ISSN (Print): 2327-669X

ISSN (Online): 2327-6703

Editor-in-Chief: Jing Sun

Website: http://www.sciepub.com/journal/AJPHR

   

Article

Effect of Community Health Strategy on Focused Antenatal Care Coverage: A Pretest-Posttest Experimental Study in Rural Mwingi West Sub-County; Kenya

1Department of Environmental Health, University of Kabianga, Kericho, Kenya

2Department of Public Health, Maseno University, Kisumu , Kenya

3Department of Biomedical Sciences and Technology, Maseno University, Kisumu, Kenya


American Journal of Public Health Research. 2016, 4(6), 213-221
doi: 10.12691/ajphr-4-6-4
Copyright © 2016 Science and Education Publishing

Cite this paper:
Japheth Mativo Nzioki, Rosebella Ogutu Onyango, James Ouma, James H. Ombaka. Effect of Community Health Strategy on Focused Antenatal Care Coverage: A Pretest-Posttest Experimental Study in Rural Mwingi West Sub-County; Kenya. American Journal of Public Health Research. 2016; 4(6):213-221. doi: 10.12691/ajphr-4-6-4.

Correspondence to: Japheth  Mativo Nzioki, Department of Environmental Health, University of Kabianga, Kericho, Kenya. Email: nziokimativo@gmail.com

Abstract

Globally, Maternal Mortality Rate (MMR) fell by nearly 44% over the past 25 years, to an estimated 216 maternal deaths per 100 000 live births in 2015 from MMR of 385 per 100 000 live births in 1990. Similarly, the number of under-five deaths worldwide has declined from 12.7 million in 1990 to 5.9 million in 2015. Despite these gains, sub-Saharan Africa remains the region with the highest MMR (99% of global maternal deaths) and under- five mortality rate (1 child in 12 die before their fifth birthday). In Kenya, maternal and child mortality rates are still high despite government efforts aimed at improving Maternal and Child Health (MCH). Studies have acknowledged that Focused Antenatal Care (FANC) is an important element of health care with the potential of reducing maternal and child mortality rates. Though the proportion of women in Kenya seeking ANC services from skilled attendants (for at least 1 visit) is high at 95.5%, FANC coverage remains low at 57.6%. This study sought to determine the effect of a community health worker led primary health care intervention (Community Health Strategy) on FANC in Mwingi West sub-county. A pretest -posttest experimental study design with 1 pretest and 2 post-test surveys in intervention and control sites was employed. Data was collected from a sample size of 422 households in each survey. Women with a child aged 9-12 months were main respondents. CHS significantly increased FANC coverage by 9.5% (Z=2.7528, P<005) within six months after implementation, and by 20.1% (Z= 5.7881, P<0.05) within 18 months of implementation. In intervention site, FANC coverage significantly increased to 59% from 38.9%. Women in intervention site were 1.7 times more likely to seek ANC services for at least 4 times compared to women in control site (95%CI: 1.464-2.014, P<0.0001). CHS was effective in increasing FANC coverage in intervention site. To improve MCH outcomes in Kenya the government should fast-track national implementation of CHS.

Keywords

References

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Article

Ownership and Use of Insecticide Treated Nets in Selected Rural Communities of Oyo State, Nigeria: Implication for Policy Action

1Departmnet of Community Medicine, Bowen University Teaching Hospital, Nigeria

2College of Health Sciences, University of Ilorin, Ilorin, Nigeria

3Department of Community Medicine, Ladoke Akintola University of Technology Teaching Hospital, Ogbomoso, Oyo State, Nigeria

4Department of Community Health, Faculty of Clinical Sciences, Obafemi Awolowo University, Ile-Ife

5Department of Epidemiology and Community Health, Faculty of Clinical Sciences, College of Medicine, Ekiti State University, Ado Ekiti, Ekiti State, Nigeria


American Journal of Public Health Research. 2016, 4(6), 222-229
doi: 10.12691/ajphr-4-6-5
Copyright © 2017 Science and Education Publishing

Cite this paper:
Ajibola Idowu, Gbenga Omotade Popoola, Babatunde Akintunde, Samuel Aaanu Olowookere, Samson Ayo Deji. Ownership and Use of Insecticide Treated Nets in Selected Rural Communities of Oyo State, Nigeria: Implication for Policy Action. American Journal of Public Health Research. 2016; 4(6):222-229. doi: 10.12691/ajphr-4-6-5.

Correspondence to: Ajibola  Idowu, Departmnet of Community Medicine, Bowen University Teaching Hospital, Nigeria. Email: idajibola@yahoo.com

Abstract

Introduction: Insecticide Treated Net (ITN) coverage and use remain low in Sub-Sahara Africa. The study assessed factors associated with ITN use in the rural settings of Nigeria. Methodology: Descriptive epidemiological design was employed and multi-stage sampling technique used to select 381 consenting participants in four rural communities of Oyo State, Nigeria. Interviewer-administered, semi-structured questionnaire was used for data collection and analyses done using SPSS; bi-variate analyses were done using chi-square test and binary-logistic regression was used to identify factors that were significantly associated with ITN use. Level of statistical significance was set at p<0.05. Result: The mean age of the respondents was 30±8 years. While 90.1% of the participants possessed ITNs, only 69.3% of them slept under the nets a night before the survey. Respondents who were less than 19 years of age had significantly lesser odds of ITN use compared to older women ((OR; 0.87, CI; 0.82-0.93). Also, women with no formal education had significantly lesser odds of ITN use compared to those with tertiary education (OR; 0.14, CI; 0.02-0.73). Respondents whose households’ monthly income was more than $64 had significantly higher odds of ITN use compared to households earning less (OR; 6.94, CI; 2.76-17.42). Pregnant women were ten times more likely to use ITN compared to non-pregnant participants (OR; 9.84, CI; 1.03-93.88). Conclusion: There is urgent need for more awareness creation on benefits of ITN use particularly among teenage mothers in Nigeria.

Keywords

References

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Article

Knowledge, Attitude and Practice of Family Planning Method Among Married Women of Reproductive Age Group in Earth Quake Displaced Population of Sindupalchok Disrtict, Nepal

1Department of Public Health, National Open College, Sanepa, Lalitpur, Pokhara University, Nepal

2K.S.Hegde Medical Academy, Nitte University, Mangalore, India

3Statistic Development Officer, UNDP, Nepal


American Journal of Public Health Research. 2017, 5(1), 1-5
doi: 10.12691/ajphr-5-1-1
Copyright © 2017 Science and Education Publishing

Cite this paper:
Sanjeev Kumar Shah, Abinash Upadhayay, Deependra Kaji Thapa, Sanal T.S, Raju Ghimire, Harsha Raj Dahal. Knowledge, Attitude and Practice of Family Planning Method Among Married Women of Reproductive Age Group in Earth Quake Displaced Population of Sindupalchok Disrtict, Nepal. American Journal of Public Health Research. 2017; 5(1):1-5. doi: 10.12691/ajphr-5-1-1.

Correspondence to: Sanjeev  Kumar Shah, Department of Public Health, National Open College, Sanepa, Lalitpur, Pokhara University, Nepal. Email: just4sanjeev@gmail.com

Abstract

Background: Comprehensive studies of family planning (FP) in displaced camps are relatively uncommon. This paper examines family planning knowledge, attitudes, and practices among in earth quake displaced population of Sindupalchok district of Nepal. Objective: To assess knowledge, attitude and practice of family planning and affecting factors for used of FP. Methodology: From January to March 2016 a cross-sectional descriptive study was conducted of 566 married women of age (15-49) years. Multi-stage sampling technique was used and data were collected for socio-demographics, practice of FP methods, knowledge, and attitude. Statistics were calculated for selected indicators. Results: The mean age of participants was 31.55 years. About 65.3 % of women reported using any method of family planning in the past, compared with 85.5 %of women reporting current usage of family planning methods. Recognition of at least one family planning method was nearly universal i.e.97.61%. Age, education status and age at marriage were significantly associated (p< 0.05) with contraceptive usage. It was observed that participants who were at the age group of 15-24 years had positive attitude by 2 and 11 time more than participants of age of 25-34 years and above 35 years respectively. Conclusions: Our results demonstrate that respondents have a high knowledge and a positive attitude towards, family planning methods. Spousal discussion can be a crucial step towards increasing men¡¯s participation in family planning issues. Distance to health facility play major role in utilization of FP methods.

Keywords

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