Maternity and Reproductive Health Nursing

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Browsing Maternity and Reproductive Health Nursing by Subject "Antenatal Care,Pregnant women"

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    Assessment of Client Satisfaction on Quality of Antenatal Care Service Provided to Pregnant Women Attending Defense Hospitals, Addis Ababa, Ethiopia.
    (Addis Ababa University, 2011-05) Belay Senait ; Kalku Yemesirach(MSc)
    Background Maternal mortality occurs from risks attributable to pregnancy and child birth as well as from poor availability and quality of health services. ANC is the key entry point of a pregnant woman to receive quality health service, broad range of health promotion and preventive services which promote the health of the mother and the baby. The UN millennium Development goal (MDG 52000) aims to reduce the number of women who die in pregnancy and childbirth by three-quarters between 1990 and 2015. Objective- This study aimed on assessing the quality of antenatal care service provision at Defense Hospitals: Addis Ababa and Debrezeit. Methodology- It was a cross sectional qualitative and quantitative study performed on the antenatal care attendees during the study period. Data collection was performed using structured questionnaire and focus group discussion with clients and facility observation checklist. Result- Data on clients’ satisfaction on quality of antenatal care were collected from 403 respondents. Findings indicated overall clients’ satisfaction with respect to indicators of quality care was around 85.6%. The odds of satisfaction of women who got information on danger signs were about five times more than those who did not get the information [AOR (95% CI) 4.883(2.007-11.8800)].The qualitative study identified an imbalance regarding information provision between clients’ expectation and received information and facility observation showed the presence of adequate material and human resource for providing antenatal care. Conclusion– In general this study has revealed majority of the clients’ were satisfied with the service. Information provided to clients during the antenatal checkup was not as expected by the respondents. The facility observation checklist has revealed adequacy of available material and manpower to provide the necessary ANC. Recommendation- The high satisfaction level from the antenatal care service in the health institutions should be sustained. The health care providers should be aware of the importance of meeting women’s information needs during antenatal visits and then be prepared to satisfy them by increasing their consultation time and mechanism of providing similar information to clients should be established and strengthen in both hospitals.
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    Assessment of Contributing Factors for Late Initiation of Antenatal Care among Pregnant Women Attending Antenatal Clinic at Public Health Centers in Kambeta Timbaro Zone, South Nation Nationalities People Region, Ethiopia.
    (Addis Ababa University, 2012-06) Tekelab Tesefalidet; Berhanu Balcha (MSc)
    Background : For all women of reproductive age, especially for pregnant women, utilization of health care services is a key proximate determinant of maternal and infant outcomes, including maternal and infant mortality. It is evident that timely antenatal care is an opportunity to prevent the direct causes of maternal mortalities and reduction of fetal and neonatal deaths related to obstetric complications Objective: To assess factors that contributes for late initiation of antenatal care among pregnant women attending ANC Clinics in public health centers in Kembata Timbaro Zone, SNNPR, Ethiopia. Method: A facility based cross-sectional study with supplement of qualitative study design was carried out to collect data from 401 pregnant women who were attending antenatal care service at five randomly selected governmental health centres in Kembata Timbaro zone. Pretested and structured questionnaire was used to collect the data & data were entered onto a computer using Epi-info 3.5.1 statistical program then exported to SPSS Windows version 16.0 for further analysis. OR & 95% CI was used to measure the associations. Results: This study showed that prevalence of late entry to antenatal care was 68.6%. The mean timing was 5.5 + 1.8 months. Multivariate analysis revealed that Age, maternal education, family income, parity, previous utilization of ANC and type of pregnancy remained significant factors influencing late booking. Conclusion The findings of this study showed that most women book ANC late. This seems to be because antenatal care is viewed primarily as curative rather than preventive in the study population. Public enlightenment, health education coupled with women empowerment would be helpful in reducing the problem. In addition to that research is needed to determine the best approaches for health education programmes to correct the misconceptions about antenatal care.