Assessment of Health Promotion Practices Among Pregnant Women Attending ANC Services in Public Health Institutions of Shashemene Town ,Oromiya ,Ethiopia,2012.
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Date
2012-05
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Addis Ababa University
Abstract
Background:-A number of potentially modifiable risk factors are known to be associated with poor pregnancy outcomes. Health promotion generates living and working conditions that are safe, stimulating, satisfying and enjoyable. Systematic assessment of health impact of a rapidly changing environment – particularly in areas of technology: These include maternal lifestyle and behavioral factors such as nutrition, physical exercise, family planning,
substance use, mental health promotion and domestic violence.
Objective:-To assess health promotion practices among pregnant women attending ANC services in public health institutions of Shashemene town, Oromiya, Ethiopia, 2012.
Method: An institution based descriptive cross-sectional study design was carried out, and data was collected from systematically selected 295 pregnant women, who are attending ANC service from governmental health institutions of Shashemene town.
Result- Almost half (49.8%) of total respondents have encountered deliberate food restrictions; to avoid one or more food items during pregnancy. Age of the women educational status shown significant associations with belief of balanced diet: 0.175 (0.001-3.812) and 57 (1.212-2.682) respectively. (37.8%) of mothers have experienced home delivery and this is significantly associated with delivery place preference of health institution. Surprisingly, mothers with previous institutional deliver were less likely to use
health institutions again for current delivery, i.e those mothers with previous institutional delivery were preferred to have home delivery, AOR of 16.971(5.311-54.234) at 95% CI. Knowledge of mothers about PMTCT is relatively high (35.6%). About 88.1% of the study participants drink coffee with the majority (70%) within range of 2-3 cups/day. Substance
uses during pregnancy were found to be significantly associated with still birth, having a crud ratio of 3.243 (1.147-9.170) at 95% CI. 7.5% of the respondents reported to have violence during pregnancy times; this Violence was strongly associated with ethnicity, religion, and mental status.
Conclusion-Although majority of pregnant women in the study, were practicing different health promotion practices, this study identified a number of individual, demographic, socioeconomic and health promotion related behavioral factors that influence the use of effective health promotion practices for better outcome of pregnancy and child birth.
Recommendation- The general recommendation of the study concerned on strengthening actions towards improving health promotion practices. MCH clinics to play a leading role in coordinating this effort and to put in place mechanisms. Other governmental and non-governmental organizations and various public associations, such as Farmers Associations and Women's Associations should also be actively involved in eliminating thesenonscientific
harmful beliefs towards pregnant women in terms of nutrition and safe delivery practice. Further studies to explore why some groups to differ in healthy behaviors, should be investigated,
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Keywords
Health,Pregnant Women