Directorate of Postgraduate Studies

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Browsing Directorate of Postgraduate Studies by Subject "Antenatal"

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    Assessment of quality of focused antenatal care and its effectiveness among women attending selected clinics in ilala district in Dar-es-salaam Tanzania from March 2012 March 2013
    (Hubert Kairuki Memorial University, 2013) Shinyala, A.
    Background: The present study was conducted to investigate on the overall quality of provision of antenatal care services and its effect on the reduction of Maternal and Fetal Mortality and Morbidity among women attending selected health facilities at ilala municipality in Dare s salaam. Methods: A cross sectional comparative study was performed in ten months and follow up in the Antentenal Clinics from March 2012 to December 2012. Target population was all women attending antenatal clinics and government health workers providing services to those women. A sample size of 350 women has been attained in this study. Tools used were checklists and questionnaires and data analysis was performed through SPSS version 11.0. Frequencies and percentages were used to describe variables Univariate and multivariate logistics, regression analysis were used determine the odd ratio. T test and chi square tests were used to assess the statistical significance at a confidence level of 95%, where p values less than 0.005 indicated a statistical significance. RESULTS: The study has revealed that only 38% of the recruited mothers attending antenatal clinics had adequate awareness on pregnancy danger signs. A higher level of education was the most predictive factor for increased awareness of danger signs. Other factors associated with awareness include skilled health care providers, employment, attendance to health facilities and counseling of women during antenatal care services. In this study the number of children (parity) significantly associates with the use of ITN (P<0.05. more for those who had one parity. DISCUSSION: Educated women had higher awareness on danger signs than women with no formal education. Better education is associated with enlightenment and awareness of different health conditions although exposure to information is crucial. A study done by Okour in Jordan revealed that education level of study participants and receiving information about danger signs and symptoms were all associated with awareness (P=0.02 for all associations). Studies in Tanzania and elsewhere indicate that a higher level of education is associated with awareness on danger signs whereas other studies have shown no association. CONCLUSION AND RECOMMENDATION: The study concludes that there is still a need to improve quality of Antenatal Care Services in developing countries and that pregnant women are not aware of the pregnancy danger signs. There is suboptimal quality of counseling during antenatal care visits on pregnancy danger signs.