 weeks after the first day of the last menstrual period, and disappears 6-12 weeks later. The report shows that almost 50-90% of pregnant women experience it. Nausea, vomiting if not treated can cause severe dehydration until poisoning occurs. The purpose of this study was to link the knowledge and attitudes of pregnant women with the occurrence of nausea and vomiting in the first trimester of pregnancy in the Poskesdes Ampalu Midwife Helfiati, Amd. Keb. The study was conducted in July 2019. This type of research is analytic survey research with a cross-sectional design. The population in this study were all pregnant women who visited Helfiati Amd.Keb polindes as many as 40 pregnant women with a total sampling technique. Data were analyzed by univariate and bivariate by computerized statistical tests using SPSS Ver. 17 with a significance level α = 0.05 and a degree of confidence of 95%. The results of the univariate analysis showed that 52.5% of mothers experienced nausea, vomiting, 62.5% of low-knowledge mothers and 42.5% of mothers were negative about how to deal with nausea and vomiting. there is a significant relationship between knowledge (p = 0,000) and attitude (p = 0,000) with the incidence of nausea and vomiting in the first trimester of pregnancy in the Poskesdes Ampalu Midwife Helfiati, Amd.Keb 2019. The results of this study can be concluded that there is a significant relationship between knowledge and attitude with the occurrence of nausea, vomiting. With this research it is expected that health workers provide IEC services and improve health care counseling in an effort to increase the knowledge of pregnant women about how to cope with nausea, and also expect mothers to be more active in seeking information about physiological complaints during pregnancy, especially how to deal with nausea vomiting by following counseling activities held by health workers so that in the future more knowledge from mothers.


2018 ◽  
Vol 18 (4) ◽  
pp. 711-721 ◽  
Author(s):  
Marina Cordeiro Gomes Sanson ◽  
Helena Albuquerque Catão Feitoza ◽  
Valeria Saraceni ◽  
Rosalina Jorge Koifman ◽  
Andrea Ramos da Silva Bessa

Abstract Objectives: this study aimed to describe the epidemiological profile and prevalence of hepatitis B infection in pregnant women living in Rio Branco, Acre, Brazil. Methods: this was a cross-sectional study concerning the prevalence of Hepatitis B in a cohort of women who gave birth in Rio Branco from 2007 to 2015. Data were obtained through health information systems. Pregnant women presenting one or more serological markers or positive molecular biology examination were considered confirmed cases of infections. Infection prevalence, the odds ratio (5% significance) and sociodemographic, clinical, obstetric and neonatal variable frequency distributions were calculated. The student's t-test and Mann Whitney test were applied, as well as the chi-square test or Fisher's exact test, at a significance level of 5%. Results: a total of 62,100 pregnant women were identified for the study period. The prevalence of Hepatitis B in the group was of 0.38% (206 cases), and only 12,5% were diagnosed during the first gestation trimester. A significant difference (p=0.034) in the mean age of infected women was observed when compared to those without infection. The chance of an infected pregnant woman giving birth to a child with a 1st Apgar minute <7 was of 2.01 (CI95%= 1.09-3.71; p=0.995), higher than observed for healthy pregnant woman. Concerning infected patients, the most reported risk exposure was dental treatment (19.2%). Conclusions: the prevalence of Hepatitis B among pregnant women was lower than reported in other national studies. Low Hepatitis B detection during the first gestation trimester was identified, which reinforces the need to intensify early diagnosis during prenatal follow-up, especially due to the severity of the disease and the possibility of vertical transmission.


2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Febriyeni Febriyeni

<pre>Chronic Energy Deficiency is a situation where the nutritional status someone is on the Less Good Condition. Among the 22 health centers in the district of Lima Puluh Kota, CED highest coverage at the health center are Banja Laweh Namely Case 17 (16.50%) of 103 pregnant mothers. Preliminary Survey of 10 pregnant women at health centers Banja Laweh, note 4 people (40%) of them suffered CED. Based on the findings of interviews stating Not pregnant women know the importance of the size upper arm circumference on Against her pregnancy, in addition to pregnant women consume no food Diversified, because lust Eating Less and Economics not sufficient. Objectives for review determine factors related to the occurrence of Chronic energy deficiency on pregnant women. Methods descriptive analytic with cross sectional approach. Data collection is done on Date in January-February 2017. CASE is a whole population of pregnant women in the region are working Health Center Banja Laweh Year 2017, amounted to 55 people, with sampling total sampling. Operating data analysis using univariate and bivariate statistical test Chi Square. Results of univariate analysis 87,3% of respondents experienced Genesis not CED, (60,0%) High Knowledge, (56,4%) Economy High, and 61,8% of Eating Well. Bivariate analysis known Relationship of Knowledge (p = 0.013 and OR = 12,000, Economics (p = 0.035 and OR = 10,000), and Diet (p = 0.019 and OR = 13,200) with the Genesis CED pregnant women. Can be concluded that the factors related to the occurrence of CED pregnant women is Science, Economics and the Diet. Expected to conduct monitoring of the health center and Supervision of pregnant women at risk Against The Genesis CED, so the negative impact of the CED can be addressed early on.</pre>


Author(s):  
Leny Leny

ABSTRACT Prenatal care is health care by health personnel to care the pregnant according to standards. Worlrd Health Organization (WHO) estimates more than 500.000 women die during pregnancy or childbirth. Maternal mortality in Indonesia is 307 per 100,000 live births. The quantity of pregnant women’s visit in Kabupaten Banyuasin in 2009 of 89.1%. The purpose of this study to determine the relationship between education and occupation with prenatal care at Puskesmas Mariana  Kecamatan Banyuasin I Kabupaten Banyuasin in 2011. This study uses analytic approach survey by Cross Sectional methods, the population are 1.946 pregnant women and the samples as many as 332 people. The results of univariate analysis study of pregnant women who are higher education as much as 45.2%, and  low maternal education as much as 54.8%. In pregnant women who work of 43.4%, and pregnant women who do not work for 56.6%. From the results of bivariate analysis and Chi-Square statistical tests found a significant association between education of pregnant women with prenatal care with P Value = 0.000, and there was a significant association between occupation of pregnant women with prenatal care with P Value = 0.000. Can be concluded that there is a relationship between education and occupation of pregnant women with prenatal care. Expected to health workers to provide counseling on the importance of prenatal care in pregnant women and expected future studies may explore again the factors associated with prenatal care with the different variables.   ABSTRAK Pemeriksaan kehamilan adalah pelayanan kesehatan oleh tenaga kesehatan untuk memeriksakan ibu hamil sesuai standar. World Health Organization (WHO) memperkirakan lebih dari 500.000 ibu pertahunnya meninggal saat hamil atau bersalin. AKI di Indonesia 307 per 100.000 kelahiran hidup. Jumlah kunjungan ibu hamil di Kabupaten Banyuasin tahun 2009 sebesar 89,1%. Tujuan penelitian ini untuk mengetahui hubungan antara pendidikan dan pekerjaan dengan pemeriksaan kehamilan di Puskesmas Mariana Kecamatan Banyuasin I Kabupaten Banyuasin tahun  2011. Penelitian ini menggunakan metode survey analitik dengan pendekatan Cross Sectional, populasi ibu hamil dengan jumlah 1.946 orang dan jumlah sampel sebanyak 332 orang. Hasil penelitian Analisa Univariat adalah ibu hamil yang pendidikan tinggi sebanyak 45,2%, dan pendidikan rendah ibu hamil sebanyak 54,8%. Pada variabel pekerjaan ibu hamil yang bekerja sebesar 43,4%, dan ibu hamil yang tidak bekerja sebesar 56,6%. Dari hasil analisa bivariat dan uji statistik Chi-Square  didapatkan hubungan yang bermakna antara pendidikan ibu hamil dengan pemeriksaan kehamilan dengan  P Value = 0,000, dan ada hubungan yang bermakna antara pekerjaan ibu hamil dengan pemeriksaan kehamilan dengan P Value = 0,000. Dapat disimpulkan bahwa ada hubungan antara pendidikan dan pekerjaan ibu hamil dengan pemeriksaan kehamilan. Diharapkan kepada petugas kesehatan agar dapat memberikan penyuluhan tentang pentingnya pemeriksaan pada ibu hamil dan diharapkan penelitian yang akan datang dapat menggali lagi faktor-faktor yang berhubungan dengan pemeriksaan kehamilan dengan variabel yang berbeda.


2016 ◽  
Vol 1 (2) ◽  
pp. 61-70
Author(s):  
R.Oktaviance Simorangkir ◽  
Lilis Sumardiani

In the Working Area of Pancur Batu Puskesmas class, pregnant women begin to be implemented in 2016, but still found the low knowledge of pregnant women about the ideal pregnancy examination and there are pregnant women who show unimportant attitude checking pregnancy to health workers. Goals : The purpose of this research is to know the influence of maternal class on pregnant mother's knowledge and attitude about pregnancy examination and treatment. Methods : The study used a quantitative method with cross sectional design. The population of 151 pregnant women in Pancur Batu Community Health Center and 132 of them (63 pregnant women who had attended pregnant mother class and 69 pregnant women who never attended maternal class) were used as samples. Data analysis using independent t test at significance level α = 0,05. Result : The results showed the total range of knowledge scores of mothers who had followed the class of pregnant women is 7-13 with an average value of 10.08 ± 1.82, while the total range of scores of mothers who never follow the pregnant women's class is 1-9 with an average value 4,97,1,94. There is a maternal class effect on maternal knowledge of examination and treatment of pregnancy (p <3,82. There is a maternal class effect on maternal attitudes about examination and treatment of pregnancy (p3.13, while the total range of maternal scores that never follow the class of pregnant women is 27-47 with an average value of 35 , 410.001). The total score of attitudes of mothers who have attended the class of pregnant women is 41-56 with an average score of 48.24 <0.001). Conclution : It is expected that the Health Office to schedule Pancur Batu Puskesmas to carry out pregnant women's classes regularly and carried out 2 periods a year. Pancur Batu Puskesmas is expected to maintain the quality of pregnant women's classes and counseling invites all pregnant women to follow the class of pregnant women.


2016 ◽  
Vol 21 (4) ◽  
pp. 73-79 ◽  
Author(s):  
Guilherme Thiesen ◽  
Bruno Frazão Gribel ◽  
Keila Cristina Rausch Pereira ◽  
Maria Perpetua Mota Freitas

ABSTRACT Introduction: Facial skeletal asymmetry is commonly found in humans and its main characteristic is menton deviation. The literature suggests that occlusal and masticatory problems arising from tooth absence could be related to the development of such asymmetries. Objective: The aim of this cross-sectional study was to estimate the prevalence of mandibular skeletal asymmetries and to investigate its association with posterior tooth absences. Methods: Tomographic images of 952 individuals aged from 18 to 75 years old were used. Asymmetry was the analyzed outcome, and it was categorized into three groups according to gnathion displacement in relation to the midsagittal plane (relative symmetry, moderate asymmetry, and severe asymmetry). Patients were sorted by the presence of all posterior teeth, unilateral posterior tooth absence, or bilateral posterior tooth absence. Chi-square test with a significance level of 5% was used to verify the association between posterior tooth absence and asymmetry. Results: Results show relative symmetry present in 55.3% of the sample, as well as the prevalence of 27.3% for moderate mandibular asymmetry and 17.4% for severe asymmetry. Moderate and severe mandibular asymmetries occurred in a higher proportion in patients with unilateral posterior tooth absence. However, there was no statistically significant difference between the analyzed groups (p = 0.691). Conclusions: In this study, mandibular asymmetries did not present any association with the absence of teeth on the posterior area of the arch.


Author(s):  
Daniela Ferreira D’Agostini Marin ◽  
Amanda Wernke ◽  
Daniela Dannehl ◽  
Dyulie Araujo ◽  
Gustavo Koch ◽  
...  

OBJECTIVE: The objective of this study was to evaluate C-section rates, before and after the implementation of the Project Appropriate Birth based on the Robson 10-group classification system. DESIGN: An observational, cross-sectional study. SETTING: Maternity hospital in South Brazil. POPULATION: All pregnant women attending, April 2016 through April 2017 (phase 1, pre-implementation of the Project Appropriate Birth) and June 2017 through June 2018 (phase 2, post-implementation of the Project Appropriate Birth). METHODS: Maternal and obstetric characteristics were evaluated, including Robson’s classification, based on the characteristics of pregnancy and childbirth. Chi-square test and crude and adjusted prevalence ratios were used to analyze study variables. The significance level was set at 5%. MAIN OUTCOME MEASURES: C-section rate for each group, their contribution to the overall c-section rate and the differences in these contributions before and after PPA implementation. RESULTS: C-section rates decreased from 62.4% to 55.6%, which represented a 10.9% reduction after the implementation of the Project Appropriate Birth. Pregnant women in Robson classification groups 1 through 4 had the greatest decrease in C-section rates, ranging from 49.1% to 38.6%, which represents a 21.5% reduction. The greatest contributors to the overall C-section rates were group 5 and group 2, accounting for more than 60% of the C-section deliveries. CONCLUSION: The Project Appropriate Birth had an important impact on the reduction of C-section rates, especially in Robson classification groups 1 through 4, which indicates that providing mothers with evidence-based interventions for labor and childbirth assistance will contribute to reduce C-section rates.


2010 ◽  
Vol 138 (11-12) ◽  
pp. 746-751
Author(s):  
Momcilo Mirkovic ◽  
Snezana Simic ◽  
Jelena Marinkovic ◽  
Sladjana Djuric

Introduction. For health assessment, beside the data of routine health statistics, it is necessary to include and data obtained by a health survey of the citizens. Objective. The aim of this study was to establish how northern Kosovska Mitrovica adults assess their health and which diseases are most common among the population, as well as to investigate differences in relation to demographic and socioeconomic characteristics, the characteristics of social interaction and health behavior and habits. Methods. The research was conducted as a cross-sectional study conducted on the representative sample of adult citizens in northern Kosovska Mitrovica in 2006. Two hundred-eighteen respondents were included in the survey. In the research we used a questionnaire identical to the Health Survey conducted in Serbia in 2006. The significance of differences in responses about self-rated health and chronic diseases in relation to the characteristics of respondents? responses were determined by X2-test with the significance level of 0.05. Results. Over half of the respondents (54.7%) assessed their health condition as good or very good. There was a significant difference in self-rated health in relation to the respondents? age (?2=202.036; p=0.000), education (?2=72.412; p=0.000), social support (?2=12.416; p=0.015), smoking (?2=11.675; p=0.020) and physical activity (?2=61.842; p=0.000). The leading health problems among the respondents were high blood pressure, rheumatologic diseases of joints, ulcer of the duodenal or gastric ulcer, gall bladder disease and high blood fat. Conclusion. Adult residents of northern Kosovska Mitrovica assessed their health as better than the residents of Serbia without Kosovo and Metohia. The diseases in which stress plays the major role among etiological factors are in the leading position. The obtained data on the population level of specific areas represent the basis in the planning of health education and health promotion activities.


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