Health Education Needs of First Visit Pregnant Women in Antenatal Clinics in Khayelitsha, South Africa (original) (raw)
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Information-seeking in first visit pregnant women in Khayelitsha, South Africa
Health SA Gesondheid, 2020
Background The quality of the decisions made by women during pregnancy, especially their first visit, depends on their health needs, their health-seeking behaviour and the type of information available to them. Aim This study describes the health education needs, information barriers and health information-seeking behaviour of pregnant women on their first visit to antenatal clinics in a low-income setting in the Western Cape. Setting The setting was two antenatal facilities in Khayelitsha Health District facilities in South Africa. Methods A quantitative descriptive survey was conducted. A systematic random sample of 261 antenatal first visit attendees between May and July 2016 was selected. Data were collected using a researcher-administered questionnaire and was analysed using descriptive statistics, 95% confidence intervals and non-parametric tests. Results The response rate of the study was 92% (n = 240). Pregnant women attending an antenatal clinic for the first time reported ...
Research and reviews: journal of nursing and health sciences, 2016
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Journal of Midwifery & Women's Health, 2001
The objective of this study was to investigate the healthseeking practices of pregnant women in a periurban area in Cape Town, South Africa. This qualitative study was based on 103 minimally structured in-depth interviews of 32 pregnant women. Most women were interviewed on several occasions, and a group discussion was held with women. The interviews were taped, transcribed, analyzed ethnographically, and, if necessary, translated into English. Antenatal care attendance was influenced by a number of factors, including women's knowledge of the role of antenatal care, perceived health needs, booking systems, nurse-patient relationships, economics, child care, and transport. The expected benefits were weighed against the anticipated costs before decisions about seeking care were made. The findings highlight the importance of women's perceptions of quality of care in influencing their health seeking practices. The study suggests that considerably more attention needs to be given to this aspect of maternity services.
The Open Public Health Journal
Background: Pregnant woman’s personal experience of antenatal care services can either be positive or negative; however, knowledge and experience appear to be of paramount importance in shaping their attitudes towards any healthcare-related services. This implies that women's experience of antenatal care services may affect their decision for seeking antenatal care in their present pregnancy, which can lead them to delay seeking care. Purpose: This study sought to explore the attitudes of pregnant women towards antenatal care services provided in primary health care facilities of Mbombela Municipality, Mpumalanga Province, South Africa. Methods: A qualitative exploratory descriptive study design was used for this study. Purposive sampling technique was used to sample pregnant women who fail to attend antenatal services as expected. Data were collected through face to face unstructured in-depth interview. A total of eighteen pregnant women participated in the study until data sat...
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Access to quality care before, during, and after childbirth remains an effective means of reducing maternal and neonatal mortality. Therefore, the study identified factors influencing the utilization of prenatal care services among women of childbearing age in South Africa. This is a retrospective study based on secondary data from the South African Demographic Health Survey (DHS) conducted from 1998 to 2016. In South Africa, 21.0% of mothers had used ANC services. Higher odds of seeking prenatal care were found in women aged 35 years and older (cOR = 1.26, 95% CI; 1.08–1.47, p = 0.003), married or cohabiting (cOR = 1.13, 95% CI; 1.004–1.27) observed, p = 0.043), higher level of education (tertiary education: cOR = 0.55, p = 0.001), female residents in urban areas (cOR = 1.35, 95% CI; 1.20–1.52, p = 0.001), higher wealth index (cOR = 1.32, 95% CI; 1.15–1.51, p = 0.001), employed (cOR = 1.48, 95% CI; 1.29–1.70, p = 0.001) and media exposure (cOR = 1.27, 95% CI; 1.12–1.44), p = 0.001)...
Factors associated with underutilisation of antenatal care services in Limpopo, South Africa
British Journal of Midwifery, 2020
Background The aim of this study was to explore and describe factors associated with underutilisation of antenatal care services. In South Africa, maternal and child healthcare services are provided free of charge. Despite this, utilisation of antenatal care services remains a major public health challenge. Literature affirms that 96% of pregnant women present at antenatal care services only after 12 weeks of pregnancy, and this is influenced by several factors. Women's attitude plays an integral role. Methods This study used a qualitative, exploratory, descriptive design. Purposive and convenient sampling methods were used to select 10 hospitals and 83 pregnant women, respectively. Ten focus group discussions were conducted to collect data. Trustworthiness was ensured by means of Guba's model and data were analysed, qualitatively, using Tesch's eight steps. Results The majority of the pregnant women (83%) were from rural areas, had unplanned pregnancies, had five pregna...
International Journal of Women's Health and Reproduction Sciences
Introduction Pregnant women, in the age range of 15-49, who constitute more than one-fifth of the world's population, are repeatedly exposed to pregnancy and childbearing risk (1). Antenatal care (ANC) is a precise and systematic assessment and follow-up care including education, counseling, screening, and treatment that is provided for pregnant women to assure the best possible health of a mother and her fetus (2). Likewise, ANC refers to the prenatal health care which is provided for pregnant women and their children during pregnancy by the skilled health personnel. The World Health Organization (WHO) recommended that pregnant women are expected to visit the antenatal clinic 4-5 times before delivery for any medical problems; three antenatal visits are at least recommended, ideally with the first visit early in the pregnancy. This number may vary according to national and institutional policies (3). In Nigeria, four ANC visits are recommended for every pregnant woman before delivery (4). The primary objective of ANC visit is to establish contact with the women, to identify and manage current as well as potential risks and problems, and to improve maternal health which is one of the eightmillennium development goals (MDGs). Under MDG5, countries committed to reduce maternal mortality by three-quarters between 1990 and 2015. Since 1990, maternal deaths worldwide have dropped by 47% (4,5). Women's knowledge and attitude regarding health and medical care must be investigated, during pregnancy and childbirth, to identify any suspicion or fear of medical interventions such as hospital delivery, caesarean section, or blood transfusion among women and to ascertain whether appropriate information, education, and communication (IEC) activities are required (6). Health knowledge is considered as one of the key factors in saving Abstract Objectives: Poor knowledge about importance of early antenatal care visit and awareness on health risk during pregnancy among pregnant women prevented them from accessing early antenatal care services. This study examined the impact of health education intervention (HEI) on access to antenatal care services by pregnant women in Edu Local Government Area (LGA), Nigeria. Materials and Methods: A quasi-experimental research employing pre-test and post-test control group design was adopted. A researchers-designed questionnaire was used for data collection and the split-half test of reliability was used to determine its reliability. One hundred and twenty pregnant women were exposed to 10 weeks of HEI after pre-test, 60 experimental groups were exposed to the lectures on antenatal care services, and 60 control groups were exposed to HIV/AIDS sessions, followed by post-test. The descriptive statistics was used to answer research questions, while the inferential statistics of t-test was used to test the hypothesis at 0.05 significance level. Results: This study showed upward shift from pre-intervention mean of 71.08 to 93.33 post intervention mean in the experimental groups which implied the positive impact of HEI on the knowledge and willingness of pregnant women to access antenatal care services in Edu LGA. Conclusions: It was concluded that HEI could have positive impact on the knowledge and willingness of pregnant women to access antenatal care services, hence HEI needs to be sustained to improve the pregnant women's health-seeking behaviors about antenatal care services in Edu LGA.
African Journal For Physical Health Education Recreation and Dance, 2014
This article reports on the experiences of postnatal patients regarding postnatal care, with the intention of making recommendations to improve the quality of postnatal care. The participants received care from midwives for the first six hours after delivery and are discharged home. On discharge, the participants receive health advice from midwives on how to take care of themselves and newborn infants during the postnatal period. At home they receive care and advice from traditional birth attendants. Different pieces of advice confuse the participants because they interfere with decision-making skills. A qualitative, exploratory, descriptive and contextual research method was used in this study. A semi-structured interview guide was also used to conduct focus group interviews. Data were collected until saturation was reached during the second focus group interview. Participants revealed the following challenges and experiences: lack of openness and transparency between the midwives and the traditional birth attendants; exclusion of participants' relatives when giving health advice on discharge; conflicting postnatal care advice; lack of postnatal care supervision and follow up; postnatal patients under direct care of traditional birth attendants only; and feeling of insecurity by the participants. The participants suggested that there should be incorporation of indigenous postnatal care practices into the midwifery healthcare system in order to enhance teamwork between the midwives and the traditional birth attendants. Follow up should be conducted by the midwives to ensure safety, support, supervision and continuity of care to the participants during the postnatal period.
The aim of this paper is to point out the need for a model to facilitate health for pregnant learners attending secondary schools in South Africa. It motivates this need by presenting the findings of a study on the exploration and description of the experiences of pregnant learners attending secondary schools in Limpopo province of South Africa.A qualitative, exploratory, descriptive and contextual design was used to explore experiences of pregnant learners who attended secondary schools in Limpopo province. Semi-structured interviews were conducted with learners who were pregnant or were at some stage pregnant while attending secondary schools. A purposive sampling was used to select participants and due to data saturation ten learners participated. Data analysis generated six themes and eleven categories. The themes are (1) identification of pregnant learners, (2) continuation of pregnant learners' school career, (3) dilemmas related to school-attending pregnant learners, (4) ...