Assessment of Knowledge and Utilization of Maternal and Neonatal Health services in Public Hospitals of district Dera Ghazi Khan
Keywords:Key Words: Antenatal care, Neonatal Health, KAP Survey, Maternal Health, Dera Ghazi Khan, Pregnancy.
Abstract: Background: Poor utilization of healthcare services during pregnancy, child delivery, and postpartum is a significant cause of maternal and child mortality. Antenatal and postnatal care is the most effective intervention for maternal and infant mortality and morbidity, especially in areas where women's general health is poor. Objectives: This study was conducted to find out the mother's knowledge about maternal and neonatal services to determine the utilization of maternal and neonatal services in public hospitals of District Dera Ghazi Khan. Methodology: A cross-sectional study was conducted in a public hospital in Dera Ghazi Khan. A structured questionnaire was used to collect data about the knowledge and utilization of antenatal care services among pregnant women. Results:The findings of the present study showed that 58.4% of respondents have good knowledge of antenatal care, while 41.6% showed poor ability. Among total respondents, 46.32% showed positive utilization of ANC services, while 53.68% showed poor utilization. A statistically significant difference has been found between respondents' income and ANC knowledge (p=0.02). A statistically significant difference was found between respondents' education and ANC knowledge (p=0.01). Among respondents who have their first pregnancy, 45(72.58%) have good ANC service utilization (p=0.002). Among respondents who were satisfied with the ANC services, 81(89.01%) were utilizing early ANC, whereas 10 (10.98%) were utilizing late ANC services (p=0.01). Conclusion: Overall findings of this research have shown that respondents' knowledge and utilization of ANC were not satisfactory. For more improvement, there is a need to educate women and provide them with adequate facilities to utilize maternal and neonatal care services.
Mrisho M, Obrist B, Schellenberg JA, Haws RA, Mushi AK, Mshinda H, Tanner M, Schellenberg D. The use of antenatal and postnatal care: perspectives and experiences of women and health care providers in rural southern Tanzania. BMC pregnancy and childbirth. 2009 Dec;9(1):1-2.
Kabir M, Iliyasu Z, Abubakar IS, Sani AA. Determinants of utilization of antenatal care services in Kumbotso village, Northern Nigeria. Tropical doctor. 2005 Apr 1;35(2):110-.
Holumyong C, Ford K, Sajjanand S, Chamratrithirong A. The access to antenatal and postpartum care services of migrant workers in the greater Mekong subregion: the role of acculturative stress and social support. Journal of pregnancy. 2018 Mar 1;2018.
Van Der Walt A, Nguyen AL, Jokubaitis V. Family planning, antenatal and post partum care in multiple sclerosis: a review and update. Medical Journal of Australia. 2019 Sep;211(5):230-6.
Tikmani SS, Ali SA, Saleem S, Bann CM, Mwenechanya M, Carlo WA, Figueroa L, Garces AL, Krebs NF, Patel A, Hibberd PL. Trends of antenatal care during pregnancy in low-and middle-income countries: findings from the global network maternal and newborn health registry. InSeminars in perinatology 2019 Aug 1 (Vol. 43, No. 5, pp. 297-307). WB Saunders.
Lalonde A, Herschderfer K, Pascali‐Bonaro D, Hanson C, Fuchtner C, Visser GH. The International Childbirth Initiative: 12 steps to safe and respectful MotherBaby–Family maternity care. International Journal of Gynecology & Obstetrics. 2019 Jul;146(1):65-73.
Withers M, Kharazmi N, Lim E. Traditional beliefs and practices in pregnancy, childbirth and postpartum: A review of the evidence from Asian countries. Midwifery. 2018 Jan 1;56:158-70.
Nuamah GB, Agyei-Baffour P, Mensah KA, Boateng D, Quansah DY, Dobin D, Addai-Donkor K. Access and utilization of maternal healthcare in a rural district in the forest belt of Ghana. BMC pregnancy and childbirth. 2019 Dec;19(1):1-1.
Londero AP, Rossetti E, Pittini C, Cagnacci A, Driul L. Maternal age and the risk of adverse pregnancy outcomes: a retrospective cohort study. BMC pregnancy and childbirth. 2019 Dec;19(1):1-0.
Celik Y, Hotchkiss DR. The socio-economic determinants of maternal health care utilization in Turkey. Social science & medicine. 2000 Jun 1;50(12):1797-806.
Nisar N, White F. Factors affecting utilization of antenatal care among reproductive age group women (15-49 years) in an urban squatter settlement of Karachi. Journal of Pakistan Medical Association. 2003;53(2):47.
Mathole T, Lindmark G, Majoko F, Ahlberg BM. A qualitative study of women's perspectives of antenatal care in a rural area of Zimbabwe. Midwifery. 2004 Jun 1;20(2):122-32.
Tran TK, Gottvall K, Nguyen HD, Ascher H, Petzold M. Factors associated with antenatal care adequacy in rural and urban contexts-results from two health and demographic surveillance sites in Vietnam. BMC health services research. 2012 Dec;12(1):1-0.
Zhao Q, Huang ZJ, Yang S, Pan J, Smith B, Xu B. The utilization of antenatal care among rural-to-urban migrant women in Shanghai: a hospital-based cross-sectional study. BMC public health. 2012 Dec;12(1):1-0.
Matthews Z, Mahendra S, Kilaru A, Ganapathy S. Antenatal care, care-seeking and morbidity in rural Karnataka, India: results of a prospective study. Asia Pacific Population Journal. 2001 Jun;16(2):11-28.
Mekonnen W, Gebremariam A. Causes of maternal death in Ethiopia between 1990 and 2016: systematic review with meta-analysis. Ethiopian Journal of Health Development. 2018;32(4).
Onasoga OA, Afolayan JA, Oladimeij BD. Factor’s influencing utilization of antenatal care services among pregnant women in Ife Central LGA, Osun State Nigeria. Advances in Applied Science Research. 2012;3(3):1309-15.
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Copyright (c) 2021, International Journal of Natural Medicine and Health Sciences licensed under Creative Commons Attribution-NonCommercial 4.0 International License.