A study on the acceptance and practice of focused antenatal care by healthcare providers in The South-West Zone of Nigeria (original) (raw)
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Research Journal of Women's Health, 2017
Introduction: Focused antenatal care (FANC), based on fewer goal-oriented visits, is the WHO's recommended care for pregnant women. The objectives of the study were to assess the acceptability of FANC and barriers to its implementation at the hospital. Methodology: This was a cross-sectional study conducted among antenatal clinic attendees between January and March 2011 at Obio Cottage Hospital, Port Harcourt Nigeria. Women were recruited by systematic sampling technique into the study. Questionnaires which sought demographic data, acceptability or rejection of fewer antenatal visits and reasons for decisions were administered to them. Data analysis was performed using Stata 10. Logistic regression analysis was performed to determine associations between demographic parameters and acceptance of FANC. Significance level was set at P<0.05. Results: The analysis was based on 456 out of 500 completed questionnaires. The mean age and parity of the women were 28.6±4.2 and 1±1 respectively. The mean number of preferred visits was 13.4±6.9 visits, (IQR 9-18). Reduced visits were acceptable to 75% of the women. The main reason for accepting reduced visits was to save time 164 (40.6%). The main reasons for rejecting reduced visits were for better monitoring of pregnancy (35.1%) and early detection of problems (21.6%). The likelihood of accepting fewer visits increased with age. OR=1.04; 95% CI (1.09-1.10), P=0.01. Conclusion: Focused antenatal care was acceptable to most women in the clinic. The concern it would compromise monitoring of pregnancy should be addressed during health education.
2015
The study investigated pregnant women’s knowledge and attitude towards focused antenatal care in University of Calabar Teaching Hospital, Calabar. Three research questions and two hypotheses were formulated to guide the study. The literature was conceptually, empirically and theoretically reviewed based on the main variables under study. The study adopted a descriptive design and the sample size was 174 pregnant women attending antenatal care clinic in UCTH from January – May, 2014. The instrument for data collection was a three section questionnaire. The instrument had a correlation coefficient of 0.79. Questionnaire was administered through face to face interaction and on the spot collection of completed questionnaire. The data collected from questionnaires were analyzed using frequencies and percentages, while chi-square test analysis was used to test the hypotheses. Findings of the study revealed that majority of the respondents had good knowledge and favourable attitude towards...
Global Journal of Pure and Applied Sciences, 2016
The potential of antenatal care for reducing maternal morbidity and mortality and improving newborn survival and health is widely acknowledged. The study sought to investigate Health Care Providers knowledge and practice of focused antenatal care in a cottage Hospital Okpatu. Qualitative ethnographical research design was adopted, while in-depth interview guide and observational checklist were the instruments for data collection. Findings revealed poor knowledge of concept, components, timing of visits on focused antenatal care and non compliance with the guidelines for the practice of focused antenatal care, because of health workers lack of knowledge on focused antenatal care. Conclusively, effort to improve antenatal care should address shortage of trained staff through expanding training opportunities. Based on the above, intensive awareness and retraining of health workers and monitoring and supervision of health care providers on evidence based focused antenatal care is recommended for health care providers in the study area. There is need for health care providers to motivate local government authority in the area to supply more equipment to ensure adequacy of resources to deliver quality care. Also, there should be strategies for implementation of existing policy concerning Focused antenatal care in the study area.
2015
The World Health Report, calls for "Realizing the Potential of Antenatal Care". While antenatal care (ANC) interventions, in and of themselves, cannot be expected to have a major impact on maternal mortality, the purpose is to improve maternal and perinatal health, this is necessary for improving the health and survival of infants. This study determines the knowledge and practice of focused ante natal care among skilled healthcare providers in Sokoto State of Nigeria. A descriptive cross sectional design was employed using structured questionnaire to assess a sample of 232 participants. The mean age of the respondents was 33 years ± 8. The result show that majority (84.9%) of the respondents were aware of focussed ante natal care and their major source of information was lectures (69.0%). Majority of the respondents had good knowledge of FANC but claimed that focussed ante natal care was not practiced in their hospital. The findings of this study showed that skilled health...
International Journal of Nursing, 2018
The aim of this study was to assess the focused antenatal care services utilization. A cross sectional descriptive design was adopted. A total of three hundred and eighty four pregnant women attended antenatal care clinic in twenty two health care facilities in Bauchi State were recruited. Multi-stage sampling technique was used. The data collected by used semi-structured questionnaire and observational checklist through face to face interview and audit observation check list during the period of first May to the end August 2016. All official approval was collected and all ethical considerations were kept. Donabedian Bruce quality model (1980) was adopted as a theoretical framework. The result revealed that: Eighty percent of the respondents were over 35 years old, 66% of them were Hausa/Fulani, almost half of them had secondary school certificate, and more than half of them had parity above six times. Eighty percent of the sample utilized focused antenatal care always. there w...
2012
Antenatal care is a key strategy for reducing maternal and neonatal morbidity and mortality rate because adequate utilization of antenatal health care services is associated with improved maternal and neonatal health outcomes. This study aimed at determining the factors influencing the utilization of antenatal clinic among pregnant women in Ife Central Local Government Area, Osun State, Nigeria. Stratified sampling technique was used to select 102 pregnant women from Ife Central Local Government Area of Osun State, Nigeria. Data were collected using a questionnaire. Both descriptive and inferential statistics were used to analyze the data generated and level of significance was set at 5% (0.05). The findings revealed that majority of the respondents 48 (47.1%) first heard of ANC in the hospital. Most of the respondents 85(83.3%) knew the services rendered at antenatal clinic and had adequate knowledge of the importance of antenatal care. The findings also revealed that majority of t...
Perceptions of focused prenatal care among women attending two tertiary centers in Nigeria
International journal of gynaecology and obstetrics, 2015
Preference 20 Objective: To determine women's perceptions and expectations of focused prenatal care visits. Methods: The pres-21 ent questionnaire-based, cross-sectional survey was performed among pregnant women in their third trimester 22 attending two tertiary health centers in southern Nigeria between January and March 2012. Obstetric data, 23 histories, and information on preferences for prenatal visits were obtained using questionnaires. Results: A 24 total of 353 questionnaires were appropriately completed. Among 277 participants who stated a preference for 25 the number of prenatal care visits, 241 (87.0%) reported a preference of more than four. Among 203 parous 26 women, 132 (65.0%) had no previous negative obstetric experience. Only previous stillbirth (odds ratio [OR] 27 2.67, 95% confidence interval [CI] 1.05-6.77; P = 0.039) among multiparous women, and HIV/AIDS (OR 0.27, 28 95% CI 0.06-1.17; P = 0.048) among all women were significantly associated with a preference for more prenatal 29 visits. Conclusion: Previous negative obstetric experiences did not generally affect preference for prenatal visits. 30 However, pregnant women expressed dissatisfaction with a reduced number of visits.
Most maternal deaths (66%) occurred in sub-Saharan Africa, while 99% of the maternal deaths occurred in low-and middle-income countries as most could have been prevented (WHO, 2014). The primary causes of these maternal deaths were haemorrhage, hypertensive diseases of pregnancy and sepsis and indirect causes, mostly due to interaction between pre-existing medical conditions and pregnancy (WHO, 2014). In 2001, the World Health Organization (WHO) issued guidance on a new model of Antenatal Care (ANC) called goal-oriented or focused antenatal care (FANC), for implementation in developing countries (Villar et al., 2001) including Ghana. Focused ANC means that pregnant women attend a minimum of four scheduled ANC visits and receive all the WHO recommended comprehensive packages by skilled healthcare providers (WHO, 2014). This new model hinges on the quality of services than quantity of services received by expectant mothers. Focused antenatal care eliminated the traditional risk assessments and instead stressed on helping women to maintain normal pregnancies (WHO, 2010). In response to this evidence, several countries in sub-Saharan Africa moved to adapt FANC as a way of promoting the