nach oben

Journal of Community Health

Erschienen in:

01.04.2013 | Original Paper

Perception of Pregnant Women About Antenatal Care in a Cottage Hospital in Port Harcourt, Nigeria

verfasst von: M. I. Ekott, U. Ovwigho, A. Ehigiegba, A. Fajola, B. Fakunle

Erschienen in: Journal of Community Health | Ausgabe 2/2013

Einloggen, um Zugang zu erhalten

Abstract

Antenatal care gives opportunity for care of women during pregnancy, prevention and treatment of diseases as well as behavioral change interventions. The perception of users about services influences service utilization. This study was performed to assess user satisfaction with antenatal care services at the centre and to identify constraints at service points. Women attending antenatal care at a cottage hospital In Nigeria were administered questionnaires to evaluate their satisfaction with services and their views about services at various points of care. Data analysis was made using Statistical Package for Social Science version 15.0. Statistical significance was set at P < 0.5. Four hundred correctly completed questionnaires were analysed. The mean age of the respondents was 29 years (SD of 4) and their parity ranged from 0 to 5 (mean 2.5 ± 1.9). The overall satisfaction with care was 94 % and it was highest (95.8 %) with health talks and least with medical consultations (64 %). Attributes valued at service points were educating nature of health talks, prompt attention, and friendly and polite staff. Reasons for dissatisfaction were unfriendly attitudes of staff and delay at service points. Additional care packages women would want were: more staff employed 61 (15.3 %), better organized services 34 (8.5 %) and routine ultrasound scans 25 (6.3 %). Women valued antenatal care and were highly satisfied with services received at the centre. Health education forums should be used to address issues with service delivery. Constraints at service points should be addressed to enhance better service delivery.

WHO, UNICEF, UNFPA and The World Bank. (2008). Trends in maternal mortality 1990–2000. Report 24-26. Geneva.

Udoma, E. J., Asuquo, E. E. J., & Ekott, M. I. (1999). Maternal mortality from obstructed labor in south-eastern Nigeria: The role of spiritual churches. International Journal of Obstetrics and Gynecology, 67, 103–105.CrossRef

Agan, T. U., Archibong, I. E., Ekabua, J. E., et al. (2010). Trends in maternal mortality at the University of Calabar Teaching Hospital, 1999–2009. International Journal of Women’s Health, 2, 249–254.PubMedCrossRef

Carroli, G., Rooney, C., & Villar, J. (2001). How effective is antenatal care in preventing maternal mortality and serious morbidity? An overview of the evidence. Paediatric and Perinatal Epidemiology, 15(Suppl 1), 1–42. doi:10.1046/j.1365-3016.2001.0150s1001.x.PubMed

Simkhada, B., Teijlingen, E. R., Porter, M., & Simkhada, P. (2008). Factors affecting the utilization of antenatal care in developing countries: Systematic review of literature. Journal of Advanced Nursing, 61(3), 244–260.PubMedCrossRef

Mishra, V., & Retherford, R. D. (2008). The effect of antenatal care on professional assistance at delivery in rural India. DHS working papers. Population Research and Policy Review, 27(3), 307–320. doi:10.1007/s11113-007-9064-3.

Sagna, M. L., & Suntil, T. S. (2012). Effects of individual and neighborhood factors on maternal care in Cambodia. Health & Place, 18(2), 415–423 [Epub January 5, 2012.

Babalola, S., & Fatusi, A. (2009). Determinants of use of maternal health services in Nigeria—Looking beyond individual and household factors. BMC Pregnancy Childbirth, 9, 43. doi:10.1186/1471-2393-9-43.PubMedCrossRef

Feijen-de Jong, E. I., Jansen, D. E., Baarveld, F., Van der Schans, C. P., Schellevis, F. G., & Reijneveld, S. A. (2011). Determinants of late and/or inadequate use of prenatal healthcare in high-income countries: A systematic review. doi:10.1093/eurpub/ckr164.

10.

Handler, A., Raube, K., Kelly, M. A., & Giachello, A. (1996). Women’s satisfaction with prenatal care settings: A focus group study. Birth, 23(1), 31–37.PubMedCrossRef

11.

Solarin, I., & Black, V. (2012). “They told me to come back”. Women’s antenatal care booking experience in inner city Johannesburg. Maternal and Child Health Journal,. doi:10.1007/s10995-012-1019-6.

12.

Mubyazi, G. M., Bloch, P., Maqnussen, P., Olsen, Ø. E., Byskov, J., Hansen, K. S., et al. (2010). Women’s experiences and views about costs of seeking malaria chemoprevention and other antenatal services: A qualitative study from two districts in rural Tanzania. Malaria Journal, 9, 54.PubMedCrossRef

13.

Raine, R., Cartwright, M., Richens, Y., Mahamed, Z., & Smith, D. (2010). A qualitative study of women’s experiences of communication in antenatal care: Identifying areas for action. Maternal and Child Health Journal, 14(4), 590–599 [Epub June 25, 2009].

14.

Williamson, S., & Thomson, A. M. (1996). Women’s satisfaction with antenatal care in a changing maternity service. Midwifery, 12(4), 198–204.PubMedCrossRef

15.

Richard, S. M. P. M., & Sinclair, J. C. (1983). Effectiveness and satisfaction in antenatal care. Early Human Development, 8(2), 93–96. doi:10.1016/0378-3782(83)90064-6.CrossRef

16.

Esimai, O. A., & Omoniyi, G. O. (2009). Wait time and service satisfaction at Antenatal Clinic, Obafemi Awolowo University Ile-Ife. East African Journal of Public Health, 6(3), 309–311.PubMed

17.

Fawole, A. O., Okunlola, M. A., & Adekunle, A. O. (2008). Clients’ perceptions of the quality of antenatal care. Journal of National Medical Association, 100(9), 1052–1058.

18.

Oladapo, O. T., Iyaniwura, C. A., & Sule-Odu, A. O. (2008). Quality of antenatal services at the primary care level in southwest Nigeria. African Journal of Reproductive Health, 12(3), 71–92.PubMed

19.

Uzochukwu, B. S., Onwujjekwe, O. E., & Akpala, C. O. (2004). Community satisfaction with the quality of maternal and child health services in southeast Nigeria. East African Medical Journal, 81(6), 293–299.PubMedCrossRef

20.

Okunlola, M. A., Ayinde, O. A., Owonikoko, K. M., & Omigbodun, O. A. (2006). Factors influencing gestational age at antenatal booking at the University College Hospital, Ibadan, Nigeria. Journal of Obstetrics and Gynaecology, 26(3), 195–197.PubMedCrossRef

21.

Adegbola, O. (2009). Gestational age at antenatal booking in Lagos University Teaching Hospital (LUTH). Nigerian Quarterly Journal of Hospital Medicine, 19(3), 162–164.PubMed

22.

Osbor, K. M., Fatusi, O. A., & Chwuzie, J. C. (2006). Maternal health-seeking behavior and associated factors in a rural Nigerian community. Maternal and Child Health Journal, 10(2), 159–169.CrossRef

23.

Lamina, M. A., Sule-Odu, A. O., & Jagun, E. O. (2004). Factors militating against delivery among patients booked in Olabisi Onabanjo University Teaching Hospital, Sagamu. Nigerian Journal of Medicine, 13(1), 52–55.PubMed

24.

Mclachlan, H., Forster, D., Davey, M., et al. (2012). Effects of continuity of care by a primary midwife (caseload midwifery) on caesarean section rates in women of low obstetric risk: The COSMOS randomised controlled trial. British Journal of Obstetrics and Gynaecology,. doi:10.1111/j.1471-0528.2012.03446.x.PubMed

25.

Hatem, M., Sandall, J., Devane, D., Soltani, H., & Gates, S. (2008). Midwife-led versus other models of care for childbearing women. Cochrane Database Systematic Review, 4, CD004667.

26.

Villar, J., Carroli, G., Khan-Neelofur, D., Piaggio, G. G., & Ülmezoglu, M. (2001). Patterns of routine antenatal care for low-risk pregnancy. Cochrane Database Systematic Review, 4, CD000934.

27.

Khan-Neelofur, D., Gulmezoglu, M., Villar, J., & WHO Antenatal Care Trial Group. (1998). Who should provide routine antenatal care for low-risk women, and how often? A systematic review of randomised controlled trials. Paediatric and Perinatal Epidemiology, 12(Suppl 2), 7–26.

28.

Gross, K., Armstrong Schellenberg, J., Kessy, F., Kessy, C., & Obrist, B. (2011). Antenatal care in practice: An exploratory study in antenatal care clinics in the Kilombero Valley, south-eastern Tanzania. BMC Pregnancy Childbirth,. doi:10.1186/1471-2393-11-36.PubMed

29.

Vowels, A., Topp, R., & Berger, J. (2012). Understanding stress in the operating room: A step toward improving the work environment. Kenturkey Nurse, 60(2), 5–7.

30.

Zinnen, V., Paul, E., Mwisongo, A., Nyato, D., & Robert, A. (2012). Motivation of human resources for health: A case study at rural district level in Tanzania. The International Journal of Health Planning and Management,. doi:10.1002/hpm.2117.PubMed

31.

Yami, A., Hamza, L., Hassen, A., Jira, C., & Sudhakar, M. (2011). Job satisfaction and its determinants among health workers in Jimma University Specialized Hospital, Southwest Ethiopia. Ethiopian Journal of Health Science, 21(Suppl 1), 19–27.

32.

Awofeso, N. (2010). Improving health workforce recruitment and retention in rural and remote regions of Nigeria. Rural and Remote Health, 10, 1319. Available: http://www.rrh.org.au. Accessed August 5, 2012, 2:01 pm.

33.

Onah, H. E., Ikeako, L. C., & Iloabachie, G. C. (2006). Factors associated with the use of maternity services in Enugu, southeastern Nigeria. Social Science and Medicine, 63(7), 1870–1878.PubMedCrossRef

34.

Umoiyoho, A. J., Abasiattai, A. M., & Etuk, S. J. (2010). Perceptions among the Annang women of South–South Nigeria regarding antenatal healthcare information. International Journal of Gynaecology and Obstetrics, 108(1), 77–78.PubMedCrossRef

35.

Salomon, L. J., Alfirevic, Z., Berghella, V., Bilardo, C., On behalf of the ISUOG Clinical Standards Committee, et al. (2011). Practice guidelines for performance of the routine mid-trimester fetal ultrasound scan. Ultrasound in Obstetrics and Gynecology, 37(1), 116–126.PubMedCrossRef

36.

Neilson, J. P. (2000). Ultrasound for fetal assessment in early pregnancy. Cochrane Database Systematic Review, 2, CD000182.

37.

Abuhamad, A. Z., & ACOG Committee on Practice Bulletins. (2008). ACOG practice bulletin clinical management guidelines for obstetrician-gynecologists number 98. Ultrasonography in pregnancy. Obstetrics and Gynecology, 112(4), 951–961.PubMedCrossRef

38.

Whitworth, M., Bricker, L., Neilson, J. P., & Dowswell, T. (2010). Ultrasound for fetal assessment in early pregnancy. Cochrane Database Systematic Review, 4, CD007058.

Titel: Perception of Pregnant Women About Antenatal Care in a Cottage Hospital in Port Harcourt, Nigeria
verfasst von: M. I. Ekott
U. Ovwigho
A. Ehigiegba
A. Fajola
B. Fakunle
Publikationsdatum: 01.04.2013
Verlag: Springer US
Erschienen in: Journal of Community Health / Ausgabe 2/2013
Print ISSN: 0094-5145
Elektronische ISSN: 1573-3610
DOI: https://doi.org/10.1007/s10900-012-9625-1

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2013

Identification of High-Risk Communities for Unattended Out-of-Hospital Cardiac Arrests Using GIS

Knowledge and Attitudes About AIDS/HIV in a Semi-Nomadic Population in Somaliland

Faculty Perceptions and Practices Regarding Carrying Concealed Handguns on University Campuses

Sexual Mixing, Drug Exchanges, and Infection Risk Among Long-Haul Truck Drivers

Coordinating Research and Practice: Challenges Testing Messages to Increase Medical Reserve Corps Participation in Local Health Department Activities

Awareness and Knowledge of Sexually Transmitted Diseases Among Secondary School Students in Two German Cities