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University of Zambia
1.
Banda, Ngala Jeane.
Factors associated with utilization of labour and delivery health services by women in Lusaka district facilities
.
Degree: 2016, University of Zambia
URL: http://dspace.unza.zm:8080/xmlui/handle/123456789/4866 
► ABSTRACT This study focused on women’s utilization of labour and delivery health services in Lusaka urban district health facilities. Utilization of labour and delivery health…
(more)
▼ ABSTRACT
This study focused on women’s utilization of labour and delivery health services in Lusaka urban
district health facilities. Utilization of labour and delivery health services can ensure that women
are attended to by skilled personnel and link them to referral system in case of any complications.
However, delivering in health facilities is still challenging in Sub-Saharan region including Zambia,
despite the importance of institutional deliveries in preventing maternal and neonatal morbidity and
mortality. The aim of this study was to determine factors that are associated with utilization of
Labor and delivery health services by women in Lusaka district health facilities.
This cross sectional study was carried out using both qualitative and quantitative approach to collect
data from three hundred and seventy three postnatal women (15-45years) who had given birth six(6)
months and below prior data collection. Stratified random sampling was used to select six (6) study
sites, systematic sampling was used to select three hundred and forty three (343) respondents for
quantitative data while purposive sampling was used to select thirty (30) respondents for qualitative
data respectively. Three Focus Group Discussions (FGDs) were conducted in three health centers
namely Kanyama, Chawama and George health facilities. Interview schedules and FGDs guide were
used to collect data.
Data from interview schedules were entered and analyzed using Statistical Package for Social
Sciences (SPSS) version 22.0 for windows and presented using frequency tables, pie charts, and
histogram and cross tabulations. The Chi-square test was used to test the association among variables
and multivariate logistic regression analysis was carried out to predict the outcome. Statistical
significance was set at 0.05 and strength of statistical association was assessed by odds ratio (OR)
with 95% confidence interval. Content analysis was used to analyse data from the Focus Group
Discussions and the most use full information that merged from the discussion was selected and
used to illustrate the main points.
The results showed utilization levels were at 89% while non-utilization stood at 11%. After
multivariate logistic regression, maternal education (Odds=3.5, CI, 1.046-11.861, P-value=0.042),
Antenatal care visits (Odds=9.8, CI, 1.248-76.769, P-value=0.030) and transport affordability
(Odds=4.7, CI-1.707-12.975, P-value=0.003) were factors which were significantly associated with
utilization of labour and delivery health services in Lusaka district health facilities.
In this study, utilization of labour and delivery health services was optimal while non-utilization
stood at 11%. Therefore, the study recommends that there is need for Ministry of Education to
support women’s education beyond primary education and the health providers to continuously
sensitize women on importance of early antenatal care booking and complete the four
recommended visits because during antenatal care, women are given information on…
Subjects/Keywords: Maternal health services.
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APA (6th Edition):
Banda, N. J. (2016). Factors associated with utilization of labour and delivery health services by women in Lusaka district facilities
. (Thesis). University of Zambia. Retrieved from http://dspace.unza.zm:8080/xmlui/handle/123456789/4866
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Banda, Ngala Jeane. “Factors associated with utilization of labour and delivery health services by women in Lusaka district facilities
.” 2016. Thesis, University of Zambia. Accessed March 03, 2021.
http://dspace.unza.zm:8080/xmlui/handle/123456789/4866.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Banda, Ngala Jeane. “Factors associated with utilization of labour and delivery health services by women in Lusaka district facilities
.” 2016. Web. 03 Mar 2021.
Vancouver:
Banda NJ. Factors associated with utilization of labour and delivery health services by women in Lusaka district facilities
. [Internet] [Thesis]. University of Zambia; 2016. [cited 2021 Mar 03].
Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4866.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Banda NJ. Factors associated with utilization of labour and delivery health services by women in Lusaka district facilities
. [Thesis]. University of Zambia; 2016. Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4866
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Nelson Mandela Metropolitan University
2.
Wibbelink, Margreet.
Perceptions of private sector midwives and obstetricians regarding collaborative maternity.
Degree: Faculty of Health Sciences, 2014, Nelson Mandela Metropolitan University
URL: http://hdl.handle.net/10948/d1020979
► The World Health Organization (WHO) states that no region in the world is justified in having a caesarean section rate greater than 10-15 percent, calculated…
(more)
▼ The World Health Organization (WHO) states that no region in the world is justified in having a caesarean section rate greater than 10-15 percent, calculated as the number of caesarean deliveries over the total number of live births. There is however, an international increase in the rate of caesarean section deliveries and this is a concern to midwives. The increase is evident in South Africa as well. Currently the rate of caesarean section deliveries in the private sector can be as high as 70 percent per total number of live births per year. As a result, the public often perceives giving birth surgically in South Africa as ‘normal’ and ‘safer’ than vaginal delivery, even for low-risk pregnancies. The lack of involvement of midwives in the care of pregnant women in the private sector is indicated as one of the reasons related to the high caesarean section delivery rates. This motivated the researcher to undertake a study to explore and describe the perceptions of private sector midwives and obstetricians regarding the feasibility of collaboration in maternity care. A literature review to support the study identified research done previously regarding collaborative maternity care. The study followed a qualitative, exploratory, descriptive, contextual design. The research population included midwives and obstetricians in the private sector in the Eastern Cape. Non-probability, purposive sampling was used. The researcher conducted semi-structured one-to-one interviews to collect information rich data. The researcher ensured that the study was conducted in an ethical manner by adhering to ethical principles such as autonomy, non-maleficence, beneficence and justice. The interviews were transcribed and Creswell’s’ data analysis spiral was used as a guide for the data analysis. Themes and sub-themes were identified and grouped together to form new categories. An independent coder assisted with the coding process. Data analysis results revealed the following results Participants perceived a collaborative working relationship as being beneficial to maternity care. Participants identified that there might be critical impediments that need to be faced in order to realize collaborative maternity care. The researcher ensured the validity of the study by conforming to Lincoln and Guba’s model of trustworthiness, which consists of the following four criteria namely credibility, transferability, dependability and conformability. The information obtained from this study assisted in developing guidelines to facilitate the implementation of collaborative maternity care between midwives and obstetricians in private practice in South Africa. The objective of the study was thus met.
Subjects/Keywords: Maternal health services; Maternal health care teams
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APA ·
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APA (6th Edition):
Wibbelink, M. (2014). Perceptions of private sector midwives and obstetricians regarding collaborative maternity. (Thesis). Nelson Mandela Metropolitan University. Retrieved from http://hdl.handle.net/10948/d1020979
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Wibbelink, Margreet. “Perceptions of private sector midwives and obstetricians regarding collaborative maternity.” 2014. Thesis, Nelson Mandela Metropolitan University. Accessed March 03, 2021.
http://hdl.handle.net/10948/d1020979.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Wibbelink, Margreet. “Perceptions of private sector midwives and obstetricians regarding collaborative maternity.” 2014. Web. 03 Mar 2021.
Vancouver:
Wibbelink M. Perceptions of private sector midwives and obstetricians regarding collaborative maternity. [Internet] [Thesis]. Nelson Mandela Metropolitan University; 2014. [cited 2021 Mar 03].
Available from: http://hdl.handle.net/10948/d1020979.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Wibbelink M. Perceptions of private sector midwives and obstetricians regarding collaborative maternity. [Thesis]. Nelson Mandela Metropolitan University; 2014. Available from: http://hdl.handle.net/10948/d1020979
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Zambia
3.
Shipili, Pascalis.
Factors contributing to the high number of home deliveries in Mufulira Urban
.
Degree: 2012, University of Zambia
URL: http://hdl.handle.net/123456789/1635
► The research contained in this document was done in order to determine the factors contributing to a high number of home deliveries in Mufulira urban.…
(more)
▼ The research contained in this document was done in order to determine the factors contributing to a high number of home deliveries in Mufulira urban. The identified factors were subjected to tests in order to establish whether the association observed was significant or not.Maternal health is the complete physical, social and psychological well-being of a woman of reproductive age. Addressing maternal health encompasses social and cultural factors, as well as addressing health system and health policy. Indicators used to measure maternal health include skilled attendance at birth, contraceptive prevalence rates and most importantly maternal mortality and morbidity. Improving maternal health is one of the eight millennium development goals, and great efforts have been put forth to achieve that goal.A case control study comprising 340 women aged between 15-45 years who had delivered at home within the past three months as cases (164) and those who did so in health facilities as controls (176). The sample was randomly selected from two residential areas which were conveniently selected due to the high number of home deliveries.Data were collected by use of questionnaires, focus group discussion and review of records. Data analysis was done with computer software SPSS and EPl info. The analysed data were presented in frequency tables, cross tabulations and bar graphs. Both multivariate and bivariate analyses were done on variables whose association with the place of delivery was found to be significant.This study revealed that low education level of women contributes to the increase in home deliveries (A significant association was observed between level of education and place of delivery, P<0.001). This is due to the fact that women of low education are not able to easily understand certain maternal conditions and the need to seek health care. Distance to the nearest health facility was also observed to contribute to pregnant mothers delivering in their homes (P=0.003). In addition, a significant association was observed between husband's employment status and place of delivery (P<0,OOI), Women married to men who are working have a higher chance of seeking health care because they can afford user fees, transport costs and layette. The study further revealed a significant association between the number of antenatal visits attended by a mother and the place of delivery. The lower the number of antenatal visits, the more likely that the mother will deliver from her home(P=0.031, Fisher's Test).This study concluded by coming up with several policy change recommendations which would enhance pregnant mothers' access to maternal health services. It was recommended that the health centres should be operating beyond 1600 hours so that those who might go in labour after 1600 hours could still be assisted by a skilled health worker. In addition, staffing levels needed to be improved to ensure quality maternal health care. There was need to source transport for the health centres to enhance the referral of patients from one health…
Subjects/Keywords: Maternal health services – Zambia
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APA ·
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Manager
APA (6th Edition):
Shipili, P. (2012). Factors contributing to the high number of home deliveries in Mufulira Urban
. (Thesis). University of Zambia. Retrieved from http://hdl.handle.net/123456789/1635
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Shipili, Pascalis. “Factors contributing to the high number of home deliveries in Mufulira Urban
.” 2012. Thesis, University of Zambia. Accessed March 03, 2021.
http://hdl.handle.net/123456789/1635.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Shipili, Pascalis. “Factors contributing to the high number of home deliveries in Mufulira Urban
.” 2012. Web. 03 Mar 2021.
Vancouver:
Shipili P. Factors contributing to the high number of home deliveries in Mufulira Urban
. [Internet] [Thesis]. University of Zambia; 2012. [cited 2021 Mar 03].
Available from: http://hdl.handle.net/123456789/1635.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Shipili P. Factors contributing to the high number of home deliveries in Mufulira Urban
. [Thesis]. University of Zambia; 2012. Available from: http://hdl.handle.net/123456789/1635
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Zambia
4.
Cheelo, Chilala.
Trained traditional birth attendants's perspectives on Governments' decision to stop community-based deliveries in Kazungula District: a qualitative case study of Mukuni Chiefdom
.
Degree: 2015, University of Zambia
URL: http://dspace.unza.zm:8080/xmlui/handle/123456789/4331
► In 2010, the government of Zambia stopped training traditional birth attendants (TBAs) and forbade them from conducting home deliveries because they were viewed to contribute…
(more)
▼ In 2010, the government of Zambia stopped training traditional birth attendants (TBAs) and forbade them from conducting home deliveries because they were viewed to contribute to maternal mortality. Since then, there has been no study done to get the perspectives of the TBAs after the policy ban in Zambia. This study explored the perspectives of trained TBAs on governments’ decision to stop community-based deliveries in Kazungula district.
This was a qualitative case study conducted in Mukuni chiefdom of Kazungula district. It included only trained traditional birth attendants purposively selected in Mukuni area. A census was considered that included all twenty-two trained TBAs from three clinic catchment areas. Six female traditional leaders were selected one from each zone. Expert sampling was used. Data was collected through focus group discussions, in-depth interviews of TBAs and key informant interviews for leaders. Thematic content analysis was used to analyse the data after coding findings manually.
The results showed that community-based deliveries continued despite the full knowledge of the ban by government. The reasons for the continuity include the lack of health facilities in some communities, poor transition methods from community-based deliveries to institutional deliveries, long distances and poor transport system, lack of delivery services at some local clinics and too many demands put up at clinics or hospitals. Trained traditional birth attendants continued conducting home deliveries because to them it was a moral duty they had to perform hence have no option because institutional-based delivery services were far from the communities. Effects of the ban included both negative and positive effects. Positive effects included TBAs having more time to do their own work, reduced criticisms from the community in case of a complication and quick response at health facilities in case of an emergency. Negative effects included extra work, high cost for lodging at health facilities, loss of respect and recognition by the community, introduction of penalty fees and getting back to untrained traditional birth attendants a situation which was worse than before the ban.
Despite the global redirection from traditional birth attendance to skilled birth attendance, there was need to domesticate policy decisions as a nation-based on local evidence and practicality.
Subjects/Keywords: Midwives – Zambia;
Maternal health services.
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APA ·
Chicago ·
MLA ·
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CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Cheelo, C. (2015). Trained traditional birth attendants's perspectives on Governments' decision to stop community-based deliveries in Kazungula District: a qualitative case study of Mukuni Chiefdom
. (Thesis). University of Zambia. Retrieved from http://dspace.unza.zm:8080/xmlui/handle/123456789/4331
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Cheelo, Chilala. “Trained traditional birth attendants's perspectives on Governments' decision to stop community-based deliveries in Kazungula District: a qualitative case study of Mukuni Chiefdom
.” 2015. Thesis, University of Zambia. Accessed March 03, 2021.
http://dspace.unza.zm:8080/xmlui/handle/123456789/4331.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Cheelo, Chilala. “Trained traditional birth attendants's perspectives on Governments' decision to stop community-based deliveries in Kazungula District: a qualitative case study of Mukuni Chiefdom
.” 2015. Web. 03 Mar 2021.
Vancouver:
Cheelo C. Trained traditional birth attendants's perspectives on Governments' decision to stop community-based deliveries in Kazungula District: a qualitative case study of Mukuni Chiefdom
. [Internet] [Thesis]. University of Zambia; 2015. [cited 2021 Mar 03].
Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4331.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Cheelo C. Trained traditional birth attendants's perspectives on Governments' decision to stop community-based deliveries in Kazungula District: a qualitative case study of Mukuni Chiefdom
. [Thesis]. University of Zambia; 2015. Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4331
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Aberdeen
5.
Manthalu, Gerald Herbert.
The impact of user fee exemption on maternal health care utilisation and health outcomes at mission health care facilities in Malawi.
Degree: PhD, 2014, University of Aberdeen
URL: https://abdn.alma.exlibrisgroup.com/view/delivery/44ABE_INST/12152989830005941
;
https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.629396
► The Government of Malawi has entered into agreements with Christian health association of Malawi (CHAM) health care facilities in order to exempt their catchment populations…
(more)
▼ The Government of Malawi has entered into agreements with Christian health association of Malawi (CHAM) health care facilities in order to exempt their catchment populations from paying user fees. These agreements are called service level agreements (SLAs). Government in turn reimburses the CHAM health care facilities for the health services that they provide. The agreements started in 2006 with 28 out of 166 CHAM health care facilities and increased to 68 in 2010. The aim of the exemption policy is to guarantee universal access to a basic package of health care services. Although the agreements were designed to cover every health service in the basic health care package, only maternal and neonatal health services are included due to limited resources. The main objective of this thesis was to evaluate the impact of the health care financing change on health care utilisation and health. The specific objectives were as follows: first, to examine whether health care facility visits for maternal health care changed due to user fee exemption; second, to evaluate whether user fee exemption affected the choice of the health care provider where women living in the catchment areas of CHAM health care facilities with user fee exemption sought maternal health care; third, to analyse the effect of user fee exemption on birth weight and; fourth, to explore and apply novel methods in the evaluation of user fee exemption. The gradual uptake of service level agreements by CHAM health care facilities provided a natural experiment with treated and control health care facilities. An additional control group comprised of other demographic groups apart from pregnant women and neonates at CHAM health care facilities with service level agreements. In household survey data, individuals were assigned to treatment and control groups based on their proximity to either a CHAM health care facility with SLA or a CHAM health care facility without SLA. This proffered the unique opportunity to estimate the effect of a single treatment on multiple outcomes. The difference-in-differences (DiD) approach was used to obtain causal effects of user fee exemption. It was implemented in the context of fixed effects, switching regression and multinomial logit models across different chapters. Health care facility level panel data for utmost 146 health care facilities for a maximum of 8 years, 2003-2010, were used. The data were obtained from the Malawi health management xiii information system (HMIS). Linked survey data were also used. Malawi demographic and survey data for 2004 and 2010 were linked to health care facility data and then merged. Analyses that utilised health care facility data showed that user fee exemption had led to increases in first antenatal care visits in the first trimester, first antenatal care visits in any trimester, average antenatal care visits and deliveries at CHAM health care facilities with SLAs. Results from survey data showed that the probability of using a CHAM health care facility with user fee exemption for antenatal care…
Subjects/Keywords: 610; Maternal health services
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APA ·
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APA (6th Edition):
Manthalu, G. H. (2014). The impact of user fee exemption on maternal health care utilisation and health outcomes at mission health care facilities in Malawi. (Doctoral Dissertation). University of Aberdeen. Retrieved from https://abdn.alma.exlibrisgroup.com/view/delivery/44ABE_INST/12152989830005941 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.629396
Chicago Manual of Style (16th Edition):
Manthalu, Gerald Herbert. “The impact of user fee exemption on maternal health care utilisation and health outcomes at mission health care facilities in Malawi.” 2014. Doctoral Dissertation, University of Aberdeen. Accessed March 03, 2021.
https://abdn.alma.exlibrisgroup.com/view/delivery/44ABE_INST/12152989830005941 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.629396.
MLA Handbook (7th Edition):
Manthalu, Gerald Herbert. “The impact of user fee exemption on maternal health care utilisation and health outcomes at mission health care facilities in Malawi.” 2014. Web. 03 Mar 2021.
Vancouver:
Manthalu GH. The impact of user fee exemption on maternal health care utilisation and health outcomes at mission health care facilities in Malawi. [Internet] [Doctoral dissertation]. University of Aberdeen; 2014. [cited 2021 Mar 03].
Available from: https://abdn.alma.exlibrisgroup.com/view/delivery/44ABE_INST/12152989830005941 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.629396.
Council of Science Editors:
Manthalu GH. The impact of user fee exemption on maternal health care utilisation and health outcomes at mission health care facilities in Malawi. [Doctoral Dissertation]. University of Aberdeen; 2014. Available from: https://abdn.alma.exlibrisgroup.com/view/delivery/44ABE_INST/12152989830005941 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.629396
Stellenbosch University
6.
Gebhardt, Gabriel Stephanus.
A critical evaluation of health care reform in maternity services in the Western Cape Province of South Africa, 2007-2012.
Degree: PhD, Obstetrics and Gynaecology, 2016, Stellenbosch University
URL: http://hdl.handle.net/10019.1/100351
► ENGLISH ABSTRACT: This thesis is a critical evaluation of the impact of service delivery shifts within maternity care on the clinical governance of a well-defined…
(more)
▼ ENGLISH ABSTRACT: This thesis is a critical evaluation of the impact of service delivery shifts within maternity care on the clinical governance of a well-defined geographical service delivery area (Metro East section of the Cape Town health district) during 2007 to 2012. This period saw the implementation of a comprehensive health plan that envisaged the provision of safe maternity care at a non-specialist hospital within the metropolitan area. The data presented in the first part of the thesis shows that well defined levels of maternity care can provide safe management of pregnancies in a large, well-functioning district hospital. A central event in this time period was the opening of a newly-built district hospital in Khayelitsha and the major change in the drainage boundaries of Tygerberg hospital to include referrals from this new hospital. The thesis presents all the clinical governance aspects that went into the planning and eventual execution of a maternity service and the impact it had on the base hospital.
The second part investigates the role of the regional maternity service in Tygerberg hospital as it relates to the clinical governance of the regional and district service in the Metro East sub-district. To this extent a few chapters place quality of care aspects such as structural audits, caesarean section rates, maternal and perinatal mortality data, medico-legal liability, patient and provider satisfaction and protocol compliance within this context. An in-depth root-cause analysis was made of all the obstetrics and gynaecology medico-legal cases within the Western Cape which showed that poor clinical note keeping was a major factor hampering defence of cases.
The information obtained from this thesis builds on the Western Cape healthcare plan for 2030 aimed at improving quality of care and wellness with an outcomes-based approach and the prioritisation of evidence-based interventions. It concludes with the description of a maternity dashboard for the Tygerberg labour ward and the Metro East maternity service based on the information obtained from this thesis. The tool can inform the hospital management on progress, successes and challenges within the system on a regular basis.
AFRIKAANSE OPSOMMING: Hierdie tesis is ‘n kritiese evaluasie van die impak van ‘n verandering in die diensleweringsplatform binne die konteks van verloskundige sorg in ‘n goed-omskrewe geografiese gebied (die Metro Oos deel van Kaapstad se gesondheidsdistrik) tussen 2007 en 2012. Tydens hierdie tydperk het die provinsiale gesondheidsdepartement ‘n omvattende gesondheidsplan geïmplementeer. Hierdie plan het voorsiening gemaak vir die lewering van veilige sorg vir swanger vouens in ‘n groot distrikshospitaal binne ‘n stedelike gebied. Die data wat in die eerste deel van die tesis weergegee word bewys dat hierdie sorg veilig kan geskied met die gebruik van goed gedefinieërde vlakke van sorg. ‘n Omvangryke verandering het in dieselfde tyd plaasgevind deurdat ‘n nuwe hopsitaal in Khayelitsha gebou is en die dreinasie grense van…
Advisors/Committee Members: Theron, Gerhardus Barnard, Stellenbosch University. Faculty of Medicine and Health Science. Dept. of Obstetrics and Gynaecology..
Subjects/Keywords: Maternal and child health services; Maternal health services; Healthcare; Pregnancy – Management
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APA ·
Chicago ·
MLA ·
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CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Gebhardt, G. S. (2016). A critical evaluation of health care reform in maternity services in the Western Cape Province of South Africa, 2007-2012. (Doctoral Dissertation). Stellenbosch University. Retrieved from http://hdl.handle.net/10019.1/100351
Chicago Manual of Style (16th Edition):
Gebhardt, Gabriel Stephanus. “A critical evaluation of health care reform in maternity services in the Western Cape Province of South Africa, 2007-2012.” 2016. Doctoral Dissertation, Stellenbosch University. Accessed March 03, 2021.
http://hdl.handle.net/10019.1/100351.
MLA Handbook (7th Edition):
Gebhardt, Gabriel Stephanus. “A critical evaluation of health care reform in maternity services in the Western Cape Province of South Africa, 2007-2012.” 2016. Web. 03 Mar 2021.
Vancouver:
Gebhardt GS. A critical evaluation of health care reform in maternity services in the Western Cape Province of South Africa, 2007-2012. [Internet] [Doctoral dissertation]. Stellenbosch University; 2016. [cited 2021 Mar 03].
Available from: http://hdl.handle.net/10019.1/100351.
Council of Science Editors:
Gebhardt GS. A critical evaluation of health care reform in maternity services in the Western Cape Province of South Africa, 2007-2012. [Doctoral Dissertation]. Stellenbosch University; 2016. Available from: http://hdl.handle.net/10019.1/100351
University of the Western Cape
7.
Tsawe, Mluleki.
Utilization of health care services and maternal education in South Africa
.
Degree: 2014, University of the Western Cape
URL: http://hdl.handle.net/11394/4358
► The importance of maternal health care services cannot be stressed enough. Maternal health services are important in reducing pregnancy-related complications as well as maternal and…
(more)
▼ The importance of
maternal health care
services cannot be stressed enough.
Maternal health services are important in reducing pregnancy-related complications as well as
maternal and infant deaths. This study was concerned with investigating the relationship between
maternal education and
maternal health care utilization. Furthermore, the study aimed to investigate the rates of
maternal health care use, the reasons for non-use of
maternal health services, as well as the determinants of
maternal health care use. Primary data was used from selected areas (Tsolo, Qumbu and Mqanduli), which fall within the O.R. Tambo district in the Eastern Cape Province. Simple random sampling was used (with a structured questionnaire) to study
maternal health care use among the sampled women. To analyse this data, univariate, bivariate, and multivariate techniques were employed. The results indicated that
maternal education was not statistically significant with antenatal and postnatal
services, but the percentages were important in explaining the use of
maternal health care
services in relation to
maternal education. Women with higher levels of education reported higher rates of antenatal and delivery care utilization, while those with lower levels of education reported higher rates of postnatal care use. Access factors, such as transport, payment and distance to
health facilities, also played an important role in the use of
maternal health care
services. It was recommended that the Department of
Health implement mobile clinics and centralize
health care facilities as this will bring essential
health services closer to the communities. Women in the study area also need to be educated about the importance of these
services, more particularly pertaining to postnatal care.
Advisors/Committee Members: Susuman, Sathiya A (advisor).
Subjects/Keywords: Maternal health care;
Health facilities;
Primary health care;
Maternal health services
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APA (6th Edition):
Tsawe, M. (2014). Utilization of health care services and maternal education in South Africa
. (Thesis). University of the Western Cape. Retrieved from http://hdl.handle.net/11394/4358
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Tsawe, Mluleki. “Utilization of health care services and maternal education in South Africa
.” 2014. Thesis, University of the Western Cape. Accessed March 03, 2021.
http://hdl.handle.net/11394/4358.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Tsawe, Mluleki. “Utilization of health care services and maternal education in South Africa
.” 2014. Web. 03 Mar 2021.
Vancouver:
Tsawe M. Utilization of health care services and maternal education in South Africa
. [Internet] [Thesis]. University of the Western Cape; 2014. [cited 2021 Mar 03].
Available from: http://hdl.handle.net/11394/4358.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Tsawe M. Utilization of health care services and maternal education in South Africa
. [Thesis]. University of the Western Cape; 2014. Available from: http://hdl.handle.net/11394/4358
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Zambia
8.
Chirwa, Banda Pamela.
Maternal Mortality and status of health services in Kafue District
.
Degree: 2012, University of Zambia
URL: http://hdl.handle.net/123456789/1037
► This study was carried out to investigate the determinants and levels of Maternal Mortality and Status of Health Services in Kafue District. A scientific approach…
(more)
▼ This study was carried out to investigate the determinants and levels of Maternal Mortality and Status of Health Services in Kafue District. A scientific approach through exploratory study was employed to randomly select sample of 150 women from the four health centers in Kafue District. Data in form of tables, percentages, frequencies and graphs during data analysis were used to assess the determinants and levels of maternal mortality in Kafue District.
Respondents’ demographic record including age, education, social economic status, distance from hospital and cultural values were examined. Factors leading to maternal death and contributing factors were discussed through Focus Group and interviews with relatives of the deceased.
The study revealed that the levels of maternal mortality in Kafue ranged from 2 in 2005 to 6 and 5 in 2007 and 2009 respectively, a total of 21 maternal deaths in the past five years, with two of these deaths being recorded at Mwembeshi and Chanyanya respectively. A total of 19289 Institutional deliveries took place during the study period with Maternal Mortality Ratio of 108.8/100 000 live births. This implies that maternal death has reduced to one per thousand births in Kafue District which is much lower than the national maternal ratio of 5.9/1000 births (CSO, 2007:120).
The major causative factors in Kafue District were haemorrhage (68 %) followed by anaemia 18 %, abortion 9 % and HIV- related complications 6 %.
The study discovered that the referral system was not being effectively coordinated between health centres and the hospital in terms of referral movements.
In an effort to completely eradicate maternal deaths in Kafue district, a two way referral system from the community to the health facility and vice versa should be intensified and timely follow ups made. More vehicles/mobile clinics should be purchased for use at health centres to assist in transporting pregnant women who live very far from the clinic/hospital.
Subjects/Keywords: Maternal Mortality;
Maternal health services;
Maternal-Newborn nursing
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APA ·
Chicago ·
MLA ·
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CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Chirwa, B. P. (2012). Maternal Mortality and status of health services in Kafue District
. (Thesis). University of Zambia. Retrieved from http://hdl.handle.net/123456789/1037
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Chirwa, Banda Pamela. “Maternal Mortality and status of health services in Kafue District
.” 2012. Thesis, University of Zambia. Accessed March 03, 2021.
http://hdl.handle.net/123456789/1037.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Chirwa, Banda Pamela. “Maternal Mortality and status of health services in Kafue District
.” 2012. Web. 03 Mar 2021.
Vancouver:
Chirwa BP. Maternal Mortality and status of health services in Kafue District
. [Internet] [Thesis]. University of Zambia; 2012. [cited 2021 Mar 03].
Available from: http://hdl.handle.net/123456789/1037.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Chirwa BP. Maternal Mortality and status of health services in Kafue District
. [Thesis]. University of Zambia; 2012. Available from: http://hdl.handle.net/123456789/1037
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Zambia
9.
Simbyakula, Chuma.
Access to safe Motherhood and reproductive health services by adolescents in selected Clinics in Lusaka
.
Degree: 2015, University of Zambia
URL: http://hdl.handle.net/123456789/3689
► Background: There have been gaps in research on the level of access and use of Safe Motherhood (SM) and Reproductive Health Service (RHS) by adolescents…
(more)
▼ Background: There have been gaps in research on the level of access and use of Safe Motherhood (SM) and Reproductive Health Service (RHS) by adolescents in Lusaka.
Purpose: To establish the factors that influence access and utilization of Safe Motherhood and Reproductive Health Services by adolescents in Zambia.
Methodology: An exploratory cross sectional qualitative research design informed by the abductive research strategy incorporating quantitative research approach was chosen to ground this study. Data were collected from three health centres namely, Chelston, Chipata and Ngo’mbe clinics. Theoretical purposive sampling interleafed with maximum variation sampling was used to enlist respondents. In total there were forty (40) participants that participated in the study. In –depth interviews were conducted with thirty-six (36) were adolescents seeking a Safe Motherhood or Reproductive Health Service, three (3) Health Care Providers from the health centres and one (1) key informant from Ministry of Health and (MOH).
Results: The study established that adolescents had unmet behavioural, psychological, emotional, developmental and gender-specific sexual and reproductive health needs and concerns. In addition health care providers faced considerable challenges that hampered their ability to adequately offer SM and RHS.
Conclusions: The study concluded that there was a service gap in the provision of adolescent SM and RHS services. Existing health services emphasized post-exposure SM and RH as opposed to pre-exposure services.
Research Policy Implications: The study recommends undertaking a qualitative survey with a larger number of adolescents to solicit for more usage of SM and RHS. There is need to develop advocacy programmes that could reach out to both the boys and girls on a larger scale throughout Zambia. Other recommendations would include strengthening of out-reach services, regular training and in-servicing of health providers, health care givers and counsellors to effectively serve adolescents. The study further recommends the need to strengthen public-private sector partnership and stake holder participation in adolescent health, continuous gathering of data on SM and RHS. All these have implications for immediate and future reproductive health of adolescents, and for bridging the SM and RHS services gap across the life span.
Subjects/Keywords: Reproductive health-Zambia;
Maternal Health Services-Zambia
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APA ·
Chicago ·
MLA ·
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CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Simbyakula, C. (2015). Access to safe Motherhood and reproductive health services by adolescents in selected Clinics in Lusaka
. (Thesis). University of Zambia. Retrieved from http://hdl.handle.net/123456789/3689
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Simbyakula, Chuma. “Access to safe Motherhood and reproductive health services by adolescents in selected Clinics in Lusaka
.” 2015. Thesis, University of Zambia. Accessed March 03, 2021.
http://hdl.handle.net/123456789/3689.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Simbyakula, Chuma. “Access to safe Motherhood and reproductive health services by adolescents in selected Clinics in Lusaka
.” 2015. Web. 03 Mar 2021.
Vancouver:
Simbyakula C. Access to safe Motherhood and reproductive health services by adolescents in selected Clinics in Lusaka
. [Internet] [Thesis]. University of Zambia; 2015. [cited 2021 Mar 03].
Available from: http://hdl.handle.net/123456789/3689.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Simbyakula C. Access to safe Motherhood and reproductive health services by adolescents in selected Clinics in Lusaka
. [Thesis]. University of Zambia; 2015. Available from: http://hdl.handle.net/123456789/3689
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
10.
Mabenga, Regina M.
Factors associated with the participation of safe motherhood action groups in accelerating institutional deliveries among maternal women in ShibuyunjiI rural district of Lusaka province.
Degree: 2019, University of Zimbabwe
URL: http://dspace.unza.zm/handle/123456789/6321
► The low utilization of health facilities for delivery in Sub-Saharan Africa is a major concern despite the availability of global Motherhood initiatives to increase health…
(more)
▼ The low utilization of health facilities for delivery in Sub-Saharan Africa is a major concern despite the availability of global Motherhood initiatives to increase health facility usage. The concept of using Safe Motherhood Action Groups (SMAGs) is emerging to be a useful tool for referral of mothers to health facilities either for care without delay. Despite the availability of SMAGs in Shibuyunji District, statistics have shown that institutional deliveries were below (48%) the MoH‟s target of 60% in 2016, with increased community-based maternal deaths. We therefore examined the factors associated with the participation of SMAGs in acceleration of institutional deliveries among maternal women in Shibuyunji rural district.
An analytical cross sectional study was conducted involving 239 maternal women. A check list was used to collect data of respondents from the health facility delivery register and postnatal care register. A semi-structured questionnaire was administered. Step-wise, backward regression analysis using Stata Version 14 was used to estimate adjusted odds ratios (AOR) and 95% confidence intervals (CIs) of associated factors with SMAGs accelerating institutional deliveries among maternal women. All independent variables that were significant at univariate level were included in the Multivariable regression analysis until the final model was obtained.
The study revealed that 93% of the women were assisted by SMAG to access the health facility for delivery. The study showed the key predictors for as shown; Women who lived 10 km away from the health facility had a reduced odds of delivering at the health facility by 90% [AOR 0.1; 95% CI 0.03-0.39; P=0.001] [AOR 0.1; 95% CI 0.03-0.39; P=0.001], The pregnant women who did not know the benefits of delivering from the health facility had a reduced odds of delivering from the facility by 93% [AOR 0.07; 95% CI 0.014-0.37; P= 0.002]. Pregnant women who reported not being visited at their home by SMAGs had a reduced odds of delivering from the health facility by 70% [AOR 0.3; 95% CI 0.09-0.86; P= 0.027].
Evidence in this study has demonstrated that district institutional deliveries were low against the MoH target of 60% health facility deliveries. Nonetheless, participation of SMAGs in accelerating institutional deliveries among women in Shibuyunji district had a relative influence in the community, given evidence that women who were home visited by SMAGs, pregnant women who knew the benefits of delivering from the health facility and women who lived within 0 – 5km to the HF were more likely to deliver at the HF, providing a differential imbalance among maternal women who lived in further places of Nakaiba, Chintanga and Masiteki. These findings may be a reflection of inequalities associated with access and limitations in awareness efforts of the SMAG program in Shibuyunji. Thus, a need for effective and sustainable means of transport to improve access by linking communities to the health facility care through SMAGs who should be placed in strategic areas of…
Subjects/Keywords: Health facility delivery – Maternal; Maternal health services – Developing nations – Zambia
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APA ·
Chicago ·
MLA ·
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CSE |
Export
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APA (6th Edition):
Mabenga, R. M. (2019). Factors associated with the participation of safe motherhood action groups in accelerating institutional deliveries among maternal women in ShibuyunjiI rural district of Lusaka province. (Thesis). University of Zimbabwe. Retrieved from http://dspace.unza.zm/handle/123456789/6321
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Mabenga, Regina M. “Factors associated with the participation of safe motherhood action groups in accelerating institutional deliveries among maternal women in ShibuyunjiI rural district of Lusaka province.” 2019. Thesis, University of Zimbabwe. Accessed March 03, 2021.
http://dspace.unza.zm/handle/123456789/6321.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Mabenga, Regina M. “Factors associated with the participation of safe motherhood action groups in accelerating institutional deliveries among maternal women in ShibuyunjiI rural district of Lusaka province.” 2019. Web. 03 Mar 2021.
Vancouver:
Mabenga RM. Factors associated with the participation of safe motherhood action groups in accelerating institutional deliveries among maternal women in ShibuyunjiI rural district of Lusaka province. [Internet] [Thesis]. University of Zimbabwe; 2019. [cited 2021 Mar 03].
Available from: http://dspace.unza.zm/handle/123456789/6321.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Mabenga RM. Factors associated with the participation of safe motherhood action groups in accelerating institutional deliveries among maternal women in ShibuyunjiI rural district of Lusaka province. [Thesis]. University of Zimbabwe; 2019. Available from: http://dspace.unza.zm/handle/123456789/6321
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Drexel University
11.
Brown, Yaadira.
Discordance Between Perinatal Home Visiting Nurses and Diabetic Pregnant Women’s Health Concerns During Pregnancies in Philadelphia.
Degree: 2016, Drexel University
URL: http://hdl.handle.net/1860/idea:6739
► Background: Maternal mortality and morbidity are worsening in the United States with documented racial and ethnic disparities. Home visiting models of care for urban high-risk…
(more)
▼ Background:
Maternal mortality and morbidity are worsening in the United States with documented racial and ethnic disparities. Home visiting models of care for urban high-risk MCH populations are expanding as an evidence-based approach to improve
maternal-infant
health. Surprisingly, with increasing prevalence rates of chronic, non-communicable diseases (e.g., diabetes, hypertension), minimal attention has been given to urban populations of pregnant women with diabetes and hypertension that may be receiving home visiting. Diabetes and hypertension are serious complications of pregnancy necessitating more intensive medical and nursing management. To promote optimal
health and prevent serious complications, obstetricians in the Philadelphia area can refer medically-high risk pregnant women to perinatal nursing home visiting
services. Within the home environment, nurses assess bio-psychosocial
health and tailor nursing
services and teaching to optimize
health and
health outcomes. Because little research attention has been given to this particular evidence-based transitional care model (TCM) of perinatal nurse home visiting
services, an academic-community-based partnership was formed to study the utilization, processes, and outcomes of this model of perinatal nurse home visiting as it exists today. It was initially studied in the 1980s at the University of Pennsylvania. Our initial analyses revealed that 595 pregnant women in the Philadelphia area were referred for TCM perinatal nurse home visiting
services during 2012. Multiple visits were authorized during the pregnancy. An interdisciplinary perinatal
health disparities research group is currently asking research questions of data that exists in a REDCap research database, which was developed from record abstraction of the agency’s perinatal nurse home visiting
health records. Study Questions: What were key nurses’ and patients’ concerns documented on the
health forms during perinatal nurse home visits? Study Population and Setting: The sample consisted of 139 pregnant women who received perinatal nurse home visits (n = 781 visits) because of their diabetes. All visits took place during 2012 from an independent perinatal nurse home visiting community-based program that serves the Philadelphia area. The mean weight was 221 pounds (range 124 -472 lbs) among the women that received this specialized perinatal home visiting
services. Methods: This was a qualitative analysis using content analysis of narrative data extracted from existing
health records of perinatal nurse home visiting
services. The community-based perinatal agency’s
health form was developed by using the Omaha System, a research-based, comprehensive practice and documentation standardized taxonomy. The Omaha System is the gold standard for
health information documentation for nurse home visiting
services used in various populations across the life span. In this agency’s
health forms, separate narrative fields exist to record narrative data of the comments that are not captured elsewhere on the
health forms…
Advisors/Committee Members: Turchi, Renee, Dana and David Dornsife School of Public Health.
Subjects/Keywords: Public health; Community health services; Maternal health services; Diabetes; Obesity
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Brown, Y. (2016). Discordance Between Perinatal Home Visiting Nurses and Diabetic Pregnant Women’s Health Concerns During Pregnancies in Philadelphia. (Thesis). Drexel University. Retrieved from http://hdl.handle.net/1860/idea:6739
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Brown, Yaadira. “Discordance Between Perinatal Home Visiting Nurses and Diabetic Pregnant Women’s Health Concerns During Pregnancies in Philadelphia.” 2016. Thesis, Drexel University. Accessed March 03, 2021.
http://hdl.handle.net/1860/idea:6739.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Brown, Yaadira. “Discordance Between Perinatal Home Visiting Nurses and Diabetic Pregnant Women’s Health Concerns During Pregnancies in Philadelphia.” 2016. Web. 03 Mar 2021.
Vancouver:
Brown Y. Discordance Between Perinatal Home Visiting Nurses and Diabetic Pregnant Women’s Health Concerns During Pregnancies in Philadelphia. [Internet] [Thesis]. Drexel University; 2016. [cited 2021 Mar 03].
Available from: http://hdl.handle.net/1860/idea:6739.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Brown Y. Discordance Between Perinatal Home Visiting Nurses and Diabetic Pregnant Women’s Health Concerns During Pregnancies in Philadelphia. [Thesis]. Drexel University; 2016. Available from: http://hdl.handle.net/1860/idea:6739
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Zambia
12.
Chewe, Mable Musonda.
Factors associated with late antenatal care booking among pregnant women in Ndola,Zambia
.
Degree: 2015, University of Zambia
URL: http://dspace.unza.zm:8080/xmlui/handle/123456789/4285
► Background: The World Health Organization Focused Antenatal care model states that every pregnant woman is at risk of complications and recommends early an ANC visit,…
(more)
▼ Background: The World Health Organization Focused Antenatal care model states that every pregnant woman is at risk of complications and recommends early an ANC visit, of which the first should be during the first 12 weeks of pregnancy. High proportions of pregnant women book for ANC late and are at risk of poor pregnancy outcomes.
Aim: The aim of this study was to determine the factors associated with late antenatal care booking among pregnant women in Ndola District.
Methods: A quantitative paradigm using cross-sectional design was carried out. A simple random sample of 305 pregnant women attending antenatal clinic at seven (7) systematically selected clinics between May and July 2015 was selected. Pretested and structured interview schedule was used to capture information from pregnant women on demographic profile, obstetric characteristics and utilization of antenatal care services. Data from the completed questionnaires were entered into Epidata (2008) and finally analyzed with Stata 10.1. Multivariate logistic regression analysis was carried out to examine factors associated with late antenatal care booking among pregnant women in Ndola Zambia.
Results: Overall (n=305), mean (SD) age was 26.4 (CI, 25.7-27.1). Majority (86.56) of the participants booked for antenatal care after 12 weeks and 13.44% booked for antenatal care before 12 weeks gestation. Maternal age, marital status and parity were associated with late ANC booking. Pregnant women aged 25-29 were 79% (OR=0.21, p=0.039) and 40-44 were 99% (OR=0.01, p=0.010) less likely to book late compared to teenage mothers. Single mothers were 73% (OR=0.27, p=0.034), less likely to book late compared to the reference category married mothers. Pregnant women with 1-2 children, were 3.8 times (OR=3.76, p=0.023) and 3-4 children were 8.2 times (OR=8.19, p=0.48) more likely to book late for ANC compared to the reference group of pregnant mothers without children.
Conclusions: The results from this study suggest that late booking remains significantly high despite availability and free antenatal care services to all pregnant women. Therefore there is need to increase public awareness and enhance the value of early ANC booking.
Subjects/Keywords: Maternal Health Services-Zambia;
Prenatal care-Zambia
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APA ·
Chicago ·
MLA ·
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CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Chewe, M. M. (2015). Factors associated with late antenatal care booking among pregnant women in Ndola,Zambia
. (Thesis). University of Zambia. Retrieved from http://dspace.unza.zm:8080/xmlui/handle/123456789/4285
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Chewe, Mable Musonda. “Factors associated with late antenatal care booking among pregnant women in Ndola,Zambia
.” 2015. Thesis, University of Zambia. Accessed March 03, 2021.
http://dspace.unza.zm:8080/xmlui/handle/123456789/4285.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Chewe, Mable Musonda. “Factors associated with late antenatal care booking among pregnant women in Ndola,Zambia
.” 2015. Web. 03 Mar 2021.
Vancouver:
Chewe MM. Factors associated with late antenatal care booking among pregnant women in Ndola,Zambia
. [Internet] [Thesis]. University of Zambia; 2015. [cited 2021 Mar 03].
Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4285.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Chewe MM. Factors associated with late antenatal care booking among pregnant women in Ndola,Zambia
. [Thesis]. University of Zambia; 2015. Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4285
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Zambia
13.
Sinyange, Nyambe.
Factors associated with late antenatal care booking in Zambia
.
Degree: 2015, University of Zambia
URL: http://dspace.unza.zm:8080/xmlui/handle/123456789/4323
► Introduction In spite of the extreme importance of an early antenatal care visit, more than 50 per cent of Zambian pregnant women book for antenatal…
(more)
▼ Introduction
In spite of the extreme importance of an early antenatal care visit, more than 50 per cent of Zambian pregnant women book for antenatal care late (ANC booking after 14 gestational weeks). Mothers who attend antenatal care late miss the opportunity to have early detection and prevention of both infectious and non-infectious diseases in pregnancy. The aim of the study was to determine factors associated with late antenatal care booking in Zambia using secondary survey data.
Methods
Firstly, proportions of ANC booking at 0-3 months, 4-5 month and 6-9 months were explored. Secondly, the social-demographic, social-economic, and biological factors associated with late ANC booking were investigated. Lastly the associations between barriers faced by women in accessing medical care and late antenatal care booking were investigated. The outcome variable was late ANC booking and this was compared with predictor variables. A weighted analysis using STATA version 12.0 was used. This involved descriptive statistics which included cross tabulations. Analytical statistics were done using bivariate logistic regression. To control for possible confounders, a multiple logistic regression was applied.
Results
A data set with a total of 3979 women aged 15 to 49 years was analysed. The proportion of ANC booking at 0 to 3 months, 4 to 5 months and 6 to 9 months were 19%, 56% and 25% respectively. Women who wanted their last child later (AOR: 1.35(1.10-1.66)) were more likely to book late than those with wanted pregnancies then. Women with higher education (AOR: 0.45 (CI-0.27-0.74)) were 55% less likely to book for ANC late compared to women with no education. Women aged 20-34 years (AOR: 0.70 (0.50-0.97)) were 30% more likely to book earlier than women younger than 20 years.
Conclusion
The results from the study suggest that women younger than 20 years of age, women with unwanted pregnancies and women with no education were more likely to book for antenatal care late. It is therefore recommended that more women should be educated beyond secondary education; should have access to family planning methods and be able use them
Subjects/Keywords: Maternal Health Services – Zambia;
Prenatal care – Zambia
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Sinyange, N. (2015). Factors associated with late antenatal care booking in Zambia
. (Thesis). University of Zambia. Retrieved from http://dspace.unza.zm:8080/xmlui/handle/123456789/4323
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Sinyange, Nyambe. “Factors associated with late antenatal care booking in Zambia
.” 2015. Thesis, University of Zambia. Accessed March 03, 2021.
http://dspace.unza.zm:8080/xmlui/handle/123456789/4323.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Sinyange, Nyambe. “Factors associated with late antenatal care booking in Zambia
.” 2015. Web. 03 Mar 2021.
Vancouver:
Sinyange N. Factors associated with late antenatal care booking in Zambia
. [Internet] [Thesis]. University of Zambia; 2015. [cited 2021 Mar 03].
Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4323.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Sinyange N. Factors associated with late antenatal care booking in Zambia
. [Thesis]. University of Zambia; 2015. Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4323
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Zambia
14.
Tembo, Tannia.
Signal functions for emergency obstetric care (EmONC) as an intervention for reducing maternal mortality: A survey of public and private health facilities in Lusaka district,Zambia
.
Degree: 2015, University of Zambia
URL: http://dspace.unza.zm:8080/xmlui/handle/123456789/4352
► Background: Between 2013 and 2014, Zambia‟s maternal mortality ratio was estimated at 398 maternal deaths per 100,000 live births. Successful aversion of deaths is dependent…
(more)
▼ Background: Between 2013 and 2014, Zambia‟s maternal mortality ratio was estimated at 398 maternal deaths per 100,000 live births. Successful aversion of deaths is dependent on effective use of signal functions-a clinical intervention- to treat direct obstetric complications. Staff must be trained and supplies and equipment must be valid and functional. There is minimal evidence of effectiveness of signal functions in urban settings as previous research has focused on rural settings. This research evaluates the availability, accessibility, usability and quality of signal functions for EmONC in public and private health facilities in Lusaka District.
Methods: A descriptive cross-sectional study was conducted at 35 public and private health facilities providing maternal and newborn care in Lusaka district. The Service Availability and Readiness Assessment (SARA) tool was administered to health facility in-charges and quantified signal functions, infrastructure, equipment, supplies and human resources using the UN process indicators. Data on deliveries and complications were collected from registers from June 2013 to May 2014 and analysed using Stata Version 11 with statistical significance set at p<0.05.
Results: Only 22 (37% public and 26% private) of the 35 health facilities surveyed provided maternal and newborn care 24 hours a day, seven days a week. Lusaka district had a high unmet need for Basic EmONC services with approximately 27 % and 23% of health facilities being classified as BEmONC and CEmONC, respectively. Minimal performance of some signal functions was not synonymous with compromised quality and was attributed to infrequency of occurrence of complications causing health facilities to vacillate in status between BEmONC and CEmONC.
Conclusion: Pattern of availability and use of signal functions reveals the status of maternity care policies and practices and amendments of these policies can enhance performance of signal function.
Subjects/Keywords: Mothers – Mortality – Zambia;
Maternal health services – Zambia
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APA (6th Edition):
Tembo, T. (2015). Signal functions for emergency obstetric care (EmONC) as an intervention for reducing maternal mortality: A survey of public and private health facilities in Lusaka district,Zambia
. (Thesis). University of Zambia. Retrieved from http://dspace.unza.zm:8080/xmlui/handle/123456789/4352
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Tembo, Tannia. “Signal functions for emergency obstetric care (EmONC) as an intervention for reducing maternal mortality: A survey of public and private health facilities in Lusaka district,Zambia
.” 2015. Thesis, University of Zambia. Accessed March 03, 2021.
http://dspace.unza.zm:8080/xmlui/handle/123456789/4352.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Tembo, Tannia. “Signal functions for emergency obstetric care (EmONC) as an intervention for reducing maternal mortality: A survey of public and private health facilities in Lusaka district,Zambia
.” 2015. Web. 03 Mar 2021.
Vancouver:
Tembo T. Signal functions for emergency obstetric care (EmONC) as an intervention for reducing maternal mortality: A survey of public and private health facilities in Lusaka district,Zambia
. [Internet] [Thesis]. University of Zambia; 2015. [cited 2021 Mar 03].
Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4352.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Tembo T. Signal functions for emergency obstetric care (EmONC) as an intervention for reducing maternal mortality: A survey of public and private health facilities in Lusaka district,Zambia
. [Thesis]. University of Zambia; 2015. Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4352
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Zambia
15.
Kumoyo, Muleta.
Decision delivery interval for emergency caesarean sections at the University Teaching Hospital, Lusaka
.
Degree: 2015, University of Zambia
URL: http://dspace.unza.zm:8080/xmlui/handle/123456789/4358
► BACKGROUND: To help improve the foetal outcome, many professional bodies recommend the decision delivery interval (DDI) for emergency caesarean sections should be within 30 minutes.…
(more)
▼ BACKGROUND: To help improve the foetal outcome, many professional bodies recommend the decision delivery interval (DDI) for emergency caesarean sections should be within 30 minutes. However, studies have not been conclusive to state whether delivering within 30 minutes would significantly improve neonatal and maternal outcome. Though many reports show that the standard decision delivery interval may not be attainable, a workable approach would be to conduct a local study evaluating outcomes from emergency caesarean sections and recommending locally the optimal decision to delivery interval.
OBJECTIVES: To determine the decision delivery interval for emergency caesarean sections at the University Teaching Hospital, Lusaka Zambia and the factors that contributed to the interval.
DESIGN AND SETTING: An observational cross sectional study carried out at the University Teaching Hospital, Lusaka Zambia in January 2014. A total of 355 patients undergoing emergency caesarean sections were enrolled into the study.
Methods: This was an observational cross sectional study conducted between January 2014 to March 2014 at the University Teaching Hospital, Lusaka Zambia. Women were recruited from the labour ward after a decision for an emergency caesarean section was made by the doctors on call. Information on decision delivery interval by indication is presented in tabular form and histogram. The timings of various steps and processed decision delivery interval was tabulated and shown as a histogram. Fetal outcome (whether stillbirth, poor Apgar score (AS<7) and admission to neonatal intensive unit) tabulated against mean DDI for each indication.
RESULTS: A total of 355 women scheduled for an emergency caesarean section were enrolled. The mean DDI was 304 min and only 1 was delivered within 30 minutes of decision; the majority of the babies (n=341, 96.1%) were delivered beyond 60 minutes and 67 (18.9%) beyond 8 hours. The longest delay was attributed to decision to trolley arriving in labour ward (when theatre was free) and this accounted for a mean of 252 minutes (86.2% of DDI). Cord prolapse had the shortest mean DDI (99.9mins). The worst perinatal outcome was in those with pre-eclampsia (33.1%) and cord prolapse (28.6%)
CONCLUSION: The DDI for emergency caesarean sections at UTH was found to be 304.3 minutes. Few emergency caesarean sections (n=85, 23.9%) are done within 120 minutes (2 hours). Only 0.3% of the cases were done within 30 min and 3.9% within 1 hour. Most of the DDI for emergency sections was accounted for by lack of theatre availability. Prolonged delay from decision to arriving in theatre attributed to long waiting list for surgery. Although the 30 minute DDI should remain the gold standard, achieving it may not be feasible at UTH in the current situation
Subjects/Keywords: Caserean Section-Zambia;
Maternal Health services-Zambia
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APA ·
Chicago ·
MLA ·
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APA (6th Edition):
Kumoyo, M. (2015). Decision delivery interval for emergency caesarean sections at the University Teaching Hospital, Lusaka
. (Thesis). University of Zambia. Retrieved from http://dspace.unza.zm:8080/xmlui/handle/123456789/4358
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Kumoyo, Muleta. “Decision delivery interval for emergency caesarean sections at the University Teaching Hospital, Lusaka
.” 2015. Thesis, University of Zambia. Accessed March 03, 2021.
http://dspace.unza.zm:8080/xmlui/handle/123456789/4358.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Kumoyo, Muleta. “Decision delivery interval for emergency caesarean sections at the University Teaching Hospital, Lusaka
.” 2015. Web. 03 Mar 2021.
Vancouver:
Kumoyo M. Decision delivery interval for emergency caesarean sections at the University Teaching Hospital, Lusaka
. [Internet] [Thesis]. University of Zambia; 2015. [cited 2021 Mar 03].
Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4358.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Kumoyo M. Decision delivery interval for emergency caesarean sections at the University Teaching Hospital, Lusaka
. [Thesis]. University of Zambia; 2015. Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4358
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Zambia
16.
Banda, Daniel Samson.
Knowledge and practices of traditional birth attendants on pregnancy related obstetric complications and childbirth: A case study of Chilumba Area of Kapiri Mposhi District
.
Degree: 2016, University of Zambia
URL: http://dspace.unza.zm:8080/xmlui/handle/123456789/4815
► The objectives of this study were (a) to ascertain the knowledge of Traditional Birth Attendants on pregnancy related obstetric complication. (b) To identify the sources…
(more)
▼ The objectives of this study were (a) to ascertain the knowledge of Traditional Birth
Attendants on pregnancy related obstetric complication. (b) To identify the sources of
knowledge for the Traditional Birth Attendants on the obstetric complications and (c) to
identify the Practices done by Traditional Birth Attendants when obstetric
complications are identified and examine the knowledge of consequences if obstetric
complications are not treated.
The sampling unit included all the Traditional Birth Attendants in the area at the time
of the study and a total of 56 Traditional Birth Attendants were interviewed in the
survey.The study design was purely anon experimental design which employed an
exploratory investigation. This was for a simple reason that it was conducted in
uncontrolled and natural setting. There was no control group in the research.The study
collected data using the structured questionnaires with both open and close ended
questions. SPSS was used in analyzing close ended questions and themes on open
ended questions.
Findings showed that the majority (75%) of the Traditional Birth Attendants were aware
of pregnancy related obstetric complications that occur during pregnancy, during
labour, post labour for the mother and the baby. The majority of the Traditional Birth
Attendants indicated having heard and come across the obstetric complications during
pregnancy 42(75%) and 38(68%), during delivery 48(85%) and 42(75%). The source of
knowledge did include ADRA, PMCT, CHAZ, Clinic and practices when obstetric
complications are observed did range from referring to clinic and giving traditional
medicines.
It is concluded that Traditional Birth Attendants can help in reducing the numbers of
maternal death through constant supervision and can be used as the medium of
change. There is need to provide the Traditional Birth Attendants with adequate
information on pregnancy related obstetric complications.
Subjects/Keywords: Maternal Health Services-Kapri Mposhi,Zambia;
Population
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APA (6th Edition):
Banda, D. S. (2016). Knowledge and practices of traditional birth attendants on pregnancy related obstetric complications and childbirth: A case study of Chilumba Area of Kapiri Mposhi District
. (Thesis). University of Zambia. Retrieved from http://dspace.unza.zm:8080/xmlui/handle/123456789/4815
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Banda, Daniel Samson. “Knowledge and practices of traditional birth attendants on pregnancy related obstetric complications and childbirth: A case study of Chilumba Area of Kapiri Mposhi District
.” 2016. Thesis, University of Zambia. Accessed March 03, 2021.
http://dspace.unza.zm:8080/xmlui/handle/123456789/4815.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Banda, Daniel Samson. “Knowledge and practices of traditional birth attendants on pregnancy related obstetric complications and childbirth: A case study of Chilumba Area of Kapiri Mposhi District
.” 2016. Web. 03 Mar 2021.
Vancouver:
Banda DS. Knowledge and practices of traditional birth attendants on pregnancy related obstetric complications and childbirth: A case study of Chilumba Area of Kapiri Mposhi District
. [Internet] [Thesis]. University of Zambia; 2016. [cited 2021 Mar 03].
Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4815.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Banda DS. Knowledge and practices of traditional birth attendants on pregnancy related obstetric complications and childbirth: A case study of Chilumba Area of Kapiri Mposhi District
. [Thesis]. University of Zambia; 2016. Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4815
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
17.
Mundia, Gladys Matakala.
A study on the knowledge and attitudes of the women at Kasama Urban clinic about postnatal care.
Degree: 2012, University of Zimbabwe
URL: http://dspace.unza.zm/handle/123456789/1622
► This study was designed to determine the knowledge and attitudes of the mothers at Kasama Urban clinic about postnatal care. It was prompted by the…
(more)
▼ This study was designed to determine the knowledge and attitudes of the mothers at Kasama Urban clinic about postnatal care. It was prompted by the fact that there is low utilisation of postnatal care services, despite the fact that this service is provided freely in Zambia.It was a descriptive study, which was conducted at Kasama urban clinic in Kasama, Northern Zambia. Data was collected by interviewing the respondents using a structured questionnaire. 245 women in the reproductive age group who were selected by random sampling took part ion the study and this figure was arrived at by using the Formula: n=Z^a-P)The findings of the study showed that a large proportion, 147 (60%) of the study participants had knowledge about postnatal care. Of the 147 respondents who were knowledgeable, the larger proportion 133 (90.6%) attended postnatal clinics. This shows a significant association between knowledge and attendance of postnatal clinics (p < 0.001), thereby indicating the importance of knowledge in utilisation of health care services like PNC.The study results also revealed that health workers give adequate information about PNC to the women at the clinic as stated by 219 (89.4%) of the respondents. This is contrary to the assumption that the health workers do not tell the women about PNC.An association was also observed between educational level and knowledge (p<0.001). Those women who had higher education had higher knowledge about
postnatal care. This also translated into higher utilisation of PNC among the knowledgeable women as shown by the large proportion, 134 (90.8%) of the knowledgeable women who attended postnatal clinics. This implies that the women who were knowledgeable utilised postnatal clinics because they understood its importance and benefits.The results of the study also revealed that there was a statistically significant association between attendance of postnatal clinics and place of delivery (p<0.001). A large proportion , 126 (85.7%)) of the 147 respondents who were knowledgeable delivered at the hospital, followed by those who delivered at the clinic 11(7.5%) and lastly those who delivered at home 10 (6.8%). This implies that the health workers tell those who deliver at the health facility about postnatal care, thereby dispelling the assumption that inadequate lEC is given to the women by the health workers. In addition a large proportion 134 (92.4%)) of the women who were told by health workers to attend postnatal clinics did attend the clinics. This means that those who delivered at health facilities and those told by the health workers to attend postnatal clinics were more likely to utilise this service because they had knowledge about its importance.The study results also revealed that those women who considered postnatal care to be important and beneficial were more likely to utilise the postnatal clinics. All of the 153 (100%)) study participants who attended PNC considered it to be important and beneficial in that it gave an opportunity directly for the mother and baby's health to be…
Subjects/Keywords: Postnatal care – Kasama; Maternal Health Services – Kasama
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Manager
APA (6th Edition):
Mundia, G. M. (2012). A study on the knowledge and attitudes of the women at Kasama Urban clinic about postnatal care. (Thesis). University of Zimbabwe. Retrieved from http://dspace.unza.zm/handle/123456789/1622
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Mundia, Gladys Matakala. “A study on the knowledge and attitudes of the women at Kasama Urban clinic about postnatal care.” 2012. Thesis, University of Zimbabwe. Accessed March 03, 2021.
http://dspace.unza.zm/handle/123456789/1622.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Mundia, Gladys Matakala. “A study on the knowledge and attitudes of the women at Kasama Urban clinic about postnatal care.” 2012. Web. 03 Mar 2021.
Vancouver:
Mundia GM. A study on the knowledge and attitudes of the women at Kasama Urban clinic about postnatal care. [Internet] [Thesis]. University of Zimbabwe; 2012. [cited 2021 Mar 03].
Available from: http://dspace.unza.zm/handle/123456789/1622.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Mundia GM. A study on the knowledge and attitudes of the women at Kasama Urban clinic about postnatal care. [Thesis]. University of Zimbabwe; 2012. Available from: http://dspace.unza.zm/handle/123456789/1622
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
18.
Katemba, Maxwell Brave.
Factors associated with quality antenatal care services in Lusaka.
Degree: 2017, University of Zimbabwe
URL: http://dspace.unza.zm/handle/123456789/5716
► The quality of antenatal care (ANC) that pregnant women receive in Zambia continues to be poor despite several interventions. Research has shown that only 29%…
(more)
▼ The quality of antenatal care (ANC) that pregnant women receive in Zambia continues to be poor despite several interventions. Research has shown that only 29% of women in Zambia receive high quality antenatal care. The quality of ANC a woman receives during pregnancy is crucial to both the child and the mother’s life. It has been established that providing high quality ANC can save lives and has a positive impact on postnatal health care services. However, the quality of ANC in Zambia requires attention as maternal and neonatal mortality rates are still unacceptably high with Lusaka district not being left out of the bottleneck.
Using a cross sectional study design, the main aim of this study was to determine factors associated with high quality antenatal care among pregnant women in Lusaka. The study population comprised of all pregnant women aged 15-49 years attending ANC either in the first, second or third trimester. A multi-stage sampling technique was used to select the 380 study participants. The study estimated the proportion of women who received high quality ANC during their last antenatal visit. The research further used a backward elimination method by removing all variables with the least significant global p-values. This process was repeated until the model only had variables with a p-value of < 0.05. Data analysis of this study was done in STATA 13.1.
It was established that only 47.1% of pregnant women received high quality ANC while 52.9% received low quality. Six key ANC interventions were considered, urine (36.7%) and blood (46.8%) testing were the least received basic components of ANC. After adjusting for the effect of other factors, women with secondary education had higher odds of receiving high quality ANC than women with primary level of education (OR = 1.93; 95% CI: 1.17 to 3.15). Women who received ANC services from midwives and nurses were less likely to receive high quality ANC compared to those who received ANC from a doctor (OR = 0.18; 95% CI: 0.05 to 0.59) and (OR = 0.13; 95% CI: 0.04 to 0.41) respectively.
Generally, the quality of antenatal care received by pregnant women in Lusaka is unacceptable. It is therefore imperative that in the short run, continued effort to improve the delivery of basic services such as blood and urine testing is required and consequently in the long run, there is need to improve the quality of health care services provided by medical personnel at all levels.
Subjects/Keywords: Maternal health services – Zambia; Antenatal care – Zambia
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❌
APA ·
Chicago ·
MLA ·
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CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Katemba, M. B. (2017). Factors associated with quality antenatal care services in Lusaka. (Thesis). University of Zimbabwe. Retrieved from http://dspace.unza.zm/handle/123456789/5716
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Katemba, Maxwell Brave. “Factors associated with quality antenatal care services in Lusaka.” 2017. Thesis, University of Zimbabwe. Accessed March 03, 2021.
http://dspace.unza.zm/handle/123456789/5716.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Katemba, Maxwell Brave. “Factors associated with quality antenatal care services in Lusaka.” 2017. Web. 03 Mar 2021.
Vancouver:
Katemba MB. Factors associated with quality antenatal care services in Lusaka. [Internet] [Thesis]. University of Zimbabwe; 2017. [cited 2021 Mar 03].
Available from: http://dspace.unza.zm/handle/123456789/5716.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Katemba MB. Factors associated with quality antenatal care services in Lusaka. [Thesis]. University of Zimbabwe; 2017. Available from: http://dspace.unza.zm/handle/123456789/5716
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
19.
Mabenga, Regina M.
Factors associated with the participation of safe motherhood action groups in accelerating institutional deliveries among maternal women in Shibuyunji rural District of Lusaka Province.
Degree: 2019, University of Zimbabwe
URL: http://dspace.unza.zm/handle/123456789/6370
► The low utilization of health facilities for delivery in Sub-Saharan Africa is a major concern despite the availability of global Motherhood initiatives to increase health…
(more)
▼ The low utilization of health facilities for delivery in Sub-Saharan Africa is a major concern despite the availability of global Motherhood initiatives to increase health facility usage. The concept of using Safe Motherhood Action Groups (SMAGs) is emerging to be a useful tool for referral of mothers to health facilities either for care without delay. Despite the availability of SMAGs in Shibuyunji District, statistics have shown that institutional deliveries were below (48%) the MoH‟s target of 60% in 2016, with increased community-based maternal deaths. We therefore examined the factors associated with the participation of SMAGs in acceleration of institutional deliveries among maternal women in Shibuyunji rural district.
An analytical cross sectional study was conducted involving 239 maternal women. A check list was used to collect data of respondents from the health facility delivery register and postnatal care register. A semi-structured questionnaire was administered. Step-wise, backward regression analysis using Stata Version 14 was used to estimate adjusted odds ratios (AOR) and 95% confidence intervals (CIs) of associated factors with SMAGs accelerating institutional deliveries among maternal women. All independent variables that were significant at univariate level were included in the Multivariable regression analysis until the final model was obtained.
The study revealed that 93% of the women were assisted by SMAG to access the health facility for delivery. The study showed the key predictors for as shown; Women who lived 10 km away from the health facility had a reduced odds of delivering at the health facility by 90% [AOR 0.1; 95% CI 0.03-0.39; P=0.001] [AOR 0.1; 95% CI 0.03-0.39; P=0.001], The pregnant women who did not know the benefits of delivering from the health facility had a reduced odds of delivering from the facility by 93% [AOR 0.07; 95% CI 0.014-0.37; P= 0.002]. Pregnant women who reported not being visited at their home by SMAGs had a reduced odds of delivering from the health facility by 70% [AOR 0.3; 95% CI 0.09-0.86; P= 0.027].
Evidence in this study has demonstrated that district institutional deliveries were low against the MoH target of 60% health facility deliveries. Nonetheless, participation of SMAGs in accelerating institutional deliveries among women in Shibuyunji district had a relative influence in the community, given evidence that women who were home visited by SMAGs, pregnant women who knew the benefits of delivering from the health facility and women who lived within 0 – 5km to the HF were more likely to deliver at the HF, providing a differential imbalance among maternal women who lived in further places of Nakaiba, Chintanga and Masiteki. These findings may be a reflection of inequalities associated with access and limitations in awareness efforts of the SMAG program in Shibuyunji. Thus, a need for effective and sustainable means of transport to improve access by linking communities to the health facility care through SMAGs who should be placed in strategic areas of…
Subjects/Keywords: Maternal health services – Zambia; Prenatal care – Zambia
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APA ·
Chicago ·
MLA ·
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CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Mabenga, R. M. (2019). Factors associated with the participation of safe motherhood action groups in accelerating institutional deliveries among maternal women in Shibuyunji rural District of Lusaka Province. (Thesis). University of Zimbabwe. Retrieved from http://dspace.unza.zm/handle/123456789/6370
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Mabenga, Regina M. “Factors associated with the participation of safe motherhood action groups in accelerating institutional deliveries among maternal women in Shibuyunji rural District of Lusaka Province.” 2019. Thesis, University of Zimbabwe. Accessed March 03, 2021.
http://dspace.unza.zm/handle/123456789/6370.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Mabenga, Regina M. “Factors associated with the participation of safe motherhood action groups in accelerating institutional deliveries among maternal women in Shibuyunji rural District of Lusaka Province.” 2019. Web. 03 Mar 2021.
Vancouver:
Mabenga RM. Factors associated with the participation of safe motherhood action groups in accelerating institutional deliveries among maternal women in Shibuyunji rural District of Lusaka Province. [Internet] [Thesis]. University of Zimbabwe; 2019. [cited 2021 Mar 03].
Available from: http://dspace.unza.zm/handle/123456789/6370.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Mabenga RM. Factors associated with the participation of safe motherhood action groups in accelerating institutional deliveries among maternal women in Shibuyunji rural District of Lusaka Province. [Thesis]. University of Zimbabwe; 2019. Available from: http://dspace.unza.zm/handle/123456789/6370
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
20.
Mukong, Alfred Kechia.
Social networks, bargaining power within couples, and maternal health care in Tanzania.
Degree: Image, School of Economics, 2015, University of Cape Town
URL: http://hdl.handle.net/11427/16691
► This thesis focuses on the use of maternal health services and child health in Tanzania. The main focus is on how these issues relate to…
(more)
▼ This thesis focuses on the use of
maternal health services and child
health in Tanzania. The main focus is on how these issues relate to social networks and bargaining power within couples. These issues are interrelated and are discussed in three essays. The first essay investigates the impact of information externalities in social networks on the use of antenatal
services. Particular emphasis is placed on the extent to which the probability of early antenatal check-up and antenatal completion are affected by social networks. Adopting an econometric technique that minimises the problem of omitted variable bias, the analysis suggests that these network effects increase the probability of antenatal care completion by an additional 6 to 35 percent, and may be as high as 59 percent. The study further finds that without adequate control of omitted variables, the network impact would be understated. It is also evident that failure to control for individual and household observable characteristics overstates the impact of networks. Results from the two approaches used in this study confirm that irrespective of the definition of social network, having a high quality contacts increase the probability of utilising
maternal health services. The second essay examines the effect of bargaining power within couples on the probability of delivering in a
health facility (public and private), as opposed to a home birth. It further investigates the effect of bargaining on the probability of
health care provider choice at childbirth using a multinomial nested logit. Evidence suggests that cooperation within couples in decision-making, female discretion over household resources, and freedom from domestic violence increases the probability of childbirth in a facility, as opposed to home. The study finds that a woman's influence on service use varies if she is better educated than her partner. In addition, while cooperation in household decision and the incidence of domestic violence significantly affect private facility use, female discretion over household resources has a strong effect on public facility choice. Finally, antenatal completion,
health knowledge, and
maternal specific factors increase the probability of delivering in a public and private facility. ii The third essay empirically explores the contribution of intra-household bargaining, to the rural-urban gap in child nutrition. The study analyses the effect of parental bargaining indicators (cooperation in household decisions, the incidence domestic violence and discretion over household resources) on the probability of child stunting in both rural and urban areas. The essay contributes to the literature by demonstrating empirically that differences in intra-household bargaining increase the rural-urban gap in child
health. It further contributes to the literature by correcting for possible sample selection bias. The results suggest that the significant effects of household bargaining indicators on child stunting in Tanzania are mainly from the rural and not the urban…
Advisors/Committee Members: Burns, Justine (advisor).
Subjects/Keywords: Economics; maternal health services; social networks; Tanzania
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APA (6th Edition):
Mukong, A. K. (2015). Social networks, bargaining power within couples, and maternal health care in Tanzania. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/16691
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Mukong, Alfred Kechia. “Social networks, bargaining power within couples, and maternal health care in Tanzania.” 2015. Thesis, University of Cape Town. Accessed March 03, 2021.
http://hdl.handle.net/11427/16691.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Mukong, Alfred Kechia. “Social networks, bargaining power within couples, and maternal health care in Tanzania.” 2015. Web. 03 Mar 2021.
Vancouver:
Mukong AK. Social networks, bargaining power within couples, and maternal health care in Tanzania. [Internet] [Thesis]. University of Cape Town; 2015. [cited 2021 Mar 03].
Available from: http://hdl.handle.net/11427/16691.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Mukong AK. Social networks, bargaining power within couples, and maternal health care in Tanzania. [Thesis]. University of Cape Town; 2015. Available from: http://hdl.handle.net/11427/16691
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Victoria
21.
Coughlan, Rory.
General medical and birthing experiences of new mothers in the Capital Health Region: an empirical and socio-historical investigation into the concept of personal agency.
Degree: Department of Psychology, 2018, University of Victoria
URL: https://dspace.library.uvic.ca//handle/1828/10189
► The concept of personal agency in clinician-patient interactions is problematized by the development of societally legitimated power differentials in medical practices. The abrogation of patient…
(more)
▼ The concept of personal agency in clinician-patient interactions is problematized by the development of societally legitimated power differentials in medical practices. The abrogation of patient perceptions of agency is also connected to interventions that tend to reproduce the separation of persons from their biological/physiological systems in reductionist, technical medical practices. Such practices continue because of their development within and harmonization to, dualistic western meta-categorizational philosophical principles. Mainstream psychological and social-psychological epistemology and methodology are deeply implicated in the undermining of the creation of a coherent, socially contextualized understanding of agency because of an adherence to Cartesian dualism.
The empirical investigation consisted of the thematic qualitative analysis of 40 semi-structured, in-depth interviews with new mothers in the Capital
Health region who gave birth between 1997 and 1999. Information was gathered concerning their experiences with medical personnel and institutions in general as well as focusing on their prenatal, birthing and postnatal care under 4 different clinical settings. Mothers received
health services either from male or female physicians paid by traditional fee for service, by salaried physicians of either gender or from registered midwives. The results demonstrated the critical importance of patient agency in clinical relationships with regard to satisfaction and
health information-seeking behaviour. The more involved and democratic model of care offered by midwives was reported as being highly satisfactory because the relationship fostered patients' agency and informational needs. New mothers reported their physician to be only marginally supportive or often unsupportive of their needs for
health information and agency. The investigation also highlighted many problematic aspects of patient care at Victoria General Hospital, especially in the ante-natal ward. Many mothers experienced insufficient care and attention by hospital staff and physicians. Many staff were reported as being poorly trained in breast feeding techniques leaving many new first-time mothers feeling confused, anxious and angry. Labouring mothers who chose midwives reported overwhelmingly more satisfaction with their care at the hospital as compared to patients of physicians. Needs for personal agency are fostered when midwifes work as intermediaries between patients and hospital routines that were often found to be counter-productive to the care of labouring and new mothers.
Theoretical implications were discussed. The results demonstrated a model of personal agency contextualized by both communicative and societal relationships. A combination of the models of Vygotsky and Holzkamp helped to explain patient experiences interacting with medical personnel and institutions. The findings also discuss at length some implications for
health policy in the care of expecting and new mothers. Structural impediments need to be addressed in…
Advisors/Committee Members: Bub, Daniel (supervisor), Tuokko, Holly A. (supervisor).
Subjects/Keywords: Maternal health services; British Columbia; Victoria; Midwives
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APA ·
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APA (6th Edition):
Coughlan, R. (2018). General medical and birthing experiences of new mothers in the Capital Health Region: an empirical and socio-historical investigation into the concept of personal agency. (Thesis). University of Victoria. Retrieved from https://dspace.library.uvic.ca//handle/1828/10189
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Coughlan, Rory. “General medical and birthing experiences of new mothers in the Capital Health Region: an empirical and socio-historical investigation into the concept of personal agency.” 2018. Thesis, University of Victoria. Accessed March 03, 2021.
https://dspace.library.uvic.ca//handle/1828/10189.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Coughlan, Rory. “General medical and birthing experiences of new mothers in the Capital Health Region: an empirical and socio-historical investigation into the concept of personal agency.” 2018. Web. 03 Mar 2021.
Vancouver:
Coughlan R. General medical and birthing experiences of new mothers in the Capital Health Region: an empirical and socio-historical investigation into the concept of personal agency. [Internet] [Thesis]. University of Victoria; 2018. [cited 2021 Mar 03].
Available from: https://dspace.library.uvic.ca//handle/1828/10189.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Coughlan R. General medical and birthing experiences of new mothers in the Capital Health Region: an empirical and socio-historical investigation into the concept of personal agency. [Thesis]. University of Victoria; 2018. Available from: https://dspace.library.uvic.ca//handle/1828/10189
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Michigan State University
23.
Widyaningsih, Vitri.
Trends and quality of maternal healthcare in Indonesia by economic status and region.
Degree: 2018, Michigan State University
URL: http://etd.lib.msu.edu/islandora/object/etd:19438
► Thesis Ph. D. Michigan State University. Epidemiology 2018
Background: Indonesia has implemented several maternal health programs aiming to improve access to maternal healthcare:1) the Village…
(more)
▼ Thesis Ph. D. Michigan State University. Epidemiology 2018
Background: Indonesia has implemented several maternal health programs aiming to improve access to maternal healthcare:1) the Village Midwives, 2) the Alert Campaign, and 3) the Social Health Insurance (SHI) Program. However, differences in maternal healthcare utilization by family wealth and region persist. This dissertation’s aims address: 1) the progress in skilled delivery in relation to the initiation of maternal health programs; 2) the progress in antenatal care (ANC) in relation to the initiation of the SHI; and 3) the contribution of select socio-demographic factors in the gaps of skilled delivery utilization in Indonesia.Methods: Data from the Indonesian Demographic and Health Survey (IDHS), obtained from repeated cross-sectional surveys with multistage sampling, were analyzed. For the first aim, six rounds of IDHS data were used (n=105,176 live births from 84,022 women who gave birth in 1986-2012). For the second aim three rounds of IDHS data were used (n=36,598 live births and women who gave birth in 2001-2012). For the third aim the IDHS 2012 was used (n=16,083 live births from 14,013 women). We considered several socio-demographic factors that might influence maternal healthcare utilization in our analyses. Segmented logistic regression analyses using STATA survey (svy) were conducted to assess progress in skilled delivery and ANC. The regression-based decomposition method using STATA mvdcmp was used to identify the contribution of each factor in the gap of skilled facility delivery (SFD) utilization by family wealth. Results: Following the Village Midwife Program, there was a significant yearly increase in skilled birth attendance (SBA), aOR per year= 1.12, (95%CI 1.08-1.15), but not in SFD. There also were significant yearly increases in SBA and SFD after SHI initiation. The increasing trends of SFD following SHI were more evident among women of low socioeconomic status (SES) and women living in Java Bali. We also observed increasing yearly trends of ANC 4 visits utilization after SHI implementation, aOR per year =1.11 (95%CI 1.01, 1.21), but not in ANC 8 visits. However, the trends were not significantly different from the trends that predated SHI initiation. After 2008, there were decreasing trends of ANC 4 visits across family wealth and regions, which might be caused by data artifact or real events. In the decomposition analyses, approximately 69.7% of the SFD gaps by family wealth in Java Bali, 61.6% in the more populated other islands, and 54.6% in the less populated other islands could be attributed to the differences in characteristics. The decomposition methods classify the contribution of differences in characteristics (i.e. different distribution of characteristics) and differential effect/responses by groups. Across all regions, the predominant contributors to the gap in SFD utilization were differences in the distribution of education level, area of residence, and parity between the lower and higher family wealth quintiles.…
Advisors/Committee Members: Holzman, Claudia, Margerison-Zilko, Claire, Todem, David, Haider, Steven J.
Subjects/Keywords: Maternal health services – Economic aspects – Indonesia; Maternal health services – Indonesia – Regional disparities; Maternal health services – Economic aspects; Epidemiology; Public health; Health sciences
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APA (6th Edition):
Widyaningsih, V. (2018). Trends and quality of maternal healthcare in Indonesia by economic status and region. (Thesis). Michigan State University. Retrieved from http://etd.lib.msu.edu/islandora/object/etd:19438
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Widyaningsih, Vitri. “Trends and quality of maternal healthcare in Indonesia by economic status and region.” 2018. Thesis, Michigan State University. Accessed March 03, 2021.
http://etd.lib.msu.edu/islandora/object/etd:19438.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Widyaningsih, Vitri. “Trends and quality of maternal healthcare in Indonesia by economic status and region.” 2018. Web. 03 Mar 2021.
Vancouver:
Widyaningsih V. Trends and quality of maternal healthcare in Indonesia by economic status and region. [Internet] [Thesis]. Michigan State University; 2018. [cited 2021 Mar 03].
Available from: http://etd.lib.msu.edu/islandora/object/etd:19438.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Widyaningsih V. Trends and quality of maternal healthcare in Indonesia by economic status and region. [Thesis]. Michigan State University; 2018. Available from: http://etd.lib.msu.edu/islandora/object/etd:19438
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Montana State University
24.
Cline, Elize Marie.
Exploring trust in the provider - patient DYAD : capturing the mother's voice in her own words.
Degree: M Nursing, College of Nursing, 2014, Montana State University
URL: https://scholarworks.montana.edu/xmlui/handle/1/3395
► In 2013, Montana was ranked 50th, or the lowest ranking state, for child health status according to the Annie E. Casey Foundation. The Maternal, Infant,…
(more)
▼ In 2013, Montana was ranked 50th, or the lowest ranking state, for child
health status according to the Annie E. Casey Foundation. The
Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) was created when the Patient Protection and Affordable Care Act was signed into law. Several counties within Montana adopted the evidence-based Nurse-Family Partnership (NFP) home visiting program under the direction of MIECHV. The NFP program delivers care to at-risk pregnant mothers and their children. The purpose of this paper was to conduct a review of the literature to investigate communication approaches that the NFP nurse uses or could use during a home visit with the mother, that strengthens the ability of the nurse to capture and empower the mother's voice as customer. Three databases were utilized with a total of ten search terms. A total of five qualitative articles were found that directly examined the voice of the mother receiving home visiting
services. Trust was the key term used to examine components of the dyad relationship. Trust within the provider-patient relationship is important as it is tied directly to program engagement and positive outcomes. After analysis of the articles, six themes surfaced that the mothers expressed and included personality, friendship, availability, empowerment, reducing vulnerability, and testing. Additional sub themes included emotional support, knowing, control, verbal praise, advocacy, and respect. Little research exists that directly examines and seeks to garner the experiences of at-risk mothers participating in home visiting programs. Complicating the literature search was the finding that trust is poorly defined in nursing literature and the
health science literature as a whole. Further research and inquiry is needed to understand, according to the patient perspective, how trust is built, maintained, broken, and repaired. Understanding the concept of trust according to the patient perspective is imperative as home visiting programs are implemented within the state of Montana. Capturing the voice of the customer is not only a mandate but is imperative to improve the
health status of our State.
Advisors/Committee Members: Chairperson, Graduate Committee: Sandra Kuntz (advisor).
Subjects/Keywords: Maternal, Infant and Early Childhood Home Visiting Program.; Maternal health services.; Child health services.; Home care services.; Trust.
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APA ·
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CSE |
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APA (6th Edition):
Cline, E. M. (2014). Exploring trust in the provider - patient DYAD : capturing the mother's voice in her own words. (Thesis). Montana State University. Retrieved from https://scholarworks.montana.edu/xmlui/handle/1/3395
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Cline, Elize Marie. “Exploring trust in the provider - patient DYAD : capturing the mother's voice in her own words.” 2014. Thesis, Montana State University. Accessed March 03, 2021.
https://scholarworks.montana.edu/xmlui/handle/1/3395.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Cline, Elize Marie. “Exploring trust in the provider - patient DYAD : capturing the mother's voice in her own words.” 2014. Web. 03 Mar 2021.
Vancouver:
Cline EM. Exploring trust in the provider - patient DYAD : capturing the mother's voice in her own words. [Internet] [Thesis]. Montana State University; 2014. [cited 2021 Mar 03].
Available from: https://scholarworks.montana.edu/xmlui/handle/1/3395.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Cline EM. Exploring trust in the provider - patient DYAD : capturing the mother's voice in her own words. [Thesis]. Montana State University; 2014. Available from: https://scholarworks.montana.edu/xmlui/handle/1/3395
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Washington
25.
Afonso, Natalia.
Multiple sclerosis, the decision to become pregnant, and factors associated with perinatal relapse.
Degree: 2017, University of Washington
URL: http://hdl.handle.net/1773/40172
► Background: Multiple sclerosis (MS) is one of the most common diseases of the nervous system, impacting more than two million people worldwide. Over 400,000 individuals…
(more)
▼ Background: Multiple sclerosis (MS) is one of the most common diseases of the nervous system, impacting more than two million people worldwide. Over 400,000 individuals in the United States are diagnosed with MS each year. MS diagnosis is more common (two to three times more) among women than men and it is most commonly diagnosed during the second and third decades of life, prime reproductive years for many women. While research has shown that a diagnosis of MS does not decrease a woman’s ability to have children, the MS diagnosis and pregnancy experience after MS diagnosis may influence the decision to have children. Further, pregnancy may have an impact on the course of MS. Methods: The study was conducted in the setting of the Greater Washington Chapter of the National Multiple Sclerosis Society (NMSS). The current study was conducted among 391 women, community-dwelling participants with MS, who responded to survey questions related to pregnancy and MS. Study participant characteristics (e.g. socio-demographic characteristics), opinion on pregnancy-related decision making, and experience of MS relapse during the perinatal period were summarized using descriptive statistics. Differences in characteristics between women who experienced perinatal MS relapse and women who did not were compared using Student’s T-test and Chi-square tests. Results: The mean age of participants was 52 years. Of the women who participated in the survey, 67 (17.1%) had at least one pregnancy after their MS diagnosis. Women who experienced pregnancy after MS diagnosis were younger at MS diagnosis (28 vs. 40 years) and of lower body mass index (25 vs. 27 kg/m2), compared with women who did not experience pregnancy after MS diagnosis (all p-value<0.05). Married women were more likely to have a pregnancy after their MS diagnosis (80% vs. 67%). Of the women who did become pregnant after their diagnosis, 39.7% indicated that their pregnancy experience influenced their decision to have more children. Of the pregnant women, 36 (53.7%) reported experiencing an MS relapse either during pregnancy (N=2), after delivery (N=26), or both time periods (N=7). Perinatal relapse of MS was potentially related to the course of MS and the marital status of women. Conclusion: Age at MS diagnosis and body mass index are related to experiencing pregnancy after MS diagnosis. MS diagnosis contributes to pregnancy-decision making. Course of MS and marital status are potentially related to perinatal MS relapse. Similar future studies can further our understanding of the relationships between MS diagnosis, pregnancy-decision making, and factors related to perinatal MS relapse, contributing to improved clinical care and development of preventative strategies to reduce MS related burden during the perinatal period.
Advisors/Committee Members: Enquobahrie, Daniel A (advisor).
Subjects/Keywords: and; Child; Health; Maternal; Public health; Health services
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APA (6th Edition):
Afonso, N. (2017). Multiple sclerosis, the decision to become pregnant, and factors associated with perinatal relapse. (Thesis). University of Washington. Retrieved from http://hdl.handle.net/1773/40172
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Afonso, Natalia. “Multiple sclerosis, the decision to become pregnant, and factors associated with perinatal relapse.” 2017. Thesis, University of Washington. Accessed March 03, 2021.
http://hdl.handle.net/1773/40172.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Afonso, Natalia. “Multiple sclerosis, the decision to become pregnant, and factors associated with perinatal relapse.” 2017. Web. 03 Mar 2021.
Vancouver:
Afonso N. Multiple sclerosis, the decision to become pregnant, and factors associated with perinatal relapse. [Internet] [Thesis]. University of Washington; 2017. [cited 2021 Mar 03].
Available from: http://hdl.handle.net/1773/40172.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Afonso N. Multiple sclerosis, the decision to become pregnant, and factors associated with perinatal relapse. [Thesis]. University of Washington; 2017. Available from: http://hdl.handle.net/1773/40172
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Namibia
26.
Velikoshi Eva A.N.
An overview of completeness of maternal records: Documentation of maternal nursing care rendered to women during the four stages of labour in Oshakati intermediate hospital
.
Degree: 2007, University of Namibia
URL: http://hdl.handle.net/11070/397
► Abstract provided by author; Nursing documentation continues to be criticised by professional, community and regulatory bodies because of incomplete, substandard charting practices. Poor documentation may…
(more)
▼ Abstract provided by author; Nursing documentation continues to be criticised by professional, community and regulatory bodies because of incomplete, substandard charting practices. Poor documentation may have adverse consequences for care providers because data collection through auditing could create the impression that care was not provided, that is, the impression that what was not documented was not in fact done for the patient. Documentation of the actions of nurses and midwives provide evidence of the quality of care they have rendered, and anything written or printed is a record or proof of activities carried out. Hence good documentation reflects the quality of care and also provides evidence of the accountability of each
health care member; This research was conducted in the maternity department of the Oshakati Intermediate Hospital. The purpose of this study was to describe the completeness of the documentation of nursing care rendered during the four stages of labour at the Oshakati Intermediate Hospital. The study was a quantitative, retrospective audit of the
maternal records of women who delivered from January to December 2005. A checklist was developed by the researcher and was then used to collect data. Adherence to policy and guidelines of documentation was determined by auditing the documented entries in the progress notes of
maternal records as to whether they were dated, timed, had entry modes, were coherent, legible and were signed by the documenter; It is recommended that the controlling body of nursing and midwifery, the Interim Council of Nursing, should formulate a guideline or manual on the proper documentation of nursing care, which could serve as a practical guideline for nurses/midwives and students in the clinical setting. Currently there are no national Manuals of Documentation or Procedures of Documentation guidelines. Maternity department staff should also attend workshops on ways to improve documentation and the importance of documentation in the quality of
maternal nursing care, both nationally and internationally.
Advisors/Committee Members: (advisor), (advisor).
Subjects/Keywords: Maternal health services
;
Prenatal care
;
Hospitals
;
Maternity services
;
Maternity nursing
;
Midwifery
Record Details
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APA ·
Chicago ·
MLA ·
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CSE |
Export
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Manager
APA (6th Edition):
A.N., V. E. (2007). An overview of completeness of maternal records: Documentation of maternal nursing care rendered to women during the four stages of labour in Oshakati intermediate hospital
. (Thesis). University of Namibia. Retrieved from http://hdl.handle.net/11070/397
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
A.N., Velikoshi Eva. “An overview of completeness of maternal records: Documentation of maternal nursing care rendered to women during the four stages of labour in Oshakati intermediate hospital
.” 2007. Thesis, University of Namibia. Accessed March 03, 2021.
http://hdl.handle.net/11070/397.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
A.N., Velikoshi Eva. “An overview of completeness of maternal records: Documentation of maternal nursing care rendered to women during the four stages of labour in Oshakati intermediate hospital
.” 2007. Web. 03 Mar 2021.
Vancouver:
A.N. VE. An overview of completeness of maternal records: Documentation of maternal nursing care rendered to women during the four stages of labour in Oshakati intermediate hospital
. [Internet] [Thesis]. University of Namibia; 2007. [cited 2021 Mar 03].
Available from: http://hdl.handle.net/11070/397.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
A.N. VE. An overview of completeness of maternal records: Documentation of maternal nursing care rendered to women during the four stages of labour in Oshakati intermediate hospital
. [Thesis]. University of Namibia; 2007. Available from: http://hdl.handle.net/11070/397
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
27.
White, Maria Nyberg.
Preventing maternal mortality : - Nurses’ and midwives’ experiences from Tanzanian maternal health care services.
Degree: Faculty of Health Sciences, 2013, Linköping UniversityLinköping University
URL: http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-116479
► Background: Half a million women died during pregnancy or childbirth in 2005. Bleeding, infections, high blood pressure, obstructed labor, unsafe abortions, malaria and HIV/Aids…
(more)
▼ Background: Half a million women died during pregnancy or childbirth in 2005. Bleeding, infections, high blood pressure, obstructed labor, unsafe abortions, malaria and HIV/Aids were the main causes. Tanzania is a highly affected country with 460 maternal deaths per 100 000 live births. Nurses and midwives play an important role in preventing maternal mortality. Purpose: The aim of this study was to explore and analyze nurses’ and midwives’ experiences of maternal mortality prevention on the Tanzanian island of Unguja. Method: Interviews with nine nurses and midwifes from four different hospitals and health care facilities were conducted with the assistance of an interpreter. A structural analysis designed by Ricoeur was undertaken. Results: The findings suggest that family planning, a more accessible health care, referral of severe cases, medical interventions, health education, community resource persons and involving fathers in maternal health care are preventive strategies that can reduce maternal mortality. Conclusion: To further improve the quality of maternal mortality prevention further knowledge aboutindividual differences in learning from health education is needed. Involvement of all fathers in maternal health care should also be considered. Training of unskilled personnel is believed to improve early identification of life-threatening complications and thereby reduce maternal mortality.
Bakgrund: En halv miljon kvinnor i världen dog under graviditet eller förlossning under 2005. Huvudorsaker var blödningar, infektioner, högt blodtryck, långdragna förlossningar, osäkra aborter, malaria samt HIV/Aids. Tanzania är ett drabbat land med 460 fall av mödradödlighet per 100 000 levande födda barn. Sjuksköterskor och barnmorskor spelar en viktig roll i det preventiva arbetet mot mödradödlighet. Syfte: Syftet med studien var att utforska och analysera sjuksköterskors och barnmorskors upplevelser och erfarenhet av arbetet mot mödradödlighet på ön Unguja, Tanzania. Metod: Intervjuer med nio sjuksköterskor och barnmorskor från fyra olika sjukhus/hälsocentraler genomfördes med hjälp av en tolk. En strukturanalys utformad av Ricoeur genomfördes. Resultat: Resultatet visar att familjeplanering, en mer tillgänglig hälso- och sjukvård, remitterande av patienter med allvarliga komplikationer, medicinska interventioner, hälsoutbildning, resurspersoner i samhället och att involvera pappor i mödrahälsovården var preventiva strategier som kan minska mödradödlighet. Slutsats: För att ytterligare förbättra arbetet mot mödradödlighet tycks mer kunskap om individers förmåga att ta till sig hälsoutbildning behövas. Att i ännu större utsträckning även välkomna alla blivande pappor till mödrahälsovården föreslås också kunna fungera preventivt. Utbildning för outbildade kvinnor som hjälper till vid…
Subjects/Keywords: Maternal mortality; Tanzania; maternal health services; prevention; health education.; Mödradödlighet; Tanzania; mödrahälsovård; prevention; hälsoupplysning
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APA ·
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Manager
APA (6th Edition):
White, M. N. (2013). Preventing maternal mortality : - Nurses’ and midwives’ experiences from Tanzanian maternal health care services. (Thesis). Linköping UniversityLinköping University. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-116479
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
White, Maria Nyberg. “Preventing maternal mortality : - Nurses’ and midwives’ experiences from Tanzanian maternal health care services.” 2013. Thesis, Linköping UniversityLinköping University. Accessed March 03, 2021.
http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-116479.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
White, Maria Nyberg. “Preventing maternal mortality : - Nurses’ and midwives’ experiences from Tanzanian maternal health care services.” 2013. Web. 03 Mar 2021.
Vancouver:
White MN. Preventing maternal mortality : - Nurses’ and midwives’ experiences from Tanzanian maternal health care services. [Internet] [Thesis]. Linköping UniversityLinköping University; 2013. [cited 2021 Mar 03].
Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-116479.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
White MN. Preventing maternal mortality : - Nurses’ and midwives’ experiences from Tanzanian maternal health care services. [Thesis]. Linköping UniversityLinköping University; 2013. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-116479
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of the Western Cape
28.
Sajan, Merly.
Awareness of physiotherapy interventions among pregnant females in antenatal clinics, Buffalo city municipality, Eastern Cape, South Africa
.
Degree: 2013, University of the Western Cape
URL: http://hdl.handle.net/11394/3894
► Aim: The aim of the study was to to explore women’s awareness and use of antenatal services at Cecilia Makiwane Hospital. Objectives: The specific objectives…
(more)
▼ Aim: The aim of the study was to to explore women’s awareness and use of
antenatal
services at Cecilia Makiwane Hospital. Objectives: The specific objectives were to
determine the awareness of physiotherapy interventions among pregnant women attending
antenatal clinic as well as the
health professional’s knowledge about physiotherapy in the
antenatal clinic.
Advisors/Committee Members: Phillips, Julie (advisor).
Subjects/Keywords: Utilization;
Antenatal Care;
Awareness;
Knowledge;
Physiotherapy;
Barriers;
Maternal health services;
Maternal health
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APA (6th Edition):
Sajan, M. (2013). Awareness of physiotherapy interventions among pregnant females in antenatal clinics, Buffalo city municipality, Eastern Cape, South Africa
. (Thesis). University of the Western Cape. Retrieved from http://hdl.handle.net/11394/3894
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Sajan, Merly. “Awareness of physiotherapy interventions among pregnant females in antenatal clinics, Buffalo city municipality, Eastern Cape, South Africa
.” 2013. Thesis, University of the Western Cape. Accessed March 03, 2021.
http://hdl.handle.net/11394/3894.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Sajan, Merly. “Awareness of physiotherapy interventions among pregnant females in antenatal clinics, Buffalo city municipality, Eastern Cape, South Africa
.” 2013. Web. 03 Mar 2021.
Vancouver:
Sajan M. Awareness of physiotherapy interventions among pregnant females in antenatal clinics, Buffalo city municipality, Eastern Cape, South Africa
. [Internet] [Thesis]. University of the Western Cape; 2013. [cited 2021 Mar 03].
Available from: http://hdl.handle.net/11394/3894.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Sajan M. Awareness of physiotherapy interventions among pregnant females in antenatal clinics, Buffalo city municipality, Eastern Cape, South Africa
. [Thesis]. University of the Western Cape; 2013. Available from: http://hdl.handle.net/11394/3894
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Deakin University
29.
Maheen, Humaira.
Improving women’s access to continuum of maternity-care services: A maternity-care model for rural Sindh, Pakistan.
Degree: School of Health & Social Development, 2017, Deakin University
URL: http://hdl.handle.net/10536/DRO/DU:30105497
► The study explored factors associated with lack of utilization of skilled maternity care and reproductive health services of rural women who lives in remote and…
(more)
▼ The study explored factors associated with lack of utilization of skilled maternity care and reproductive
health services of rural women who lives in remote and flood-prone regions of Pakistan. The study proposes a parsimonious maternity care model which offers optimal utilization of existing
health workforce and infrastructure to ensure continuum of maternity care
services to women and girls in rural Pakistan.
Advisors/Committee Members: Hoban, Elizabeth, Bennett, Catherine.
Subjects/Keywords: Pakistan; rural health services; maternity care; maternal health services; improvements in medical care; women's health
Record Details
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Maheen, H. (2017). Improving women’s access to continuum of maternity-care services: A maternity-care model for rural Sindh, Pakistan. (Thesis). Deakin University. Retrieved from http://hdl.handle.net/10536/DRO/DU:30105497
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Maheen, Humaira. “Improving women’s access to continuum of maternity-care services: A maternity-care model for rural Sindh, Pakistan.” 2017. Thesis, Deakin University. Accessed March 03, 2021.
http://hdl.handle.net/10536/DRO/DU:30105497.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Maheen, Humaira. “Improving women’s access to continuum of maternity-care services: A maternity-care model for rural Sindh, Pakistan.” 2017. Web. 03 Mar 2021.
Vancouver:
Maheen H. Improving women’s access to continuum of maternity-care services: A maternity-care model for rural Sindh, Pakistan. [Internet] [Thesis]. Deakin University; 2017. [cited 2021 Mar 03].
Available from: http://hdl.handle.net/10536/DRO/DU:30105497.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Maheen H. Improving women’s access to continuum of maternity-care services: A maternity-care model for rural Sindh, Pakistan. [Thesis]. Deakin University; 2017. Available from: http://hdl.handle.net/10536/DRO/DU:30105497
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
30.
Edwards, Elizabeth.
A phenomenological analysis of women's choices, expectations and experiences when intending to give birth in a birth centre.
Degree: PhD, Faculty of Health, Sport and Science, 2009, University of South Wales
URL: http://hdl.handle.net/10265/324
► The aim of this study was to explore the factors that influenced women to choose care in a birth centre in the South Wales Valleys,…
(more)
▼ The aim of this study was to explore the factors that influenced women to choose care in a birth centre in the South Wales Valleys, and to ascertain their expectations and experiences of care in the antenatal period and during labour.
The possibility of complications arising during normal pregnancy is a well-known phenomenon, leading to a woman‘s care being transferred from a midwife to an obstetrician. For women intending to give birth in the birth centre, this also meant having care transferred to the District General Hospital eight miles distant. Experiences of those women who had care transferred were of a particular interest. Even though transfer is a common occurrence, little research exploring the effects of this from the woman‘s perspective has been carried out.
The study was qualitative, using thematic analysis based on Gadamerian phenomenological principles. Semi-structured interviews were carried out with a purposeful sample of twenty women who described their antenatal experiences. Five of the women were later transferred from midwifery-led to obstetric-led care in the obstetric unit, with three of the transfers occurring during labour. A second interview was held with these five women to explore their experiences further.
Key findings indicate that women choose the birth centre for its friendly, welcoming environment and woman-centred midwifery care. The influence and importance of family around the time of birth was a notable feature. Women transferred in labour subsequently experienced a different model of care, which for one woman meant that she remained empowered to make choices and decisions about her labour, whilst two other women felt some aspects of care to be mechanistic and impersonal.
Recommendations from the study include further, larger scale research into women‘s experiences of transfer. Areas where specific guidance and education may be beneficial are suggested, to give a better understanding of those aspects of transfer that might affect women.
Subjects/Keywords: Childbirth - Wales, South; Maternal health services - Wales, South; 618.4; 618.4; Childbirth - Wales, South; Maternal health services - Wales, South; Maternal health services - Wales, South; Childbirth - Wales, South
Record Details
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Share »
Record Details
Similar Records
Cite
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Edwards, E. (2009). A phenomenological analysis of women's choices, expectations and experiences when intending to give birth in a birth centre. (Doctoral Dissertation). University of South Wales. Retrieved from http://hdl.handle.net/10265/324
Chicago Manual of Style (16th Edition):
Edwards, Elizabeth. “A phenomenological analysis of women's choices, expectations and experiences when intending to give birth in a birth centre.” 2009. Doctoral Dissertation, University of South Wales. Accessed March 03, 2021.
http://hdl.handle.net/10265/324.
MLA Handbook (7th Edition):
Edwards, Elizabeth. “A phenomenological analysis of women's choices, expectations and experiences when intending to give birth in a birth centre.” 2009. Web. 03 Mar 2021.
Vancouver:
Edwards E. A phenomenological analysis of women's choices, expectations and experiences when intending to give birth in a birth centre. [Internet] [Doctoral dissertation]. University of South Wales; 2009. [cited 2021 Mar 03].
Available from: http://hdl.handle.net/10265/324.
Council of Science Editors:
Edwards E. A phenomenological analysis of women's choices, expectations and experiences when intending to give birth in a birth centre. [Doctoral Dissertation]. University of South Wales; 2009. Available from: http://hdl.handle.net/10265/324
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Open Access Theses and Dissertations
